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How do they test for endometriosis? (May be tmi)

Posted by on Oct. 13, 2012 at 10:44 PM
  • 23 Replies
I had a baby 4 months ago. The year before my pregnancy and since his birth my periods have been horrendous. My period is due tomorrow but I've been cramping for a week. I've had diarrhea on and off with some nausea too. I also noticed some bright red blood in my stool a couple of days ago. Would they have picked endometriosis up during my pregnancy? Could it be something else? My paps came back normal but I feel like something is wrong.
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by on Oct. 13, 2012 at 10:44 PM
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Replies (1-10):
Luna091306
by on Oct. 13, 2012 at 10:47 PM
Bump
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wodntulk2kno1
by on Oct. 13, 2012 at 10:50 PM
Biopsy of your uterine lining. It is performed in office. They say to take advil or motrin for the pain. Lies..it does not help. I had this done 2 times once in motrin the other on pain killers. Each time it brought tears to my eyes, its fairly quick but hurts like hell. The 3rd time my doctor wanted to do it I said hell no.
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rwblake2011
by on Oct. 13, 2012 at 10:54 PM
only way is a laproscopy,they treat like its endo but only way to confirm is that. :( Hope you feel bettee, it sucks.
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Sassy762
by CAFE SASSY HBIC on Oct. 13, 2012 at 10:56 PM

Tests and diagnosis

By Mayo Clinic staff

To diagnose endometriosis and other conditions that can cause pelvic pain, your doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, your doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.
  • Ultrasound. During a vaginal ultrasound, a wand-shaped scanner (transducer) is inserted into your vagina. In an ultrasound of the pelvis via the abdomen, a small scanner is moved across your abdomen. Both tests use sound waves to provide a video image of your reproductive organs. Ultrasound imaging won't definitively tell your doctor whether you have endometriosis, but it is a useful tool for identifying cysts associated with endometriosis (endometriomas).
  • Laparoscopy. The only way for your doctor to know for certain that you have endometriosis is by looking inside your abdomen (direct visualization) for signs of endometrial implants. Commonly, this is accomplished during a minor surgical procedure called laparoscopy.

    You receive a general anesthetic before the procedure begins. Using a special needle, your surgeon expands (distends) your abdomen with carbon dioxide gas so that the reproductive organs are easier to see. A tiny incision is made near your navel, and a slender viewing instrument (laparoscope) is inserted. By moving the laparoscope around, your surgeon can view the pelvic and other abdominal organs, looking for signs of endometrial tissue outside the uterus.

    If you have endometriosis, laparoscopy will provide you and your doctor with information about the location, extent and size of the endometrial implants. This information will help your doctor guide you through treatment options.

                                                                                     

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wodntulk2kno1
by on Oct. 13, 2012 at 10:57 PM
You dont sound like you have endo. It is horrible pain! During your period, painful sex, pain that just comes on from physical activities. I personally think my my own experience they will probably give you bc to try and make your periods lighter. I had to deal with all this stuff for years before they finally figured it out. I already had 4 kids and they never discovered this when I was pregnant. Also besides the biopsy they can do exploratory surgery which I had after the biopsy came back positive. They ended up removing the endo only to come back a year later. I have had every step that finally ended with a hysterectomy.
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Luna091306
by on Oct. 13, 2012 at 10:57 PM
Is there any way they could tell during a regular pap or is it something they look into due to symptoms? I've had a cervical biopsy done. It hurt like hell. :(

The shit women go through, as if periods and pregnancy aren't enough!


Quoting wodntulk2kno1:

Biopsy of your uterine lining. It is performed in office. They say to take advil or motrin for the pain. Lies..it does not help. I had this done 2 times once in motrin the other on pain killers. Each time it brought tears to my eyes, its fairly quick but hurts like hell. The 3rd time my doctor wanted to do it I said hell no.
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wodntulk2kno1
by on Oct. 13, 2012 at 11:01 PM
Yes, but its not a for sure way to really tell. I actually ended up going to a specialist after many years because living in pain and not knowing when I was going to bleed or bleed for months was really taking a toll on my body.


