In case of suspicion of endometriosis, the gynecologist can request the performance of exams to evaluate the uterine cavity and the endometrium, such as a transvaginal ultrasound, magnetic resonance imaging and the measurement of the CA 125 marker in blood, for example. However, in cases where the symptoms are very intense, the doctor may request the performance of tests that evaluate other areas of the body and, in this way, confirm the severity of endometriosis.
Endometriosis is characterized by the presence of endometrial tissue, which is the tissue that covers the uterus internally, in places outside the uterus, such as in the peritoneum, ovaries, bladder, or the intestines, for example. Usually, the gynecologist asks for these exams when there is a suspicion of the illness due to symptoms such as very intense and progressive menstrual cramps, pain during intimate contact or making it difficult to be embarrassed.
If you believe you may have endometriosis, select your symptoms to know the possibilities:
The exams that are usually required to make the diagnosis of endometriosis include:
1. Gynecological exam
The gynecological examination can be carried out in the investigation and diagnosis of endometriosis, where the gynecologist observes the vagina and the uterus with a speculum. In addition, according to the observed characteristics, it was also possible to carry out the observation of the rectum with the objective of looking for cysts, which could indicate intestinal endometriosis.
2. Pelvic or transvaginal ultrasound
The ultrasound is one of the first exams carried out in the evaluation of endometriosis, it can be through the pelvis or through the transvaginal route. For its realization, it is necessary to completely empty the bladder before the exam, since in this way it is possible to visualize the organs better.
This exam is very useful to identify ovarian endometriosis, where endometrial tissue grows in the ovaries, however, this study can also indicate if there is endometriosis in the bladder, vagina and on the walls of the rectum.
See the necessary preparation and how the transvaginal ultrasound is performed.
3. Blood test CA 125
The CA 125 is a marker that is present in the blood and its measurement is usually requested to evaluate the risk of the person to develop cancer, ovarian cyst and endometriosis, for example, it is in these situations that the levels of CA 125 in la sangre are elevated. Therefore, when the CA 125 result is greater than 35 IU/mL, it is important that the doctor request other tests to confirm the diagnosis.
Know what the results of the CA 125 mean and how the exam is carried out.
4. Magnetic resonance
Magnetic resonance imaging is requested when there is a mass survey in the ovary that needs to be further evaluated, in addition to that it is also requested with the objective of investigating deep endometriosis, which also affects the intestine. This examination can show widespread fibrosis and changes in the pelvis, subcutaneous tissue, abdominal wall, and even on the surface of the diaphragm.
Know how the magnetic resonance is performed.
Laparoscopy is the best option for the diagnosis of endometriosis, since no one has doubts about the disease, without embargo on the first exam that is carried out, since it is a more invasive study, in addition to that it is possible to conclude it diagnosis through the performance of other exams.
In addition to the fact that it can be indicated in the diagnosis of endometriosis, laparoscopy can also be requested to monitor the evolution of the illness and verify if there is a response to the treatment. Find out more about how laparoscopy is performed.
There are other complementary exams that can also be requested, such as uroresonance or endoscopic rectal ultrasound, for example, those who help to better observe the places where the endometrial tissue is growing to establish the best treatment, which can be performed with the pill continues during 6 months. During this period, the doctor can repeat the laparoscopy to evaluate the evolution of the illness.
In the most severe cases, it is possible that surgery is required to eliminate the tissue that is growing inside the uterus, causing infertility, if the pelvic organs are removed.
See how the surgery is performed to treat endometriosis.
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