How should I treat endometriosis?

The answer to that question is totally dependent upon what your goals are. Initially, pain control is most important. Reductions in pain can sometimes be obtained by simply taking noncylic low dose birth control pills. (Skip the inactive last seven pills and have no periods). Endometriosis can be suspected clinically, but can only be diagnosed with laparoscopy. Endometriosis can also be treated laparoscopically by destroying visible endometriosis with electrical energy (heat), excision, or by laser. Pain is often reduced but microscopic endometriosis is not treated. Endometriosis needs estrogen to grow and remain active. There are hormone treatments which will induce a month by month menopause. With low estrogen levels you will have hot flashes, but the pain should resolve. Lupron is the most commonly used medication. Unfortunately many women with endometriosis will have recurring pain with the above mentioned conservative treatments. These treatments may be repeated, and may be effective each time. Eventually, when your family is complete and if pain has returned, many women resort to hysterectomy, probably with removal of the ovaries. That is a dramatic step, but does in most all cases end the pain from endometriosis. Hormone replacement is possible and it is uncommon to have recurrences on reasonable doses of hormone replacement. There is hope. You can be free from pain. Unfortunately, until the final definitive treatment, it is also likely to be a recurring problem. It is for that reason that I say that endometriosis treatment should be goal oriented, depending upon where you are in your life. It's not OK to have a hysterectomy when you want to have children. It may never be OK with you to have hysterectomy and lose your ovaries. These are the topics you need to take the time to explore with your gynecologist. Don't accept only one proposal of treatment without considering your other options.

Patient Education

Abnormal Pap Smear - Now What?

Many women will have an abnormal pap smear result at some point in their life. If you have had an abnormal pap smear, you will generally need to have a follow up pap smear within 6 months.  Potential results of a follow up pap smear are: - Your follow up pap smear... Read More

Am I in Labor?

Labor at term is about trying to decide if it is time to go to the hospital. If it is timed properly, it will prevent frustrating visits to the hospital which result in going back home. Many women have described a  contraction as "The baby balls up". What is really... Read More

Influenza

Pregnant women are more likely to get seriously ill from the flu. Get your flu shot.   You should get vaccinated as soon as you finish the first trimester. (12 weeks). You will not get the flu from a flu shot. Any side effects you get are generally limited to soreness... Read More

Hereditary Cancer Syndrome Screening Information

Anyone can be at increased risk for cancer based on their family history. This is especially true for certain types of cancers such as: breast, ovary, colon, endometrium (uterine), pancreas, and melanoma. The more unusual the timing of the cancer (early age onset) or prevalence within a family, the higher... Read More

Pregnant! What not to eat.

You have probably heard that there are foods that should be avoided during pregnancy. Most of the restrictions are directed at avoiding mercury which has gotten concentrated in fish. The fish to be avoided are the predatory fish from the ocean, and include tuna, shark, mackerel, and salmon. In fact, most fish should... Read More

American College of ObGYN Patient Information Website

The American College of ObGYN (ACOG) is the governing body for ObGYN doctors in America. They have created a very informative and helpful patient information page that covers a wide variety of topics for patients. If you have any questions about women's health, this website is a great resource. If... Read More

Insurance

Major Insurance Providers Accepted

Aetna
Anthem Blue Cross Blue Shield
Blue Cross Blue Shield
Choice Care
Cigna
Geo Blue
United Healthcare
United Health One
US Health Group

If you are ready for compassionate and quality care

in a friendly, comfortable environment, make an appointment!