Quoting Luna091306:

Is there any way they could tell during a regular pap or is it something they look into due to symptoms? I've had a cervical biopsy done. It hurt like hell. :(



The shit women go through, as if periods and pregnancy aren't enough!




Quoting wodntulk2kno1:

Biopsy of your uterine lining. It is performed in office. They say to take advil or motrin for the pain. Lies..it does not help. I had this done 2 times once in motrin the other on pain killers. Each time it brought tears to my eyes, its fairly quick but hurts like hell. The 3rd time my doctor wanted to do it I said hell no.

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Luna091306
by on Oct. 13, 2012 at 11:02 PM
It's getting worse. I haven't had pain during intercourse but the cramps are unbearable! Bms are painful as well. This just started a year before my pregnancy. I dont know what's going on. :(

Quoting wodntulk2kno1:

You dont sound like you have endo. It is horrible pain! During your period, painful sex, pain that just comes on from physical activities. I personally think my my own experience they will probably give you bc to try and make your periods lighter. I had to deal with all this stuff for years before they finally figured it out. I already had 4 kids and they never discovered this when I was pregnant. Also besides the biopsy they can do exploratory surgery which I had after the biopsy came back positive. They ended up removing the endo only to come back a year later. I have had every step that finally ended with a hysterectomy.
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wodntulk2kno1
by on Oct. 13, 2012 at 11:03 PM
Oh and I cant forget when I would be filling up pads or tampons every 15 min and feeling like crap. I went to emergency and the just excused it as a heavy period for 13 days..ugg!


Quoting wodntulk2kno1:

Yes, but its not a for sure way to really tell. I actually ended up going to a specialist after many years because living in pain and not knowing when I was going to bleed or bleed for months was really taking a toll on my body.




Quoting Luna091306:

Is there any way they could tell during a regular pap or is it something they look into due to symptoms? I've had a cervical biopsy done. It hurt like hell. :(





The shit women go through, as if periods and pregnancy aren't enough!






Quoting wodntulk2kno1:

Biopsy of your uterine lining. It is performed in office. They say to take advil or motrin for the pain. Lies..it does not help. I had this done 2 times once in motrin the other on pain killers. Each time it brought tears to my eyes, its fairly quick but hurts like hell. The 3rd time my doctor wanted to do it I said hell no.


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Luna091306
by on Oct. 13, 2012 at 11:03 PM
1 mom liked this
Thank you. :)

Quoting Sassy762:

Tests and diagnosis

By Mayo Clinic staff

To diagnose endometriosis and other conditions that can cause pelvic pain, your doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, your doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.
  • Ultrasound. During a vaginal ultrasound, a wand-shaped scanner (transducer) is inserted into your vagina. In an ultrasound of the pelvis via the abdomen, a small scanner is moved across your abdomen. Both tests use sound waves to provide a video image of your reproductive organs. Ultrasound imaging won't definitively tell your doctor whether you have endometriosis, but it is a useful tool for identifying cysts associated with endometriosis (endometriomas).
  • Laparoscopy. The only way for your doctor to know for certain that you have endometriosis is by looking inside your abdomen (direct visualization) for signs of endometrial implants. Commonly, this is accomplished during a minor surgical procedure called laparoscopy.

    You receive a general anesthetic before the procedure begins. Using a special needle, your surgeon expands (distends) your abdomen with carbon dioxide gas so that the reproductive organs are easier to see. A tiny incision is made near your navel, and a slender viewing instrument (laparoscope) is inserted. By moving the laparoscope around, your surgeon can view the pelvic and other abdominal organs, looking for signs of endometrial tissue outside the uterus.

    If you have endometriosis, laparoscopy will provide you and your doctor with information about the location, extent and size of the endometrial implants. This information will help your doctor guide you through treatment options.

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