Role of Ultrasonography in the Diagnosis of Endometriosis in Infertile Women: Ovarian Endometrioma, Deep Endometriosis, and Superficial Endometriosis
Transvaginal ultrasonography is the first-line diagnostic tool for endometriosis in infertile women, capable of evaluating ovarian endometriomas, deep endometriosis, and superficial endometriosis with a trained operator.
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This chapter reviews how transvaginal ultrasonography can be used to diagnose endometriosis in infertile women, focusing on ovarian endometriomas, deep endometriosis, and the emerging role of imaging for superficial endometriosis. It describes a practical, high-level approach to performing the ultrasound and emphasizes that accuracy for evaluating ovarian endometriomas and deep endometriosis depends on use by a trained operator. The chapter also notes that superficial endometriosis diagnosis by transvaginal ultrasound has been proposed but provides less detailed performance claims than for deeper disease, which is an implicit limitation of certainty compared with ovarian endometriomas and deep endometriosis. This paper is centrally about endometriosis — it specifically addresses ultrasonography as a diagnostic tool for endometriosis in infertile women.
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