What are the tests that need to be done for endometriosis?

For the sake of future fertility, many women now have a certain awareness of preventing uterine diseases. Endometriosis is also a gynecological disease, and its prevention should not be underestimated. When we come to the hospital, we want to check whether we have endometriosis, so what tests do we need to do?

1. Gynecological examination:

Uterus: Enlarged, retroverted uterus with limited mobility and palpable nodules on the posterior wall suggest endogenous endometriosis (adenomyosis)

Pelvic floor: Small hard nodules, about the size of mung beans or soybeans, can often be felt in the sacroiliac ligament, uterine rectal fossa, and posterior cervical wall. They are often painful to touch and can be easily mistaken for malignant tumors.

Ovarian: Cysts are often adhered and fixed to the surrounding area, and can be easily misdiagnosed as adnexitis.

Second, B-ultrasound examination:

B-ultrasound is currently an effective method for auxiliary diagnosis of endometriosis, mainly used to observe ovarian chocolate cysts and adenomyosis.

Cyst: A cystic or mixed mass with clear or unclear borders.

Inside the cyst: fine granular echoes can be seen. Sometimes, due to the concentration and organization of old blood clots, denser coarse light spots may appear.

Location: The mass is often located at the posterior side of the uterus, and cystic uterine adhesions may be seen.

Bilateral: About 50% of chocolate cysts are bilateral. The cysts on both sides move closer to the midline due to adhesion, forming a "kiss".

3. Laparoscopy:

Standard: Laparoscopy is currently the gold standard for diagnosing endometriosis. Laparoscopy allows direct observation of the pelvic cavity, and a definitive diagnosis can be made by seeing the ectopic lesions. Clinical staging can also be performed to determine the treatment plan, and surgical treatment can be given simultaneously.

Advantages: Diagnosis and treatment are completed simultaneously.

Disadvantages: surgical trauma

4. Examination of blood tumor related indicators:

Elevated levels of CA125 and CA199 indicate endometriosis activity and are also high-risk factors for malignant transformation, but generally do not exceed 200 IU/L.

In the above, we have introduced four major examination subjects for endometriosis. Do you understand them? After arriving at the hospital, it is recommended that you do not panic. You can follow the examination methods introduced above and conduct the examinations step by step. The specific introduction above is believed to have saved you a lot of time cost in the examination.