by Tamer Seckin, MD | Posted on June 23, 2020
Endometriosis is a chronic disease in which endometrial-like tissue is found outside of the uterus. This tissue, which normally lines the uterine cavity, is associated with monthly menstruation and is often characterized by abnormally painful and heavy periods, as well as pelvic pain, severe cramps, and pain with sex (dyspareunia). Endometriosis lesions are estrogen-dependent, benign, inflammatory, stem-cell driven, and at times progressive.
Endometriosis affects an estimated 176 million women worldwide . A leading cause of infertility and chronic pelvic pain, it has also been linked to other health concerns, including certain autoimmune diseases and cancers, fibroids, adenomyosis, and interstitial cystitis. It is one of the leading causes for laparoscopic surgery and hysterectomy in the United States. The economic impact of endometriosis is staggering: businesses lose billions of dollars each year in compromised productivity and absenteeism because of the disease.
American Society of Reproductive Medicine Severity Classifications
|Stages||American Society of Reproductive Medicine Severity Classifications|
Because the four stages of the disease do not necessarily have any correlation to a patient’s symptoms or the nature of the infiltration itself, we often use a more descriptive system:
|Dr.Seckin's Preferred Classification||Description|
|Deep infiltrating endometriosis (DIE)||
There is no known exact cause of endometriosis but several different plausible theories exist, including retrograde menstruation, Meyer's theory, and more. We remain open to newly developing ideas.
It is important to note that while the following risk factors increase one’s likelihood for endometriosis, there are many cases in which women are diagnosed without any of the following:
Part of the reason why endometriosis is such a complex and dangerous condition is that it can lead to several other related conditions, including:
Endometriosis can mask itself as a number of conditions. It is often misdiagnosed and mistreated for the following conditions:
Before pursuing imaging, you should speak with a GYN physician who is familiar with diagnosing endometriosis and can provide a comprehensive pelvic exam. A physical exam and a discussion about your symptoms and medical history will help a physician determine if imaging tests are necessary.
In order to properly diagnose a patient with endometriosis and determine whether surgery is needed, one or both of the following imaging tests must be conducted:
In an operating room, a well-trained and experienced GYN surgeon will be able to visualize any anatomical abnormalities or endometriosis lesions through the following procedures:
There is currently no cure for endometriosis but there are surgical and non-surgical treatment options for pain and infertility caused by the disease.
It is important to note that the following methods are not treatments for the disease itself, but rather control a patient’s pain and symptoms. They provide relief, not treatment.
There are a variety of surgical treatments that a patient can undergo to treat endo depending on the severity, stage, and quantity of the endometrioma lesions.
|Laparoscopic Deep Excision Surgery||The "gold standard" for removing all endometriosis in the body, ranging from lesions on the ovaries to the intestine|
|Myomectomy||Removal of fibroids, necessary only when fibroids develop|
|Hysterectomy||Removal of the uterus, which is only needed in cases of diffuse endometrioma tissue in the uterus such as with adenomyosis|
Even for a standard OB/GYN, endo is not an easy condition to diagnose. Our practice provides a number of advantages :
As a patient, your health and wellbeing come first. With decades of experience, we know that this is the most important aspect in treating the disease. Every patient is different and therefore every patient's unique story and symptoms must be heard.
Menoka M. was experiencing severe pelvic pain for the past seven years and was not diagnosed with endo for nearly five years. After seeing many doctors and having several surgeries, Menoka found us and was soon scheduled for laparoscopic deep excision surgery. Read about Menoka's journey here, as well as how she is doing now.
You can read more stories of patients with endo, of varying stages, in our testimonial section.
There aren’t enough stars for Seckin Endometriosis. They deserve 100/ 5. I want to make sure every woman right now who is looking for help, who is looking for a doctor and is scared and confused knows this is where you need to be. It doesn’t matter if you have to come from the other side of the United States or from the other side of the world, I can guarantee it will be worth it. Every member of their…
I’ve seen many obgyns over the years explaining my monthly symptoms during my period...but eventually it became a daily struggle with these pain. It feels like a poke here and there near my right pelvic region. I was given birth control pills for the past ten years but honestly, it didn’t help at all. I was in bed whenever I had my period. I was previously sent to GI doctors for possible appendicitis but it was ruled out from imagings…
Dr.Seckin is so much more than a surgeon. His passion for helping endometriosis sufferers and determination to improve the quality of life in all of his patients is undeniable. I remember when my gynecologist first told me I needed a laparoscopy. Her exact words were "I can do the surgery, but if you were MY daughter- I'd send you to him." From the first day I met him he took the time to explain endometriosis to me since I knew…
I was there for hysterectomy but then I found out that I also had endometriosis.My both surgeries went excellent and I feel great!.I am so thankful to Dr.Seckin and all his team for making my journey smooth!
I am a physician who suffered from deep infiltrative endometriosis. I needed laparoscopic surgery, so I went to see my former gynaecologist and he performed the procedure (a surgery which he supposedly does hundreds of times a year) last November. I had severe pain again when I had my period in January and was advised to go on taking a low hormone dose anticoncipient pill. My symptoms came back quickly and got worse in a few months’ time. I went…
After years of excessively painful periods, a serious loss of quality of life, and a series of uninformed and uninterested doctors, Dr. Seckin and Dr. Goldstein turned my life around. I was told I woke up from my surgery almost a year ago with a smile on my face, and I haven't stopped since. Before I heard of Dr. Seckin, I was experiencing almost daily terrible pain to the point where I had difficulty walking, inability to eat, inexplicable weight…
Dr Seckin and his team gave me back my life! Tomorrow will be 1 month since my surgery and I feel great. Dr. Seckin, Dr Liu, and Dr Goldstein are not only beyond words talented and amazing Doctors, but they are also genuinely wonderful and caring people. I cannot say enough great things about Holly, Asiye and Kim as well. They were all caring, kind, patient, and took the time to listen to me and explain anything I needed to…