Treatments for endometriosis have come a long way over the years. Hysterectomy is very much a last resort, and the main stay of treatment is around hormonal therapies in the first instance, which suppress endometrial tissue activity.
If endometriosis goes untreated, its cumulative effects can cause adhesions and scarring which may affect fertility. However, this does not occur in all cases. Family planning is an important consideration when diagnosing and managing endometriosis.
The gold standard of diagnostics for endometriosis is a surgical keyhole procedure called a laparoscopy, which directly looks for deposits of endometrial tissue outside the uterus on the pelvic organs. However in recent years specialist sonographers have been able to detect on ultrasound scan some manifestations of endometriosis such as nodules and chocolate cysts. These are specialist clinics who provide this type of ultrasound and your Evoca GP may request this type of test for you
2 Reference: https://www.jeanhailes.org.au/health-a-z/endometriosis/diagnosis