Understanding the Types of Endometriosis Tests Available

Endometriosis occurs when endometrial tissue grows outside the uterus and may affect the ovaries, fallopian tubes, or pelvic lining. An endometriosis test helps confirm the condition and guide treatment. Here are the different types of tests available for endometriosis:

BCL6 Testing

Going through multiple IVF cycles without success is discouraging when the cause remains unclear. Your fertility doctor may use a BCL6 endometriosis test to check for inflammation in the uterine lining. High BCL6 protein levels are linked to silent endometriosis, which may affect implantation, embryo development, and pregnancy outcomes in subtle ways.

The test is simple and minimally invasive. Your provider collects a small tissue sample from the lining of your uterus using a thin, flexible tool inserted through the cervix. This is usually done in the office and causes only mild, short-lived cramping that typically resolves quickly without the need for medication.

One advantage of the BCL6 test is its ability to identify endometriosis even when symptoms are not obvious. Once results are available, your doctor tailors your treatment plan to address the inflammation. This personalized approach may enhance your chances of conception or provide more precise guidance for your care, enabling you to move forward with greater confidence.

Laparoscopy

If you’re experiencing unexplained pelvic pain or infertility, your doctor may recommend laparoscopy. This minimally invasive surgical procedure allows your provider to examine the pelvic region by inserting a small camera through a tiny incision in the abdomen. It provides a direct view of the reproductive organs. It can reveal signs of endometriosis that may not be visible through other methods, helping to identify even subtle or hidden lesions.

Laparoscopy is performed under anesthesia, so you’ll be asleep during the procedure. In some cases, your doctor may also remove tissue or adhesions during the exam to alleviate symptoms or improve fertility. This approach can help confirm a diagnosis, guide your treatment plan moving forward, and potentially provide immediate therapeutic benefits.

MRI

Your endometriosis test may include an MRI scan. This technique utilizes magnetic fields and radio waves to produce detailed images of the uterus, ovaries, and surrounding tissues. Doctors can use MRI scans before and after surgery to monitor the progression of endometriosis and evaluate any changes in the tissue affected by the condition.

During the scan, you lie still on a table that slides into the MRI machine. To help you stay calm and still, your doctor may offer sedation or other calming techniques. Try to stay still to avoid blurry images, as movement can reduce the clarity and accuracy of the results.

MRI uses magnetic fields and radio waves instead of the radiation found in other imaging tests. Because of this, it is often preferred when repeated imaging is needed for ongoing monitoring. Inform your doctor if you are pregnant or have any concerns before the procedure begins, so appropriate precautions can be taken.

Transvaginal Ultrasound

Transvaginal ultrasound is often used when more detailed images of reproductive organs are needed. A specially designed probe is inserted into the pelvic area to provide clear visuals of the uterus and fallopian tubes. This method helps identify nodules and lesions that might be missed on standard abdominal scans and is especially helpful in detecting deep infiltrating endometriosis.

Benefits of transvaginal ultrasound include:

  • Detailed images of reproductive organs
  • Detection of deep infiltrating endometriosis and small lesions
  • Can be performed in an outpatient setting
  • Allows your doctor to assess your condition before discharge

If you’re menstruating or worried about discomfort, inform your provider beforehand so they can adjust the timing or suggest alternatives. As a non-invasive imaging test, it offers a gentler diagnostic option. You can typically resume your routine immediately after the scan. In addition to aiding diagnosis, transvaginal ultrasound helps monitor your response to hormonal treatment, supporting ongoing management of endometriosis.

Get a Professional Endometriosis Test

Seeking an endometriosis test can help identify the cause of pelvic pain or menstrual changes that affect your daily life. Early testing enables your doctor to diagnose the condition and recommend a personalized treatment plan accurately. With several diagnostic options available, your provider will select the method that best fits your symptoms and medical history. Contact your healthcare provider today to schedule an endometriosis test and begin appropriate care.

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