A 24-year-old woman presents to the GP with a 6-month history of pelvic pain that worsens around the time of menstruation. She also notices cyclical p...

Question

A 24-year-old woman presents to the GP with a 6-month history of pelvic pain that worsens around the time of menstruation. She also notices cyclical pain with bowel movements. She has a normal pelvic examination and a normal transvaginal ultrasound. Her GP suspects endometriosis. According to NICE NG73, is a normal ultrasound sufficient to exclude endometriosis?

Accepted Answer

No - a normal ultrasound does not exclude endometriosis; the diagnosis should still be suspected based on clinical symptoms

Answer

Yes - a normal ultrasound excludes endometriosis

Answer

Only MRI can exclude endometriosis

Answer

CT scan is required to exclude endometriosis

Answer

A normal CA-125 excludes endometriosis

uk-drcog MCQ (SBA): Normal Ultrasound Does Not Exclude Endometriosis