Endometriosis

Endometriosis Treatment at Lee Gynecology in Portland, OR

Endometriosis is often overlooked as the cause of pelvic pain symptoms. Caught early, the consequences can be greatly improved.
– Dr. Michael J. Lee

What is Endometriosis?

Endometriosis is a condition where gland tissue normally found on the internal lining of the uterus is found outside. Endometriosis most often occurs in the following places:

  • Ovaries
  • Fallopian tubes
  • Peritoneum (membrane lining the abdominal cavity and surrounding organs)
  • Cul-de-sac (space behind the uterus)
  • Outer surface of uterus
  • Outer surface of bladder and intestines; occasionally in the walls or inner surfaces
  • Outer surface of ureters (tubes leading from each of the kidneys to the bladder)

Incidence and Prevalence

One in ten women of reproductive age is diagnosed with endometriosis, usually between the ages of 20 and 40. Typically it starts during teen years and worsens over time. Reported pain symptoms are often overlooked as “normal” period pain, thus delaying diagnosis. Dr Lee has the experience to consider all causes of pelvic pain and will carefully assess the possibility of endometriosis.

Process of Tissue Harm and Symptoms: Adhesions (scar tissue)

During the menstrual cycle, endometriosis glands grow and bleed, causing inflammation and pain, especially just before and during periods. Adhesions (scar tissue) can also form, causing organs to stick together and triggering pain, which can occur during urination, bowel movements, and/or sexual intercourse. Dr. Lee can explain this condition in terms that are unique and understandable for each woman.

Diagnosis

A careful discussion of all symptoms and medical records followed by a pelvic exam is essential for determining whether endometriosis is involved. Usually Dr. Lee will perform a pelvic ultrasound to reveal the pelvic organ structures and where the pain is located. The chance of endometriosis and the extent of it will be estimated and discussed along with all other possible causes of a woman’s symptoms.

Treatment Options

After a complete review of all findings and previous medical records, how far the disease has progressed, and the patient’s symptoms and whether she wants to have children in the future, Dr. Lee has the experience to provide the best choice for patients.  This might be a trial of hormonal treatments combined with pain medication or surgery (a laparoscopy) followed by medication. Of particular focus will be options for the extent of surgery, ranging from conservative (minimal impact on the ovaries, fallopian tubes and uterus) to more extensive, depending on preoperative evidence, goals of treatment and eventual findings at the time of surgery.


Lee Gynecology Welcomes You!

…And don’t worry. We won’t limit the number of medical issues you can bring for evaluation at your appointment.

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