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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Women's Health 1/2015

Clinical diagnosis of pelvic endometriosis: a scoping review

BMC Women's Health > Ausgabe 1/2015
Hedyeh Riazi, Najmeh Tehranian, Saeideh Ziaei, Easa Mohammadi, Ebrahim Hajizadeh, Ali Montazeri
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

HR was the main investigator and carried out the study. NT and SZ supervised the study. EM and EH were the study advisors and involved in data synthesis. AM contributed to conducting the systematic review, the writing process, responded to the reviewers’ comment and prepared the final draft. All authors read and approved the manuscript.



Accurate and timely diagnosis of endometriosis is associated with confusion. Clinical manifestations, imaging techniques, biomarkers and surgical techniques are used as diagnostic approaches. This paper reviews current evidence on clinical manifestation in order to help practitioners and perhaps improve women’s health.


A review of the literature on clinical diagnosis of pelvic endometriosis that appeared in the English language biomedical journals was performed using PubMed, Science Direct and Google Scholar. The search strategy included the combination of key words ‘endometriosis’ and ‘diagnosis’ or ‘clinical diagnosis’ in the titles or abstracts of articles. The search included all papers published during the year 2000 to 2014. Then, the findings were classified in order to summarize the evidence.


Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, in all 51 papers were found relevant and included in this review. In general we found three categories of diagnostic approaches for clinical manifestation including: i) diagnosis via symptoms obtained from history taking, ii) diagnosis via signs obtained from physical examination and iii) diagnosis via risk factors obtained from history taking.


Diagnosis of endometriosis is a matter of concern. Since the disease is associated with diverse clinical symptoms and signs, deeper and more comprehensive consideration according to patient’s history and clinical findings is recommended for early and more accurate detection in order to prioritize women for further investigation and contribute to its early management.
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