text: can endometriosis be detected by a pap smear? i have alot of the symtoms of endometriosis. two weeks ago i had a pap smear, and the test results came back today, which said, "your recent pap report requires more attention. please phone our office and speak to a nurse." i'm just not sure if this can be something as serious as cancer or just endometriosis. no.  your doctor evaluates your symptoms, discusses your medical history and performs a pelvic exam to check for cysts, unusual tenderness or a thickening of the pelvic area. they may also perform an ultrasound to check for cysts in your ovaries.  endometriosis is detected by a laparoscopy (a thin, lighted microscope--is inserted in a incision in the abdomen to view internal organs.  options for treating endometriosis depend on the severity of your symptoms,the location and size of your endometrial growths,and your childbearing plans.  your age is also a factor since your symptoms may intensify as you grow older.  i had to take shots for 6 months.  the drug was expensive (insurance paid for it) but it helped to relieve the symptoms.  you can't do anything to prevent or cure endometriosis.  hope this helps.  good luck and god bless!