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Laparoscopic Treatment for Endometriosis

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Why would I need laparoscopic treatment for endometriosis?

Endometriosis is the presence of endometrial tissue (the cells that form the lining of the womb) on other organs or areas, usually within the pelvic cavity. This build-up can cause pain and discomfort.

What symptoms can laparoscopic treatment for endometriosis help address?

Endometriosis has a variety of symptoms, including:

  • Painful periods (often in your pelvic region, but can also be in other areas)
  • Extremely heavy periods
  • Pain when urinating or having a bowel movement (especially during your period)
  • Pain during or after sex
  • Fatigue
  • Altered bowel symptoms
  • Blood in your urine or bowels while you are menstruating
  • Some women also experience infertility problems

Undergoing laparoscopic treatment for endometriosis should help to mitigate some of these symptoms.

When should you speak to your specialist about laparoscopic treatment for endometriosis?

If you have endometriosis and you feel that it is severe and the symptoms are negatively impacting your day-to-day life, you might consider speaking to your specialist about the possibility of undergoing laparoscopic treatment for endometriosis.

How is laparoscopic treatment for endometriosis performed?

Laparoscopic treatment for endometriosis is performed under a general anaesthetic.

During the procedure, your surgeon will make small incisions into your abdominal area and then insert surgical instruments through them. They will use a tube to inflate your abdomen and then use special instruments to remove endometrial tissue.

What is the recovery for laparoscopic treatment for endometriosis?

The recovery from laparoscopic treatment for endometriosis can depend on a variety of factors, and you should discuss this with your surgeon.

After your surgery, you will be sore and you might be required to remain in hospital for a few days depending on the extent of your surgery. Taking pain medication can help you manage the pain and you should start to feel better after approximately 2 weeks.

It can take up to a few months before the full benefits of the surgery are evident.

You and your surgeon will discuss your plan for recovery and can give you more specific information about what you can expect afterwards prior to your laparoscopic treatment for endometriosis.

Are there any risks/complications associated with laparoscopic treatment for endometriosis?

As with any medical procedure, it is possible for risks or complications to arise. It is best that you speak with your specialist or surgeon about how best to avoid any adverse reactions.

Some complications that have been associated with the procedure are:

  • Infection
  • Bleeding
  • Blood clot
  • The possibility of making a larger cut in the abdomen during the operation
  • Damage to surrounding structures (bowel, bladder, ureters)
  • Laparotomy
  • Ongoing or in a few cases worsening pain
  • Further surgery
  • Disruption of function of bowels, bladder and ovaries

How can I prepare for laparoscopic treatment for endometriosis?

Prior to your laparoscopic treatment for endometriosis, you should discuss the preparations you should make with your surgeon, as they can vary depending on the person.

Before you undergo laparoscopic treatment for endometriosis you will have a pre-assessment appointment where it will be determined if you are able to have surgery and here you can discuss any questions you might have about the procedure or about your recovery with your healthcare team.

Are there alternatives for laparoscopic treatment for endometriosis?

Depending on the severity of your endometriosis and what symptoms you are experiencing, you might consider the following options rather than undergoing laparoscopic treatment for endometriosis:

  • Not pursuing treatment
  • Over-the-counter pain medications
  • Hormone therapy (the contraceptive pill or progestogens)
  • Specialist pain management
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