![]() You may need to undergo a laparoscopy if all of the noninvasive options still don’t reveal what the cause of your symptoms is. The doctor will also look for other possible conditions, such as ectopic pregnancy or unusual masses in your reproductive system. These can help the doctor diagnose the condition. If you are at risk for a sexually transmitted infection (STI) or could have a pelvic inflammatory disease (PID), your doctor may need to do a swab.Ī doctor may ask whether you might be pregnant or whether you’re taking any hormonal contraceptives.īefore or after you pass a decidual cast, a doctor may conduct some imaging tests. An ultrasound may then also be given to differentiate the causes. But it may be performed if you don’t see any improvement from medical treatment or if a doctor suspects that you may have secondary dysmenorrhea, or painful periods caused by something other than menstruation itself. They’ll also ask about any related symptoms you’re experiencing, where you’re feeling them, and for how long you’ve been feeling them.Ī pelvic examination isn’t required if you have all the characteristics of a decidual cast. To determine a decidual cast diagnosis, a doctor will perform a physical examination and discuss your health history. ![]()
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