Shay M. Freger

Endometriosis is a prevalent gynecological disease, leading to chronic pain and inflammation, affecting 1 in 10 individuals presumed female at birth. The diagnostic journey is often arduous, marked by neglect of the right diagnosis and prol…

Transvaginal ultrasound (TVS) is crucial for diagnosing endometriosis, guided by the International Deep Endometriosis Analysis (IDEA) guidelines. While TVS excels in diagnosing ovarian (OE) and deep endometriosis (DE), superficial endometri…

Endometriosis affects 1 in 9 women and those assigned female at birth. However, it takes 6.4 years to diagnose using the conventional standard of laparoscopy. Noninvasive imaging enables a timelier diagnosis, reducing diagnostic delay as we…

OBJECTIVE: To determine the diagnostic test accuracy of transvaginal ultrasound (TVS) using a standardized technique for the diagnosis of deep endometriosis (DE) of the uterosacral ligaments (USLs) and adjacent torus uterinus (TU). METHODS…

Endometriosis affects 1 in 9 women, taking 6.4 years to diagnose using conventional laparoscopy. Non-invasive imaging enables timelier diagnosis, reducing diagnostic delay, risk and expense of surgery. This review updates literature explori…

The uterosacral ligaments (USLs) and torus uterinus (TU) are common sites for deep endometriosis (DE) but are challenging to diagnose through transvaginal ultrasound (TVS). Anatomical distortion caused by severe endometriosis, including pou…

An up-to-date description of ovarian and deep endometriosis distribution is necessary as the diagnostic algorithm now includes ultrasound as a highly specific diagnostic test. The primary objective was to describe ovarian/deep endometriosis…

The primary objective of this study is to establish whether ultrasound (US) diagnosis of endometriosis affects patient decision-making on treatment options. Secondary objectives include determining: 1) patient comfort of endometriosis US; 2…

Endometriosis is a chronic oestrogen-dependent gynaecological disorder characterized by non-menstrual pelvic pain, infertility and the extrauterine growth of endometrial-like glands and stroma. It has been noted that the eutopic endometrium…

Endometriosis is widely acknowledged to be an estrogen dependent disease or unknown etiology. Recognition that environmental toxicants can bind with and activate the estrogen receptor, dysregulate steroid metabolism and, in some cases, act …