BONUS 148: Surgical Options for Endometriosis

March 30, 2018

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Today’s bonus episode guest is Dr. Ken Sinervo, the medical director at the Center for Endometriosis Care. We discuss the surgical options for endometriosis.

INTRODUCTION

  • Before we talk about endometriosis, I’d like to hear a little bit more about you. Tell us about your background, the Center for Endometriosis Care, and how you ended up in your current role there.

ENDOMETRIOSIS

  • What is endometriosis, and how common is it?
  • How does endometriosis impact fertility, and how are the different stages defined?
  • What causes endometriosis?
  • What are the symptoms of endometriosis?
  • How is endometriosis diagnosed?
  • There’s a lot of confusion in the infertility community about Clomid vs. Letrozole for endometriosis patients. What’s your opinion?

SURGICAL OPTIONS

  • It’s my understanding that there are two main surgical options for endometriosis: excision and ablation. Can you please describe each technique?
  • What are the risks and possible complications of excision and ablation?
  • Looking at the different ‘types’ of endometriosis, I’d like to hear your thoughts and recommendations about the surgical approaches — and when surgery might not even be warranted.
    • Endometrial implants
    • Ovarian endometriosis (superficial, less than 3cm, larger than 3cm)
    • Adhesions
    • Deep lesions
  • Overall, what is the long-term effectiveness of surgical approaches to endometriosis?
  • Is there any new, exciting research related to endometriosis? What is the future of endometriosis diagnosis and care?
  • Is there anything else you’d like to add that we haven’t already discussed?

WRAPPING UP

  • Please share a couple of your favorite endometriosis success stories.
  • What words of hope would you offer to someone who’s just been diagnosed with endometriosis?

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