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Endometriosis Can Elude Diagnosis for Years. What to Know About the Disease and New Ways to Find It

Doctors say symptoms are often dismissed, while new saliva and gut-signal tests could speed diagnosis and reach patients sooner.

  • New diagnostic tests for endometriosis are available in some countries, but the Food and Drug Administration hasn't approved them. EndoSure detects electrical signals in the gut, while Endotest analyzes saliva samples.
  • The American College of Obstetricians & Gynecologists notes patients can wait a decade or more for diagnosis. Experts say doctors often normalize period pain, despite the condition afflicting 1 in 10 women worldwide.
  • Following symptoms that began at age 11, Armstrong was finally diagnosed at age 29. After years of seeking help, she underwent excision surgery to remove lesions and scar tissue.
  • Maryland-Based EndoSure is submitting an FDA application, while Ziwig is pursuing a pathway through certified laboratories for its Endotest. Experts caution these tools won't solve normalizing period pain.
  • In the United Kingdom, the National Health Service recently published draft guidance recommending these tests be used for three years while collecting evidence. Dr. Andrew Spiers emphasizes such tests should not replace other diagnostic methods.
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Endometriosis can elude diagnosis for years. What to know about the disease and new ways to find it

Diagnosing endometriosis is often a challenge. The American College of Obstetricians & Gynecologists says people can wait a decade or more after the onset of symptoms to receive a diagnosis.

·New York, United States
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Durango Herald broke the news on Saturday, September 5, 2026.
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