Endometriosis could diagnose through simple test

Millions of women around the world are affected with common womb condition endometriosis. Endometriosis, which can damage the fertility, arises when cells normally found in the womb lining or endometrium attaches themselves to other parts of the pelvic area, causing scar tissue, pain and inflammation.

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At the moment, many women have to wait up to 11 years for a diagnosis of endometriosis, and undergo surgery with a general anesthetic. But the new test involves a quick biopsy of the womb lining, taken through the vagina while the patient is awake. Researchers from Australia & Jordan tried the new method on 99 patients. They tested the samples taken for the presence of nerve fibres which predict endometriosis, with almost 100 % accuracy.

They said that there is still a substantial delay in the diagnosis of endometriosis in most countries. The length of time from the onset of symptoms to the definite diagnosis is often quite long, with an average of six to ten years in many centers. This delay is even longer in young age patients & in severe cases. The reliability of diagnosis using a biopsy was close to the accuracy of the surgical assessment, which is a laparoscopy, performed through the belly button.

Dr Moamar Al-Jefout said, "Our results indicate that a negative endometrial biopsy result would miss endometriosis in only one per cent of women. Performing a planned laparoscopy only on a woman with a positive endometrial biopsy result would result in endometriosis being confirmed in 80 to 90 % these women."

Thus, using this diagnostic test in an infertility workup would significantly reduce the number of laparoscopies performed without reducing the number of women whose endometriosis is diagnosed & surgically treated. Women are treated for endometriosis using tablets such as ibuprofen to control pain and inflammation, hormone treatments and surgery to remove areas of endometrial tissue.

Nemone Warner of Endometriosis said, “Average diagnosis times currently stand at an unacceptable 11 years from first experiencing symptoms. By developing non-surgical techniques, we hope that this wait can be reduced. Women will benefit from earlier diagnosis without the risk of surgical complications & will therefore access earlier treatment to relieve their symptoms.”

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