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Diagnostic steps in endometriosis
 Always history AND vaginal exam AND ultrasound  If symptoms of bowel/bladder endometriosis: MRI
before surgery
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How to avoid diagnostic delay
 Time to diagnosis: approx 7 years!  Awareness
– patient / general practitioner / gynaecologist
 Endometriosis most frequent cause of disabling dysmenorrhoea/pelvic pain
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