What is Endometriosis?
Endometriosis is a disease in which cells similar to those that line the inside of the uterus (endometrium) grow outside the uterus. The severity of endometriosis can range from mild to severe. It can affect any areas of the abdomen and pelvis, such as the ovaries, uterus, bowel, bladder, liver, diaphragm, and abdominal wall. There are also cases of endometriosis involving areas such as the lungs. In severe cases, extensive scarring and distortion of normal anatomy may occur. Symptoms may include pelvic pain, painful periods, painful intercourse, heavy or irregular periods, infertility, gastrointestinal symptoms including constipation, diarrhea, nausea, bloating, painful bowel movements, urinary symptoms including painful urination and urinary frequency and burning, and general fatigue/malaise. Infertility can also be a concern.
Causes of Endometriosis
The exact cause for the endometriosis is not known. There are several theories but likely the cause is multifactorial. Endometriosis may be inherited genes that run in families.
Diagnosis of Endometriosis
Your gynecologist will ask you about general health and symptoms, as well as perform a pelvic examination. An ultrasound scan or MRI may also be performed.
Excision of Endometriosis
Excision (removal) of endometriosis is a surgery indicated for the treatment of endometriosis where the aim is to preserve fertility.
It can be performed minimally invasively through 2 to 4 tiny incisions using a laparoscope, a slender fiber-optic tube with a camera and light source inserted to provide a clear view of the surgical site, or using the robotic platform. Other surgical instruments are then used to carefully cut and remove the endometriosis lesions, adhesions and ovarian cysts.
Alternatively, the robotic platform is yet another surgical tool that allows a surgeon to operate with 3-D vision, using instruments that can move with more degrees of motion than the surgeon’s wrist. With early stage endometriosis, difficulty identifying disease can often be a concern. Three-dimensional visualization and the ability to magnify tissue up to 10-15 times can, therefore, be very beneficial in identifying endometriosis and removing it accordingly. In addition, in cases of complex disease, the robotic technique may allow your doctor to operate in areas that may otherwise be difficult to treat.
Other surgical options for excision of endometriosis involve:
This involves a larger cut in the abdomen which allows the doctor to reach and remove the endometriosis lesions.
This is the removal of the entire uterus. This procedure is done when there is severe damage or scarring involving the uterus, the presence of uterine disease, and only if the patient no longer desires future fertility.
In Office Proceedures
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Angela Intili M.D.
Dr. Intili delivered both of my children and hopefully will deliver any future children! We have always felt heard, cared for and important in Dr. Intili’s care. She is thorough and personal in her care, remembering our concerns and needs whether in the office or on the labor & delivery floor at the hospital! She goes above & beyond for her patients and I am always happy to be in her care!
What Insurance does your practice take?
What office procedures do you perform in the office?
Is your practice able to do OB Ultrasound at the office?
Which hospital(s) are you affiliated with?
Which hospitals do Dr Angela Intili deliver at?
Silver Cross Hospital and Adventist St Joseph Hospital
Is Dr Angela Intil a Sole Practitioner?
Yes , I have been solo practitioner since 1994
Do you perform Gynecological Ultrasounds?
How often do I need a pap smear?
At what age do I need a pap smear?
What age is menopause?
Are there conservative measures for hot flashes?
At times over the counter supplement may help, however some contains soy which should be avoided in women with hormonal related cancers