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1.Why are dangerous electro-surgical devises still used?

It’s a little known fact, but there are some surgical instruments that are associated with many more serious complications than others. One such instrument is the monopolar instrument, a devise that poses significantly more risks than newer technologies. The electric currents that monopolar instruments create can produce very hot and erratic electric sparks inside of your body that can accidentally damage your bowel, ovaries, and other healthy tissue. Those areas that were accidentally burned by these sparks also end up producing more scar tissue, which is one of the most common reasons for post-surgical pain and reduced fertility. These are just a few of the reasons why surgeons from other disciplines no longer use monopolar instruments. Make sure to ask your surgeon what type of surgical instrument he or she will use to treat your endometriosis.

2.Incorrect excision can cause more pain & reduce fertility.

Excision surgery is spoken of as if it’s the magic cure-all for endometriosis.

However, did you know that incorrect excision surgery can potentially lead to more pain and compromised fertility?
And did you know that some excision “experts” leave endometriosis behind on your blood vessels, nerves, and Fallopian tubes because their excision methods can’t be safely used on these delicates organs?

3.Fallopian tubes destroyed by an excision expert?

Endometriosis often affects the Fallopian tubes. Yet, these organs cannot be safety treated using excisional techniques. So, what do many so-called excision experts do in this situation? Many simply leave endometriosis behind, where it can continue to cause pain and interfere with fertility. Others attempt to use the excision technique, only to find that they’ve caused severe damage to your organs.

There’s only one way to safely remove endometriosis from thin and delicate organs like the Fallopian tubes. And only the most advanced endometriosis surgeons are able to perform these difficult surgeries. Make sure to ask your surgeon how he or she will treat delicate organs that cannot sustain excisional techniques.

4.Did your excision expert leave endo on your blood vessels?

Excision surgery for deeply infiltrating endometriosis is the gold standard. However, did you know that traditional excisional techniques cannot be used on shallow lesions that are on top of very thin structures, such as blood vessels? If traditional excision techniques were used on blood vessels, life-threatening complications could result.

Because of these risks, many so-called excision experts leave endometriosis of the blood vessels behind, where it can continue to cause pain and potentially severe complications.

If an excision expert has only had training with one type of method monopolar excision then he or she will not be able to remove endometriosis of the blood vessels, because that requires an entirely different excisional technique. Because of the complications that traditional excisional techniques caused when used on these delicate areas of the anatomy, Dr. Nezhat pioneered new microsurgical excisional methods that utilize non-electrical devises, making the procedure infinitely safer and more effective.

5.Back pain? Chest pain? LEG PAIN? Fatigue? Other painful symptoms of endo?

You’ve probably heard about the severe pelvic pain that endometriosis can cause right before or during menstruation. But did you know that many women with endometriosis also report lower back pain, leg & hip pain, acid reflux, chronic fatigue, upper abdominal pain, and many other symptoms that don’t appear to be related to the pelvic area? And, although very rare, some even experience chest, lung, diaphragm, and shoulder pain. Confusing matters more is the fact that these symptoms are not always cyclic, meaning that they may occur anytime during the month, not just synchronously with menstruation. READ MORE

6.Nerve pain? Safest way to remove endo that HAS invaded nerves.

Some of the most painful endometriosis lesions are those that invade nerves.

Yet, because the nerves cannot safely sustain traditional excision surgery, an entirely different technique is required. There are only a handful of surgeons in the world with the advanced skills needed to perform these extremely complex surgeries. Not only is Dr. Nezhat among the few capable of performing such extremely difficult surgeries, he’s also the one who pioneered these advanced techniques using minimally invasive methods. Email us at if you’d like to learn more about these and other advanced surgical approaches.

7.Bowel & Bladder Endo: Separating fact from fiction.

Bowel endometriosis and bladder endometriosis are two of the most commonly misdiagnosed forms of endometriosis. This is because many of their respective symptoms seem nearly identical to those of several other conditions, including acute appendicitis, inflammatory bowel disease irritable bowel syndrome, interstitial cystitis, and celiac disease, just to name a few. Complicating matters further is the fact that these other conditions can co-exist with endometriosis. To help provide clarity amidst such clinical confusion, weve compiled the following summary to help you recognize what may be symptoms of bladder and/or bowel endometriosis from those of other disorders. READ MORE

Please email us at if you would like to receive additional medical articles about Endometriosis.
Doctor Camran Nezhat is one of the world’s best known endometriosis excision experts.

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