History + exam
Symptoms, menstrual timing, impact, fertility goals, family history and an exam when appropriate.
Reviewed 18 Aug 2026
A CLINICAL EVIDENCE GUIDE — NOT A DIAGNOSTIC TEST
When period pain is
more than “normal.”
Endometriosis affects an estimated 10% of reproductive-age women worldwide, as well as transgender, non-binary and gender-diverse people. Symptoms vary widely, and pain severity does not reliably reveal disease extent. [1]
SYMPTOM PATTERN CHECK-IN
Notice the pattern.
Prepare the conversation.
This tool cannot estimate your probability of endometriosis. It helps you recognize symptoms that guidelines say warrant assessment and creates notes for a medical visit.
01
What are you experiencing?
Select everything that applies now or recurs.
02
Pattern and impact
These details help a clinician interpret symptoms.
!Urgent warning signs
These can signal a condition other than endometriosis that needs prompt care.
WHAT ASSESSMENT CAN INCLUDE
Diagnosis is a pathway,
not a single gate.
Targeted imaging
Transvaginal ultrasound is commonly first-line; MRI can help map deep disease or complex anatomy.
Clinical management
Guidelines allow treatment based on a working clinical diagnosis; laparoscopy is not mandatory for everyone.
Specialist referral
Consider for endometrioma, suspected deep disease, organ symptoms, fertility priorities, or persistent symptoms.
Evidence base: ESHRE 2022, SOGC 2024, NICE updated 2024. [3] [5] [6]