Final answer:
Endometrial tissue is removed using a laparoscopy during a diagnostic D and C for endometriosis. The tissue can then be biopsied to confirm the condition. Treatment after diagnosis may be conservative or involve a hysterectomy, depending on the patient's circumstances.
Step-by-step explanation:
During a diagnostic D and C, which is a procedure to diagnose issues such as endometriosis, the endometrial tissue is removed using a surgical method. This typically involves a minimally invasive surgery known as a laparoscopy. Laparoscopy allows for both the diagnosis and treatment of endometriosis. It involves making small incisions to insert a camera and surgical instruments, enabling the surgeon to visually inspect the pelvic area and remove abnormal endometrial tissue. The removed tissue may then be sent for a biopsy to confirm the diagnosis.
In cases where endometriosis is confirmed and depending on the individual's situation, different treatment options are considered. For younger patients who wish to preserve their fertility, a more conservative approach is taken to keep the reproductive organs intact. However, there is a recurrence rate of 20 to 40 percent within five years for this conservative surgery. In older patients or those who have completed childbearing, a hysterectomy might be used to remove all or part of the internal reproductive organs to cure endometriosis and prevent relapses.