Endometriosis Treatment in New York

Endometriosis results when the cells (glands and stroma) lining of a woman’s uterus implants outside of the uterus.  These cells can implant on the ovaries, intestine, fallopian tubes, and lining of the pelvis.  When the woman gets her period, these cells will shed and bleed and can result in pain and adhesions (scar tissue).  Her symptoms can include dysmenorrhea (painful menses), dyspareunia (painful intercourse), infertility, and pain with urination or bowel movements. The cause can be due to a variety of factors such as retrograde menstruation (when the bleeding does not all come out from the vagina but moves in the opposite direction toward the pelvis), embryonic cell growth, lymphatic (via lymph system), hematologic (via blood vessels), or immune system (unable to counter an attack on these cells). Diagnosis is often by surgery.  The doctor will perform a history and physical exam and pelvic ultrasound (which usually will not be able to visualize if the endometriosis is present or not). Once the evaluation is done, not all patients will need surgery to diagnosis or treat endometriosis.  Often endometriosis is treated by medications.  Pain control is often established with NSAIDS (non-steroidal anti-inflammatory drugs) such as ibuprofen or acetaminophen.  From there, other medications involving hormones can be used.  If surgery is necessary, a laparoscopy is often performed.  A laparoscopy is commonly an ambulatory surgery in which the dotor places a small incision in the woman’s umbilicus and inserts a thin camera to view the uterus, fallopian tubes, and ovaries to see if there is endometriosis or not.  To optimize the chances for having a baby, we recommend a consultation with one of our board certified physicians.