Endometriosis affects approximately one in seven Australian women, yet timely diagnosis remains elusive for many. With an average diagnostic delay of seven years, countless patients endure chronic pain and life disruption before receiving appropriate care. In a significant step forward, a new MBS item came into effect on 1 July 2025, providing Medicare coverage for endometriosis-specific imaging — and with it, an opportunity for general practitioners to play a critical role in earlier detection and management.
The new item number covers deep infiltrating endometriosis (DIE) ultrasound, a specialised scan that provides greater diagnostic accuracy than standard pelvic imaging. Performed by trained specialists, this targeted assessment offers clearer visualisation of endometriotic lesions, especially in patients with complex or longstanding symptoms.
While the ultrasound itself will be billed by imaging providers or specialists, its inclusion on the MBS is designed to improve access to quality diagnostics, reduce delays, and ultimately improve outcomes for patients.
As the first point of contact, GPs are central to reducing the diagnostic gap. Recognising the signs and initiating appropriate referrals can drastically change a patient’s experience and long-term wellbeing.
Common signs and symptoms include:
For patients presenting with these issues, particularly when symptoms are persistent or impacting quality of life, referring for a DIE ultrasound is a logical next step. This imaging modality may help confirm diagnosis earlier and support appropriate referral to gynaecology services.
Endometriosis is a chronic condition that often requires multidisciplinary management. GPs are well-placed to deliver ongoing care alongside gynaecologists and pain specialists, from medication management to supporting fertility planning and mental health.
By staying engaged across a patient’s diagnostic and treatment journey, GPs help ensure continuity of care and advocate for patient-centred decisions.
This MBS update is also a timely prompt for GPs to refresh and refine their women’s health knowledge. Upskilling in symptom recognition and referral pathways can support more confident, proactive care. Recommended professional development options include:
These programs can enhance your ability to triage effectively, support shared care, and advocate for patients navigating complex or chronic conditions.
The introduction of an MBS item for endometriosis-specific imaging is a welcome step forward for Australian women. For GPs, it’s more than just a billing update, but also a chance to sharpen diagnostic instincts, reduce the time to treatment, and provide meaningful support to patients who may have spent years searching for answers.
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