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Learning objectives
 Value of laparoscopy in diagnosing endometriosis
 Steps to take in diagnostic procedure
 New definition of proven endometriosis in literature
Guideline 2013
The GDG recommends that clinicians perform a laparoscopy to diagnose endometriosis, although evidence is lacking that a positive laparoscopy without histology proves the presence of disease.
The GDG recommends that clinicians confirm a positive laparoscopy by histology, since positive histology confirms the diagnosis of endometriosis, even though negative histology does not exclude it.
The GDG recommends that clinicians obtain tissue for histology in women undergoing surgery for ovarian endometrioma and/or deep infiltrating disease, to exclude rare instances of malignancy.
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