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What is Endometriosis?

Endometriosis is a condition where tissue that is normally in the lining of the uterus grows outside of the uterus.  The tissue can be found on the fallopian tubes, ovaries, bowel and other places in the pelvic cavity.  Rarely, it can grow outside of the pelvic area.

During a woman’s period, the normal tissue and extra tissue swells with blood.  This swelling and blood can sensitize nearby tissues which may cause pain or cramping.  Constant irritation may cause adhesions (scar tissue) to form.  These adhesions can connect organs and tissues together and cause additional discomfort.  Endometriosis can cause infertility.  Adhesions may prevent pregnancy from happening, or make it difficult for a woman to support a pregnancy.

Symptoms of Endometriosis

● Cramping
● Menstrual pain
● Pain during intercourse
● Pelvic pain
● Infertility


One or more of the following options may be selected by you and your doctor to treat the symptoms of endometriosis:

● Non-surgical treatment
● Surgery
● Robotically-assisted surgery

Talk with your doctor to discuss the benefits and risks of each option, and which option may be best for you.

Endometriosis: Non-Surgical Treatments

Hormone therapy

Hormone therapy will adjust the hormones that regulate your menstrual cycle.  Some hormones will limit the swelling of your endometrium and extra tissue.  This treatment may be used instead of, before, or after surgery.

Endometriosis: Surgical Treatments

Endometriosis resection

Endometriosis resection is the removal of the extra endometrial tissue while not removing the uterus.  It is usually recommended for women who want to become pregnant in the future or want to keep their uterus.


Hysterectomy is the removal of the uterus.  Sometimes other organs affected by endometriosis such as the ovaries or fallopian tubes may be removed.  Patients who plan to become pregnant in the future should not have a hysterectomy.

Open Surgery

With open surgery, also called a laparotomy, an incision is made in your abdomen.  For generations, open surgery was the standard approach to many gynecologic procedures and is still used today.  However, with open surgery there are certain drawbacks and trauma to the body due to the large incision.  Open surgery may be recommended when pelvic organs such as the bowel are affected.

Traditional Laparoscopy

Laparoscopic surgery is minimally invasive.  This means that your surgeon will operate through a few small incisions.  During laparoscopy, long surgical instruments are inserted through the incisions.  One of the instruments is a laparoscopy- a thin tube with a tiny camera at the end.  The camera takes images inside the body and those images are sent to a video monitor in the operating room which guides surgeons as they operate.  There are multiple advantages to the patient with laparoscopic surgery versus an open surgery.  These include reduced pain due to smaller incisions and a shorter expected recovery time.

Da Vinci Surgery

With the da Vinci surgical system, your surgeon will operate through a few small incisions instead of a large open incision- similar to traditional laparoscopy.  The da Vinci procedure features a magnified 3D high-definition vision system and special instruments that bend and rotate.

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Address: 6580 S McCarran Blvd, #A, Reno, NV 89509
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