Tag: Endometriosis

Could You Have Endometriosis?


The endometrium is the tissue lining the inside of the uterus, and plays key roles during pregnancy and the menstrual cycle. Endometriosis is a disease characterized by the abnormal and uncontrolled growth of cells, similar to endometrial cells, in other parts of the body apart from the uterus. The disease mostly affects the pelvic region, with the tissue normally growing over the bowels, ovaries, fallopian tubes and tissue lining of the pelvis. However, endometrial tissue may also grow outside of the pelvic, though this is very rare.

Because endometrial tissue is affected by hormonal changes brought about by the menstrual cycle, the exogenous tissue can become inflamed or irritated. The tissue will also go through the regular changes that the endometrium goes through, such as growing, thickening and eventually breaking down. This degraded tissue will then be trapped in these regions and may cause certain complications.

If you believe you may be suffering from endometriosis, we recommend consulting a specialist as soon as possible. If you reside in Lahore, you should look up a Gynecologist in Lahore.


Though most with the disorder do not necessarily experience symptoms, those that do suffer from them with varying severity. The major symptom here shared by most cases is major pain in the pelvic region, which could be linked to changes in the menstrual cycle. Other symptoms include:

  • Periods that seem more painful than usual, with the pain potentially beginning some time before the start of the menstrual period, as well as extending many days into it
  • Pain following sexual intercourse or during it
  • Heavy menstrual bleeding
  • Bleeding between menstrual periods, also known as intermenstrual
  • Reduced fertility
  • If the ovaries are affected, cysts called endometriomas may develop
  • Pain during bowel movements or urination (most commonly during menstrual periods)
  • Fatigue
  • Nausea, potentially with vomiting
  • Bloating
  • Constipation
  • Abdominal or back pain

The last 5 of these symptoms, as with most others, are aggravated by menstrual periods.

Because of the trapped degraded endometrial tissue, scarring will occur, and adhesions may develop due to surrounding tissue being irritated. Adhesions are bands of fibrous tissue that will eventually cause pelvic tissue and organs to bind together.

Understand that the severity of the symptoms is not necessarily representative of the stage or progression of the disease. Someone with a mild form of the disease may experience severe symptoms, while someone that has a form of the disease that has progressed much further may have very mild symptoms and might not even realise that they suffer from it.


Though endometriosis has no cure, it can be mitigated, and its symptoms can be managed.


There are medication options, but surgery is also available to reduce symptoms and avoid complications.

Medications include pain medication to deal with pelvic pain; hormone therapy to try and mitigate the progression of the disease as well as reduce symptoms of pain; estrogen blockers, like GnRH agonists and antagonists, to prevent menstruation and aggravation of symptoms; and aromatase inhibitors, which reduce the amount of estrogen in the body.

Surgical options include conservative surgery, which targets only the endometrial tissue that has implanted in other parts of the body, and is not a permanent solution; and hysterectomy, with removal of the ovaries, which is considered a more effective solution to severe symptoms.

All of these options come with great risks and should be considered carefully with the guidance of a professional. If you reside in Karachi, you may be interested in the Best Gynecologist in Karachi.

Reasons To Choose Robotic Surgery For Endometriosis

Reasons To Choose Robotic Surgery For Endometriosis

Endometriosis can bring turmoil in your life. The condition occurs when your uterine wall tissue starts to grow outside the uterus, attaching to other parts of the body including the bladder, rectum, Fallopian tubes, or ovaries. This can be very painful. Besides pain, the condition can make you have heavy periods and cause difficulty with bowel movements. If this defines your experience and you are seeking treatment for endometriosis in Miami, there is good news. Peter A Khamvongsa, FACOG, FACS, IF, and his team is experienced in treating this condition using various treatment options.

The use of robotic surgery has revolutionized surgery in correcting the defects arising from this condition.  We take a look at why:

Diagnosis for Endometriosis

If you are experiencing symptoms of endometriosis including painful intercourse and periods, infertility, and blood in your urine or stool among others, your doctor will recommend a pelvic exam. Your doctor will treat your condition without the need for other examinations or surgery if they establish that your pelvic pain is purely due to endometriosis. Your condition can be mild, moderate, or severe, which is usually informed by the laparoscopic scans. Your doctor may remove a biopsy during the scan for further observation to help rule out cancer. If you are found to have endometriosis, your doctor will remove these growths right away.

Conservative Approaches First

Your doctor understands that your condition may exhibit symptoms and experience pain in a unique way, which is why you deserve an individualized treatment plan. While your treatment plan might have slight differences from that of another patient, your doctor will first use conservative options to relieve pain.

Robotic Surgery | OSUCCC – James

If your diagnosis establishes that you have endometriosis, your doctor will order detailed checks to determine how far the condition has progressed. This helps inform on the most effective treatment plan including the use of anti-inflammatory medication and hormone therapy to relieve you from pain.

If these conservative approaches are found to offer limited relief from pain, your doctor will elect surgery. Various surgical procedures can be used in your treatment, but none compare to robotic-assisted laparoscopy. This is why:

Robotic-assisted Laparoscopy

The use of robotic-assisted techniques has an excellent accuracy level which is second to none. Robotics have enhanced dexterity and this helps minimize incisions in the area being operated on. Your doctor uses 3D imaging from the DaVinci Surgical System to get a clear view of what is happening inside your abdominal cavity in real-time. The revolutionary EndoWrist® technology creates precise movements in the robotic arm, which minimizes the chance of error.

After your physician has located the endometrial tissue, he will use Lisa Laser to resect and remove it outside your uterus. You can expect to feel less pain and blood loss during surgery. The procedure also has less scarring and downtime compared to the use of laparotomy or laparoscopy.

It is time to be liberated from the shackles of endometriosis so you can enjoy life. Visit your experienced surgeon to learn how robotic surgery can help end your woes with endometriosis.