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Doctor insights on: Endometriosis

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Dr. Michael Traub
1,247 Doctors shared insights

Endometriosis (Overview)

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 in issues with fertility.


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What can raise my risk of getting endometriosis?

What can raise my risk of getting endometriosis?

Endometriosis: Since we don't know what causes endometriosis it is very hard to identify potential risks factor. But like any other disease that deals with chronic inflammation, stress, smoking, can make things worse. To my knowledge we do not have a way to prevent or predict who is going to get endometriosis. ...Read more

Dr. Michael Traub
1,247 Doctors shared insights

Endometriosis (Overview)

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 in issues with fertility.


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What is the symptoms of endometriosis?

What is the symptoms of endometriosis?

Many...: Severe menstrual cramps, pain with sex bladder and rectal pains. Endometriosis is also found in 50% of women with infertility. ...Read more

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Endometriosis (Tip)

Make a special appointment to discuss your issues with endometriosis & get your questions answered. ...See more

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Managing Endometriosis (Checklist)

See an endometriosis surgeon who performs complete excision
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Ask your doctor about estrogen replacement, as it decreases in your mid thirties
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Tell your doctor if you have increased period pain
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If you experience severe period pain, consider presacral neurectomy surgery
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What are some treatments for endometriosis?

What are some treatments for endometriosis?

Multiple: First there are medical treatments - birth control pills, neta, progesterone, aromatase inhibitors, lupron (leuprolide). Then there are surgical treatments depending on the type. Treatment must also be individualized. A specialists can help you figure out what may be best for you. ...Read more

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What are the complications of endometriosis?

What are the complications of endometriosis?

Comp -endometriosis: Adhesions are the main problem although one may have pain and bowel obstruction. There may be ovarian failure following surgical excision. ...Read more

Dr. Michael Hulse Dr. Hulse
1 other doctor agreed
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Endometriosis (Tip)

The only way to know for sure if you have endometriosis is to have surgery. ...See more

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How does endometriosis affect pregnancy?

How does endometriosis affect pregnancy?

It normally doesn't: Endometriosis can cause problems with getting pregnant due to scarring that can affect the tubes or involve the ovaries so that the egg and sperm can't meet. It can increase your risk of a tubal pregnancy since it is harder for the fertilized egg to move down to the uterus. There are also chemical changes that can do both those things. Once you are pregnant, endometriosis is inactivated. ...Read more

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Is painful intercourse a symptom of endometriosis?

Is painful intercourse a symptom of endometriosis?

YES: Many women with endometriosis have painful sex, which is a common symptom. But most women with painful sex do not have endometriosis. You should always check for all causes of pain. ...Read more

Dr. Brian Nguyen Dr. Nguyen
1 other doctor agreed
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Endometriosis (Tip)

Do try a mirena (levonorgestrel). It's been studied for its effectiveness in treating endometriosis. ...See more

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What are some signs / symptoms of endometriosis?

What are some signs / symptoms of endometriosis?

Pelvic pains: Endometriosis is a condition where normal uterine lining is out side the uterus reacting to menstrual cycles, causing pelvic pains, painful menstruation, painful sex, abdominal pain and distensions due to adhesion, need to see gyn doctor., . ...Read more

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Can somebody undergo laparoscopy and still have the diagnosis of endometriosis missed?

Can somebody undergo laparoscopy and still have the diagnosis of endometriosis missed?

Yes: At times endometriosis is a very subtle disease. The endometriotic implants can vary in size and color. The colors can be clear, red, blue, brown, or black. They can appear under other organs and can usually be found by experience dlaparoscopic surgeons. ...Read more

Dr. Michael Hulse Dr. Hulse
1 other doctor agreed
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Endometriosis (Tip)

Deep pain during and after intercourse is never normal and should be evaluated. ...See 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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Endometriosis (Tip)

Pain cyclical pain / flaring up again / remove those ovaries. ...See more

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Anyone know another way to test for endometriosis besides a bandaid surgery?

