A pelvic examination can sometimes suggest the presence of endometriosis.
Typical findings depend on the severity of the disease and where it is located.
A normal uterus is quite mobile, but the scarring of endometriosis can make it tender and fixed in the pelvis. There may be a swelling felt on one of the ovaries because of an endometriosis cyst. The uterosacral ligaments are one of the supports of the uterus where endometriosis can occur and these can be felt just above the cervix. Tender nodules in this area can suggest its presence. To confirm endometriosis requires a diagnostic laparoscopy.