How Is Endometriosis Diagnosed?

Introduction: Why Endometriosis Needs a Root-Cause Approach

Endometriosis can disrupt lives—causing pain, hormonal imbalances, digestive distress, and fertility struggles. At Patients Medical in NYC, we look beyond superficial fixes. Our integrative approach uses advanced diagnostics, functional lab analysis, and holistic methods to reveal why endometriosis occurs, and guide personalized healing—so you can reclaim balance and wellness

What Is Endometriosis?

Endometriosis is a condition in which endometrial-like tissue grows outside the uterus—on the ovaries, fallopian tubes, bladder, or bowel.

  • It causes chronic pelvic inflammation, scar tissue, and hormonal imbalances.
  • Conventional care often focuses on symptom relief—pain medication, hormonal suppression, or surgery.

At Patients Medical, we go further, seeking underlying metabolic, immune, and environmental triggers.

Common Symptoms of Endometriosis

Root Causes: Why Did You Develop Endometriosis?

Functional medicine aims to uncover the “why” behind endometriosis. Common root causes include:

  • Hormonal imbalances: Elevated estrogen levels or an imbalance between estrogen and progesterone can promote the growth of endometrial tissue outside the uterus.
  • Immune system dysfunction: A compromised immune system may fail to recognize and eliminate endometrial tissue growing outside the uterus.
  • Chronic inflammation: Systemic inflammation can contribute to the pain and severity of endometriosis.
  • Genetics: A family history of endometriosis increases the risk of developing the condition.
  • Toxic overload: Exposure to endocrine disruptors in the environment (e.g., plastics, pesticides) can affect hormonal balance and exacerbate endometriosis symptoms.
  • Leaky gut: Inflammation and toxins in the gut can contribute to systemic inflammation and immune dysfunction, aggravating endometriosis.

By addressing these root causes, we can work to reduce symptoms and improve overall health.

Diagnostic Testing We Use

At Patients Medical, we use advanced lab testing to understand the underlying factors driving your endometriosis. These tests help us create a personalized treatment plan that addresses both the symptoms and root causes of the condition:

Hormone panels (estrogen, progesterone, cortisol, thyroid)

Ultrasound to detect ovarian cysts or other abnormalities

Comprehensive metabolic panels to assess overall health

Inflammatory markers (C-reactive protein, cytokines)

Gut health panels (stool microbiome, leaky gut)

Heavy metal testing

Immune function testing (autoimmune markers)

Genetic testing to assess predisposition to endometriosis

Integrative Treatments for Endometriosis

Nutritional Therapy

  • Anti-inflammatory diets to reduce pain and inflammation
  • Low-glycemic foods to balance insulin levels and reduce estrogen dominance
  • Elimination diets to identify food sensitivities or triggers
  • Nutrient-dense foods rich in omega-3 fatty acids, antioxidants, and fiber to support gut health and immune function

IV Vitamin Therapy

  • B vitamins (boost energy and support hormone function)
  • Magnesium (relieves muscle spasms and supports the nervous system)
  • Vitamin C (supports the immune system and reduces oxidative stress)
  • Glutathione (reduces inflammation and detoxifies the body)

Herbal & Nutraceuticals

  • Turmeric and ginger (natural anti-inflammatory herbs)
  • Vitex (Chaste Tree Berry) (balances progesterone and supports hormone regulation)
  • Omega-3 fatty acids (reduce inflammation and promote healthy cell function)
  • Magnesium (relieves pain and improves relaxation)
  • Myo-Inositol (supports hormonal balance, especially in PCOS-related endometriosis)

Stress Reduction

  • Acupuncture (improves blood flow to the pelvic region and regulates hormones)
  • Yoga and mindfulness (reduce cortisol levels and support relaxation)
  • Meditation (promote mental clarity and reduce stress)

Hormone Balancing

  • Liver support with herbs like milk thistle and dandelion
  • Heavy metal detoxification to remove environmental toxins
  • Gut detox through dietary changes and targeted supplements

Patient Case: Sarah’s Endometrial Healing Journey

Sarah, 32, struggled with cyclical pelvic pain, bloating, and three failed IVF attempts. Her evaluations revealed estrogen dominance, gut dysbiosis, high histamine, and elevated inflammatory markers. A scope confirmed stage III endometriosis.

Her 6-month protocol included:

  • Estrogen-metabolizing herbs
  • Anti-inflammatory diet and elimination approach
  • Gut repair with probiotics, anti-fungal herbs
  • Low-dose naltrexone
  • Mind-body stress support

Results: No IVF, but she conceived naturally. Her pelvic pain resolved, her hormones balanced, and her inflammation markers normalized.

Frequently Asked Questions

 Not always. In many cases, advanced imaging plus lab testing can avoid surgery—or confirm it is needed.

 Yes—food sensitivities and low-fiber diets can fuel inflammation.

 Often, yes—but estrogen imbalances also tie to liver detox, inflammation, and genetics.

 Comprehensive hormone panels and genetic markers (e.g. COMT) guide personalized support.

 Absolutely. Elevated cortisol disrupts hormones and increases inflammation.

 Yes. With integrative care, many patients experience symptom-free remission without surgery.

 We collaborate on surgical or reproductive needs, integrating care.

 We’re out-of-network but offer superbills; some labs are reimbursable.

 Yes, there’s an immune component—so we address immune balance.

 Patients often see relief in 8–12 weeks; deeper healing may take 6–12 months.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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