
Having Abdominal Pain. Diagnosed With Severe Endometriosis. Should I Take A Second Opinion Before Proceeding With The Treatment?

Yes, endometriosis can change color and intensity during the cycle and can be hard to detect,but endometriosis which requires total hysterectomy is detectable by laparoscopy even by medical student. I dont see how can someone detect severe endometriosis by ultrasound and blood tests. Or ovarian scarring as well. Ovarian cysts and shape disorders may be seen,but there is no way that US can verify endometriosis better then direct laparoscopical visualisation.
Endometriosis is common cause of chronic pelvic pain and it is possible that it wasnt seen on laparoscopy,but I dont think it can be indication for hysterectomy at this point. There should be clear indication for it.If your doctor has doubts,he should do laparoscopy around the ovulation time.
I suggest to check your hormonal levels and perform CT abdominal and pelvic scan. Your pain can be caused by adhesions, diverticulitis, or some digestion disorder(IBD, pancreatic or somach issue).
Induced menopause is one of the options if your symptoms are considered to be caused by gynaecological disease. YOu can start with this,but without hysterectomy and see the improvement. If there is no pain regression after medically induced MP then you dont need to expect the improvement after hysterectomy unless there is some specific ovarian pathology.
So before any treatment, I think that,if you have enough patience, your second doctor should peform laparoscopy if he is sure about the endometriosis based on US finding. Just to make clear, hysterecomy or medical MP wont have some significant consequances and it is common treatment modality, but why would you have unneccesary surgical procedure without confirmed diagnosis.
Wish you good health.If you have any question I ll be glad to help. Regards

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
