Advanced Deep Infiltrating Endometriosis Scan

What is endometriosis vs. deep infiltrating endometriosis?

Endometriosis is a common medical condition that affects about 10% of women.

Endometrial tissue is what makes up the lining of the uterus and is what is shed every month during menstruation. Endometriosis is when endometrial tissue grows outside of the uterus. During your menstrual period this tissue breaks down, causing periods to be extremely painful. It can also lead to cysts called endometriomas, chronic pain and possible infertility.

Endometriosis typically implants on the surface of pelvic tissues and organs. These are called Superficial Lesions and they are readily seen during laparoscopic surgery, but they are not easily seen with ultrasound. At times, the implants can grow into the organs and tissues to form nodules. This is called Deep Infiltrating Endometriosis and it can affect the bowel, bladder, ureters, cervix, vaginal wall, rectum, and more, causing adhesions in the pelvis. These nodules can be seen with ultrasound but are difficult to see during surgery. Identifying deep infiltrative lesions is critical for proper surgical planning and improved outcomes.

What is an Advanced Deep Infiltrating Endometriosis Scan?

A typical pelvic ultrasound is effective for detecting ovarian endometriomas but can easily overlook sites of deep infiltrating endometriosis. Traditionally this type of lesion required costly imaging tests such as MRI.  Now, with an Advanced Deep Infiltrating Endometriosis Ultrasound Scan, structures that lie deep in the pelvis can be evaluated for the presence of infiltrating lesions. This includes the uterine ligaments, adjacent connective tissue, rectum, vaginal wall, cervix, ureters and bladder wall. A graded assessment of organ mobility is also performed to evaluate for possible adhesions.

Advanced Sonograms of Alaska is the only diagnostic imaging facility in Alaska with sonographers and radiologists who have experience in identifying deep infiltrating endometriosis.  We have a demonstrated track record of accuracy.

Who may benefit from an Advanced Deep Infiltrating Endometriosis Scan?

• Women who have painful periods and/or pain during intercourse worsening over time
• Abnormal bowel or urinary symptoms related to your period
• Women who have persistent symptoms despite standard treatments
• Women who have previously been diagnosed with endometriosis to assess the severity and extent of the disease
• Women who are experiencing infertility and have suspected or confirmed endometriosis to evaluate the impact of endometriosis on the reproductive organs.
• For women who are scheduled to undergo surgery for suspected or confirmed endometriosis, a preoperative scan may be recommended to help guide surgical planning and optimize outcomes.

How do I prepare for my exam? Preparing for Your Endometriosis Scan