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Doctor insights on: Best Endometriosis Surgeons

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What is the best hormone treatment for mild endometriosis after surgery (2nd cyst/surgery. Surgeon recognized endo.) and first time treatments?

What is the best hormone treatment for mild endometriosis after surgery (2nd cyst/surgery. Surgeon recognized endo.) and first time treatments?

Birth Control Pills: The best actual "treatment" for endometriosis is laparoscopic excision (cutting out) of all endometriosis - remembering that endometriosis can have many different looks other than the "classic dark spots". If it is all excised then there is no need for further treatment. If however there is endometriosis still present, the easy first line treatment is birth control pills. ...Read more

Dr. Michael Traub
1,241 Doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


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My dr doesn't think I have endometriosis but wants to do a laproscopy. Risks of this surgery? How can I be sure I have an experienced surgeon for this

My dr doesn't think I have endometriosis but wants to do a laproscopy. Risks of this surgery? How can I be sure I have an experienced surgeon for this

Ask your doctor: Your doctor should explain all of the possible risks of doing this type of surgery and have you sign a pre-op consent form, that is called informed consent and is the standard of care, you can ask your doctor how many laparoscopies he or she has done and how many laparoscopies he or she has done for endometriosis. ...Read more

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I had laparoscopy four days ago for endometriosis. I feel really lethargic still. I have f/u visit w/surgeon this week. Normal timeframe for recovery?

I had laparoscopy four days ago for endometriosis. I feel really lethargic still. I have f/u visit w/surgeon this week. Normal timeframe for recovery?

Varies: Recovery from surgery is going to vary from person to person and depends on how extensive the surgery was. It also depends on how much pain medication you are taking. Discuss with your doctor at your follow up appt. Pain medication is sedating and can make one feel very tired and sleepy. ...Read more

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Do surgeons do pathology tests on endometriosis adhesions and lesions?? I have servere endo deep pelvic & residual with kissing ovaries & endometrioma

Do surgeons do pathology tests on endometriosis adhesions and lesions?? I have servere endo deep pelvic & residual with kissing ovaries & endometrioma

Not always.: Endometriosis is usually pretty obvious to the surgeon and pathology tests are often not needed just to make the diagnosis at the time of surgery; however, if anything is removed from the body it will be sent to pathology for tests. Biopsies are sometimes done if there is question about the diagnosis. Best wishes! ...Read more

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What's the best way to treat endometriosis?

Endometriosis: This is a very complicated condition which first needs confirmation of the condition. ...usually by gynecologist via special investigations. The treatment is then based on how extensive the condition is. Definitely needs management by specialist gynecologist. ...Read more

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What is the best way to treat endometriosis?

What is the best way to treat endometriosis?

Individually: Proper evaluation will define your needed treatment. Currently a combination of surgery and medication ...Read more

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What is the best way to diagnose endometriosis?

What is the best way to diagnose endometriosis?

Surgery: A biopsy of endometriosis is the only way to confirm a diagnosis. Almost always that requires a surgery. Based on symptoms there may be a very high suspicion and ultrasound may suggest an endometrioma (endometriosis cyst) but only surgery is diagnostic. ...Read more

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What's the best cure for endometriosis?

Hysterectomy, BSO: If done with child baring, definitive cure is hysterectomy withoopherectomy. ...Read more

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What is the best treatment for endometriosis?

What is the best treatment for endometriosis?

Excision: I have to respectfully disagree with dr. Beard. While 80% of patients have pain relief while on lupron, (leuprolide) over half of all patients have a recurrence of pain within a year, some after 6 mos. Complete excision of endo can be done without removing any reproductive organs, and has a 80% chance of curing endo with no recurrence of endo. There are no hormonal side effects like Lupron (leuprolide) has. ...Read more

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What is the best HRT for someone with endometriosis?

What is the best HRT for someone with endometriosis?

Bioidenticals: Endometriosis is only a problem for a menstruating woman and should not affect the choice of hormone replacement in a 60 year old female.
For hormone replacement, you will need Estrogen, Testosterone and possibly Progesterone (if you have a uterus)
https://www. Vitadox. Com/victoria/TX/77901/yvette-westford-md. Html ...Read more

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Is my almost constant nausea caused by endometriosis? What is the best way to stop the nausea? It makes me anxious to do anything incase I feel sick.

Have endometriosis: Assessed by gyn. The nsais's ; Doxycycline may ^ GI upset. A simple way to v nausea is w ginger. You can drink slightly flattened ginger ale or nibble on crystallized ginger. Or pour boiling water over freshly sliced organic ginger ; steep at least 5 min in a covered pot. Sip. ...Read more

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What is the best HRT for a menopausal woman who has had endometriosis?

