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Endometriosis

Endometriosis

Have you been diagnosed with endometriosis? Do you suspect your unexplained pain and symptoms might be endometriosis? Whether or not you have been diagnosed or you suspect you have this condition, there are several things you need to know to help you partner with a skilled an knowledgeable surgeon to help you find a successful solution for you!


Endometriosis 101

Endometriosis is a very complex and often misunderstood medical condition that affects an estimated 10% of all women worldwide who are in their reproductive years. With endometriosis, tissue similar to the endometrial lining implants in various areas of the body though primarily in the pelvic region. More common locations for endometriosis lesions are the ovaries, fallopian tubes, peritoneum (pelvic side wall), outside of the uterus, cul-de-sac, bowel, bladder, rectum, appendix, ureters, and urterosacral ligaments. More rarely, other areas of the body can be affected from the vagina to the brain.

Most often, women with endometriosis complain of pain. While the pain can be cyclic, it can also occur throughout the month. Women with endometriosis may also have issues with pain during bowel movements (dyschezia), pain with intercourse (dyspareunia), pain with urination (dysuria), and pain before or during her menstrual cycle (dysmenorrhea). Pain from endometriosis can be mild to severe and the stage of endometriosis does not correlate with the severity of symptoms. Additionally, women with endometriosis can be asymptomatic.

Getting a Diagnosis

At this time, laparoscopy is the most definite way to diagnosis endometriosis. In general, endometriosis implants are too small to be seen on any type of imaging test and there are no blood tests to indicate its presence.

Keeping a symptom diary detailing your symptoms can help you and your doctor determine if a laparoscopy to diagnosis and possibly treat endometriosis would be appropriate.

Finding the Right Doctor

While many doctors know about and can to a degree treat endometriosis, it is critical that all women with this condition find the most knowledgeable and skilled surgeon she can. While currently there is no sub-specialty for endometriosis specialist, there are physicians who have taken a specialist interest in endometriosis and are thus considered an endometriosis specialist. They may be a gynecological surgeon, a reproductive endocrinologist, or maybe even a gynecological oncologist.

These specialists have extensive knowledge, training, and skills when it comes to treating this condition and often are able to offer higher success rates for their patients. They tend to be able to recognize more of the appearances of the implants, know where to look to find all of the implants, and use specialized surgical methods to more carefully eradicate the implants.

When interviewing a new doctor, the questions in this article may be helpful: What Questions Should I Ask?

Considering Your Treatment Options

The treatment options offered to you can depend on the skill and knowledge of your doctor and your specific symptoms. Your fertility concerns should also be taken into consideration. Treatment can range from pain medications to hormone therapy to surgery.

Pain medications can include over the counter pain medications, NSAID’s, or narcotics. These only treat the symptoms of endometriosis but do not treat the actual lesions.

Hormone therapy can include birth control pills, the Mirena IUD, GnRH-agonists, Danazol, or progesterone/progestin.

Surgical options include a laparoscopy for diagnosis and treatment, and in some cases a hysterectomy and/or oophorectomy though removal of the uterus and/or ovaries does not cure endometriosis.

From the Endometriosis Forums

Depo shots before Hysterectomy? Nervous about endometriosis after Hysterectomy.
Hi all, I've been on depo lupron for 5 months now an its subsided pain, but not working anymore. I have hysterectomy scheduled for Dec 1st. Has anyone ..... [More]

Dr. wants me wait aslong as poss. before starting HRT to burn out the endo. What does this mean?
I am 10 weeks LAVH/BSO. I am 36 yrs old. My doctor keeps telling me to hold out as long as I can on HRT incase there is any remaining endometriosis. H ..... [More]

Specialist in Los Angeles area
Hi there - praying someone can help me. I have been suffering from severe abdominal pain for over 2 months and been put through almost every test ima ..... [More]

Endo and Hysterectomy Post Opp
:new: Hi Everyone I have a history of complex ovarian cysts and endometriosis and lost one ovary and tube due to this. I'm 31 and am being scheduled ..... [More]

Stage 4 endo surgery - how will I know if the endo comes back afterwards?
Background: I'm 26 and have stage 4 endo, but thankfully have had no symptoms other than a cyst that kept rupturing. I had the cyst and other endom ..... [More]

Endometriosis Articles


4 Myths about Endometriosis and Hormones
5 Myths about Endometriosis and Surgery
A New Method to Detect Subtle Endometriosis
Alleviating Symptoms Caused by CO2 Used during Laparoscopy
Are there Options Besides a Hysterectomy to Treat Endometriosis?
Aromatase Inhibitor for Endometriosis
Bowel Function and Diet after Bowel Resection for Endometriosis
Can I Use HRT after an Oophorectomy if I Have Endometriosis?
Diaphragmatic Endometriosis
Doctors Who May Be Able to Help with Endometriosis
Does an Oophorectomy and No Estrogen Cure Endometriosis?
Endometriosis - Fact or Fiction?
Endometriosis and Co-existing Health Conditions
Endometriosis and HRT
Endometriosis and Ovarian Cancer
Endometriosis and Robotic Surgery
Endometriosis Recurrence after Hysterectomy
Endometriosis Symptoms Years after a Hysterectomy
Endometriosis vs. Adenomyosis
Excision of Endometriosis
Excision or Hysterectomy for Endometriosis?
Finding an Endometriosis Specialist
Health Risks with an Oophorectomy for Endometriosis
Interstitial Cystitis (IC)/Painful Bladder Syndrome (PBS) and Endo
Irritable Bowel Syndrome or Endometriosis?
Is a Hysterectomy the Answer for Endometriosis?
Is an Abdominal Hysterectomy My Only Option for Endometriosis?
Is Bowel Endometriosis Serious?
Is Endometriosis Hereditary?
Lupron for Endometriosis
Mirena IUD for Endometriosis
Must I Have an Oophorectomy if I Have Endometriosis?
Pain Management and Endometriosis
Pain Relief Options for Endometriosis
Preventing Endometriosis Recurrence
Progesterone/Progestin Therapy for Endometriosis
Should I Keep My Ovaries or Not if I Have Endometriosis?
Symptom Diary for Endometriosis
What Are the Stages of Endometriosis?
What Causes Endometriosis?
What Is Endometriosis and How Do I Treat It?
What Questions Should I Ask an Endometriosis Specialist?

Endometriosis Videos

Dr. Arnie Advincula answers questions about endometrios...

Dr. Arnie Advincula answers questions about endometrios...

Dr. Arnie Advincula answers questions about endometrios...

ALL Endometriosis Videos


Page Created at 07-19-2012 - 12:02 AM, Last Modified 09-29-2014 - 07:58 AM
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