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Pelvic examination may suggest endometriosis. Palpation may detect multiple tender nodules on uterosacral ligaments or in the rectovaginal septum in one-third of patients. These nodules enlarge and become more tender during menses. Palpation may also uncover ovarian enlargement in the presence of endometrial cysts on the ovaries or thickened, nodular adnexa (as in pelvic inflammatory disease). Laparoscopy must confirm the diagnosis and determine the disease’s stage before treatment is initiated. Endometriosis is classified in stages: Stage I, mild; Stage II, moderate; Stage III, severe; and Stage IV, extensive.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Palpation during a pelvic examination may detect multiple tender nodules on the uterosacral ligaments or in the rectovaginal septum in one-third of patients. These nodules enlarge and become more tender during menses.
Palpation may also uncover ovarian enlargement in the presence of enmetrial cysts on the ovaries or thickened, nodular adnexa (as in pelvic inflammatory disease). Laparoscopy is used to confirm the diagnosis and determine the stage of the disease before treatment is initiated.
Source: Handbook of Diseases, 2003
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