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Discussion in 'All Categories' started by Shivani - Dec 20th, 2023 12:31 pm.
I have endometriosis. Is surgery recommended for my case, and if so, what type of surgery might be appropriate?
re: Endometriosis by Dr. B. S. Bhalla - Dec 20th, 2023 12:52 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Endometriosis is a medical condition where tissue similar to the lining of the uterus grows outside the uterus. The severity of symptoms and the extent of the disease can vary widely among individuals. The decision to undergo surgery for endometriosis depends on various factors, including the severity of symptoms, the impact on your quality of life, and your future reproductive goals.

Surgery is often considered when:

Conservative Treatments Fail: If medications and other conservative treatments do not effectively manage your symptoms, surgery may be considered.

Fertility Concerns: If you are having difficulty getting pregnant and endometriosis is identified as a potential cause, surgery may be recommended to improve fertility.

Severe Pain: If you experience severe pain that significantly affects your daily life and is not responding well to other treatments, surgery may be considered.

The two main types of surgery for endometriosis are:

Laparoscopy: This is a minimally invasive surgical procedure where a surgeon inserts a thin, lighted tube with a camera (laparoscope) through small incisions in the abdomen. The surgeon can visualize and often remove endometrial implants and scar tissue during the procedure. Recovery time is typically shorter compared to open surgery.

Laparotomy: In some cases, open abdominal surgery (laparotomy) may be necessary, especially if the endometriosis is extensive or involves organs that are difficult to access with laparoscopy.
re: Endometriosis by Arushi - Jan 21st, 2024 8:12 am
I have endometriosis. What are available treatment options, both medical and surgical?
re: Endometriosis by Dr. Bishal - Jan 21st, 2024 8:23 am
Dr. Bishal
Dr. Bishal
I can provide you with some general information on the available treatment options for endometriosis.

Pain Medications:

Over-the-counter pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help manage pain and inflammation.

Hormonal Therapies:

Birth control pills:

Oral contraceptives may help regulate the menstrual cycle and reduce symptoms.

Progestin therapy:

Progestin-only contraceptives, such as a birth control pill, injection, or intrauterine device (IUD), may be recommended.

GnRH agonists and antagonists:

These medications suppress ovarian function and estrogen production, temporarily inducing a menopausal state to alleviate symptoms.

Gonadotropin-Releasing Hormone (GnRH) Agonists:

GnRH agonists like leuprolide acetate can temporarily induce a state of menopause, reducing symptoms. However, they are usually not used for long-term treatment due to side effects.

Aromatase Inhibitors:

These medications inhibit the production of estrogen and may be used in certain cases.


This synthetic drug suppresses ovarian function and has androgenic properties. It is not commonly used due to side effects.

Surgical Options:


A minimally invasive surgical procedure to remove or destroy endometrial tissue and adhesions.


In some severe cases, open abdominal surgery may be necessary.


In extreme cases where other treatments are ineffective, a hysterectomy (removal of the uterus) may be considered. This is a major surgical procedure and is usually considered a last resort, especially in women of childbearing age.

Fertility Treatments:

For women trying to conceive, assisted reproductive technologies (ART) like in vitro fertilization (IVF) may be considered.
re: Endometriosis by Deepa - May 9th, 2024 10:59 am
I have endometriosis doctor suggest Laparoscopy Surgery. What will the surgical procedure involve, and how long will it take?
re: Endometriosis by Dr. Rishi - May 9th, 2024 11:02 am
Dr. Rishi
Dr. Rishi
Laparoscopy surgery for endometriosis is a minimally invasive procedure that involves making a few small incisions in the abdomen. Here's what the surgical procedure typically involves:

Anesthesia: You will be given general anesthesia, so you'll be asleep and won't feel any pain during the surgery.

Insertion of Laparoscope: The surgeon will make a small incision near your belly button and insert a laparoscope, which is a thin tube with a camera and light at the end. This allows the surgeon to see inside your abdomen.

Inspection and Treatment: The surgeon will inspect your pelvic organs, including the uterus, ovaries, and fallopian tubes, for signs of endometriosis. If endometriosis is found, the surgeon may remove or destroy the endometrial tissue using special surgical instruments.

Closure: After the procedure is complete, the incisions will be closed with stitches or surgical tape.
The duration of the surgery can vary depending on the extent of the endometriosis and the specific treatment required, but it typically takes between 30 minutes to 2 hours.

After the surgery, you may experience some pain and discomfort, but this can usually be managed with pain medication. You may also have some bloating and shoulder pain, which is common after laparoscopy due to the carbon dioxide gas used to inflate the abdomen during the procedure. Most people are able to go home the same day or the day after the surgery and can return to normal activities within a few days to a week, depending on how quickly they recover.
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