Endometriosis: New guidelines push symptom-based, earlier diagnosis Across Specialties
ACOG’s updated endometriosis guidance allows clinicians to diagnose and start treatment based on symptoms and exam (no mandatory surgical confirmation), with transvaginal ultrasound as first-line imaging and MRI for later characterization. The recommendations apply to adolescents as well as adults and urge cross-specialty recognition (pediatrics, gastroenterology, urology, internal medicine) to shorten the historically long diagnostic timeline. The shift aims to move care earlier, reduce disease progression and infertility impact, and address systemic barriers highlighted by patient stories like Leah Chapman, who faced years of pain, multiple IVF cycles, and advocacy efforts to improve access and awareness.