title: Clinical diagnosis of pelvic endometriosis: a scoping review.
abstract: BACKGROUND
  Accurate and timely diagnosis of endometriosis is associated with confusion. Clinical manifestations, imaging techniques, biomarkers and surgical techniques are used as diagnostic approaches. This paper reviews current evidence on clinical manifestation in order to help practitioners and perhaps improve women's health.
  
  
  METHODS
  A review of the literature on clinical diagnosis of pelvic endometriosis that appeared in the English language biomedical journals was performed using PubMed, Science Direct and Google Scholar. The search strategy included the combination of key words 'endometriosis' and 'diagnosis' or 'clinical diagnosis' in the titles or abstracts of articles. The search included all papers published during the year 2000 to 2014. Then, the findings were classified in order to summarize the evidence.
  
  
  RESULTS
  Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, in all 51 papers were found relevant and included in this review. In general we found three categories of diagnostic approaches for clinical manifestation including: i) diagnosis via symptoms obtained from history taking, ii) diagnosis via signs obtained from physical examination and iii) diagnosis via risk factors obtained from history taking.
  
  
  CONCLUSIONS
  Diagnosis of endometriosis is a matter of concern. Since the disease is associated with diverse clinical symptoms and signs, deeper and more comprehensive consideration according to patient's history and clinical findings is recommended for early and more accurate detection in order to prioritize women for further investigation and contribute to its early management.
authors.affiliation: Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Jalal-e Al Ahmad Highway, P.O Box 14115-331, Tehran, Iran. h.riazi@modares.ac.ir.
authors.forename: Hedyeh
authors.initials: H
authors.lastname: Riazi
authors.affiliation: Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Jalal-e Al Ahmad Highway, P.O Box 14115-331, Tehran, Iran. Tehranian@modares.ac.ir.
authors.forename: Najmeh
authors.initials: N
authors.lastname: Tehranian
authors.affiliation: Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Jalal-e Al Ahmad Highway, P.O Box 14115-331, Tehran, Iran. ziaei_sa@modares.ac.ir.
authors.forename: Saeideh
authors.initials: S
authors.lastname: Ziaei
authors.affiliation: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Jalal-e Al Ahmad Highway, P.O Box 14115-331, Tehran, Iran. mohamade@modares.ac.ir.
authors.forename: Easa
authors.initials: E
authors.lastname: Mohammadi
authors.affiliation: Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Jalal-e Al Ahmad Highway, P.O Box 14115-331, Tehran, Iran. hajizadeh@modares.ac.ir.
authors.forename: Ebrahim
authors.initials: E
authors.lastname: Hajizadeh
authors.affiliation: Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, P.O Box 13185-1488, Tehran, Iran. montazeri@acecr.ac.ir.|Faculty of Humanity Sciences, University of Science & Culture, ACECR, Tehran, Iran. montazeri@acecr.ac.ir.
authors.forename: Ali
authors.initials: A
authors.lastname: Montazeri
mesh_terms: D042241:Early Diagnosis; D061345:Early Medical Intervention; D004715:Endometriosis / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008487:Medical History Taking / Q000379:methods; D010388:Pelvis / Q000473:pathology*; D010808:Physical Examination / Q000379:methods; D063189:Symptom Assessment / Q000379:methods