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Part of the reason is that the only way to actually “confirm” the diagnosis is to do surgery and I’m A Hoop Loving Stand Stomping Basketball Mom 2021 shirt. It’s sort of a diagnosis of exclusion after you’ve eliminated all the usual suspects because it’s so hard to confirm and you can’t go doing surgery every time someone presents with excessive cramping. Some women can be diagnosed without surgery by identifying implants with ultrasound or MRI, but these methods aren’t super sensitive, meaning that a negative result would not rule out endometriosis. That’s one reason why it often takes so long, not to mention if you’re unlucky enough to have a doctor who dismisses you. And the medical community has NO IDEA why endometriosis happens, so that doesn’t help either.