See a gynecologist or primary care clinician
Describe your symptoms, including pelvic pain, painful periods, pain during sex, pain with bowel movements or urination, heavy bleeding, bloating, infertility, and fatigue
Keep a symptom diary with timing, severity, and triggers
Get a pelvic exam
Have a pregnancy test if needed
Have blood tests if your clinician orders them
Get a transvaginal pelvic ultrasound
Get an MRI if your clinician recommends it
Consider referral to a gynecologist specializing in endometriosis
Discuss whether laparoscopy is needed to confirm the diagnosis
Follow up if symptoms continue despite treatment