Diagnosing endometriosis is not an easy diagnosis to make. Such a diagnosis needs to be determined by your doctor or gynaecologist.
A combination of a thorough case history, a look at risk
factors, physical examination, ultrasound and blood tests will assist
in diagnosing this condition.
Medical Testing for Endometriosis
Your doctor or specialist such as a gynaecologist use a variety of medical testing for the diagnosis including:
- Assessment – case history and signs and symptoms
- Physical examination – endometriosis has the characteristic
appearance of ‘chocolate cysts’ as they contain a thick brownish fluid,
which is mostly old blood
- Ultrasound & magnetic resonance imaging (MRI)
- Laparoscopy or keyhole surgery -this also allows for surgical treatment of endometriosis
Recommended Naturopathic Testing
In addition to what your doctor/gynaecologist tests, your naturopath may also consider the following tests to obtain a good understanding of the hormone levels. This can help tailor your prescription to your hormone health needs.
- Saliva Adrenal Hormone test measuring cortisol and DHEA
- Saliva female hormone panel including estrone, estradiol, estriol, progesterone, and testosterone
- Serum (blood) expanded female hormonal panel, including
testosterone and luteinising hormone (LH) to follicle stimulating
hormone (FSH) ratio
- Glucose tolerance test
- Thyroid panel
- Blood lipid profile (cholesterol and triglycerides).
Case History Questioning
A typical case history taken should include questions such as:
- Age of menarche?
- Duration of the menstrual bleed (period)?
- The colour of the blood loss?
- How much blood loss (i.e. sanitary pad saturation - how often do you need to change)?
- Any clots?
- Pain - when does it begin? How intense is it? Where does it radiate from? Is there any bowel pain?
- Any thrush or urinary tract infections associated endometriosis?
The following risk factors need to be considered when diagnosing endometriosis.
- Social class and race
- Menstrual and reproductive factors
- Family history
- Genetic factors
- Dioxin exposure
- Tampon use
- Immune Factors
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