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Diagnosis

Can genetic testing diagnose endometriosis?

The short answer

No, there is currently no validated clinical genetic test or polygenic risk score that can diagnose endometriosis or reliably rule it out. Diagnosis relies on your symptom history, a focused pelvic exam and targeted imaging when appropriate.

No, at this time, there isn’t a validated clinical genetic test or polygenic risk score that can diagnose endometriosis or replace a proper medical evaluation. Genetics may help researchers understand risk over time, but it doesn’t reliably confirm or rule out disease in an individual patient today.

In practice, we diagnose and plan care by combining your symptom history with a focused pelvic exam and targeted imaging when appropriate. High-quality ultrasound and MRI can be especially useful for mapping suspected disease and guiding next steps. Contact us so our team can help you understand which testing is most likely to be informative for your specific symptoms and goals.

Where to go from here

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

Understand

Understand the condition

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Still Wondering About Your Diagnosis?

Genetic testing can't diagnose endometriosis, but our specialists can help using thorough exams and imaging. Let us guide you through accurate diagnosis and personalized care planning.

Questions people ask next

All diagnosis questions
  • Which genes are linked to endometriosis so far?

    Genetic studies have found endometriosis risk signals near WNT4, GREB1, ESR1, FSHB, VEZT, FN1, SYNE1, and IL1A. They suggest risk is influenced by many common genetic variants, each with a small effect, rather than one single endometriosis gene.

  • 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.

  • Can blood tests diagnose endometriosis?

    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.

  • How could genetics influence endometriosis treatment?

    Genetics may help guide endometriosis treatment by identifying pathways behind pain, inflammation, and lesion behavior. This could lead to more targeted, potentially non-hormonal medications, though most genetics-guided treatments are still in development.

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