Do I need a definitive diagnosis of endometriosis?

BY DR. BROOKE WINNER

Deciding whether you need a definitive diagnosis for endometriosis can be tricky.

Here are some key points to consider:

  • Initial Steps: If you’re experiencing pain, the first step is a pelvic ultrasound to check if your uterus and ovaries are normal. A normal result doesn’t rule out endometriosis, as it might not show visible cysts.

  • Treatment Options: Many patients find relief from pain using hormonal birth control methods like pills or the Mirena IUD. If you are not planning to get pregnant and these options help manage your symptoms without severe side effects, a formal diagnosis might not be necessary.

  • Long-term Considerations: There is some debate about whether early treatment for endometriosis can prevent further issues, but data on this is mixed. If you plan to start a family and stop birth control, you may face painful periods again, which could lead to seeking a definitive diagnosis at that time. Ultimately, your personal situation and goals will guide your decisions.


 

Do you prefer to watch it?

Watch Dr. Brooke Winner explain when a definitive diagnosis of endometriosis is necessary and when symptom management may be enough in this short video.

Watch the video here


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