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Diagnosis

Can blood tests diagnose endometriosis?

The short answer

At this time, blood tests cannot reliably diagnose endometriosis. Markers like CA-125 may be elevated in some people, but they are not specific enough to confirm or rule out endometriosis, and newer tests are not yet ready for routine clinical use.

At this time, blood tests cannot reliably diagnose endometriosis. Markers like CA-125 may be elevated in some people, but they’re not specific enough to confirm endometriosis or rule it out, so they aren’t considered a validated diagnostic test.

Research into more accurate biomarkers and molecular testing is active and promising, but these tests aren’t yet ready for routine clinical use. If you’re trying to understand whether endometriosis could be causing your symptoms, our team can walk you through a thorough evaluation and discuss which diagnostic approaches make the most sense for your situation.

Where to go from here

Understand it, compare it with what you're feeling, then talk it through with us.

Understand

Understand the condition

Speak with Us

Not Sure If You Have Endometriosis?

Blood tests can't definitively diagnose endometriosis right now. Our specialists offer thorough evaluations to guide you toward accurate diagnosis and care.

Questions people ask next

All diagnosis questions
  • Is CA-125 useful for diagnosing endometriosis?

    CA-125 is not a reliable way to diagnose endometriosis. It can be normal when endometriosis is present or high for other reasons, including other pelvic conditions and benign inflammation, so results usually don’t clarify whether endometriosis is causing your symptoms.

  • Can menstrual blood tests diagnose endometriosis?

    Right now, menstrual blood tests are not validated or widely available for routine endometriosis diagnosis and should not be used on their own. Diagnosis still relies on symptoms, a detailed history and exam, and targeted imaging when appropriate.

  • How close is a non-invasive test for endometriosis?

    Non-invasive tests for endometriosis are getting closer, but none have consistently met the accuracy needed to diagnose it reliably on their own. In the near term, biomarkers are expected to support decisions rather than replace expert imaging or laparoscopy.

  • Can imaging tests diagnose endometriosis or adenomyosis?

    Yes, MRI and high-resolution transvaginal ultrasound can help identify endometriosis or adenomyosis and guide treatment planning. A normal scan doesn’t rule out either condition, as smaller lesions and superficial endometriosis can be missed.

Reach Out

Have a question?

Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.


Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.

Call Us

(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8am - 5pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420