EndoSure Test vs Laparoscopy

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For the estimated 1.5 million women in the UK living with endometriosis, diagnosis can involve a lengthy clinical pathway. Laparoscopy, a surgical procedure performed under general anaesthesia, has long been considered an important method for diagnosing endometriosis. While it remains a valuable tool, it comes with drawbacks: surgical risk, recovery time, and NHS waiting lists that can stretch to months and even years. 

The EndoSure Test offers a new option within the diagnostic pathway. As a non-invasive, rapid test designed to assess the likelihood of endometriosis, it provides healthcare professionals with additional diagnostic information without surgery or anaesthesia. 

An Important Clinical Note 

It is important to recognise that laparoscopy remains an important diagnostic and treatment option for endometriosis, particularly where surgical intervention is required. The EndoSure Test is designed to work alongside, not replace, the clinical pathway. Its value lies in providing rapid, non-invasive diagnostic information earlier in the patient journey and helping clinicians consider and plan appropriate next steps. 

For patients who have waited years for a diagnosis, the EndoSure Test represents a meaningful step forward in how endometriosis can be assessed in the UK. 

EndoSure & Laparoscopy Comparison 

Below, we have created a comparison of the EndoSure Test and laparoscopy. 

 EndoSure Test Laparoscopy 
Invasiveness Non-invasive, no incisions or instruments Surgical, small abdominal incisions required 
Anaesthesia None required General anaesthesia required 
Procedure time Less than 60 minutes Varies depending on the procedure 
Recovery time No surgical recovery period Recovery time required following surgery 
Hospital stay No hospital admission required Often performed as a day case, although an overnight stay may sometimes be required 
Results Results are typically provided after clinical review Findings may be discussed following the procedure 
Assessment Assesses patterns associated with endometriosis Allows direct visual inspection for endometriosis and may allow biopsy and treatment during the same procedure 
Accuracy Provides non-invasive diagnostic information to support clinical decision-making An established diagnostic procedure for endometriosis 
Risk Non-invasive test with no surgical risk Surgical risks include bleeding, infection and organ damage 
Suitable for Patients seeking a non-invasive assessment for suspected endometriosis Patients where laparoscopy is clinically appropriate for diagnosis and/or treatment 
Access Available privately without an NHS surgical waiting list NHS gynaecology and surgical waiting times can be significant 
Patient experience External sensor-based test with no surgical recovery Post-operative pain, bruising and fatigue can occur 

Could Your Symptoms Be Endometriosis? 

If you are experiencing pelvic pain, heavy periods, bloating or fertility concerns, the EndoSure test offers a rapid, non-invasive way to assess the likelihood of endometriosis. Learn how the test works or find a clinic near you and book an appointment. 

You have questions about endometriosis or the EndoSure Test? Visit our FAQs to find clear answers to the questions we’re asked most often.

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