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Can imaging tests diagnose endometriosis or adenomyosis?

Topic:Diagnosis
Affected areas:pelvicabdominal
An illustration of a female standing next to a female doctor with an ultrasound machine between them.

Yes—imaging can be helpful, especially when it shows findings like adenomyosis in the uterine muscle, ovarian endometriomas, or deep infiltrating endometriosis. MRI and high-resolution transvaginal ultrasound are the most commonly used tools, and when they’re positive, they can add clarity and help us plan treatment and surgical strategy.


At the same time, a normal scan doesn’t rule out endometriosis or adenomyosis. Smaller lesions and superficial endometriosis can be missed, so we interpret imaging alongside your symptoms and a thorough evaluation. If you’re getting conflicting messages from tests versus how you feel, our team can help you make sense of the full picture and discuss next steps.

Need Clear Answers on Imaging?

Imaging tests can reveal key signs of endometriosis and adenomyosis, helping us design the right treatment plan for you. Our specialists combine imaging results with your symptoms for a confident diagnosis and care approach.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420