It's a difficult disease to diagnose. For a woman, experiencing pain during menstruation or stomachaches at the time of intercourse is often trivialized. We talk about colitis ... and we evacuate the question! Unfortunately, this leads to problems of infertility, which lead to consulting a gynecologist.
The diagnosis can be made by a simple speculum gynecological examination. The gynecologist can sometimes see the lesions with the naked eye. A simple vaginal examination can also be used to diagnose endometriosis.
In case of painful periods or painful intercourse, the doctor will perform a gynecological examination if possible at the time of menses and may be able to perceive vaginal touch one or more painful nodules in the posterior wall of the vagina, a painful ovary and / or increased volume, a poorly positioned uterus .... And that could explain the presence of these pains.
Gynecological examination may be supplemented with pelvic and / or endovaginal ultrasound to look for images of endometrial nodules outside the uterus. Caution: small lesions are not visible on ultrasound, nor adhesions.
It is sometimes necessary to perform a hysterosalpingogram, that is to say a radiograph of the uterus after injecting an opaque product to visualize the uterine cavity and the fallopian tubes: we can suspect endometriosis cysts in the muscular wall of the uterus. the uterus in front of a distorted uterine lumen, one will check the permeability of the tubes: indeed, a nodule of endometriosis can block the light of a trunk and could give an explanation to a possible sterility.
MRI (Magnetic Resonance Imaging) is also a very good exam.
Endometriosis can also be discovered during a sterility test.Want to share, share your experience or need advice? Appointment in our FORUMS Gynecology, Ovulation, Fertility and Infertility, .... or A doctor answers you!
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> Dyspareunia: painful intercourse
> Polycystic Ovaries (OPK)
> Gynecological issues: all about women's health