Testing takes just under an hour. Arrive 15 minutes before your testing time to fill in a questionnaire, then plan to be in testing for an hour: 20 minutes preparation + 30-minutes active GIMA recording. 

There are no risks associated with this test. There are no components that are used during the test equipment that are harmful. No anesthesia is required for this test.

Scheduling ENDOSURE Test:

• Testing cannot be done during menstruation.
• Ensure other diseases you may have are stable. List of concening illnesses:
  -Celiac disease
  -Crohn’s or Ulcerative Colitis
  -Small bowel bacterial overgrowth
  -Bowel obstruction
  -Viral or Bacterial gastroenteritis
  -Persistent Nausea and vomiting
• Wait 2 WEEKS after resolution of:

-Acute gastrointestinal illness
-Intra-abdominal infection
-Intra-pelvic infection

• Wait 3 MONTHS after recovery from abdominal or pelvic surgery of any type

Preparation includes:

Up to 2-hours before test:

Take prescribed medications with small sips of water at least 2-hours before the test.

8-hours before test:

No food, water, fluids, gum
No caffeine (coffee, tea, energy drinks)

2-Days/48 hours before test

No opioid pain medications that slow the bowel:
Codeine, Oxycodone, Hydrocodone +/- acetaminophen, Morphine, hydromorphone, Tramadol +/- acetaminophen 

3-Days/72 hours before test

Medications that change intestinal movement:

Metoclopramide, Domperidone, Itopride, Levosulpiride, Erythromycin, Dicyclomine, Hyoscine butylbromide, Loperamide

 30-days before test

Discontinue THC containing cannabis products

GLP-1 receptor agonists that slow stomach emptying: Tirzepatide – Mounjaro, Semaglutide – Ozempic/Wegovy

Do not stop medications until speaking with your doctor or your pharmacist. If in doubt, please check with your doctor or pharmacist in advance of the test.

• Plan to be in testing for an hour; 20 minutes prep + 30-minutes active recording.
• Loose-fitting, 2-piece clothing that is relaxed and warm should be worn.
• Do not use lotions, oils, self-tanning products or perfumes.
• Use the bathroom first, you cannot move once testing begins.
• Smartphones, watches and other electronic devices should be shut off and put away.

A 200 kcal meal is allowed 2 hours or more before testing if you are diabetic.

This could be a dry piece of toast and 125mL of clear juice or 2 rice crackers and 125 mL of clear juice.

No food or liquids are allowed within 2 hours before testing.

Other instructions remain the same.

Opioid pain medications that slow the bowel: Codeine, Oxycodone, Hydrocodone +/- acetaminophen, Morphine, hydromorphone, Tramadol +/- acetaminophen

Medications that change intestinal movement: Metoclopramide, Domperidone, Itopride, Levosulpiride, Erythromycin, Dicyclomine, Hyoscine butylbromide, Loperamide

GLP-1 receptor agonists that slow stomach emptying: Tirzepatide – Mounjaro, Semaglutide – Ozempic/Wegovy
THC containing cannabis products

Acetaminophen, NSAIDs, Hormonal contraceptives, Endometriosis hormone therapy, Antidepressants, Neuropathic pain medication, Antiemetics
If in doubt please check with your doctor or pharmacist in advance of the test. Do not stop medications until speaking with your doctor or your pharmacist. Take your prescribed medications (other than ones listed as restricted) with small sips of water at least 2-hours before the test. 

Do not stop taking any prescribed medications without your doctor’s approve, including for ADHD medications.

Preparations containing THC should be discontinued 30 days prior to ENDOSURE testing. Do not stop medications until speaking with your doctor or your pharmacist.

Results are usually uploaded to your patient file in the testing clinics EHR system. Patients generally book a separate consult with the attending clinician to review results. Check with your clinic to find out your next steps.

ENDOSURE test is a highly accurate clinical tool providing supporting evidence and helps your clinician confidently diagnose endometriosis. Published results are as follows:

Females ≤35 years:

99% accurate

95% sensitivity

96% specificity

Females 36 years+:

98% accurate

91% sensitivity

95% specificity

ENDOSURE test is only available at private clinics in Canada and is not covered by provincial plans (e.g. AHCIP, OHIP). Private insurance has reimbursed some patients, so receipts should be submitted. Talk to your clinician and ask for a referral, which may aid you when making a claim.

• Dysmenorrhea, Chronic pelvic pain (painful periods)
• Menorrhagia
• Dysuria, Dyschezia, or Dyspareunia (pain during urination, bowel movements or intercourse)
• IBS, GI issues
• Urinary infection unresponsive to treatment
• Unexplained fatigue or Brain fog
• Anxiety or depression
• Unexplained infertility
• Frequent miscarriage
• Previous high-risk pregnancy

When endometrial-like tissue grows in areas other than the uterus, it’s known as endometriosis. Endometrial tissue lines the uterus, thickens each month in response to hormones, and if pregnancy is not achieve will shed during menstruation and leave the body. Endometrial lesions also build up in response to hormones, but the tissue has nowhere to go during menstruation. This results in pain & inflammation, and eventually scarring & adhesions.