I have had a laparoscopy in march and had endometriosis removed but my symptoms have already returned, what should I do now?
Dr Philip Thomas
Dr Philip Thomas
Gynaecologist
Brighton East
The answer depends entirely on the stage of disease found and whether it was excised (cut out) or simply diathermied (most patients think of this as "LASERING") ..

The former is preferred. To suppress endometriosis and reduce recurrences all things being equal I usually recommend taking the combined oral contraceptive pill. You may need to see a gynaecologist skilled in advanced endometriosis "keyhole" surgery if not already done.

Dr. Joseph Sgroi
Dr. Joseph Sgroi
Gynaecologist
East Melbourne
Most gynaecologists skilled in laparoscopy will completely remove endometriosis.
This should reduce symptoms of pain.

That said there is always a recurrence of around 50%. However this is usually after many years.

The approach to pain management can be divided in to two.
1. Non - hormonal treatments such as NSAIDs when you have pain or
2. Hormonal Treatment. This can either be in the form of the contraceptive pill or the Mirena IUD.

Its important to have yourself reviewed by your local doctor and see whether you require a referral to a gynaecologist.

Dr Raouf Farag
Dr Raouf Farag
Gynaecologist
Gosford
There are many different causes of pelvic pain including gynaecological and non gynaecological causes.Careful assessment of the patient and future fertility are very important before any other surgery. There are different classifications and grading of endometriosis.Also superficial (peritoneal) or deep infilterating endometriosis can be investigated using advanced gynaecological scan.Deep infilterating endometriosis are much better treated with laparoscopic surgical excision rather than simple lasering .After through laparocopic surgical treatment of endometiosis you will need suppressive treatment if not planning to conceive.
Contraceptive oills when taking continuously ,differrent types of progesterone including also implants,Mirena device and also Visane tablets usually suppress the progress of the disease

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