Can You Diagnose Endometriosis Without a Laparoscopy?

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If I've seen a patient, and done an appropriate work up, I usually have a pretty good idea if there's going to be endometriosis or not. I have been fooled, sometimes, I'll do surgery on a patient and they do not have endometriosis, and sometimes I do surgery on patients they have a lot more endometriosis than I expected, but about 70% of the time, I have a pretty good idea, but I cannot truly make the diagnosis until or I do a Laparoscopy.