We have rececently received many calls and emails about this disease. First let me say,we do NOT recommend hysterectomy for endometriosis. This is a disease that requires aggressive treatment, but removing the uterus is not one of them. Most patients get labelled with this diagnosis based solely on signs and symptoms ie: painful periods, cramping, bloating. Endometriosis is a microscopic condition…it does not show up on diagnostic testing like ultrasound, MRI or CTScan. Your doctor must be able to see the implants to confirm the presents of the disease. In order to confirm a diagnosis the patient will need surgery. If you think you might have this disease, contact your doctor for a consultation. Early diagnosis and treatment are critical with Endometriosis.
Surgery for Endometriosis
Many physicians currently advocate hysterectomy as the best form of treatment for
endometriosis. I disagree. Once endometrial cells have implanted within the pelvis,
removing the uterus has no effect on the current condition. Implants need to be destroyed to reduce pain and
cramping…..as long as the patient still has her ovaries, monthly flow of estrogen will fuel
the spread of the existing pelvic implants. Diagnosing and some treatment can be performed via a minimally invasive laparoscope that puts a camera in the abdomen near the belly button. This technique can be effective for treating early stages of Endo. Unfortunately, my practice often sees women with much more severe and advanced cases and the scope has too limited a field of view. An open surgery allows the entire abdomen and pelvis to be examined with laser treatment of all areas, not just those limited with the scope. The best course of treatment in advanced stages is an open surgery, not laparoscopy, with aggressive laser therapy.