Review symptoms and medical history
Track menstrual pain, pelvic pain, heavy bleeding, pain during sex, bowel or bladder pain, and fertility issues
Perform a pelvic exam
Order a transvaginal ultrasound
Order an MRI if needed
Consider blood tests to rule out other conditions
Evaluate response to pain patterns and symptom timing
Refer to a gynecologist or endometriosis specialist
Confirm diagnosis with laparoscopy
Take tissue biopsy during laparoscopy if needed