You no longer need surgery to be diagnosed with endometriosis. Here's what's changed

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ANALYSIS: You no longer need surgery to be diagnosed with endometriosis. Here's what's changed

Not all types of endometriosis are yet reliably seen on an imaging test. For example, severe endometriosis with deep nodules and adhesions is easier to see than superficial endometriosis, which sometimes consists of a few deposits no larger than a few millimetres.

If the imaging is done by someone with expertise, it is generally possible to "rule out" moderate to severe endometriosis but minimal to mild diseaseIdeally, an imaging-based diagnosis should eliminate the need to have a two-step surgery , as the surgeon has a better understanding of the location and extent of the disease before starting the first surgery. This increases the likelihood of success with a single treatment surgery.

However, there are legitimate concerns that a move to use an imaging-based diagnosis will leave those with a "normal scan" falsely reassured because the disease is not visible on the scan. So, doctors should never tell someone they don't have endometriosis based on an imaging test alone. Mike Armour is a senior research fellow in reproductive health at Western Sydney University. Cecilia Ng is an adjunct senior lecturer and clinical trials network manager at UNSW Sydney. Mathew Leonardi is a gynaecological surgeon and sonologist at McMaster University and adjunct lecturer at the University of Adelaide and University of Sydney. This piece first appeared on

 

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This headline is incorrect & misleading. For everyone reading at home, a clear scan does not = absence of disease. From the article “doctors should never tell someone they don't have endometriosis based on an imaging test alone.'

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