Advanced Deep Infiltrating Endometriosis Scan

What is endometriosis vs. deep infiltrating endometriosis?

Endometriosis is a common medical condition that affects about 10% of women.

Endometrial tissue is what makes up the lining of the uterus and is what is shed every month during menstruation. Endometriosis occurs when endometrial tissue grows outside of the uterus. During your menstrual period this tissue breaks down, causing periods to be extremely painful. It can also lead to cysts called endometriomas, chronic pain and possibly infertility.

The majority of cases involve endometrial tissue implanting on the surface of the pelvic tissues or in the ovaries. These are called Superficial Lesions. However, Deep Infiltrating Endometriosis is when endometrial tissue infiltrates the bowel, bladder, ureters, cervix or vaginal wall, causing adhesions and obstruction in the pelvis and may or may not cause symptoms. Identification of deep infiltrative lesions is critical for proper surgical planning and management of care.

    What is an Advanced Deep Infiltrating Endometriosis Scan?

    While a standard pelvic ultrasound is effective for detecting ovarian endometriomas, deep infiltrating endometriosis requires the precision of an Advanced Deep Infiltrating Endometriosis Scan, which targets structures that lie deep in the pelvis that are not evaluated during a standard pelvic ultrasound. This includes the uterine ligaments, adjacent connective tissue, rectum, vaginal wall, cervix, ureters and bladder wall. A graded assessment of organ mobility is also performed to evaluate for possible adhesion. Advanced Sonograms of Alaska stands as the pioneer and only diagnostic imaging facility in Alaska with sonographers and radiologists who specialize in identifying deep infiltrating endometriosis and have a demonstrated track record of exceptional accuracy. 

    Who may benefit from an Advanced Deep Infiltrating Endometriosis Scan?

    • Women who have painful periods and/or pain during intercourse worsening over time
    • Abnormal bowel or urinary symptoms related to the period
    • Women who have persistent symptoms despite standard treatments
    • Women who have previously been diagnosed with endometriosis to assess the severity and extent of the disease
    • Women who are experiencing infertility and have suspected or confirmed endometriosis to evaluate the impact of endometriosis on the reproductive organs.
    • For women who are scheduled to undergo surgery for suspected or confirmed endometriosis, a preoperative scan may be recommended to help guide surgical planning and optimize outcomes.

      Common sites for DIE lesions
      Common sites for DIE lesions (A) Endometrioma on ovary, (B) DIE nodule infiltrating colon wall, (C) DIE nodule on uterosacral ligament, (D) DIE nodule parametrium adjacent to ovary and bowel