What should you know?
Endometriosis is a chronic condition in which tissue similar to the uterine lining is found outside the uterus, commonly involving the ovaries and pelvic surfaces. The amount of disease does not always match pain severity.
Ultrasound can identify ovarian endometriomas and many signs of deep endometriosis, but a normal scan does not exclude superficial disease. Clinical history remains essential.
Common symptoms and signs
- Period pain that limits normal activity
- Chronic pelvic or lower-back pain
- Pain during intercourse, urination or bowel movements
- Difficulty conceiving or an ovarian cyst
Diagnosis and the role of ultrasound
A targeted transvaginal scan evaluates the ovaries, organ mobility, tender areas and possible deep lesions. MRI or laparoscopic assessment may be considered in selected cases.
- Endometrioma size and appearance
- Ovarian mobility and adhesion signs
- Possible sites of deep disease
- Coexisting adenomyosis or other causes
Ultrasound findings must be interpreted together with symptoms, examination and, when needed, laboratory or other imaging results. An image alone should not be used for self-diagnosis or self-treatment.
Treatment and next steps
Treatment aims to control pain, preserve fertility and limit disease impact. Options include pain relief, hormonal therapy and, for selected patients, surgery.
Management is individual and depends on age, symptoms, imaging findings, other health conditions and pregnancy plans. Medication or a procedure should be selected with the appropriate clinician.
When is urgent care needed?
- Sudden severe pain with vomiting
- Heavy bleeding, fainting or marked weakness
- Positive pregnancy test with one-sided pain or bleeding
Related reading
- Ovarian cyst — symptoms, diagnosis and treatment
- Late period and menstrual cycle disorders
- Follicle monitoring — when is it ordered and how is it performed?
When should you consult radiologist Lana Ezieshvili?
Radiologist Lana Ezieshvili performs targeted ultrasound examinations, describes findings using standard imaging criteria and explains the report in clear language.
If you have symptoms, a referral or need follow-up imaging, use the form below to book a visit with Lana Ezieshvili. Timely, appropriately selected imaging can reduce uncertainty and help determine the right next step.
This article is for education and does not replace medical advice. Seek urgent care for severe or rapidly worsening symptoms.