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A diagnosis can be achieved with a laparoscopic procedure. They will make a few small incisions in your lower abdomen, insert a camera and have a look around. They can clean up some adhesions (excess uterine tissue) and take some biopsies. This is really the only way to diagnose this disease, as adhesions do not show up well on ultrasounds. You may be out of work for a few weeks to recover, but it will be well worth it for a diagnosis.