A 31-year-old woman presents to the GP with chronic pelvic pain, dysmenorrhoea, and subfertility. She has had a normal pelvic ultrasound. Her GP suspe...

Question

A 31-year-old woman presents to the GP with chronic pelvic pain, dysmenorrhoea, and subfertility. She has had a normal pelvic ultrasound. Her GP suspects endometriosis. Which is the single most definitive method of diagnosing endometriosis?

Accepted Answer

Laparoscopy with histological confirmation

Answer

Transvaginal ultrasound

Answer

MRI pelvis

Answer

Serum CA-125

Answer

Trial of hormonal treatment (if symptoms improve, the diagnosis is confirmed)

uk-drcog MCQ (SBA): Endometriosis - Definitive Diagnosis

A 31-year-old woman presents to the GP with chronic pelvic pain, dysmenorrhoea, and subfertility. She has had a normal pelvic ultrasound. Her GP suspects endometriosis. Which is the single most definitive method of diagnosing endometriosis?