Geneviève Institute
Pelvic MRI is the examination at the centre of modern endometriosis diagnosis. It shows the uterus, the ovaries, and the surrounding tissue in enough detail to tell many conditions apart from one another, which matters because so many of them produce the same everyday symptoms of pain, heavy bleeding, or trouble conceiving.
It can identify endometriosis, including the deep and hidden forms that a standard ultrasound often misses, and show where in the body it has taken hold. It can find fibroids and describe their size and position, which is frequently what determines whether they need treatment at all. It can distinguish a harmless ovarian cyst from one that warrants a closer look, and it can pick up adenomyosis, a common and under-recognized cause of painful, heavy periods. It offers clues about fertility, from the health of the ovaries to conditions that can quietly interfere with conception.
Two things make this kind of exam especially valuable. It is objective, so a finding can be measured precisely rather than described in impressions, and it is comparable over time, so the same woman's scan a year later can show whether a condition is stable, improving, or advancing.
A pelvic MRI acquired to a dedicated gynecological protocol is a different examination from a general pelvic scan. The sequences and the preparation are set for this disease. The way the exam is performed and reported varies widely from one place to the next, and when the protocol is not dedicated, subtle disease can be absent from the images before anyone looks at them.
Reading all of it well is genuinely difficult. Pelvic MRI is one of the most demanding studies in radiology, and the expertise it requires is rare. The findings that matter most to a woman's decision tend to be the subtlest ones, a small area of deep disease or an early change in the muscle of the uterus.
The imaging is very often already there. What is missing is the reading, with the time and the expertise it deserves.
Transvaginal ultrasound is usually the first imaging examination when endometriosis is suspected. It is widely available, and performed by an experienced sonographer it identifies ovarian endometriomas well. MRI covers a larger volume of the pelvis and maps the depth and extent of disease across several compartments. Current guidance recommends either examination in the diagnostic work-up, and in practice the two are complementary.
MRI is not a definitive test. Disease can be missed, and findings can be reported that surgery does not confirm. A reading describes what is visible and how confident the reader is, and it belongs in a conversation with a physician who knows the rest of the picture.
Geneviève is built around this examination. This is how the program runs.
The program
Five steps from first contact to a precise, thorough answer, and to the care that should follow. Every detail handled, every specialist carefully chosen.
It begins before any appointment: a structured clinical intake, with validated questionnaires that record your symptoms and your history in full. Nothing you have lived through is left out of the picture.
We direct you to a gynecologist who specializes in endometriosis. Your intake arrives before you do; the consultation begins with your full picture in hand, and ends with the imaging protocol suited to your case, if imaging is what you need .
Your MRI is performed at a trusted imaging center in the United States, under a protocol calibrated for endometriosis and complex pelvic conditions, and read by physicians who specialize in gynecological imaging.
Radiology services are provided and billed independently by the specialist radiology provider. Some studies at participating centers also evaluate EndomAI by Matricis.ai, an investigational software intended to mark areas of interest for the radiologist's attention. It is not FDA cleared or approved and is used only under an approved research protocol (IRB).
Your results are explained to you during a dedicated session, finding by finding. If endometriosis is confirmed, we guide you to the physicians who should care for you, from surgery to fertility, and we stay until you are in the right hands.
Treatment services are provided and billed independently by the specialist physicians.
Diagnosis is just the beginning. Endometriosis is a condition to be managed over time, and we help you assemble the team to follow you through it: the specialists suited to your situation, coordinated rather than scattered. Once treatment has begun, a follow-up MRI, compared against your first, lets your physicians see how the disease has responded and whether the chosen approach is working, so the plan can be adjusted while there is still time to adjust it. We stay alongside you for as long as the path requires.
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