Diagnosing and treating endometriosis with minimally invasive surgery

Rachel Cullifer, MD, a gynecologic surgeon with Allegheny Health Network (AHN).

Minimally invasive surgery is becoming known as a more accurate and reliable way for physicians to diagnose and treat endometriosis.

Endometriosis affects millions of women worldwide. While the condition is well-known, its diagnosis can be notoriously difficult, often leading to delayed treatment and significant patient suffering. Minimally invasive surgery, however, is emerging as a powerful tool for both diagnosis and treatment, offering a more precise and less invasive approach.

“Diagnosing endometriosis can be challenging,” says Rachel Cullifer, MD, a gynecologic surgeon with Allegheny Health Network (AHN) who specializes in minimally invasive techniques. “The symptoms are often vague and can mimic other conditions, making it challenging to pinpoint the cause.” Common symptoms include pelvic pain, painful periods, painful intercourse, and infertility. However, these symptoms can also be associated with other conditions, leading to misdiagnosis and frustration for both patients and physicians.

Traditional diagnostic methods, such as pelvic exams and ultrasounds, can be limited in their ability to definitively diagnose endometriosis. “While these tools are helpful, they often fail to capture the full picture,” says Dr. Cullifer. Alternatively, laparoscopy allows surgeons to directly examine the pelvic organs, identify endometriosis lesions, and even perform biopsies for confirmation.

Beyond diagnosis, laparoscopy offers a unique advantage in treating endometriosis. The procedure allows for precise removal or ablation of endometriosis lesions, minimizing damage to surrounding tissues and reducing the risk of complications. “The ability to see the lesions and remove them in the same procedure is invaluable,” explains Dr. Cullifer. “By combining diagnosis and treatment in one minimally invasive procedure, we can significantly improve the quality of life for patients with endometriosis.”

Minimally invasive surgery for endometriosis is not only beneficial for patients but also for physicians. “It allows us to provide more accurate diagnoses and targeted treatments, leading to better outcomes for our patients,” says Dr. Cullifer. “We can also offer a less invasive and more comfortable experience for our patients, which is crucial in managing a condition that can be so debilitating.”

While endometriosis remains a complex and challenging condition, minimally invasive surgery is revolutionizing the way it is diagnosed and treated. By offering a more precise and less invasive approach, it is empowering both physicians and patients to solve the mystery surrounding endometriosis and pave the way for more effective and personalized treatment.

To refer your patient to AHN for expert gynecological care, call 412-578-1116.