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Endometriosis:seek a gynecologist or pelvic pain specialist?

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Hello. I had endometriosis that went undiagnosed for several years. After a CT scan discovered a significant cyst on my left ovary, I decided to have a laparoscopy performed for its removal. During this time, the endometriosis (and multiple adhesions) were discovered. While most of the endometriosis was removed, some had spread to areas that were unreachable by surgery due to the high risk of nerve damage. I am now seven months post-surgery, and I have been on Depo-Provera the entire time. However, I am frequently in moderate to significant pain on a regular basis, particularly in the areas where the cyst was removed and the remaining endometriosis continues to exist. While the Depo-Provera, to my understanding, should prevent the endo. from spreading wildly, I'm not certain what to do about the levels of pain that interfere with leading a normal lifestyle. I am unsure whether to seek out a gynecologist or a pelvic pain specialist, and whether anyone will be able to help with the pai

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replied April 25th, 2013
Endometriosis Answer A43106
Welcome to ehealthforum,
Post-surgery, women have better recovery and long term relief if treatment is combined with regression therapy with use of hormones. Endometriosis symptoms can persist or recur if estrogen production or supplementation is present. Symptoms can also persist if there has been deep retroperitoneal endometriosis (as these places are not easily reachable with conventional laparoscopy). If worried, or if symptoms have remained persistent, you may also consider taking second opinion from another gynecologist before deciding on further treatment plan. Consider being in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest. Maintain healthy diet and lifestyle.
Take care.

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