Endometriosis Surgery – Why it’s the best treatment

Male doctor explaining diagnosis to female patient

If you have endometriosis, you want relief. While many of the treatments for endometriosis will relieve your symptoms, most medical treatments don’t resolve the issue causing your pain. Here at Maiden Lane Medical, in New York City, our team of expert endometriosis surgeons and gynecologists offer minimally invasive endometriosis surgery to remove the tissue causing your pain and other symptoms.

Endometriosis is when endometrial tissue — the material that lines your uterus every month — to grow on organs outside of your uterus. It’s a painful condition that can make your periods excruciating, sex unbearable, as well as persistent pelvic pain. Endometriosis can also be associated with migraines, depression, and irritable bowel syndrome.

Many women expect their periods to be painful, but up to 10% of women have pain severe enough to stop them from going to work or school, or the pain interferes with their concentration and performance. You don’t need to accept this level of pain, not only is it abnormal, but it’s often a sign of a potentially serious underlying health condition. The endometriosis surgeons and doctors at Maiden Lane Medical can help.

Is endometriosis surgery right for me?

Endometriosis surgery, even minimally invasive procedures, isn’t usually the first course of action. However, we would argue it’s the most effective way to treat endometriosis. If you have mild symptoms that don’t disrupt your life, you might not want to have surgery. But, if your endometriosis causes severe and painful symptoms that stop you from going to work, ruin your sex life, or cause other symptoms that negatively affect your life, you should at least consider surgery as an option.

The physicians at Maiden Lane Medical offer comprehensive exams and consultations to determine if endometriosis surgery is going to be a safe and effective treatment for you. They explain all your treatment options, make recommendations, and answer your questions so you can make an informed choice about your health care.

What happens during endometriosis surgery?

We often confirm your diagnosis with laparoscopy. Laparoscopy is a minimally invasive procedure that allows us to examine the inside of your body without having to make large incisions. Our expert endometriosis surgeons perform the operation while you’re under general anesthesia. We use an instrument called a laparoscope, which is a thin tube with a light and a camera on its tip. We do this procedure with robotic assistance and special tissue stains to better identify endometriosis. 

The process for most endometriosis treatment surgeries is similar. We have been successful is using laparoscopy to remove endometriosis in 100% of cases and feel this is the most effective way to remove endometriosis from it’s base or root. Further, we advocate for always keeping the ovaries. There is no data to support removing the ovaries to improve pain and there are a lot of benefits to keeping the ovaries. We only suggest removing the uterus when child bearing is completed and there is evidence of adenomyosis (endometriosis in the uterus).

What should I expect after endometriosis surgery?

Even though we use minimally invasive surgical techniques, which should reduce your post-operative discomfort, you should expect to spend 1-2 weeks recovering from endometriosis surgery. 

In most cases, endometriosis surgery is an outpatient procedure, which means a friend or family member can drive you home after you recover from anesthesia. You’ll feel you may have some soreness due to the gas used to inflate your abdomen during your surgery for the first day or so but as you move around the gas will pass out of your body and the pressure will subside. While you can get back to work and most regular activities after approximately a week, you should avoid strenuous physical activity until you have your follow-up appointment, and we can ensure that you’ve healed enough for it to be safe. Similarly, you should abstain from sex for 2-4 weeks or until you’re fully recovered from surgery. 

Minimally invasive surgery usually causes less pain, less scarring, and has a minimized risk of infection compared to traditional open surgeries. You should be able to get up and walk around on the same day of your operation, and any discomfort should fade rapidly.

Woman with a cup of coffee

Will endometriosis surgery affect my fertility?

If you’re trying to have a baby, we leave your reproductive organs intact during endometriosis surgery and remove as much endometrial and scar tissue as possible to restore your normal reproductive function. Make sure to talk to your surgeon about your plans to have a baby during your pre-surgical appointments and consultations. Overall, there is good evidence to support the notion that removing endometriosis does more to help your fertility than harm it.

What are my options if I don’t want to have surgery?

Here at Maiden Lane Medical, we can prescribe medication like birth control pills and other hormonal therapies or recommend over the counter painkillers to reduce your symptoms. However, these treatments don’t fix your problem. We respect your wishes and your right to decide what to do with your body, but surgery is the most effective way to get rid of your endometriosis and resolve the condition causing your symptoms. 

What should I do if I think I have endometriosis? 

If you think you have endometriosis, give us a call here at Maiden Lane Medical or schedule a consultation online today. Our team of expert gynecologists and endometriosis surgeons provide extensive exams to identify the condition causing your symptoms and recommend customized treatment plans to heal your body, alleviate your symptoms, and protect your reproductive health.

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