Endometriosis can be suspected based on symptoms. Sometimes, endometriotic spots can be seen and felt during pelvic examination.
Pelvic ultrasound scan and blood tests may support the diagnosis.
To diagnose endometriosis conclusively, surgery is needed and a diagnostic laparoscopy (keyhole surgery) is the gold standard.
Laparoscopy is a surgery done under general anaesthesia. It allows a detailed and magnified view inside the pelvis to indicate the locations, extent and size of endometriosis.
Surgical treatment of endometriosis can then be undertaken at the same setting during diagnostic laparoscopy.