Diagnostic Accuracy of Transvaginal Ultrasonography for Endometriosis According to the International Deep Endometriosis Analysis Consensus

Transvaginal ultrasonography demonstrates robust diagnostic accuracy for deep endometriosis and ovarian endometriosis, reaffirming its utility as a first-line diagnostic tool in endometriosis management despite changes in definitions of deep endometriosis and superficial endometriosis. However, its sensitivity for superficial endometriosis remains limited, suggesting the need for additional diagnostic techniques or refined ultrasound approaches for accurate detection of superficial endometriosis. The findings support the integration of TVUS in clinical practice while highlighting the need for further advancements in diagnosing superficial endometriosis to mitigate diagnostic delays.