World Endometriosis Awareness Month

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Endometriosis is a disease in which uterine-like tissues grow out of place and become inflamed during a woman’s menstrual cycle even though the tissues are outside the uterus. The condition can be difficult to diagnose because of its “vague” symptoms, which include lower abdominal pain, abnormal periods and fatigue. In fact, surgery is necessary for a definitive diagnosis. As a result, many women see multiple specialists before finding relief.

See an endometriosis specialist if you have:

• Severe period pain not relieved with over-the-counter medications.
• Period-related pain in other areas, such as the bowels or urinary tract.
• Family history of endometriosis.
• Persistent pain after endometriosis surgery.
• Persistent deep sexual pain unexplained by a gynecologist.
• Chronic infertility issues with a history of dysmenorrhea.

The importance of minimally invasive surgery for endometriosis

With minimally invasive surgery, small incisions and assistive devices overcome the necessity for the large incision required for open surgery. The differences between the two are evidence- based: with the former, patients experience less pain and minimal blood loss and have a faster recovery and a better cosmetic appearance. Minimally invasive surgery can also lead to a more accurate diagnosis. For example, endometriosis on the diaphragm cannot be seen during an open operation if the incision is in the lower abdomen; however, with a small incision and a camera, lesions on the diaphragm can be found and treated in one procedure, along with lesions in other parts of the abdomen.

New treatment options for endometriosis

Treatment for endometriosis can be complex, and women may experience significant frustration, pain and even depression as a result.  While endometriosis is not curable, surgical removal of endometriosis lesions is an important part of a patient’s journey. Unfortunately, many women undergo multiple procedures without significant relief of their symptoms.