The Best Endometriosis Surgery Is The One That Works

September 11, 2015

Young mother posing with her baby outdoors
endometriosis surgery

Choosing the right endometriosis surgery depends on many factors, including whether or not you are done having children.

Every woman who suffers from endometriosis experiences it differently. Extent of endometriosis doesn’t always correlate to pain. Some women with severe pain and bleeding have very little endometriosis while some women with extensive lesions may not experience much pain at all, and only discover it when trying to get pregnant. This is not true across the board, but it explains why the condition is so hard to diagnose and treat.

Endometriosis Surgery – Become Friends With Your Body Again

Removal of all instances of endometriosis is the most effective treatment. The most advanced procedures can help women reduce or eliminate pain, and heavy bleeding.

The more conservative endometriosis surgery, called resection or excision of endometriosis, is for women wishing to maintain their fertility. This preserves the uterus and ovaries, while removing the existing lesions. While this surgery does not always prevent endometriosis from returning, it is essential for women who want to have children to seek a GYN surgical specialist to ensure the surgery is successful. Finding a specialist can also ensure that if additional treatment is needed, such as removing pelvic adhesions, which are common with endometriosis, you have someone skilled at protecting the surrounding pelvic structures.

Definitive surgery for endometriosis is a hysterectomy with an oopherectomy, the removal of the uterus and the ovaries. Of all of the methods to treat endometriosis, a hysterectomy with removal of both ovaries results in the best long-term pain control. If the ovaries are preserved, the chance that symptoms will return is six times higher than if they are removed. This should only be considered if childbearing is no longer desired.

Advancements in Minimally Invasive Endometriosis Surgery

Both resection of endometriosis and hysterectomy with oopherectomy can be performed through 2 tiny incisions using DualPortGYN at The Center for Innovative GYN Care in an outpatient setting. This means that women can have surgery, and go home the same day. Most patients recover in 7 days, and can return to work in about a week.

Choose An Endometriosis Specialist

As women evaluate their surgical options, it is important to choose a GYN surgical specialist with advanced fellowship training. Specialists have a high volume of patients, making for a high level of experience. Learn more about your options. There is nothing more important than being well-informed about possible treatments and what they entail. CIGC surgeons Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD assess your individual case, what you are experiencing and whether or not you are planning to have children, and then recommend the best possible treatment options.


Surgical specialists can often see patients sooner because they are focused entirely on surgery. Each patient gets detailed, in depth attention from Dr. Danilyants and Dr. MacKoul. This personalized care helps patients understand their condition and the recommended treatment so that they can have confidence from the very start. Our surgeons have performed over 20,000 GYN procedures and are constantly finding better ways to improve outcomes for patients.

Book a consultation today with Dr. Paul MacKoul, MD or Dr. Natalya Danilyants, MD.


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CIGC travel program

Even if you are not from the DC area, many patients travel to The Center for Innovative GYN Care for our groundbreaking procedures. We treat women from around the world who suffer from complex GYN conditions.

Learn more in our travel program.


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