It is so important to find a doctor that is skilled and trained in assessing and treating endometriosis.
Endometriosis has four stages, which relate the amount and depth of the tissue. The further the disease progresses, the deeper the tissue can infiltrate and causes adhesions.
The only way to remove the disease is to have excision surgery. This is where the surgeon will cut out the disease, very similar to a dermatologist removing a bad mole. They need to be able to cut out the disease at it’s root in order to clear all margins and reduce the chance of tissue regrowing. In addition, because it is common to have endometriosis not just confined to the reproductive organs, it is important to have a surgeon who works with other surgeons skilled to remove disease from the bowel or bladder, like a GI surgeon or urologist.
So, What questions should you ask if you’re considering surgery?
- What is your experience with treating endometriosis?
- Is surgery my only option?
- If recommending a medication, what are the side effects?
- Do you work with a GI surgeon or urologist?
- Do you do excision or ablation?
- How do you do excision?
- What will my recovery look like?
- Do you refer patients to pelvic floor physical therapy?
A quality surgical specialist will say they do excision, work with a GI surgeon and recommend pelvic floor physical therapy.
It’s important to understand that excision surgery will remove the disease, but it is not an end-all, be-all for pain.
The pelvic floor is heavily involved due to muscle guarding in response to pain as well as central sensitization as a result of chronic inflammation.
Pelvic floor physical therapy is imperative to recovery and to treat painful and tight tissue, especially after it is removed, for long lasting relief.
Remember, endometriosis care doesn’t end in the operating room. But you don’t have to navigate it alone.
While excision surgery can remove the disease, the persistent pain, muscle guarding, and pelvic floor dysfunction often remain long after the procedure. Addressing these components is essential for lasting relief and a full return to the activities you love.
If you’re preparing for surgery, recovering from surgery, or still struggling with painful endometriosis symptoms, pelvic floor physical therapy can be a critical next step in your healing journey.
Call us at 843-471-0351 or fill out the form here to learn how we can help you move forward with confidence and relief.
