What tests are done for endometriosis?

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on October 21, 2024
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For patients with endometriosis, it is recommended that you undergo a gynecological ultrasound examination to observe the condition of the ectopic endometrial tissue in the pelvic cavity, whether it is present on the uterus or ovaries, and whether it has grown on the abdominal wall. Therefore, it is advised to have a gynecological ultrasound examination and a gynecological exam. Patients with endometriosis can also have a blood test for tumor markers. If you wish to undergo additional tests, you can also have a cervical cancer screening, which is also possible. The main recommendations are the first three: the gynecological exam, gynecological ultrasound, and tumor marker tests. These examinations are advisable. If the endometriosis is very severe and the pain is quite intense, treatment may be necessary.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
54sec home-news-image

What tests are done for endometriosis?

For patients with endometriosis, it is recommended that you undergo a gynecological ultrasound examination to observe the condition of the ectopic endometrial tissue in the pelvic cavity, whether it is present on the uterus or ovaries, and whether it has grown on the abdominal wall. Therefore, it is advised to have a gynecological ultrasound examination and a gynecological exam. Patients with endometriosis can also have a blood test for tumor markers. If you wish to undergo additional tests, you can also have a cervical cancer screening, which is also possible. The main recommendations are the first three: the gynecological exam, gynecological ultrasound, and tumor marker tests. These examinations are advisable. If the endometriosis is very severe and the pain is quite intense, treatment may be necessary.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 9sec home-news-image

How to treat endometriosis in the pelvic cavity?

When women suffer from pelvic endometriosis and the symptoms are not too severe—for instance, if the pain is relatively mild—they can be clinically observed during menstruation. If dysmenorrhea occurs, oral administration of non-steroidal anti-inflammatory drugs such as indomethacin can help alleviate the symptoms. However, some women may experience more severe symptoms and may require pseudopregnancy treatment with drugs, such as oral contraceptives or progestin-based medications. Another approach involves using GnRH analogues, a method known as 'medical oophorectomy.' If symptoms are severe and treatments are ineffective, surgical intervention might be considered. Surgical options include electrocoagulation of endometriotic lesions in the pelvis, sharp or blunt dissection of adhesions, which can also improve the pelvic environment and potentially enhance fertility in women. (Note: Medication should be taken under the guidance of a doctor.)

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Written by Zhang Lu
Obstetrics
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What to do about dysmenorrhea caused by endometriosis?

There are two types of dysmenorrhea, primary dysmenorrhea and secondary dysmenorrhea. An important cause of secondary dysmenorrhea is endometriosis. The dysmenorrhea caused by endometriosis comes from specific diseases, and the interventions include the following aspects: First, symptomatic treatment should be conducted first, which means using pain relief medication to alleviate the pain. In clinical practice, various pain relief medications can be used for dysmenorrhea caused by endometriosis. Second, treatment should be aimed at the cause of the dysmenorrhea. Treatment for endometriosis currently includes both medicinal and surgical approaches. If surgical treatment is chosen, it can involve the removal of ectopic cysts or pelvic ectopic cysts, among other conditions; if medicinal treatment is chosen, methods such as pseudopregnancy or artificial menopause can be used.

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Written by Liu Wei Jie
Obstetrics
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Can endometriosis turn into cancer?

The answer is no. First, let's explain what endometriosis is. Endometriosis is when the endometrium, or the lining of the uterus, is found outside of its normal location, including in the muscular layer of the uterus, the ovaries, the pelvic cavity, or the intestines; it can occur in any of these areas. This condition is known as endometriosis. Endometriosis within the uterus is a benign condition, but it can lead to severe painful menstruation and chocolate cysts. If the menstrual pain is very severe, there may be a possibility of needing a hysterectomy in the future. If a chocolate cyst occurs, surgery might also be necessary.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does endometriosis hurt?

When a woman has endometriosis, she rarely experiences pain outside of her menstrual period, except in specific circumstances, such as during intercourse, where contact might be made with the ectopic endometrial lesions, causing severe pain, also known as dyspareunia. During menstruation, because the ectopic endometrial tissue is still active, it can undergo congestion, edema, rupture, and bleeding, leading to severe dysmenorrhea. Additionally, during the menstrual period, it can also cause an increase in prostaglandin secretion within the uterine cavity, enhancing the uterus's excitability, leading to dysmenorrhea.