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Diagnosis and Treatment of Endometriosis

The only way to definitively diagnose endometriosis is with a biopsy.

Diagnosing Endometriosis

Obtaining a biopsy when diagnosing endometriosis is usually done during a type of surgery called a laparoscopy. During the procedure, the doctor uses a small telescope-like tube called a laparoscope to look for signs of endometriosis on the outside of the uterus, ovaries, and fallopian tubes.

Although endometrial growths are not usually cancerous, endometriosis has “stages” like cancers. The four stages of endometriosis are based on the number, location, and depth of the lesions in the pelvic organs:

  • Stage I (minimal): only superficial lesions
  • Stage II (mild): more lesions and slightly deeper lesions
  • Stage III (moderate): deep lesions and small cysts on one or both ovaries
  • Stage IV (severe): extensive lesions; large, deep lesions and cysts; large cysts on one or both ovaries

Endometriosis Treatment

Although there is no cure for endometriosis, there are a variety of treatment options. Treatment may provide pain relief, stop the progression of the disease, and preserve or restore fertility. The type of treatment recommended depends on whether or not you want to get pregnant. If your only concern is to reduce the pain and bleeding, taking hormone medication will stop ovulation and shrink the lesions. However, this therapy also prevents pregnancy.

A laparoscopy is a good choice for women who plan to get pregnant or who are having problems getting pregnant. During laparoscopy the physician can cut out and remove adhesions and scar tissue that may be causing pain or infertility or use a laser beam or electric current to destroy them, as well as remove a cyst found on an ovary.

The symptoms of endometriosis usually improve if you become pregnant.

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Comments (14)

That was so informative. I have been checking on this, as my wife is suffering from similar problem. And she too is suggested with laparoscopy. So, thats why i was checking about its issues. Thanks for the read. www.specialkidsstuff.com

I have been dealing with a lot of pain, I just had surgery to take out my right surgery since the dr. thought that the pain was due to the consistant cysts that I was getting on my Ovary. I have had a partial hystorectomy but just found out that a byopsy of some of the scar tissue taken from my Lapo with my ovary showed that I have Endometriosis. My pain is so excruciating, and normally comes around the time of my cycle. However, it feels like the dr. do not want to help me with the pain management. I dont know what to do. I have even gotten to the point where it has caused me to pass out and vomit. Any suggestions?

I was only diagnosed a couple years ago, but had the symptoms since I was 13(currently 22). The first 3 years, I was in excruciating pain and agony the first day of my period, but didn't have many problems after that. Birth control calmed everything down until I joined the marines and got to A school, where it flared up again. Only now, it's more of a constant ache with stabbing pains( especially with and after working out), a LOT of emotional issues and just feeling like crap every day. It seems like one hormone change causes every other hormone to over correct. This is really as a marine and to add, I am a jet mechanic. I feel like crap before I walk through the squadron turnstile. I did, finally, find a doc who is willing to try and push for whatever she thinks will help, but I'm sick of being on drug after drug if I don't want to feel like crap and in pain all the time. So, now I'm ranting to you, cause all I have is a bunch of people, mostly guys, who just look at me like I'm an idiot for not going to medical every time it kicks my ass, when all the navy docs say is "well, did you tell them that this is normal?" or, my personal favorite: "you know what's wrong so, why are you here?"

I was told when I was twenty that I had endometriosis, I am now twenty two and wanting to have a child. I dont know how or where to start in the process. Me and my boyfriend have been trying for months and all we keep getting are negatives, can anyone give me any ideas.

Thank you for any help!

I have been dealing with endometriosis since I was 19. I have had two kids with this disease and I had a severe case of it. The first time I got pregnant I was on Lupron shots once a month for three months. Now Lupron shots put you into menopause but it stops the endometriosis from growing but the doctor did this after I had had a Laporoscopy done for the second time in 9 months where it had come back 3 times as bad. They told me by the time I was 23 i would have to have a complete Hysterectomy done. I had my first daughter 3 weeks before I turned 23.. :). Now the second time I had gotten pregnant was after my third Laporoscopy. Within 2 months of the surgery I was pregnant. I know that it is a painful process but once you have the surgery done there is no bad tissue in there at that time and for me it gave me 2 beautiful little girls. Now when I was having my second child I dealt with alot of pain during that pregnancy because the endometriosis was growing inside of me along with my child. The doctor found it when I was having my c-section done. So it can still grow inside of you while you are pregnant.

my duaghter is16 yrs old. she is diagonised with endometriosis. taking hormon pills but can she do to relieve the pain. any ideas will be helpful

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i have had the depo prevera and i was misserible badly . I have aslo had alot of other people tell me the same thing i do not reccommend it

contact dr.assad in johnson city Wuillrn fertility and womans services after my first surgery 2 mths later i was preg.

My best friend has had endometriosis since she was sixteen and I was just recently diagnosed at 22. I have severe symptoms since the disease has progressed untreated for a long time. Her doctor may suggest the depo-provera shot as a way of pain relief. It is a form of Birth Control that has many serious side effects and takes months to leave your body once you are injected so I would highly reccomend that she not ever go that route. My friend had an allergic reaction and had to deal with the reaction for over 3 months. It also causes bone loss especially in teens. There is an IUD that is progestin based and will help relieve the pain the same way the shot would. It however is a low dose un-like the shot and or/ pill form. It does not distribute the hormones throughout the body, it stays only in the reproductive organs. I just got one after doing ALOT of research. I prefer to treat things naturally but this seemed like the best option. It has helped with the pain quite a bit. I don't know if this will help your daughter at her age right now, but once she gets older it is the best birth control option for someone with enfometriosis. I hope this helps.

i know how it feels.... in like 6 1/2 years i have had 4 laproscopic surgeries.

i have had 3 surgeries due to endometriosis at the age of 25 i now am talking with my doctor about having to have a hysterectomy becauase it wil not stay away and gets worse each time which every woman is different but the only releif at all that i have found is heat , hot tub as hot as u can stand it or a heating pad will give some relief

if you leave any where next to johnson city the dr i see is dr. assad at quillen woens fertility and womens clinic great dr he will do whatever he can for u and knows what he is doing

I have been dealing with a lot of pain, I just had surgery to take out my right surgery since the dr. thought that the pain was due to the consistant cysts that I was getting on my Ovary. I have had a partial hystorectomy but just found out that a byopsy of some of the scar tissue taken from my Lapo with my ovary showed that I have Endometriosis. My pain is so excruciating, and normally comes around the time of my cycle. However, it feels like the dr. do not want to help me with the pain management. I dont know what to do. I have even gotten to the point where it has caused me to pass out and vomit. Any suggestions?

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