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On the topic of bowels and endometriosis, one of the most important things to look for in an excision specialist is how they remove endometriosis from the bowel. Usually, a GI surgeon works with the excision specialist. We hear many times from patients that they receive excision surgery and, though the gynocologist saw endometriosis on […]

Ask Our Pros – “What should I look for in an Excision Specialist?”

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One of the red flags of endometriosis is bowel changes and “dyschezia” which means pain, straining and/or difficulty with bowel movements. There are MANY reasons why endometriosis affects the bowel but here I will touch on just a few. The first reason is the adhesions themselves. One of the most common places endometriosis is found […]

Endometriosis & The Bowels – Explained

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THIS IS FALSE! In our last couple of blogs, we have been discussing what exactly endometriosis is and the misunderstandings around it. Endometriosis gets its name because the inflamed tissue LOOKS LIKE the endometrium (the lining of the uterus), but it is NOT the actual lining of the uterus! Endometriosis has nothing to do with […]

Endometriosis Myth #3 – “A Hysterectomy Will Solve The Problem”

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For endometriosis, excision surgery is the gold standard for treatment and removing the lesions/disease at the root. If all lesions/disease was excised (not ablated/burned), it is possible to still have pain. Even if you have a hysterectomy, you can still experience pain. Let’s explore all the possible reasons why:  If you’ve already had surgery and […]

Ask Our Pros – “I had surgery but I still have pain. What does this mean?”

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In learning about pelvic pain, there is something called the “evil triplets”. The “evil triplets” include endometriosis, pudendal neuralgia and interstitial cystitis. These three conditions normally occur together. For the purpose of this blog, I’m going to focus on endometriosis and interstitial cystitis. Research shows that up to 85% of women with endometriosis have interstitial […]

Endometriosis & The Bladder – Explained

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Endometriosis is commonly misunderstood as a disease of the uterus. This is why hysterectomies are still recommended as a “fix” to endometriosis. Get rid of the uterus…get rid of endo! This is NOT true. Endometriosis is an inflammatory disease, with these spots of inflammation resembling uterine tissue and responding to cycle changes like the uterine […]

Endometriosis Myth #2 – “It’s a Uterine Disease”

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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 […]

Ask Our Pros – “What questions should I ask my doctor if I’m considering surgery?”

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Endometriosis is known as the “painful period disease,” but this is not all it is. To understand why endometriosis CAN cause painful periods, we need to first understand what endometriosis is. Endometriosis is an inflammatory condition with tissue growing in areas like the uterus, ovaries, fallopian tubes, bladder, vagina, rectum, ligaments, pelvic walls, abdominal wall […]

Endometriosis & Periods – Explained

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Endometriosis can certainly cause painful periods, but it is not the only red flag. Periods can cause discomfort and some bowel changes like soft stool, as the prostaglandins released, to cause the uterus to contract, can cause light cramping and softer stool. The red flag for endometriosis is severe pain during the period that prevents […]

Endometriosis Myth #1 – “It’s Just a Painful Period”

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June is Men’s Health Awareness Month—an important reminder to talk about something often overlooked: men’s pelvic health. Pelvic floor issues in men are more common than you think and can affect up to 1 in 6 men in their lifetime. Prostate surgeries increase this risk with the most common symptom occurring after prostate surgery is […]

Dr. Gretchen meeting with male patient

Pelvic Floor Dysfunction Is Not Rare in Men, and We Can Help!