A definitive diagnosis is made by laparoscopy or laparotomy.34 Typical endometriotic lesions range from the early, active petechial lesions to the older and less active powder-burn, fibrotic lesions.35 Clinical diagnosis of endometriosis is accurate approximately 50 percent of the time.30 Deep infiltrating lesions are most prevalent in the pouch of Douglas and the uterosacral ligaments and may cause pain by infiltrating nerve endings.36 Sensory innervation of endometriotic implants may also contribute to pain sensations.37 Other diagnostic options include ultrasound (however this is limited to diagnosis of ovarian endometriomas), and an elevated CA-125 and ESR (however the specificity is low).

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Naturally Cure Your Headaches

Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?

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