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Diagnosis without surgery

Endomapping: Endometriosis Diagnosis Without Surgery

If you have painful periods, pain during sex, chronic pelvic pain or trouble getting pregnant without a clear diagnosis, endometriosis mapping uses imaging to look for the disease and show where it is.

Specialist performing an endometriosis mapping ultrasound
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Endometriosis can take years to diagnose, and many people hear that “everything looks normal” while the pain continues. Endomapping is an endometriosis mapping exam: it uses imaging to look for the disease, record where each lesion is and give your specialist a map to plan treatment.

Dr. Carlos Trippia, radiologist focused on endometriosis imaging

Our specialist

Endomapping with Dr. Carlos Trippia

Dr. Carlos Trippia is a radiologist whose practice centers on women's imaging, with a primary focus on the diagnosis of endometriosis. He coordinates women's imaging at hospitals in Curitiba, Brazil, and has co-authored 20 scientific publications, many of them on endometriosis imaging.

He comes to Tijuana on scheduled dates to perform Endomapping. Our team tells you the next available dates when you book.

Who it is for

Who the exam is for

The exam is meant for people with symptoms that suggest endometriosis but no clear diagnosis, such as:

  • Intense menstrual pain (dysmenorrhea).
  • Pain during intercourse (dyspareunia).
  • Chronic pelvic pain.
  • Difficulty getting pregnant (infertility).
  • Changes in urinary or bowel habits, or pain during bowel movements during your period.
  • Discomfort when urinating.

What it includes

What the exam includes

  • Specialized pelvic ultrasound

    With prior bowel preparation, performed under a specific protocol to look for adhesions and deep lesions.

  • MRI with an endometriosis protocol

    Magnetic resonance imaging under a specific endometriosis protocol, with an additional cost for its review.

  • Radiologists who focus on endometriosis

    They analyze your images, instead of a general reading.

What the mapping can show

The exam looks for adhesions and endometriosis lesions in the pelvic organs, such as the ovaries, fallopian tubes, intestines and bladder, and in areas outside the pelvis, such as the diaphragm and the abdominal wall.

With a map of where the lesions are, your surgeon or treating physician can plan the next step, and a precise diagnosis can help avoid surgeries that are not needed. When surgery is the right option, the map is used to plan excision surgery. Our blog explains how imaging maps endometriosis before surgery.

Step by step

How the process works

  1. 1Book your appointment online or on WhatsApp.
  2. 2Receive the preparation instructions, with the bowel preparation and dietary recommendations that help improve image quality.
  3. 3Have the exam with specialists in endometriosis diagnosis.
  4. 4Get your results: radiologists who focus on endometriosis analyze the images and prepare your report.
  5. 5Consult with a specialist to review the findings and decide on the treatment that fits your case.

Frequently asked questions

Can endometriosis mapping replace laparoscopy?

In many cases, the mapping can show endometriosis lesions without surgery, which helps decide whether an operation is needed and how to plan it. In some cases, the specialist may still recommend a complementary evaluation.

Is the exam painful?

It is an outpatient imaging exam with no incisions. If you feel discomfort at any point, tell the specialist.

How should I prepare for the exam?

Before your appointment, you receive detailed instructions for the bowel preparation, including dietary recommendations that help improve image quality.

How much does the exam cost?

The cost depends on the studies you need, and the MRI review has an additional cost. Our team gives you the exact amount and the payment options when you book.

When will I receive my results?

Radiologists who focus on endometriosis analyze your images and prepare a report. Our team tells you when to expect it when you book your exam.

What happens after the exam?

You review the results with a specialist, who explains the findings and recommends the treatment that fits your case.

Need assistance? Chat with us

Write to us on WhatsApp or book your appointment. Our team explains the preparation, the cost and the next available dates for your exam.