About 11% of American people between 15 and 44 who have a uterus also have endometriosis (that’s over 6.5 million people). With those kinds of numbers, you’d think finding treatment would be a piece of cake!
However, according to the Endometriosis Foundation of America, out of over 40,000 OB/GYNs in the US, there are only about 100 endometriosis specialists skilled in the most up-to-date treatment options. Tragically, it takes endometriosis patients an average of 7 – 10 years to get a diagnosis.
How are we supposed to find treatment for this terribly painful women’s health disorder?
Thankfully for patients in Southern California (or those who travel here) Dr. Aliabadi is one of America’s top endometriosis specialists and (along with her patients) has been featured on numerous television shows including “The Doctors,” “Dr. Phil,” and “Seeking the Cure,” to name just a few.
The endometrium is what lines the inside of your uterus. In some people, this endometrial tissue grows rampant outside of the uterus – in the Fallopian tubes, bladder, ovaries, outer lining of the uterus, or elsewhere in the pelvis – this is known as endometriosis.
Endometriosis Symptoms
No matter where the rogue endometrial tissue is growing, the symptoms of endometriosis often include:
severe pelvic pain
irregular bowel movements
intense menstrual cramping
spotting or bleeding between periods
severe pain during menstruation
pain during or after intercourse
fertility issues or infertility
Unfortunately, the wide variety of symptoms not only negatively impact the patient’s quality of life, but also contribute to why endometriosis can be so difficult to diagnose!
Endometriosis Diagnosis
I’ve heard all sorts of stories from my patients about their struggles before finally coming to me for endometriosis diagnosis and treatment. Knowing what exactly to look for when diagnosing endometriosis takes years of experience.
Patients with bloating and trouble with bowel movements are sometimes misdiagnosed with irritable bowel syndrome (IBS). Or, endometriosis may be misdiagnosed as another condition that causes pelvic pain, such as pelvic inflammatory disease (PID), fibroids, or ovarian cysts.
The most heart-breaking (and infuriating) story that I hear far too often is patients having their pain belittled or dismissed. Some patients suffer needlessly for years before getting a proper diagnosis because their gynecologist dismissed their intense endometriosis pain as “normal period pain.”
Diagnosing endometriosis can also be a tricky process. Blood tests, pelvic exams, and ultrasounds will not give a definitive diagnosis. The only way to properly diagnose endometriosis is through laparoscopy.
Diagnostic laparoscopy for endometriosis
Laparoscopy is a minimally invasive surgery conducted through a 3 to 5 millimeter incision in the belly button. Through this small incision, lesions can be identified and collected for analysis.
Endometriosis Treatment
There are a number of treatment options for managing endometriosis or mitigating the pain depending on your exact condition, but only one that provides long-term relief. And unfortunately, that’s part of the problem with finding treatment.
As previously mentioned, only about 100 endometriosis specialists in the US are skilled in advanced laparoscopic surgery, even though it provides the greatest relief to patients. (Lucky for you, I am one of them.)
Other treatment options for managing endometriosis include:
Hormone Therapy
Because endometrial tissue growth is triggered by hormones and follows the same cycle as your period, hormone therapy can be helpful in slowing tissue growth. Treatment may take the form of shots, intrauterine devices (IUDs), or even oral contraception.
Hormone therapy is sometimes prescribed after laparoscopic surgery to prevent endometrial tissue regrowth.
Endometriosis Pain Management
For some patients, over-the-counter painkillers provide sufficient relief from endometriosis pain. Prescription-strength pain relievers are also helpful for some patients. Because hormones impact endometrial tissue growth, birth control can actually relieve pain in some circumstances.
Is endometriosis curable?
Sadly, no. Laparoscopic surgery can grant some relief, but there is always a chance of symptoms returning. If your doctor does not include hormonal therapy with endometriosis surgery, as many sadly don’t, your odds of recurrence are terribly high.
Some patients experience symptom relief after menopause when they no longer have menstrual cycles.
How to find an endometriosis specialist near me?
For those who are not in Southern California or cannot travel here, the first step is searching for an OB/GYN or medical center that specializes in endometriosis treatment. Unfortunately, there will often not be one near you, so be prepared to travel.
Finding an endometriosis support group online might also help, both with emotional support as well as recommending a good doctor!
Questions to ask your doctor
Once you’ve found a healthcare provider trained in endometriosis, it’s time to make sure they’re a good fit.
Important things to note during your initial consultation include:
Does the doctor make you feel heard and understood? Do they provide clear, honest answers to your questions?
Does the doctor have training or experience in endometriosis treatment?
Do they work with a team of specialists? Because endometriosis can affect multiple areas, other specialized surgeons may need to consult or assist on your surgery.
