Endometriosis Surgery Explained A Deep Dive into Treatment Options by an Expert === ​ If you're struggling with endometriosis, maybe have had failed surgeries or the endo simply came back because it can do that even after good surgery or treatment, or maybe you think you have symptoms of endo. There is hope and there are solutions. This is not a simple, one size fits all disease, far from it, so women may share endo as a common disease, but you are an individual, different from everyone else and deserving of a personalized plan. Expert care is crucial to guide you to a better place. I'm Dr. Steve Vasilev. I know it's hard to figure out who to trust and what doctor to go to, especially if you've already been disappointed before. So I thought I'd record this short video so you can kind of virtually meet me and hear a little bit about how I might be able to help you, or at the very least, give you a few tips, for how to find the right doc for you. I do things a little bit differently and I'll tell you how this might help you, over the next couple of minutes. As far as endo excision goes, I've been doing advanced minimally invasive surgery for decades, focusing on endo and other difficult situations like pelvic cysts and tumors, including cancers. As a double board certified, gynecologic oncologist, I can operate on any organ that endo may involve, including the diaphragm down through the abdomen and pelvis, which means bowel, ureters, bladder, rectum, et cetera. For the rare cardiothoracic or neurosurgery needs, we have a team of colleagues I work with. The point is that all your possible surgical needs should be covered wherever you are, at the very highest level if you're gonna have surgery . Beyond that, I specialize in helping women with endo as they get older, maybe you have already had several surgeries with a lot of scarring left behind. Maybe it needs to be removed, maybe looking for better surgical expertise, new solutions, fresh approaches, surgically optimizing fertility in the thirties and forties while leaving the uterus, and importantly, including how to manage endo as one gets into the perimenopausal and even menopausal years where things can really change. Endo and adenomyosis do not always burn out after menopause, and there are other risks you really need to know about, especially if you have a family history. So Endo treatment and management means more than surgery and more than pills and hormones. As a board certified integrative medicine specialist I can tell you that some holistic, nutritional, herbal mind, body, and lifestyle approaches work really well, others don't. But these approaches can help prevent and manage endo and help prevent its recurrence and help you get through surgery. This is something that requires an individualized approach. There are a lot of great generalist, holistic healers out there, but they usually don't understand endo in detail, so treatments can be ineffective or even hurt you. Endo is very variable, as I said, from person to person, so again, there's no one size fits all here for surgery, mainstream medical, or integrative holistic therapies. And Endo can evolve and change over time in years on a molecular level, so it could be a moving target. We help guide you to the best options in surgical, mainstream integrative care, work with a lot of holistic practitioners, pain specialists, pelvic floor therapists to get you a more, complete more lasting solution. Finally in our translational research labs, we're looking at the future right now. We're studying molecular behavior of endometriosis, looking for earlier non-surgical diagnosis and better tools to see if endo may be coming back, as well as better treatment options. Despite Endo likely having different and multiple causes, sometimes in the same person, it's not like we have no idea why it's there, that's kind of an unfortunate myth. We do know and we have a lot more insight into what makes Endo tick on a molecular and epigenetic level. This is leading to more options for you. If this resonates with you and you think I may be able to help you, call my office, we can jump on a Zoom call no matter where you are, we can explore what might be the best options and plan for you. If surgery is what you need and would like me to do it, I am out of network, but we work with you to see how we can best help you. I hope to talk to you soon, take care.