Debunking Endometriosis Myths: Separating Fact from Fiction Part 2
In this Facebook Live recorded event, CIGC Director of Education and Community Outreach Nilofar Kazi joined CIGC co-founder and GYN surgical specialist Dr. Natalya Danilyants to discuss endometriosis myths about treatment and surgery.
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Myth: Pregnancy is the ultimate cure for endometriosis.
Pregnancy does not cure endometriosis. In fact, endometriosis can cause infertility in many women by increasing inflammation levels and, in severe cases, distorting the anatomy of the organs in the pelvis.
For women who do manage to become pregnant, increased hormone levels in the body may cause symptoms like chronic pelvic pain to temporarily go away. But after birth, these symptoms are likely to return.
Myth: People with endometriosis have to undergo multiple surgeries for the rest of their lives.
It is common for endometriosis to recur after it has been removed, but the rate of recurrence depends on the efficacy of the initial surgery. The two most important factors are the method of surgical removal and the skill level of your surgeon.
For method, endometriosis excision is superior to ablation or cauterization. Excision involves cutting out any visible endometriosis lesions with a scalpel. Excision surgery is usually much more effective because the surgeon is able to remove the visible lesion along with the not always visible root, leaving nothing behind. Ablation burns away the visible lesions but leaves behind the roots, which makes recurrence more likely.
For the best chance at a successful excision surgery, choose an excision specialist. CIGC surgeons are experts in complete laparoscopic endometriosis removal through excision.
Myth: A hysterectomy is the only way to relieve yourself of endo pain.
Because endometriosis growth is controlled by the ovaries, removal of the uterus may not completely stop the disease. A hysterectomy also does not involve removing existing lesions, so excision will still be necessary to relieve symptoms.
When tissue grows into the uterine muscle, that is a condition called adenomyosis, which can only be relieved with a hysterectomy.
Myth: Endometriosis and adenomyosis are the same.
While symptoms between endometriosis and adenomyosis may overlap, the two conditions have clear differences. Evidence of adenomyosis can show up on imaging, while endometriosis can only be definitively seen during a laparoscopy. Endometriosis can be relieved through excision surgery, but adenomyosis cannot be cut out and separated from the uterine wall without damaging the uterus. So the only effective treatment for adenomyosis is a hysterectomy.
Myth: Insurance doesn’t cover endometriosis treatment and patients need to pay out of pocket.
The endometriosis industry has become a pay-to-play industry due to sometimes low rates of coverage for the condition from health insurance companies. Many endometriosis treatment surgeons decide to not work with insurance companies, and instead will opt to set their own prices. These up-front costs can be extremely high and exclude a large population of people who can’t afford to pay for effective treatment.
At CIGC, we believe finances should not get in the way of the treatment you need, so we remain in-network with most major insurance carriers. We are constantly evaluating our relationships with insurance providers to better meet the needs of our patients.
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Contents
0:00 Intro
1:56 Myth - Pregnancy is the ultimate cure for endometriosis
8:17 Are there any medical treatments to help cure endometriosis
12:29 Benefit of treatment at CIGC
16:49 Myth - People with endometriosis under multiple surgeries for the rest of their lives
25:54 Myth - A hysterectomy is the only way to relieve yourself of endometriosis pain
28:15 Myth - Endometriosis and adenomyosis are the same
32:57 Myth - Insurance doesn't cover endometriosis treatment, patients must pay out of pocket
41:42 Question & Answer
54:47 Closing
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