How is endometriosis diagnosed?

Endometriosis is a common gynecological disease in our daily life. For many patients with the disease, we need to understand the characteristics of the disease, because it will be of great help in treating their own diseases. We hope that what our experts introduce below can help our patients and friends.

Signs of Endometriosis

1. Retroverted and fixed uterus, with or without tenderness

2. Thickening of the appendages or cystic masses, slightly thick walls, high tension, active or inactive, or no tenderness

3. There are scattered, multiple nodules of varying sizes in the posterior concha or uterosacral ligament, with or without tenderness.

4. Purple-blue spots or nodules are seen on the cervix, and sometimes polyp-like or cauliflower-like growths are seen.

5. The above symptoms worsen before or during menstruation.

Endometriosis Test

1. X-ray examination

(1) Hysterosalpingography: Due to ectopic lesions on the posterior wall of the uterus, uterosacral ligaments, rectum and appendages, the uterus is retroverted and fixed to form a mushroom or parasol shape. The ovaries are cystic and enlarged, with iodized oil residue around the umbrella tip. The fallopian tubes are often unobstructed or obstructed. Due to adhesions in the pelvic cavity, 24-hour X-ray review shows that the iodized oil in the pelvic cavity is in the form of small lumps of varying thickness and dot-like snowflake distribution.

(2) Pneumoperitoneotomy: In endometriosis, pelvic masses are often bilateral, and the uterus and appendages often adhere to each other, forming irregular whitening shadows of varying densities. The frontal view shows that the distance between the uterus and the rectum becomes smaller and whiter. The lateral view shows that the uterine rectal pouch becomes shallower and whiter. Double contrast is the best way to examine pelvic endometriosis, because it can show the condition of the cervix and fallopian tubes, and can also reflect the condition of pelvic adhesions and ovarian masses.

I hope that this knowledge can be of great help to our patients and friends. Don’t wait until your disease becomes serious before seeking treatment, as this will cause unnecessary consequences.