Endometriosis is an under-diagnosed and under-treated problem. It is estimated that 1 in every 10 women have endometriosis during their reproductive years. During Dubai International Doctors Summit Dr Alphy (known Endometriosis surgeon in Dubai) shared her views with worldwide audience. She said that many women did not realize that they have endometriosis until it causes severe pain or fertility problems. Indeed, her experience and case studies show that there is a significant delay of up to 7-12 years in the diagnosis of endometriosis.
Endometriosis can cause:
Painful periods or chronic pelvic pain that affect normal activities
Fertility issues – even mild forms of endometriosis can reduce chance of achieving pregnancy with natural conception
Scarring and adhesions around pelvic structures
Pain or dysfunction in bowel or urinary tract if these organs are affected
Why Endometriosis surgery ?
According to Dr Alphy, who is world’s best Endometriosis surgeon, An Endometriosis surgery is the gold standard to diagnose endometriosis and the only effective way to remove endometriosis. A surgery would be beneficial if:
- Have severe pain that needs a high dose of analgesics in long-term
- Pain is affecting your quality of life or normal activities despite the use of analgesics
- Have a “chocolate cyst” (endometrioma), which is caused by endometriosis in the ovary
- Fertility specialist have suggested surgery to increase the chance of natural conception or successful IVF
- Have bowel, bladder or other organ dysfunction that are likely to be caused by severe endometriosis
What are the alternatives to surgery?
Medical treatments may be offered to patients with chronic pain or endometriosis. Although it is reasonable to use these medical treatments as first-line therapies to relieve symptoms, none of them can remove endometriosis. The symptoms and disease will return once the woman stops using the medication. One should go for treatment after consulting with Local or internationally known Endometriosis surgeon. These treatments usually includes:
Simple analgesics – Common ones are Panadol, Ibuprofen , Voltaren etc
Hormone treatments – e.g. oral contraceptive pill , Progesterones.
Mirena – a special intrauterine device that slowly release a hormone called levonorgestrel
Hormonal treatments or Mirena are not suitable for women who are trying to get pregnant.
How does Laparoscopic surgery for Endometriosis work?
Laparoscopic Endometriosis Surgery, is the gold standard for diagnosing endometriosis, and is the most effective surgical means of treating endometriosis because it offers the longest symptomatic relief.
Laparoscopic surgery for endometriosis is a minimally invasive surgery where the abnormal tissue is completely excised without leaving any endometriosis behind , whether it is in advanced endometriosis with frozen pelvis or a small single lesion. Laparoscopic Surgery can address the treatment for all symptoms of endometriosis, including dysmenorrhea (painful periods), dyspareunia (painful sexual intercourse), dyschezia (painful bowel movements), and leg and back pain with menstruation.
Choosing An Endometriosis Surgeon !
Dozens of studies have found that the two main factors correlated with successful surgical outcomes are the skill and experience of the surgeon. It is for this reason that women with endometriosis are urged to seek care from an Endometriosis Specialist. Physicians who are familiar with their specialized work refer their patients to these Expert Endometroisis Surgeon for care, who are more skilled in advanced laparoscopic surgery, assisted reproduction, pain management, etc, to ensure that their patients get the best care.