Endometriosis Does Not Simply “Grow Back.”

There is a lot to be said about this! Many websites and even OBGYNs will tell their patients that their Endometriosis will inevitably grow back and that they will need repeated surgeries, and this is considered recurrence.

The problem with this is that we know that if Endometriosis is entirely and intricately cut out (excised), it is much less likely to return. More often than not it is persistence (it persists because it was not completely cut out) This happens because it was inadequately treated – either ablated (typically burnt) or not completely excised (tissue around the lesion was left behind, it wasn’t cut out deep enough, etc.) Like a cancerous tumor, every single bit of each area with Endometriosis must be excised. You may have heard about wide excision- this is the practice of removing a wide margin around where Endometriosis is seen. This increases the likelihood that all of the Endometriosis was removed, especially because some Endometriosis is difficult to see. Some of the best surgeons don’t practice this because they don’t want to remove or damage the tissue that may appear to be healthy. I think that is a conversation that should be had between patient and surgeon. I personally wanted as much tissue removed as possible. So, where are the statistics on this, and how do we know recurrence is unlikely in the event of thorough excision? We are somewhat limited because of the nature of that type of study (surgeon skill, multiple surgeries, patients willing to undergo multiple surgeries at different time intervals – you get the idea). But we do have good data – good meaning quality over quantity, and obviously more is needed. Yeung et al. did a five-year follow-up from true complete excision “At surgery, histologic analysis confirmed Endometriosis in 17 of the 20 (85%) patients. …During follow-up of up to 66 months (average, 23.1 months), 8 of 17 (47%) patients underwent a subsequent laparoscopy for persistent recurrent pain. None of these patients had Endometriosis diagnosed visually or histologically. Half of the girls had adhesions.”


WE KNOW PAIN RELIEF IS NOT 100% FOR EVERYONE.

Sources:

1.) ๐˜พ๐™ค๐™ฃ๐™จ๐™š๐™ง๐™ซ๐™–๐™ฉ๐™ž๐™ซ๐™š ๐™ก๐™–๐™ฅ๐™–๐™ง๐™ค๐™จ๐™˜๐™ค๐™ฅ๐™ž๐™˜ ๐™š๐™ญ๐™˜๐™ž๐™จ๐™ž๐™ค๐™ฃ ๐™ค๐™› ๐™š๐™ฃ๐™™๐™ค๐™ข๐™š๐™ฉ๐™ง๐™ž๐™ค๐™จ๐™ž๐™จ ๐™—๐™ฎ ๐™จ๐™๐™–๐™ง๐™ฅ ๐™™๐™ž๐™จ๐™จ๐™š๐™˜๐™ฉ๐™ž๐™ค๐™ฃ: ๐™ก๐™ž๐™›๐™š ๐™ฉ๐™–๐™—๐™ก๐™š ๐™–๐™ฃ๐™–๐™ก๐™ฎ๐™จ๐™ž๐™จ ๐™ค๐™› ๐™ง๐™š๐™ค๐™ฅ๐™š๐™ง๐™–๐™ฉ๐™ž๐™ค๐™ฃ ๐™–๐™ฃ๐™™ ๐™ฅ๐™š๐™ง๐™จ๐™ž๐™จ๐™ฉ๐™š๐™ฃ๐™ฉ ๐™ค๐™ง ๐™ง๐™š๐™˜๐™ช๐™ง๐™ง๐™š๐™ฃ๐™ฉ ๐™™๐™ž๐™จ๐™š๐™–๐™จ๐™š. ๐˜ฟ๐™–๐™ซ๐™ž๐™™ ๐˜ฝ. ๐™๐™š๐™™๐™ฌ๐™ž๐™ฃ๐™š, ๐™ˆ.๐˜ฟ.

2. ๐™๐™€๐˜พ๐™๐˜ผ๐™‡ ๐™€๐™‰๐˜ฟ๐™Š๐™ˆ๐™€๐™๐™๐™„๐™Š๐™Ž๐™„๐™Ž: ๐™๐™€๐™Ž๐™๐™‡๐™๐™Ž ๐™Š๐™ ๐™๐˜ผ๐˜ฟ๐™„๐˜พ๐˜ผ๐™‡ ๐™€๐™“๐˜พ๐™„๐™Ž๐™„๐™Š๐™‰ ๐˜ผ๐™‰๐˜ฟ ๐™๐™€๐™‘๐™„๐™€๐™’ ๐™Š๐™ ๐™‹๐™๐˜ฝ๐™‡๐™„๐™Ž๐™ƒ๐™€๐˜ฟ ๐™’๐™Š๐™๐™†. ๐™๐™ž๐™˜๐™๐™–๐™ง๐™™ ๐˜ฝ๐™ง๐™ค๐™ช๐™ฌ๐™š๐™ง ๐™๐™ค๐™™๐™ฃ๐™š๐™ฎ ๐™…. ๐™’๐™ค๐™ค๐™™๐™จ

