What does an ultrasound show in endometriosis?

Patient's question:

My colleague has always had irregular menstruation, sometimes coming twice a month. The doctor suspects endometriosis and wants to do an ultrasound. I want to know what endometriosis looks like on an ultrasound?

Doctor's answer:

Endometriosis is a condition where menstrual pain is usually more pronounced. During a detailed gynecological ultrasound examination, the uterus may appear significantly smaller with a more rounded myometrium. This presentation is indicative of adenomyosis, which is also a form of endometriosis. Additionally, if endometriosis spreads to the ovaries, it can result in chocolate cysts of the ovary, where dense speckled echoes can be observed within the ovarian cyst.

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