What is the best HRT for a menopausal woman who has had endometriosis?

Patch: There is no correct answer to that question, but probably an estrogen patch will be of most benefit. And if you have a uterus, probably continuous Progesterone will be of some benefit in helping to suppress any residual endometriosis. But there are many different ways to go about this. ...Read more

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My wife has endometriosis, 8 months pregnant. What kind of sterilisation would be best suited?

My wife has endometriosis, 8 months pregnant. What kind of sterilisation would be best suited?

Essure: The safest, most effective method with the lowest complication rate is called essure. This is done in the office and requires almost no down time. Most patients do not need pain medication after and can resume normal activity. In some cases we still go through the belly button under general anesthesia to clip or cut the tubes. ...Read more

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What is the best time of the cycle (please be specific) to perform laparoscopy to cauterize endometriosis?

What is the best time of the cycle (please be specific) to perform laparoscopy to cauterize endometriosis?

Early: The best time to perform the surgery is in the first 10 days of your cycle. If you are on birth control pills at the time, then it can be done later in the cycle as well. ...Read more

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What is the best progesterone only pill for treating endometriosis pain (available in uk) which has greatest success? Thanks

Options: Provera (medroxyprogesterone) is one option. Norethindrone acetate is another. Personally I favor that it often works well and prevents periods which helps. ...Read more

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What is the best treatment for endometriosis? What is the recommended treatment for endometriosis? Are there options other than surgery? .

What is the best treatment for endometriosis? What is the recommended treatment for endometriosis? Are there options other than surgery? .

Hello.: Hello. I can't say what treatment would be best for you. In additional to surgery, other options include birth control via patch, pill or ring. This can help to decrease the amount of endometrial tissue and decrease pain. If you are not allergic to non-steroidal anti- inflammatory medications consider Motrin or a similar medication. There are stronger hormone therapies if the first steps are not sufficient. ...Read more

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25 yr old, no children, had laparoscopy to treat moderate endometriosis. What is chance of fertility being unaffected & when is best time to try?

Best Time, read: The highest probability of conception occurs when intercourse takes place one to two days prior to ovulation and on the day of ovulation.
Optimum semen quality, measured in terms of motility, morphology, and total sperm count, occurs when there are two to three days of ejaculatory abstinence; longer intervals are associated with lower pregnancy rates.
Regular intercourse two to three times per wee. ...Read more

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What is the best way to take care of severe endometriosis pain?

Varies: It is really variable depends fist on confirming the diagnosis. Depends on fertility desires. Combination and medical and surgical treatment is usually most effective. Medicine many time is trial and error to find the most effective one for you. ...Read more

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I'm 33yrs old and have endometriosis, and one ovary left after prior surgery...Whats my best recourse to concieve?

I'm 33yrs old and have endometriosis, and one ovary left after prior surgery...Whats my best recourse to concieve?

Normal: The fact that you are missing an ovary should not preclude you from conceiving. Your remaining ovary will ovulate each month to compensate. Take your multivitamins as you normally would. ...Read more

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I have endometriosis and have been taking progesterone only bc. What is the best iud for endo when I haven't had kids?

I have endometriosis and have been taking progesterone only bc. What is the best iud for endo when I haven't had kids?

Progesterone IUD: There is a progesterone secreting IUD that can be inserted. All IUD's have risks and complications and need to be discussed thoroughly with your MD before obtaining one. ...Read more

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Severe endometriosis had 3laps now things are densely adhered. Tired of pain meds what's the best way to get life back? Hyster? With or wo ovaries?

Severe endometriosis had 3laps now things are densely adhered. Tired of pain meds what's the best way to get life back? Hyster? With or wo ovaries?

Hormonal suppressive: Meds are still an option; Lupron (leuprolide) + norenthindrone for example. I would talk to your gynecologist obviously about these options if you haven't already. Physical therapy can help too. Hysterectomy is certainly the most aggressive option and most would recommend bilateral oophorectomy (removing both ovaries). If you select this option make sure that an experienced surgeon operates. ...Read more

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What is the best birth control for endometriosis with no weight gain?

Shouldn't be a probl: Problem. With endometriosis, you'd want the lowest hormone level birth control pills. These would not cause weight gain (which is associated with higher amounts of progesterone). ...Read more

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Can you tell me what is the best birth control for endometriosis with no weight gain?

Can you tell me what is the best birth control for endometriosis with no weight gain?

Any standard pill: Is good in general. Ortho cyclen is such an example -- available in generic. Birth control pills should generally not cause weight gain. It is a myth. ...Read more