Endometriosis at all ages: diagnostic ultrasound

Marcel Baümler; Marcel Bäumler; Niko Heiss; Rene Druckmann; René Druckmann

doi:10.1515/hmbci-2021-0082

Endometriosis at all ages: diagnostic ultrasound

Marcel Baümler, Marcel Bäumler, Niko Heiss, Rene Druckmann, René Druckmann

Hormone molecular biology and clinical investigation · 2022 · vol. 43(2) , pp. 151–157 · doi:10.1515/hmbci-2021-0082 · PMID:35654472 · W4281702805

review OA: closed CC0 ⤵ 8 in-corpus citations

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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review highlights ultrasound signs for diagnosing endometriosis in menstruating patients and discusses specific approaches for adolescent and menopausal individuals.

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Abstract

Endometriosis is a gynecological disease affecting about 10% of the female population. The multifactorial hormonal, inflammatory, genetic, mental and behavior pathogenesis can result in chronic pelvic pain, blooding disorders and infertility causing disruption of quality of life. Correct diagnosis of the extension and topography is substantial in defining the adequate therapeutic strategy. In an increasing proportion of the cases, endometriosis is being managed medically and para-medically; diagnostic or therapeutic surgery can often be avoided or delayed. Transvaginal sonography is considered being the first-line imaging method in the diagnosis of pelvic endometriosis. The paradigm shift from the belief that endometriosis only affects women of reproductive age has drawn attention to endometriosis in both premenarchal and postmenopausal patients. This review resumes the actually recommended ultrasound signs in the case of patients in menstrual age. Specific diagnostic approaches in adolescent and menopausal patients are highlighted.

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Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Adolescent Adolescent Adolescent Adolescent Female Female Female Female Humans Humans Humans Humans Pelvic Pain Pelvic Pain

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (46)

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Adolescence and endometriosis: symptoms, ultrasound signs and early diagnosis via openalex
Adolescent Endometriosis via openalex
Comparison of physical examination, ultrasound techniques and magnetic resonance imaging for the diagnosis of deep infiltrating endometriosis: A systematic review and meta‑analysis of diagnostic accuracy studies via openalex
Deep Infiltrating Endometriosis: Comparison Between 2‐Dimensional Ultrasonography (US), 3‐Dimensional US, and Magnetic Resonance Imaging via openalex
Diagnosing endometriosis in adolescents: ultrasound is a game changer via openalex
Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography via openalex
Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis via openalex
Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents via openalex
Endometriomas: their ultrasound characteristics via openalex
Endometriosis and pain in the adolescent- striking early to limit suffering: A narrative review via openalex
Endometriosis: a premenopausal disease? Age pattern in 42,079 patients with endometriosis via openalex
Endometriosis for the primary care physician via openalex
Endometriosis in a Postmenopausal Woman on Hormonal Replacement Therapy via openalex
Endometriosis in menopause: a single institution experience via openalex
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Helping “Adult Gynecologists” Diagnose and Treat Adolescent Endometriosis: Reflections on My 20 Years of Personal Experience via openalex
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Cited by (8)

Source provenance

europepmc: last seen: 2026-06-11T06:19:48.454388+00:00
openalex: last seen: 2026-06-10T17:14:06.276822+00:00
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License: CC0 · commercial use OK

[1] Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis via openalex

[2] Adolescence and endometriosis: symptoms, ultrasound signs and early diagnosis via openalex

[3] Adolescent Endometriosis via openalex

[4] Comparison of physical examination, ultrasound techniques and magnetic resonance imaging for the diagnosis of deep infiltrating endometriosis: A systematic review and meta‑analysis of diagnostic accuracy studies via openalex

[5] Deep Infiltrating Endometriosis: Comparison Between 2‐Dimensional Ultrasonography (US), 3‐Dimensional US, and Magnetic Resonance Imaging via openalex

[6] Diagnosing endometriosis in adolescents: ultrasound is a game changer via openalex

[7] Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography via openalex

[8] Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis via openalex

[9] Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents via openalex

[10] Endometriomas: their ultrasound characteristics via openalex

[11] Endometriosis and pain in the adolescent- striking early to limit suffering: A narrative review via openalex

[12] Endometriosis: a premenopausal disease? Age pattern in 42,079 patients with endometriosis via openalex

[13] Endometriosis for the primary care physician via openalex

[14] Endometriosis in a Postmenopausal Woman on Hormonal Replacement Therapy via openalex

[15] Endometriosis in menopause: a single institution experience via openalex

[16] Endometriosis in the postmenopausal female: clinical presentation, imaging features, and management via openalex

[17] Endometriosis: pathogenesis and treatment via openalex

[18] Erratum: Management of Endometriomas via openalex

[19] Helping “Adult Gynecologists” Diagnose and Treat Adolescent Endometriosis: Reflections on My 20 Years of Personal Experience via openalex

[20] History, pelvic examination findings and mobility of ovaries as a sonographic marker to detect pelvic adhesions with fixed ovaries via openalex

[21] Imaging in gynecological disease (10): clinical and ultrasound characteristics of decidualized endometriomas surgically removed during pregnancy via openalex

[22] Imaging in gynecology via openalex

[23] Management of Endometriomas via openalex

[24] Pathogenesis and pathophysiology of endometriosis via openalex

[25] Performance of ultrasound‐based endometriosis staging system (<scp>UBESS</scp>) for predicting level of complexity of laparoscopic surgery for endometriosis via openalex

[26] Performances et place de l’échographie dans le diagnostic de l’endométriose, RPC Endométriose CNGOF–HAS via openalex

[27] Postmenopausal Deep Infiltrating Endometriosis of the Colon: Rare Location and Novel Medical Therapy via openalex

[28] Psychosocial Aspects of Teen Endo via openalex

[29] Relationship between delay of surgical diagnosis and severity of disease in patients with symptomatic deep infiltrating endometriosis via openalex

[30] Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group via openalex

[31] The association between ultrasound-based ‘soft markers’ and endometriosis type/location: A prospective observational study via openalex

[32] The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres via openalex

[33] The Effect of Endometriosis Symptoms on Absenteeism and Presenteeism in the Workplace and at Home via openalex

[34] Ultrasound diagnosis of endometriosis and adenomyosis: State of the art via openalex

[35] Ultrasound mapping of pelvic endometriosis: does the location and number of lesions affect the diagnostic accuracy? a multicentre diagnostic accuracy study via openalex

[36] Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis via openalex

[37] Validation study of nonsurgical diagnosis of endometriosis via openalex

[38] What is the societal burden of endometriosis-associated symptoms? A prospective Belgian study via openalex

[39] When more is not better: 10 ‘don’ts’ in endometriosis management. An ETIC* position statement via openalex

[40] W1979316859 via openalex

[41] W1972123477 via openalex

[42] W3080192728 via openalex

[43] W2163315477 via openalex

[44] W1997070469 via openalex

[45] W2626401705 via openalex

[46] W2136748184 via openalex