The deaths of George Floyd and Breonna Taylor, the Black Lives Matter movement and the COVID-19 outbreak have highlighted long held inequities for people of color around the world. Those inequities are especially notable in health care. At The Center for Innovative GYN Care, we’re committed to improving the lives of women through the treatment of …
Related Category: Endometriosis
When Rupal approached her general physician in London after years of painful periods and heavy bleeding, the response was, “Oh, that’s normal. You just have to deal with it.” She was told to take painkillers and go home. But Rupal knew something wasn’t right. She researched her symptoms and suspected the problem was either endometriosis or uterine fibroids. As a resident of the United …
By: Dr. Paul MacKoul, MD The COVID19 pandemic has had far reaching consequences for women across the country. Careers, childcare, and lifestyles have all been drastically impacted. So often women are not only more likely to bear the burdens of the household, of child raising, and other societal costs, but their urgent health needs are …
Dorran T., was diagnosed with endometriosis after menopause. Her history of GYN surgeries includes treatment for for multiple gynecological conditions over the past 17 years, but she continued to have pain until she met Dr. Natalya Danilyants, MD last year.
“In 1999, I had an open surgery, c-section style for fibroids. Then seven years later, in March 2006, I had a hysteroscopy for fibroids and a cyst. I went into the hospital for a ruptured ovarian cyst. I was in so much pain I couldn’t move.”
Even after that surgery, Dorran was still in constant pain. Everything changed when Dorran met Dr. Danilyants.
“Not really knowing what the disease was, I did my research and realized that’s why I was always in so much pain. On January 30, 2012 I had my first surgery to remove my endometriosis by a regular OBGYN, not a specialist.”
Janelle later discovered that unless endometriosis is completely removed, it can continue to cause problems with fertility. It is a condition that is not well understood by the medical industry. Endometriosis experts are better at identifying and removing all lesions, endometriomas and pelvic adhesions (or scars) that can develop from years of inflammation. Not all OBGYNs are trained to recognize the symptoms or to thoroughly remove endometriosis. If lesions or damaged tissue is left behind, it can cause intense pain or infertility.
Janelle was referred to Dr. Paul j. Mackoul, MD, an endometriosis excision expert. If these conditions are identified and treated early there is a greater chance of conceiving and carrying a child to term. If surgery is necessary, minimally invasive GYN techniques make it possible for many women to begin starting their family sooner than with open, more invasive procedures.
In the recent announcements of Lena Dunham and Halsey about how pain from endometriosis has had a huge impact on living their lives, medical professionals have come out to comment on the condition, but there is a lot of outdated information they are sharing that will do more harm than good for women who are seeking treatment.
Endometriosis has no cure. It is a condition that can be effectively treated by an experienced specialist with medical therapy (including pain medication and hormone therapy), and surgery (primarily endometriosis excision, also known as resection, and resection of pelvic adhesions that often form in response to the inflammation).
Women with this disruptive condition looking for relief must find an experienced endometriosis expert to perform thorough removal of all instances of the lesions. This specialist should also be an expert in pelvic adhesion removal. Any lesions or adhesions left behind can continue to cause severe pain. If endometriosis is left behind, it can continue to spread.
When you have suffered with pelvic pain and received no answers for an extended period of time, there are several advantages to having a diagnostic laparoscopy. Women who are misdiagnosed can go through several rounds of treatment for the wrong condition, and end up worse off.