What is Endometriosis?
One of the most common questions patient ask when they come to the office, is what is endometriosis or anywhere else, it does not have to be in the office. I think the best way I found that explains the whole pathology of endometriosis is, I say, endometriosis is the period that never comes out. The period that comes out is gone but the periods that never comes out and accumulates inside is the endometriosis. It is healed and covered by the body with scarring but there is something special about this scarring which medical community knows as adhesions. These scarring are because it is in the pelvis and the woman is always on foot running around. It accumulates in the deep pelvic area every month; obviously, when there is back bleeding or it comes from endometrioma rupture. The body automatically starts to cover these bleeding areas. So when the doctor looks by a scope, they cannot see this. It is easily covered. So in experience and obviously when we say deep endometriosis, is the endometriosis that is buried in the cul-de-sac. With special techniques, we can make it visible or at least be felt during surgery to have them removed appropriately.