March 2023

We think we have finally corrected the delay in diagnosis – but have we? We are now being taught by some thought leaders that endometriosis no longer requires a surgical diagnosis. We then proceed to “treat” the symptoms exactly how we have already been doing for years – with the same palliative approach. Is it […]

Management after diagnostic surgery for endometriosis As of now, excision surgery is the only known “treatment” that has been shown to actually TREAT the disease.  It does not cure all patients of pelvic pain, but it is the best we have for endometriosis. During one of my medical school Internal Medicine rotations, Dr. Sebastian often

Ovarian endometriosis occurs in 20-40% of patients with endometriosis (1).  The most significant ovarian involvement is an endometrioma. Endometriomas occur when surface ovarian endometriosis lesions start to push into or invaginate into the ovary and then close over the top, forming a cystic mass lined by endometriosis tissue.  Endometriomas are also called “chocolate” cysts.  The

However, our bodies are amazingly adaptive!   I have noticed over time that other senses have come into play that compensate for the lack of ability to feel.  I have become more adept at noting how the tissue moves and the resistance it provides during retraction and dissection. As a gynecologist with Fellowship training in advanced