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New endometriosis tests set to dramatically speed up diagnosis

Draft guidance would let GPs use two non-invasive tests for suspected endometriosis, with NICE saying they could speed diagnosis and reduce surgery.

  • The National Institute for Health and Care Excellence issued draft guidance yesterday recommending Endotest and EndoSure for NHS primary care use, approving the non-invasive tests for a three-year evaluation period.
  • Endometriosis affects one in 10 women, yet the All-Party Parliamentary Group survey of more than 10,000 women found over half visited their GP more than 10 times before diagnosis, often misdiagnosed as irritable bowel syndrome.
  • Endotest analyzes saliva for microRNAs, whereas EndoSure measures gut electrical signals via abdominal sensor pads, offering non-invasive alternatives when clinical exams or imaging prove normal or inconclusive.
  • Consultant gynaecologist Dr. Gail Busby described the tests as a 'game-changer' that could free up surgical slots, while 15-year-old Simran Chavda said the quick test gave her 'concrete evidence' to secure a referral.
  • Endometriosis UK CEO Emma Cox stressed that GP education must accompany test availability to ensure prompt access, while NICE determined a third technology, DotEndo, currently lacks sufficient evidence for NHS approval.
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Medical Xpress broke the news on Monday, July 6, 2026.
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