3. ๐˜พ๐™ค๐™ข๐™ฅ๐™ก๐™š๐™ฉ๐™š ๐™ก๐™–๐™ฅ๐™–๐™ง๐™ค๐™จ๐™˜๐™ค๐™ฅ๐™ž๐™˜ ๐™š๐™ญ๐™˜๐™ž๐™จ๐™ž๐™ค๐™ฃ ๐™ค๐™› ๐™š๐™ฃ๐™™๐™ค๐™ข๐™š๐™ฉ๐™ง๐™ž๐™ค๐™จ๐™ž๐™จ ๐™ž๐™ฃ ๐™ฉ๐™š๐™š๐™ฃ๐™–๐™œ๐™š๐™ง๐™จ: ๐™ž๐™จ ๐™ฅ๐™ค๐™จ๐™ฉ๐™ค๐™ฅ๐™š๐™ง๐™–๐™ฉ๐™ž๐™ซ๐™š ๐™๐™ค๐™ง๐™ข๐™ค๐™ฃ๐™–๐™ก ๐™จ๐™ช๐™ฅ๐™ฅ๐™ง๐™š๐™จ๐™จ๐™ž๐™ค๐™ฃ ๐™ฃ๐™š๐™˜๐™š๐™จ๐™จ๐™–๐™ง๐™ฎ? ๐™‹๐™ง๐™š๐™จ๐™š๐™ฃ๐™ฉ๐™š๐™™ ๐™–๐™จ ๐™–๐™ฃ ๐™ค๐™ง๐™–๐™ก ๐™ฅ๐™ง๐™š๐™จ๐™š๐™ฃ๐™ฉ๐™–๐™ฉ๐™ž๐™ค๐™ฃ ๐™–๐™ฉ ๐™ฉ๐™๐™š ๐˜ผ๐™ข๐™š๐™ง๐™ž๐™˜๐™–๐™ฃ ๐˜ผ๐™จ๐™จ๐™ค๐™˜๐™ž๐™–๐™ฉ๐™ž๐™ค๐™ฃ ๐™ค๐™› ๐™‚๐™ฎ๐™ฃ๐™š๐™˜๐™ค๐™ก๐™ค๐™œ๐™ž๐™˜ ๐™‡๐™–๐™ฅ๐™–๐™ง๐™ค๐™จ๐™˜๐™ค๐™ฅ๐™ž๐™จ๐™ฉ๐™จ (๐˜ผ๐˜ผ๐™‚๐™‡) ๐˜ผ๐™ฃ๐™ฃ๐™ช๐™–๐™ก ๐˜พ๐™ค๐™ฃ๐™›๐™š๐™ง๐™š๐™ฃ๐™˜๐™š, ๐™‡๐™–๐™จ ๐™‘๐™š๐™œ๐™–๐™จ, ๐™‰๐™š๐™ซ๐™–๐™™๐™–, ๐™‰๐™ค๐™ซ๐™š๐™ข๐™—๐™š๐™ง 8-12, 2010; ๐™–๐™ฃ๐™™ ๐™– ๐™ฅ๐™ค๐™จ๐™ฉ๐™š๐™ง ๐™ฅ๐™ง๐™š๐™จ๐™š๐™ฃ๐™ฉ๐™–๐™ฉ๐™ž๐™ค๐™ฃ ๐™–๐™ฉ ๐™ฉ๐™๐™š ๐™’๐™ค๐™ง๐™ก๐™™ ๐™Ž๐™ฎ๐™ข๐™ฅ๐™ค๐™จ๐™ž๐™ช๐™ข ๐™ค๐™› ๐™€๐™ฃ๐™™๐™ค๐™ข๐™š๐™ฉ๐™ง๐™ž๐™ค๐™จ๐™ž๐™จ ๐˜พ๐™ค๐™ฃ๐™›๐™š๐™ง๐™š๐™ฃ๐™˜๐™š ๐™ˆ๐™–๐™ง๐™˜๐™ 24-26, 2011. ๐™‹๐™–๐™ฉ๐™ง๐™ž๐™˜๐™ ๐™”๐™š๐™ช๐™ฃ๐™œ๐™…๐™ง .๐™ˆ.๐˜ฟ. ๐™†๐™š๐™ฃ๐™Ž๐™ž๐™ฃ๐™š๐™ง๐™ซ๐™ค ๐™ˆ.๐˜ฟ. ๐™’๐™š๐™ฃ๐™™๐™ฎ๐™’๐™ž๐™ฃ๐™š๐™ง ๐™.๐™‰. ๐™๐™ค๐™—๐™š๐™ง๐™ฉ ๐˜ฝ.๐˜ผ๐™ก๐™—๐™š๐™š๐™…๐™ง. ๐™ˆ.๐˜ฟ.