Advances in early detection of endometriosis

the crucial role of transvaginal ultrasonography with color doppler and bowel preparation

Abstract

INTRODUCTION: Endometriosis is a common gynecological condition that affects many women of reproductive age, characterized by the presence of tissue similar to the endometrium outside the uterus. Early and accurate detection of endometriosis is essential for proper disease management and to improve the quality of life of patients. OBJECTIVE: The aim of this study was to evaluate the efficacy of transvaginal ultrasonography with color Doppler and intestinal preparation in the detection of endometriosis in women attending an imaging diagnostic clinic in São José dos Campos. METHODS: A cross-sectional study was conducted, analyzing 50 transvaginal pelvic ultrasound exams for the detection of endometriosis. Variables such as patients' age, reported symptoms, exam quality, location, and characteristics of endometriotic lesions were considered. RESULTS: Out of the 50 exams analyzed, 22 diagnosed endometriosis, 26 showed no signs of the disease, and two were inconclusive. The majority of positive cases were observed in women between 30-39 years old. In some cases, magnetic resonance imaging was suggested as a diagnostic complement. DISCUSSION: Transvaginal ultrasonography has proven to be a useful tool in the detection of endometriosis, allowing the identification of lesions and adhesions characteristic of the disease. The combination of clinical symptoms with ultrasound findings can improve diagnostic accuracy. Conclusion: Transvaginal ultrasonography with color Doppler and intestinal preparation is a promising technique for the detection of endometriosis, as it can assist in the early identification of the disease and guide appropriate treatment for patients. Further studies are needed to validate its efficacy and compare it with other diagnostic modalities.