Noticed several people in the other thread saying surgery was necessary for the diagnosis. ACOG changed the guidelines and now allow a clinical diagnosis https://www.acog.org/news/news-releases/2026/02/acog-publishes-new-endometriosis-clinical-guidance-aiming-shorten-time-diagnosis-improve-access-care “A presumptive diagnosis of endometriosis based on patient history, symptoms, and physical examination findings—what we call a clinical diagnosis—allows us to offer patients empiric medical treatment while we continue the evaluation process with imaging studies, enabling patients to feel better faster and connect them with resources and support sooner. Data support this approach,” said Bliss Kaneshiro, MD, MPH, FACOG, named author of the guidance. And a user-friendly summary https://www.fertilitycenter.com/fertility_cares_blog/acog-endometriosis-diagnosis-guidelines/   submitted by   /u/Dullcorgis [link]   [comments]