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Most women with endometriosis suffer painful symptoms up to a full decade before diagnosis. The average woman is 27 when she is first diagnosed with endometriosis, and endometriosis is sometimes misdiagnosed as Irritable Bowel Syndrome or Pelvic Congestion or Pelvic Inflammatory Disease (PID). The first step in diagnosing Endometriosis is with Laparoscopic Excision Surgery. Laparoscopic surgery is used to definitively diagnose endometriosis, and treatment of the condition is almost always done at the same time as the diagnosis procedure. During Laparoscopic surgery, a doctor inserts a small (approximately 30 cm) lighted instrument into the pelvic cavity, through an incision in the abdomen. Using this light source, the doctor is able to magnify the inside of the pelvic cavity. A second tube, which holds the surgical instrument, is used by the surgeon or gynecologist to remove small endometrial masses and adhesions caused by the condition. In rare cases, a hysterectomy (removal of the uterus and possibly the fallopian tubes and ovaries as well) may be recommended.

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