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Secondary Care

If hormone treatments have not worked or if your doctor suspects you might have Endometriosis, it is important you are referred into secondary care. This may be a gynaecologist situated at your local hospital with a specialist interest in managing mild – moderate Endometriosis, or they might be located further afield.

Your gynaecologist will usually carry out a physical examination and arrange several tests. Where appropriate, these tests may include blood tests, an ultrasound scan, MRI, and various other imaging scans. For some people, these tests can be a helpful way to look for ovarian cysts and any visible signs of Endometriosis, and to also help rule out other conditions.

Your gynaecologist may also suggest a laparoscopy to look inside your abdomen and assess the severity or remove the Endometriosis.

Under 18?

If you are under the age of 18 and it has become clear hormone treatments have not worked for you, or if your doctor suspects you might have Endometriosis, they will usually refer you to see an adolescent gynaecologist with a specialist interest in Endometriosis.

Similar to those over the age of 18, when referred to gynaecology, your medical team may carry out a physical examination along with several tests. Where appropriate, these tests can include blood tests, an ultrasound scan, MRI, and various other imaging scans.

Your gynaecologist may also suggest a laparoscopy to look inside your abdomen to diagnose and remove the Endometriosis.

Refer to NICE [NG73] for Diagnosis and Management Guidelines 

Nice.org/uk/guidance/NG73

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