Obligatory medical device diagnostics.
- Vaginal ultrasonography (ultrasound using an ultrasound probe inserted into the vagina) – to rule out ovarian endometriosis or adenomyosis (hyperplasia (“excessive cell formation”) of the myometrium (uterine muscles) stimulated by endometriosis)
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification depending on the symptoms.
- Laparoscopy (abdominal endoscopy)/pelviscopy – for suspected peritoneal endometriosis (gold standard: it is the crucial diagnostic test for recurrent (“recurring”) lower abdominal symptoms, organ destruction, and/or infertility. It allows histological (fine tissue) backup and surgical measures at the same time).
- Magnetic resonance imaging (abdominal MRI) – to exclude involvement of the intestinal wall, bladder wall, adenomyosis uteri, deep infiltrations.
- Cystoscopy (urinary bladder endoscopy) – for suspected bladder involvement.
- Renal sonography (ultrasound of the kidneys) – if ureteral stenosis (ureteral stenosis is suspected.
- Colon contrast enema (KE) – if rectosigmoid involvement is suspected.
- Sigmoidoscopy (rectosigmoidoscopy, i.e., mirroring of the lower approx. 30-40 cm of the rectum (rectum) and the sigmoid colon (sigmoid loop, sigmoid colon)) – in case of suspected involvement of the rectosigmoid.
- Transrectal sonography (ultrasound by means of an ultrasound probe inserted into the rectum (rectum)) – in cases of suspected involvement of the rectum (rectum).
