|It is difficult to establish the diagnosis
endometriosis on clinical findings only. Symptoms as well as clinical signs are unspecific
in the majority of cases.
If a woman presents herself with a history of dysmenorrhoea and dyspareunia and if blue-brown tender masses are present in the posterior fornix of the vagina, especially if these hurt on palpation, she is very likely to suffer from endometriosis.
The diagnosis endometriosis is also almost certain if there are similar blue-brown masses in an abdominal scar after hysterectomy or cesarean section.