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<p>In addition to knowledge of medical history and thorough clinical and gynecological examination, diagnosis of endometriosis requires transvaginal and, in some cases, transabdominal ultrasonography. Complementary diagnostic methods like MRI and diagnostic laparoscopy are reserved for selected situations. Pain and symptoms such as dyspareunia, dyschezia, dysuria, cyclically recurring shoulder pain, or dyspnea should be qualitatively and quantitatively assessed, as should details regarding autonomic symptoms and sexual function. A&#xa0;dedicated pain history is essential; for structed evaluation and monitoring during the treatment course, various questionnaires as well as numeric and visual analog scales are available. Other diagnostic procedures, for example cystoscopy, coloscopy, transrectal ultrasound, and renal scintigraphy, require another indication, potentially unrelated to endometriosis.</p>

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Diagnosestellung der Endometriose

  • 期刊论文

  • 发表日期：

    2026年7月22日

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  • Sebastian Daniel Schäfer

摘要

In addition to knowledge of medical history and thorough clinical and gynecological examination, diagnosis of endometriosis requires transvaginal and, in some cases, transabdominal ultrasonography. Complementary diagnostic methods like MRI and diagnostic laparoscopy are reserved for selected situations. Pain and symptoms such as dyspareunia, dyschezia, dysuria, cyclically recurring shoulder pain, or dyspnea should be qualitatively and quantitatively assessed, as should details regarding autonomic symptoms and sexual function. A dedicated pain history is essential; for structed evaluation and monitoring during the treatment course, various questionnaires as well as numeric and visual analog scales are available. Other diagnostic procedures, for example cystoscopy, coloscopy, transrectal ultrasound, and renal scintigraphy, require another indication, potentially unrelated to endometriosis.