What tests are needed for uterine endometriosis?

What tests are needed for endometriosis?

1. In case of periodic bleeding from the rectum and bladder and painful menstruation and defecation, rectal and bladder endometriosis should be considered first. If necessary, cystoscopy or proctoscopy can be performed, and ulcers should also be pathologically examined.

2. The abdominal wall scar has periodic induration and pain. If there is abdominal uterine wall suspension, cesarean section or cesarean section, the diagnosis can also be confirmed.

3. Suspected cases can also be diagnosed if drug treatment is effective.

4. If a local mass is formed close to the body surface, the tissue should be removed as much as possible or taken out with a liver puncture needle and sent for pathological examination to confirm the diagnosis.

5. The B-ultrasound endometrioid cyst image shows granular small echoes. If the cyst fluid is viscous and endometrial fragments float inside, it is easy to resemble the echo characteristics of hair in teratoma fat, that is, small light bands in the liquid, distributed in parallel dotted lines. Sometimes separation is seen inside, and it is divided into several cysts of different sizes. The echoes between each cyst are inconsistent, and they are usually adhered to the uterus, and the boundary between the two is unclear. Teratomas usually have clear cyst boundaries. Ovarian endometrioid cysts are also easily confused with adnexal inflammatory masses and tubal pregnancy sonograms, so they should be identified in combination with their respective clinical characteristics. The use of a vaginal probe puts the mass in close range of high-frequency sound, which has the advantage of identifying the nature of pelvic masses, and can determine the nature and source of the mass. It can also be punctured to extract cystic fluid or biopsy under ultrasound guidance for a clear diagnosis.