Endometriosis is a chronic condition that affects 1 in 10 women of reproductive age, but it’s often misunderstood and misdiagnosed. For those living with pain, infertility, or other frustrating symptoms, getting the right diagnosis and treatment can be life-changing.
Fortunately, advancements in minimally invasive surgery are making it easier to manage endometriosis with less pain, faster recovery, and improved long-term outcomes. And that includes a better chance of preserving fertility.
What is Endometriosis?
Endometriosis occurs when tissue similar to the uterine lining (endometrium) grows outside the uterus. These growths can appear on the ovaries, fallopian tubes, pelvic lining, and sometimes beyond. Unlike regular uterine lining, this tissue can’t exit the body during menstruation, which causes inflammation, scarring, and pain.
Common Endometriosis Symptoms
- Severe or chronic pelvic pain (especially during periods)
- Painful intercourse
- Heavy menstrual bleeding
- Infertility or trouble getting pregnant
- Digestive issues like bloating, constipation, or nausea
Because symptoms of endometriosis vary widely, an accurate diagnosis—often through imaging and/or surgery—is key.
Why Minimally Invasive Surgery Is the Gold Standard
When medication and lifestyle changes aren’t enough, surgery may be recommended to remove or destroy endometrial growths. Minimally invasive procedures are now the preferred method because they offer significant advantages over traditional open surgery.
The two most common approaches are:
1. Laparoscopy
This technique uses small incisions and a thin, lighted camera (laparoscope) to view and treat the affected areas. Surgeons can remove or ablate endometrial tissue with high precision.
2. Robotic-Assisted Laparoscopy
With the help of robotic technology, surgeons gain enhanced visibility and control. This method allows for more delicate movements and is especially useful when endometriosis is widespread or near sensitive organs.
Benefits of Minimally Invasive Techniques
- Less post-operative pain
- Smaller incisions and minimal scarring
- Shorter hospital stays (often same-day discharge)
- Faster recovery, as most patients return to normal activities within a week or two
- Better fertility outcomes, as precision surgery helps preserve healthy tissue
What to Expect: Before, During & After Surgery
- Before: Your provider may order imaging tests or perform a pelvic exam. You’ll receive instructions about eating, medications, and arrival time for surgery day.
- During: The procedure usually takes 1-3 hours under general anesthesia. You’ll be asleep and comfortable the entire time.
- After: You’ll likely go home the same day. Some mild cramping and fatigue are normal. Most patients feel significantly better within a few days, with full recovery in 1-2 weeks.
Who is a Candidate for Minimally Invasive Surgery?
You may be a good candidate for minimally invasive surgery if:
- You’ve been diagnosed with endometriosis (or it’s strongly suspected)
- Medications haven’t relieved your symptoms
- You’re experiencing infertility or want to preserve fertility
- Imaging shows growths that may require removal
Your gynecologist or surgeon will evaluate your case and help you decide on the best treatment plan.
Minimizing Recurrence of Endometriosis Symptoms
While surgery can dramatically improve symptoms, endometriosis is a chronic condition. Complementary treatments can help manage long-term health and reduce recurrence:
- Hormonal therapy (like birth control or GnRH medications)
- Pelvic physical therapy
- Anti-inflammatory diets and lifestyle changes
- Ongoing care with an endometriosis specialist
You don’t have to live with chronic pain or uncertainty. If you suspect endometriosis, contact Capital Women’s Care at (301) 681-3400 today to talk more about your options. Minimally invasive surgery could help you feel healthier, more energized, and hopeful about pain management.
Sources:
https://my.clevelandclinic.org/health/treatments/4620-endometriosis-surgery
https://www.mayoclinic.org/departments-centers/minimally-invasive-gynecologic-surgery/overview/ovc-20424071