What Endometriosis Is:
- A pelvic exam, much like you would have at your usual gynecologist checkup.
- A transvaginal ultrasound -- An ultrasound provides a picture of what is happening in and around your uterus, and can help locate nodules and cysts.
- An MRI, if a clearer picture of the tissues in and around the pelvic cavity is needed.
- A laparoscopy -- During a laparoscopy, your doctor inserts a small camera through a tiny incision in your abdomen to examine structures in the pelvis. He can also take a sample of tissue for a biopsy.
- Painkillers: Over-the-counter or prescription NSAIDs can control pain in mild cases.
- Hormone treatments: Progesterone, oral contraceptives and gonadotropin agonist drugs (which keep the ovaries from producing estrogen) can control mild endometriosis pain. They may be combined with NSAIDs.
- Laparoscopic surgery: For severe endometriosis pain, this minimally invasive surgery can remove the excess endometrium or scar tissue.
Prognosis for Endometriosis:
Medline Plus Medical Encyclopedia. Endometriosis. Accessed 7/30/09. http://www.nlm.nih.gov/medlineplus/ency/article/000915.htm
Nasir, Laeth and Bope, Edward T. Management of Pelvic Pain from Dysmenorrhea or Endometriosis. The Journal of the American Board of Family Practice 17:S43-S47 (2004)
National Institute of Child Health and Human Development. What is Endometriosis? Accessed 7/30/09. http://www.nichd.nih.gov/publications/pubs/endometriosis/sub2.cfm#what