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Doctor insights on: Laparoscopy Endometriosis Chronic Pelvic Disease

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Before I had my laparoscopy, I was told I might have endometriosis or a chronic case of pelvic inflammatory disease. How are these different?

Before I had my laparoscopy, I was told I might have endometriosis or a chronic case of pelvic inflammatory disease. How are these different?

Only 1 is infectious: Pelvic inflammatory disease is infection that can cause pain, scarring and "adhesions" from the pus which is collected bacteria and white blood cells. Treatment requires antibiotics to kill the bacteria. Even after the infection is gone however, scar tissue may remain. Endometriosis is misplaced tissue from the lining of the uterus, that settles elsewhere and bleeds at the time of the period. ...Read more

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Dr. Loki Skylizard
611 doctors shared insights

Laparoscopy (Definition)

Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more


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How do I convince my doc to do a laparoscopy when I have suspected endometriosis & chronic mod/severe abdo/pelvic pain?

How do I convince my doc to do a laparoscopy when I have suspected endometriosis & chronic mod/severe abdo/pelvic pain?

Discuss: Discuss the reasons why with your obgyn. Typically, if a surgeon doesn't want to operate on you there is a very good reason. The doctor-patient relationship is a special thing, one trying to "convince" the other of something is not usually a good thing. If you are not satisfied with the explanation- get a 2nd opinion. A competent doctor is never offended by a second opinion. ...Read more

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I might have endometriosis. Will I have diagnosis if a pelvic laparoscopy?

I might have endometriosis. Will I  have diagnosis if a pelvic laparoscopy?

Only way to confirm: Visualization via laparoscopy is actually the only way to confirm the diagnosis of endometriosis. Ideally this will be accompanied by excision - that is, the "cutting out" - of the abnormal tissue for confirmation by the pathologist. ...Read more

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I have a question regarding my recent diagnosis of endometriosis. If after a laparoscopy to remove the lesions, should I still have severe pelvic pain?

I have a question regarding my recent diagnosis of endometriosis. If after a laparoscopy to remove the lesions, should I still have severe pelvic pain?

The pelvic pain : Will improve or resolve after surgery.Besides there are meds u can take- antiinflammatory, muscle relaxers and narcotics, that would ease ur pain. So don't worry, be happy! ...Read more

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I had diagnostic laparoscopic surgery for pelvic pain. M doctor didn't find any endometriosis. Does this mean I don't have it and something else is up?

I had diagnostic laparoscopic surgery for pelvic pain. M doctor didn't find any endometriosis. Does this mean I don't have it and something else is up?

Pelvic pain: Endometriosis is one of many causes of pelvic pain which can be assessed by Laparoscopy. However, Endometriosis can have atypical appearances during surgery that are not the textbook powder burn lesions. Assuming your MD surgeon is experienced in these atypical Endometriosis patterns then your don't have the disease and may need additional evaluation for other causes for pelvic pain. ...Read more

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Had laproscopy for endometriosis 11/12/13. Still having exact same pelvic, hip and back pain i did prior to surgery. Why would this be?

Doesn't always work: Hopefully your doctor shared with you that surgery for endometriosis is not always effective. I quote my patients a success rate of surgery somewhere between 60-75%. That is 60-75% of women will have a pain free interval of 1-2 years following surgery. Sadly, endometrisois can be very very difficult to treat. I'm so sorry that you are still in pain. Consider discussing with your doctor option. ...Read more

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If I have a transvaginal ultrasound done and they still say nothing is wrong, should I push for a pelvic laprascopy? Have all the symptoms of endometriosis and have had tests done and dr's tell me see nothing wrong. Have very heavy and painful menstruatio

Hmmm, this can be : A tough one. Painful , heavy menses can be remedied with a trial of birth control pills or other forms of hormonal suppression depending on your medical history, etc. Might be best to try this before pursuing laparoscopy. Okay to ask your doctor about their opinion on surgery. Answer will depend on your particular situation. Don't be afraid to bring it up and one can also seek a second opinion. ...Read more

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Can endometriosis cause pelvic pain outside of menstruation? My dr says no, but wants to do a laproscopy. What are the risks of this kind of surgery?

Can endometriosis cause pelvic pain outside of menstruation? My dr says no, but wants to do a laproscopy. What are the risks of this kind of surgery?

Info: Yes there can be pain, but it is usually much worse during menstruation, a laparoscopy is the usual way to DX this and it is almost always safe - but it there is a problem (rare) it can be very serious. Read this info and then talk more w/ your doctor. It should be a good procedure for you. Best! http://en.Wikipedia.Org/wiki/endometriosis. ...Read more

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Without a laparoscopy are there any other ways to diagnose endometriosis?

Sometimes: The true diagnosis of endometriosis requires a biopsy and a pathologist to confirm the diagnosis. Almost all the time this requires an abdominal procedure, commonly laparoscopy. However, some women may have nodules of endometriosis in the vagina, for instance, that can be biopsied in the office to prove endometriosis. Usually this is a bad prognostic sign. ...Read more

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Can bladder endometriosis be picked up in a laparoscopy?

Can bladder endometriosis be picked up in a laparoscopy?

Yes and no: If bladder endometriosis is on the tissue that covers the bladder, it could be seen with laparoscopy. If it is in the bladder itself, it may take cystoscopy (looking inside the bladder) to see this. ...Read more

Dr. Michael Traub
1,196 doctors shared insights

Endometriosis (Definition)

An abnormal condition where some endometrial tissue, which is 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


Dr. Barry Rosen
2,063 doctors shared insights

Laparoscopic Surgery (Definition)

Laparoscopy is a form of less invasive abdominal or pelvic surgery that uses instruments placed inside ...Read more