Hi again, Sophie.
I agree with an earlier post that it is vital to find a doctor that either specializes in endometriosis or has a strong interest in it. Regular OB/GYNs are adequate in treating the disease, but in my experience, the best care comes from specialists.
I have a friend that recently had a laparoscopy because she was experiencing chronic pelvic pain. Her regular OB/GYN performed the surgery. He found some endometriosis lesions, but rather than removing them, he just left them and advised her after surgery to take Lupron shots. To anyone familiar with endometriosis, Lupron is an incredibly powerful drug with dangerous side-effects. It baffles me that her doctor did not remove her lesions. I feel that she would have received some relief from her pain if he had removed her endometriosis.
New advances have been made in the treatment of endometriosis, including refined surgical techniques. In previous years, surgeons used to just burn the endometriosis lesions with a laser. Researchers found, however, that burning lesions is ineffective because it does not completely remove all of the endo. Now, surgeons that specialize in endo excise (cut out) the lesions rather than burn them. This techniques has proven to be much more effective. Many regular OB/GYNs continue to burn the endometriosis, or just leave it in the patient, as what happened to my friend.
When you see your OB/GYN, I would definitely ask if he/she thinks you may have endo. If a laparoscopy is recommended, ask what surgical technique is used - burning or excision. Good luck, and keep us updated!
Take good care,
"The most called-upon prerequisite of a friend is an accessible ear." Maya Angelou