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SAFE aims to improve the diagnosis of DIE by TVUS through education and workshops.

SAFE also provides information where expert ultrasound assessment for endometriosis are currently available.

Specialist Ultrasound Practices

You will need a referral from your doctor to be eligible for a medicare rebate.

New South Wales


Penrith Logo


Ultrasound for Women Penrith: 02 47212195

Dr Valeria Lanzarone





Omni logo


Omni Ultrasound and Gynaecological care: 1300 851 968

A/Professor George Condous

Research and publications related to endometriosis diagnosis





Care logoUltrasound Care

Dr Philippa Ramsay

Dr Joanne Ludlow

Dr Linda Atkins

Dr Kare Mizia



RPAH logo

RPAH Women and Babies: 02 9515 6042

Dr Joanne Ludlow



SUFW logoSydney Ultrasound for Women: 1300557226

Dr Patricia Lai

Dr Sashi Siva

Ultrasound for deep infiltrating endometriosis

The ultrasound for endometriosis is a normal vaginal ultrasound. Rather than just examining the uterus and the ovaries, the examination is extended to include structures that are often affected by deep infiltrating endometriosis such as the ligaments behind the uterus (uterosacral ligaments), the bladder, the bowel and the pouch a Douglas. With increasing expertise this does not take much longer than a regular transvaginal ultrasound.


In some instances a sonovaginography will be performed. This means that during the ultrasound a 10-20ml of gel is inserted in the vagina. This provides an acoustic window and may allow better visualisation of the area behind the uterus (pouch of Douglas), which is most commonly affected by endometriosis. The insertion of gel is not uncomfortable.  No special preparation is required.

Bowel preparation

In some situations you may be asked to take a mild bowel preparation for the ultrasound. Most commonly this consists of a mild laxative the night before the ultrasound and an enema within an hour before the ultrasound as outlined in the ultrasound diagnosis section of this website. As some ultrasound doctors may prescribe slightly different bowel preparation, and some doctors do not require you to take bowel preparation, it is best to check with the practice when you make your appointment.