
25/03/2025
The European Society of Human Reproduction and Embryology (ESHRE) updated its endometriosis guidelines in 2022, introducing significant changes to diagnostic approaches.
Key Diagnostic Recommendations:
1. Clinical Assessment: Begin with a comprehensive evaluation of the patient's medical history and symptoms.
2. Imaging Techniques: Utilize transvaginal ultrasound and MRI as primary diagnostic tools. These imaging methods have proven effective in identifying endometriotic lesions, reducing the need for invasive procedures.
3. Laparoscopy: Previously considered the gold standard, laparoscopy is now recommended only for patients with negative imaging results or when empirical treatments have failed or are deemed inappropriate.
These updated guidelines emphasize a less invasive, more patient-friendly approach to diagnosing endometriosis, prioritizing non-invasive imaging techniques over surgical interventions.
For a comprehensive understanding, refer to the full guideline