Dianna’s story: The Importance of Excision

Dianna’s story: The Importance of Excision

By 2004, Dianna knew that something wasn’t right. She was in her 30’s and her period pain was getting worse and worse. Around the time of her period, she wouldn’t even be able to sit at her desk at work because her pain was so severe. She would have to take 5 naproxens a day and lie on the ground by her desk just to be able to cope with the horrific pain. Her gynecologist tried to give her herbal supplements to help with her period pain, but they did not work. Dianna realized that her issues were above her gynecologist’s skill set.

In 2010, she found a reproductive endocrinologist who thought her symptoms merited a laparoscopy to see what exactly was going on inside of Dianna’s pelvis. He found endometriosis throughout her pelvis, including on her rectum and bladder. He used the ablation technique to try and remove Dianna’s endometriosis. He also found fibroids. He urged Dianna to go on the birth control pill to help treat the disease.

13 months later, Dianna felt the pain from the disease creeping back into her life. By 2013, the pain was again interfering with her quality of life. The reproductive endocrinologist put her on Lupron for 5 months to help treat the disease. It did not help her. He gave her another ablation surgery. He told her upon waking that all of the endometriosis had grown back. That surgery gave Dianna some relief, but only for another year.

Almost a year from her surgery, Dianna was feeling severe pain yet again. She had bad bowel symptoms, including diarrhea. Naproxen didn’t touch her period pain and she found herself having to take oxycodiene to get through her work day. Intercourse was extremely painful.  She went back to her reproductive endocrinologist who confirmed that her endometriosis was back. For a few months she continued taking oxycodiene to be able to function.

Like many patients who have had multiple surgeries with no relief, Dianna was extremely frustrated and disheartened by her disease. She didn’t understand why she continued needing repeat surgeries and why the surgeries only gave her so much relief. She came upon an endometriosis advocate and patient of Dr. Seckin’s who told her about excision surgery. Dianna learned the difference between ablation and excision and why the benefits of endometriosis excision are so much greater. During ablation, endometriosis is burned from inside the pelvis, often only treating the top layer of disease. When the doctor leaves the roots of the disease behind, true surgical relief is not granted. Also, due to the nature of ablation, tissues surrounding the ablated areas are often burned making it easier to miss superficial disease. Left disease causes continued pain. Finally, most doctors are not able to visualize all of the disease and focus only on obvious disease as well as disease of the reproductive areas, leaving behind painful bladder, rectal, and peritoneal disease. Unfortunately, the majority of gynecologists and reproductive endocrinologists treat endometriosis with ablation.

These explanations made so much sense to Dianna. Her reproductive endocrinologist didn’t believe in excision surgery. She made an appointment with Dr. Seckin right away and felt that he truly understood the nature of the disease. He understood her pain and gave her hope. She put her health in his hands and had endometriosis excision surgery with him. Dr. Seckin meticulously cut the disease out of Dianna during an extensive surgery that lasted hours. He also removed 10 large fibroids from her uterus.

Dianna is feeling great since her surgery with Dr. Seckin. She is upset though that she could have had endometriosis excision surgery 10 years ago during the onset of her severely painful periods. Although her ablation laparoscopies gave her a little relief, she wishes she would have had surgery with an expert sooner. She regrets all the years of taking hormones and being in endless agony.  She now is an advocate for other patients and stresses the importance of going to an endometriosis excision surgeon first to get to the root of the disease.  Although there is no cure for endometriosis, she feels that anything that can improve her quality of life with this disease is crucial.


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  • Angela Aro

    I have struggled with endometriosis and adenomyosis since first starting my period at 13. I was diagnosed at 21 and what followed was a series of unsuccessful surgeries and treatments. My case was very aggressive and involved my urinary tract system and my intestines. After exhausting all of my local doctors I was lucky enough to find Dr. Seckin. We…

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    Seckin and Dr. Goldstein changed my life!

  • Kristin Sands

    Like so many women who have tirelessly sought a correct diagnosis and proper, thorough medical treatment for endometriosis, I found myself 26 years into this unwanted journey without clear answers or help from four previous gynecological doctors and two emergency laparoscopic surgeries. I desperately wanted to avoid the ER again; a CT scan for appendicitis also revealed a likely endometrioma…

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    Dr. Seckin literally gave my wife her life back. I am eternally grateful to him for his generous, determined spirit to see that Melanie finally live free from the prison bonds of Endometriosis.

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    I am so grateful to Dr Seckin and Dr. Goldstein. My experience was nothing short of amazing. I was misdiagnosed with the location of my fibroids and have had a history of endometriosis. Dr. Seckin was the one who accurately diagnosed me. Dr Seckin and Dr. Goldstein really care about their patients and it shows. They listened to my concerns,…

  • Melissa Boudreau

    When I think of Dr. Seckin these are the words that come to mind. Gratitude, grateful, life-changing, a heart of gold. I feel compelled to give you a bit of background so you can understand the significance of this surgery for me. I am passionate about Endometriosis because it has affected me most of my life and I have a…

  • Jaclyn Harte

    Dr. Seckin and Dr. Goldstein radically changed my quality of life. They treat their patients with dignity & respect that I've personally never seen in the literally 25+ doctors I've seen for endometriosis. This summer, I had a surgery with Dr. Seckin & Goldstein. It was my first with them, but my 5th endo surgery. I couldn't believe the difference,…

  • Megan Rafael Moreno

    I was in pain for 2 years. I was getting no answers, and because dr Goldstein and dr seckins were willing to see and treat me I'm finally feeling almost back to normal. They were very down to earth and helpful in my time of need. Dr Goldstein was easy to talk to and caring, she took care of me…

  • Nancy Costa

    Dr. Seckin is one of the best endometriosis surgeon. Every time I go to the office, he really listens to me and is always concerned about my issues. Dr Seckin's office staff are a delight and they always work with me. I feel I can leave everything to them and they will take care of it. Thank you to the…

  • Rebecca Black

    Fast forward 5 years to find out incidentally I had a failing kidney. My left kidney was only functioning at 18%. During this time, I was preparing all my documents to send to Dr. Seckin to review. However, with this new information I put everything on hold and went to a urologist. After a few months, no one could figure…

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    I'll never stop praising Dr. Seckin and his team. He literally gave me back my life.

  • Erin Brehm

    I had a wonderful experience working with Dr. Seckin and his team before, during and after my surgery. I came to Dr. Seckin having already had laparoscopic surgery for endometriosis 5 years prior, with a different surgeon. My symptoms and pain had returned, making my life truly challenging and my menstrual cycle unbearable. Dr. Seckin was quick to validate my…

  • Anita Schillhorn

    I came to Dr. Seckin after years of dealing with endometriosis and doctors who didn't fully understand the disease. He quickly ascertained what needed to be done, laid out the options along with his recommendation and gave me the time to make the right decision for me. My surgery went without a hitch and I'm healing very well. He and…

  • Nicholette Sadé

    Dr. Seckin brought me back to life! I am now 3 weeks into my recovery after my laparoscopy surgery, and I feel like a new and improved woman! Being diagnosed with Endometriosis, then 25yrs old in 2015, and discovering the severity of my case being stage 4, made me devastated. Dr. Seckin's vast knowledge of the disease, sincere empathy, and…