Improving the Management of Endometriosis | Mona E
Summary :
Endometriosis is a condition that affects at least 1 in 10 women worldwide and is a common cause of Dysmenorrhea, Dyspareunia, Dyschezia, and Chronic Pelvic Pain. Endometriomas affect more than 20% of women with endometriosis and are often associated with deep infiltrating endometriosis in 60-80% of women that present with Endometriomas. Management of endometriomas is extremely important because of all types of endometriosis are most likely to affect the fertility of a patient. The presence of endometriomas can cause decreased ovarian reserve and affect egg quality and implantation rates. Removal in tern can also decrease ovarian reserve and if not removed properly can result as well in high recurrence rates. This presentation will review the diagnosis and management of endometriomas including mechanisms to identify patients that may benefit from surgical management as well as advanced techniques that a surgeon may use to adequately remove endometriomas without affecting ovarian function. A discussion of tips and techniques of addressing both the endometrioma as well as the associated endometriosis will be held. Surgical techniques and types of energy used to treat endometriosis surgically will also be reviewed.
About Author :
Mona Orady, MD, is the Director of Robotic Surgery Services at St. Francis Memorial Hospital in San Francisco, California practicing gynecologic minimally invasive Surgery at Dignity Medical Foundation. She is also the Director of the Dignity Health Center for Advanced Gynecology and Minimally Invasive Surgery and is starting a fellowship in Endometriosis and advanced minimally invasive surgery. She is currently the Vice President of the Society of Laparoscopic and Robotic Surgeons after serving for 10 years on their Board of Directors. Formerly, Dr. Orady was the Director of Robotic Surgery Education at the Cleveland Clinic Obstetrics &Gynecology & Women’s Health Institute, specializing in robotic surgery in benign gynecology. While there, she developed and oversaw the minimally invasive surgery curriculum for gynecology residents at the Cleveland Clinic. She was actively involved in teaching medical students and residents and advancing MIS surgery education with involvement on the Robotic
