Endometriosis

Endometriosis is a common condition in reproductive-aged women where abnormal tissue grows on pelvic organs. It can cause pelvic pain, painful periods, painful sex and/or infertility.

Endometriosis

Endometriosis is a common condition in reproductive-aged women where abnormal tissue grows on pelvic organs. It can cause pelvic pain, painful periods, painful sex and/or infertility.

Endometriosis is often suspected in women with pelvic pain and tender pelvic organs. Ultrasound may reveal enlarged ovaries due to the developed of cysts call endometriomas. The definitive diagnosis of endometriosis is made by laparoscopic surgery.

 

Treatment may involve medication and sometime surgery. If endometriotric cysts, severe pelvic pain or infertility develop, the best option may be outpatient laparoscopic surgery to remove the abnormal tissue and any scar tissue.  The DaVinci Robotic System is now often used.

Frequently Asked Questions

Medications that are used to treat endometriosis include pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), and hormonal medications, including birth control pills, progestin-only medications, and gonadotropin-releasing hormone agonists and antagonists. These medications do not cure endometriosis but help relieve the problems caused by endometriosis often for years.

After surgery, most women have relief from pain. But there is a chance the pain will come back over time. About 40–80% of women have pain again within 2 years of surgery. This may be due to endometriosis that was not visible or could not be removed at the time of surgery. The more severe the disease, the more likely it is to return. Taking birth control pills or other medications after having surgery may help extend the pain-free period. 

If pain is severe and does not go away after treatment, a hysterectomy may be a “last resort” option. 

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