Yes: Our research that will be published soon shows two very accurate predictions of endometriosis. First, if you had bad periods (worse than peers or missed school)as a teenager, you have nearly 100% chance of endo at surgery. Second, testing for ovarian reserve with Clomid (clomiphene) challenge test: if abnormal 90% chance of endometriosis at surgery. Need good excisional surgery not band aid. ...Read more

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Any noninvasive tests for endometriosis?

Any noninvasive tests for endometriosis?

CA-125: That is a blood test. If it is normal it is not helpful. In appropriate women, if it is elevated it may suggest endometriosis. An ultrasound may also suggest an endometrioma (endometriosis cyst on the ovary). But a true diagnosis requires surgery. ...Read more

Dr. Jamal Mourad Dr. Mourad
1 other doctor agreed
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Endometriosis (Tip)

Try to avoid multiple surgical procedures. Suppress early and often. ...See more

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Why is it important to know if I have endometriosis?

Problems: Endometriosis is important in women's health for 2 main reasons: infertility and pelvic pain. If you have either of these then diagnosing and treating endometriosis could be an important part of the solution. If you have neither one of these issues, it not absolutely necessary to rule out endometriosis. ...Read more

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What causes endometriosis to develop in rectal area?

What causes endometriosis to develop in rectal area?

Genetics: We are now learning that genes have a significant role in determining who gets endo, and how severe it is. Somewhere between 10-20% of women with endo have bowel involvement. Rectal and sigmoid locations are the most frequent sites for bowel endo, and it causes pain with bms all month long. You usually can't see endo on colonoscopy so many women aren't diagnosed by GI docs to whom they're referred. ...Read more

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Endometriosis (Tip)

Ovarian suppression with birth control pills and or Lupron (leuprolide) is very helpful in preventing progression. ...See more

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If I have rectal pain does that mean endometriosis is on bowel?

If I have rectal pain does that mean endometriosis is on bowel?

No: There are many causes of rectal pain unrelated to endometriosis. Endometrial implants on the bowl can cause pain, but rectal pain is also caused by fissure, abscess, hemorrhoids and many other causes. ...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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How is endometriosis treated?

Multiple ways: Once endometriosis is diagnosed (usually with surgery), depending on the severity, it can be treated with hormone suppressing medications. Sometimes in mild cases, oral contraceptive pills can help. In severe cases where large cysts have formed or where it is causing blockage of the bowels or urinary system, surgery is needed and may require a hysterectomy with removal of the ovaries. ...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's a simple, cheap treatment for my endometriosis?

Endometriosis: The cheapest treatment are oral contraceptives. But you need to be seen by an ob/gyn to tailor the treatment to your needs. You may need a different treatment that can be cheap as well. Endometriosis not treated properly has devastating effects over time on your female organs and surrounding organs as well. ...Read more

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What are some treatments for endometriosis?

Multiple: First there are medical treatments - birth control pills, neta, progesterone, aromatase inhibitors, lupron (leuprolide). Then there are surgical treatments depending on the type. Treatment must also be individualized. A specialists can help you figure out what may be best for you. ...Read more

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Does a hysterectomy cure endometriosis? I have a lot of pain due to my endometriosis. If I have a hysterectomy, will the endometriosis be gone for good? .

Does a hysterectomy cure endometriosis? I have a lot of pain due to my endometriosis. If I have a hysterectomy, will the endometriosis be gone for good? .

Possible: The definitive treatment for endometriosis is hysterectomy with removal of the ovaries and tubes as well as the appendix in most cases. The success rate for that treatment is about 95%. ...Read more

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How can you get rid of endometriosis?

How can you get rid of endometriosis?

Excisional Surgery: In our experience, excision of endo is curative. In many repeat surgeries (over 100), endo was found only in 2 patients. This finding supports the embryologic theory of endo development. Endo is likely fully expressed by mid to late teens. From our findings, endo found later at surgery was likely missed or incompletely treated at the first surgery as is common with cautery or laser. ...Read more

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