Was the office staff rude or unprofessional?
If the doctor dismisses or trivializes any of your symptoms or concerns, leave and find another doctor.
Why is Dr. Aliabadi the Best Endometriosis Specialist Los Angeles?
As one of the nation’s leading OB/GYNs, Dr. Thaïs Aliabadi offers the very best in gynecological and obstetric care. Together with her warm professional team, Dr. Aliabadi supports women through all phases of life. She fosters a special one-on-one relationship between patient and doctor.
Dr. Aliabadi is a recognized leader in endometriosis treatment and has even taught minimally invasive laparoscopic surgery to other surgeons across the country.
We invite you to establish care with Dr. Aliabadi. Please click here to make an appointment or call us at (844) 863-6700.
We take our patients’ safety very seriously. Our facility’s Covid-19 patient safety procedures exceed all CDC and World Health Organization recommendations. Masks are required in our office at all times during the coronavirus pandemic.
The practice of Dr. Thais Aliabadi and the Outpatient Hysterectomy Center is conveniently located to patients throughout Southern California and the Los Angeles area. We are near Beverly Hills, West Hollywood, Santa Monica, West Los Angeles, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, and Downtown Los Angeles, to name a few.
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Endometriosis pelvic pain is triggered by the growth of endometrial tissue outside the uterus, impacting pelvic organs like the Fallopian tubes, bladder, and ovaries, leading to severe discomfort and symptoms like intense cramping and pain during menstruation or intercourse.
Does endometriosis worsen without treatment?
Without treatment, endometriosis can worsen over time, leading to more severe symptoms and potential complications. It is essential to seek proper medical care to manage the condition and prevent further deterioration of symptoms.
Can stress exacerbate endometriosis symptoms?
Stress can exacerbate endometriosis symptoms by triggering inflammation and hormonal imbalances, leading to increased pain and discomfort for patients. Managing stress through techniques like mindfulness, meditation, and therapy may help alleviate these effects and improve overall well-being.
Are there non-surgical endometriosis treatments?
Yes, non-surgical endometriosis treatments include hormone therapy, which can slow tissue growth. Discuss with your healthcare provider for personalized options.
Can diet influence endometriosis symptom severity?
Diet can influence the severity of endometriosis symptoms. A diet rich in anti-inflammatory foods like fruits, vegetables, whole grains, and omega-3 fatty acids may help reduce inflammation and pain associated with endometriosis. Conversely, high-fat and processed foods may exacerbate symptoms. Consulting with a healthcare provider for personalized dietary recommendations is recommended for managing endometriosis.
Does exercise impact endometriosis discomfort?
Regular exercise can help manage endometriosis discomfort by reducing inflammation and releasing endorphins, which can alleviate pain. Low-impact activities like walking or yoga may be beneficial. Consult a healthcare provider for personalized recommendations.
Is endometriosis hereditary?
Yes, Endometriosis can have a hereditary component, but it is not solely genetic, as environmental factors also play a role in its development. Women with a family history of endometriosis are at a higher risk of developing the condition themselves.
Can pregnancy alleviate endometriosis symptoms?
Pregnancy can sometimes alleviate endometriosis symptoms temporarily due to hormonal changes. However, symptoms can return after giving birth. Consulting with a specialist is crucial for individualized treatment options.
What role do hormones play in endometriosis?
Hormones trigger endometrial tissue growth, leading to endometriosis symptoms. Hormone therapy, such as shots, IUDs, or oral contraception, can help slow tissue growth. Without hormonal therapy combined with surgery, endometriosis recurrence chances increase significantly.
Do certain foods trigger endometriosis flare-ups?
Certain foods like gluten, dairy, and processed foods may trigger endometriosis flare-ups due to inflammation. It's important to monitor how different foods affect your symptoms and consult with a healthcare provider for personalized dietary recommendations.
Can physical therapy ease endometriosis pain?
Physical therapy can help ease endometriosis pain by focusing on pelvic floor muscle training, relaxation techniques, and gentle exercises to improve flexibility and reduce tension in the pelvic region. It can also aid in managing symptoms and improving overall quality of life for individuals with endometriosis.
Are there alternative therapies for endometriosis relief?
Yes, alternative therapies like acupuncture, dietary changes, and stress management may provide relief from endometriosis symptoms. These therapies are often used in conjunction with traditional medical treatments for a holistic approach to managing endometriosis.
How does endometriosis affect pregnancy chances?
Endometriosis can impact fertility and decrease the chances of getting pregnant. The abnormal tissue growth outside the uterus may lead to scarring, inflammation, and potential blockages in the reproductive organs, making conception more challenging. Management by an endometriosis specialist can help optimize chances of successful pregnancy.
