For patient referrals: call 602-521-5700What if one of the most common yet misunderstood gynecologic conditions could be diagnosed earlier—without surgery? In this episode of Beyond the Rounds, we explore endometriosis, a condition affecting nearly 190 million people worldwide that still takes an average of 7-10 years to diagnose. Dr. Nolan Fisher sits down with gynecologic surgeon and endometriosis specialist Dr. Rosanne Kho to discuss how advances in imaging, multidisciplinary care and minimally invasive surgery are reshaping the diagnostic and treatment paradigm.Endometriosis is often dismissed or normalized, leaving patients to navigate years of pain, infertility and missed diagnoses. But the field is evolving. With targeted ultrasound, MRI and a shift away from diagnostic laparoscopy as the first step, clinicians now have more effective tools to identify disease earlier and guide treatment based on symptoms, not just surgical findings.This episode explores how endometriosis presents, why it’s so frequently missed, and what clinicians can do to improve outcomes through earlier recognition, appropriate imaging and thoughtful referral.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of endometriosis diagnosis, treatment pathways and multidisciplinary care.What We Cover• Why endometriosis is frequently underdiagnosed or misdiagnosed• The shift from surgical diagnosis to imaging-first approaches• How advanced ultrasound and MRI improve detection• Common symptoms, including pelvic pain, GI and urinary involvement• When to treat—and when not to intervene• Medical vs. surgical management strategies• Fertility considerations and treatment planning• The role of minimally invasive and robotic-assisted surgery• Multidisciplinary care, including pain management and specialty referral• How to identify patients who need earlier referralKey Topics for Clinicians• Endometriosis• Chronic pelvic pain• Minimally invasive gynecologic surgery (MIGS)• Diagnostic imaging in gynecology• Transvaginal ultrasound (sliding sign)• Pelvic MRI• Fertility and reproductive health• Multidisciplinary care models• Women’s health disparities• Early referral strategiesAbout Our GuestDr. Kho is a gynecologic surgeon and endometriosis specialist at Banner - University Medicine Phoenix, with extensive experience in minimally invasive gynecologic surgery and a national reputation for advancing endometriosis diagnosis and care. She previously led programs at both Mayo Clinic and Cleveland Clinic and has published more than 90 peer-reviewed papers focused on improving outcomes for patients with endometriosis. Her work has helped shift the field toward imaging-based diagnosis and multidisciplinary treatment models.She sees patients at:Banner - University Medicine Women's Institute1441 North 12th Street, Floor 3, Phoenix, AZ 85006Phone: 602-521-5700Fax: 602-521-5701How to Refer a PatientBanner Health providers: Use Cerner’s Ambulatory Referral Management (ARM) tool.Community providers: Fax referrals to 602-521-5701 or call 602-521-5700 to schedule a patient for evaluation.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.