Laparoscopy is the gold standard for diagnostic purposes, unless disease is visible in the vagina or elsewhere. His-tological confirmation of at least one peritoneal lesion is ideal, and mandatory if DIE or a >3 cm diameter endometrioma is present. The entire pelvis should be inspected systematically, and good practice is to document in detail the type, location and extent of all lesions and adhesions. Ideally, the findings should be recorded on video or DVD. Depending upon the severity of disease found, best practice is to remove/ablate endometriosis at the same time, provided that adequate consent has been obtained.
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