Endometriosis is a prevalent gynecological condition affecting approximately 10% of women of reproductive age and up to 50% of those with infertility. It is characterized by the presence of endometrial-like tissue outside the uterine cavity. Despite its high prevalence, diagnosis is often delayed by up to 10 years from symptom onset, partly due to the historical lack of accurate, noninvasive diagnostic tools. Although major reproductive societies continue to define videolaparoscopy as the gold standard for diagnosing endometriosis, it does not reliably predict disease extent. Consequently, once a presumptive diagnosis is established, accurate and detailed imaging is invaluable for patient management. Comprehensive endometriosis mapping enhances surgical planning, facilitates appropriate triage to specialized centers for advanced disease, and improves patient counseling regarding potential complications and risks.
Lauar et al. (2025) studied this question.