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J Minim Invasive Gynecol. 2020 Feb;27(2):270-279. doi: 10.1016/j.jmig.2019.10.012. Epub 2019 Oct 24.

A Practical Guide to the Clinical Evaluation of Endometriosis-Associated Pelvic Pain.

Author information

1
Department of Obstetrics and Gynecology, Atrium Health, Charlotte, North Carolina (Dr. Vilasagar).
2
Department of Obstetrics and Gynaecology, Queen's University, Kingston (Dr. Bougie).
3
Department of Obstetrics and Gynecology, The Ottawa Hospital and Ottawa Hospital Research Institute, Ottawa (Dr. Singh), Ontario, Canada. Electronic address: susingh@toh.ca.

Abstract

Endometriosis-associated pain (EAP) has a significant impact on the quality of life of those affected and their families. Recognizing that endometriosis is a chronic condition associated with an impairment in function and negative social impact, there is a shift toward reducing diagnostic delays and initiating timely management. This article provides a comprehensive and practical approach to the clinical diagnosis of EAP, which can subsequently facilitate prompt and directed treatment. The key components of the history, physical examination, and high-quality imaging to evaluate suspected EAP and related pain conditions are presented. Currently, biomarkers have limited utility in the diagnosis of endometriosis, but research in this area continues; development of a reliable noninvasive test for endometriosis may further improve early identification of this condition.

KEYWORDS:

Endometriosis; Endometriosis biomarkers; Endometriosis diagnosis; Endometriosis imaging; Pelvic pain

PMID:
31669551
DOI:
10.1016/j.jmig.2019.10.012

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