What postoperative care follows endometriosis surgery?
Postoperative care following endometriosis surgery typically includes pain management, monitoring for any signs of infection or complications, following any dietary or activity restrictions advised by the surgeon, attending follow-up appointments, and discussing any concerns or questions with the healthcare provider.
Can endometriosis recur after surgery?
Unfortunately, endometriosis can recur after surgery. The odds decrease with advanced laparoscopic surgery, which provides the highest relief. Hormone therapy is crucial post-surgery to reduce recurrence chances, but many doctors don't include it.
Are there preventative measures for endometriosis?
There are no specific preventative measures for endometriosis. Still, hormone therapy can be used to manage symptoms and slow tissue growth. Seek a specialist like Dr. Aliabadi for the most effective treatment options.
Can menopause reverse endometriosis symptoms?
Menopause does not reverse endometriosis symptoms. Symptoms may lessen with menopause due to the decrease in hormone levels, but the condition itself does not disappear. Symptom relief varies by individual.
What complications arise from untreated endometriosis?
Untreated endometriosis can lead to chronic pelvic pain, infertility, intestinal issues, and may contribute to an increased risk of certain cancers. Additionally, untreated endometriosis can severely impact a person's overall quality of life due to the persistent symptoms and potential complications.
How long do endometriosis flare-ups typically last?
Endometriosis flare-ups can vary in duration, with some lasting a few days to weeks while others may persist for longer periods. The intensity and length of flare-ups can depend on individual factors, such as overall health, hormonal fluctuations, and the extent of endometrial tissue growth.
Does endometriosis influence menstrual flow heaviness?
Endometriosis can impact menstrual flow heaviness. Menstrual cramping, spotting between periods, and severe pain during menstruation are common symptoms. Treatment options vary, including hormone therapy and surgery. Consulting an endometriosis specialist is crucial for accurate diagnosis and personalized treatment.
Can endometriosis lesions become cancerous?
Endometriosis lesions themselves are not cancerous. However, studies suggest a slightly higher risk of certain types of ovarian cancer in individuals with endometriosis. Regular monitoring and consultation with a healthcare provider are recommended for those with endometriosis to address any potential concerns.
What is the link between endometriosis and immunity?
Endometriosis can affect the immune system, leading to inflammation and immune dysfunction. Changes in immune function may contribute to the development and progression of endometriosis, creating a complex interplay between the condition and the body's immune response.
Do endometrial implants vary in size?
Yes, endometrial implants can vary in size, ranging from tiny lesions to larger growths. The size of these implants can influence the severity of symptoms experienced by individuals with endometriosis.
Are there stages of endometriosis progression?
Endometriosis progresses in stages based on the severity and spread of the tissue growth. The four stages are minimal, mild, moderate, and severe. Staging helps determine treatment plans and prognosis for patients with endometriosis.
Can endometriosis affect the respiratory system?
Endometriosis can potentially affect the respiratory system by causing symptoms such as chest pain, shortness of breath, coughing up blood, or lung collapse. However, it is rare for endometriosis to directly impact the respiratory system.
Are there specific endometriosis pain management strategies?
Yes, there are specific pain management strategies for endometriosis. These may include hormone therapy, advanced laparoscopic surgery, and other treatment options designed to alleviate symptoms and improve quality of life for patients suffering from endometriosis.
How does endometriosis impact intimacy?
Endometriosis can impact intimacy due to the severe pelvic pain, discomfort during intercourse, and potential fertility issues associated with the condition. The symptoms can create physical and emotional strain, making intimacy challenging for individuals with endometriosis.
Does fertility treatment success differ with endometriosis?
Fertility treatment success can be impacted by endometriosis. Endometriosis can reduce fertility rates due to the effect on egg quality, the uterus, and the Fallopian tubes. Treatment by an endometriosis specialist, like Dr. Aliabadi, offers better chances of successful fertility outcomes.
What is the prognosis after endometriosis treatment?
The prognosis after endometriosis treatment varies depending on the individual and the treatment utilized. Advanced laparoscopic surgery, hormone therapy, or a combination of both can provide relief, with proper follow-up care essential to monitor symptoms and prevent recurrence. Regular communication with a healthcare provider is crucial for long-term management of endometriosis.
Does endometriosis cause scar tissue formation?
Yes, endometriosis can lead to the formation of scar tissue, known as adhesions. This scar tissue can develop when endometrial tissue attaches to organs in the pelvic area, causing inflammation and scarring.
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Endometriosis Symptoms
There are a number of treatment options for managing endometriosis or mitigating the pain depending on your exact condition, but only one that provides long-term relief. And unfortunately, that’s part of the problem with finding treatment.
