Diagnosis of endometriosis
Diagnosis of endometriosis can be challenging and many clinicians don’t have the necessary experience to identify and treat it on time so that it doesn’t become devastating for woman’s life.
Nevertheless symptoms can give us a lot of valuable information:
- Special GCEMIS questionnaire: the special questionnaire of our clinic is of the utmost importance. Patients are asked to evaluate different aspects of their daily life using a visual analogue scale. By doing so ,we have a detailed overall picture of patient’s condition and then we can discuss and decide together for the need of intervention. Through this evaluation system we try to individualise every case so that the patient benefits the most.
- History:a detailed personal and medical history as well as a conversation with the patient is very crucial. All the previous ones along with patient’s symptoms can help us initially identify if endometriosis is the case.
- Clinical examination:during the examination it is possible that endometriosic («chocolate») cysts, painful endometriosic nodules or other abnormalities are discovered with palpation.
- Ultrasound:this diagnostic tool is a powerful tool in the hands of a competent and skilled sonographer. It can help us identify ovarian cysts as well as adhesions that deform the pelvic cavity. Ultrasound can also pick up endometriosic nodules that are deep in the pelvis.
- Magnetic resonance (MRI):when advanced disease is suspected MRI can give us valuable information especially when we believe that there is infiltration of the bowel or bladder.
- Laparoscopy: laparoscopy is the surgical technique in which a mini camera is advanced through the belly button and the abdominal and pelvic cavity are visualised. Laparoscopy is considered to be the gold standard in the diagnosis of endometriosis. Diagnosing endometriosis can be very challenging, difficult and requires extensive training as most of the lesions cannot be identified by gynaecologists who are not trained sufficiently on the specific area.