Endometriosis UK

Does a laparoscopy show bowel endo?

I had a laparoscopy in 2016, not at a specialist unit as was originally referred to wrong department. I was told it looked very vascular inside and that I had pocketing-but not mention of bowel. Even though these symptom's were main problem.

Since having my Mirena removed. My bowel symptomns are back with vengeance. My GP who was Originally away for my first lap, Said they wouldn’t haven been able to see the effect of endo on my bowel by a laparoscopy. And may need a different type. Is this correct?

Thank you x

4 Replies

The section of the bowel that is within the peritoneum can be seen at lap (sigmoid colon and rectum) and since it is the bowel within the pelvis that is mostly affected then yes endo on that part of the bowel can be seen. But only if looked for. If the rectum outside the cavity (so beneath the pouch of Douglas) is affected then this can't be seen but might be suspected by adhesions within the POD. You need to be referred to a BSGE accredited centre now in accordance with section 1.4.2 of the NICE guideline. Specialised transvaginal US and MRI can show it.



Thanks so much for your reply. I think I’ll ask to be referred back to The BSGE centre.

I did have a transvaginal ultrasound, where they just mentioned fluid on the Pouch of Douglas.

Do you know if endometriosis in this area can affect fertility. Was told after my lap all should be okay as ovaries not effected. But nothing happening as of yet.


The evidence is that bowel or any deep endo can affect infertility. There may be many immune/endocrine ways in which fertility can be affected and not just physical obstructions such as misplaced ovaries or blocked tubes etc. Section 3 of the ESHRE guideline covers it:



They found bowel endo on my 2 laparoscopys. However mine are big nodules so maybe that’s why they saw it. It’s soo frustrating as I’ve worked through several specialist and they all say slightly different things.

Good luck x

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