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IUD Options

For convenience in birth control, it is hard to beat the IUD (intrauterine device).  Currently in the US, there are three options available. The oldest one on the market is the Paragard® IUD. It ...

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Endometriosis

Endometriosis is a fairly common benign condition, but can be very difficult to diagnose. Many different endometriosis treatments are available, and Dr. Roberts will work with you to find which endometriosis treatment works best for you. 

Endometriosis occurs when the normal uterine lining tissue (endometrium) is found outside of the uterus. Most commonly it occurs as tiny little “dots” or implants on the lining surface of the pelvis, and they may get there through “backward” menstrual flow out the ends of the Fallopian tubes. In some cases, scarring in the pelvis can occur as well as blood-filled cysts (endometriomas) in the ovaries.

Many patients with endometriosis suffer no problems, while others experience severe disabling menstrual cramps, pelvic pain and/or infertility. Many patients will have multiple office and emergency room visits for severe bouts of pain with normal ultrasound and CT scan findings before the diagnosis is even considered. As the tiny implants and scarring will not show up on any kind of scan, a definite diagnosis would require an outpatient surgery (laparoscopy) to visualize it. This surgery is not always necessary, as its benign nature allows for a trial of medication to see if the symptoms can be controlled.

Endometriosis treatment

A number of medications have been used to hormonally suppress the disease as well as to control pain and provide relief for menstrual cramps. Conservative laparoscopic surgery to remove implants and scar tissue can be performed, keeping the option for pregnancy open. For severe cases where other options have failed and pregnancy is no longer desired, the only permanent cure is by hysterectomy surgery with removal of both ovaries. 

Our endometriosis patients come to us from Cary, Apex, Holly Springs, Wake Forest and Raleigh, near Brier Creek in Wake County, NC. For the full spectrum of gynecologyl care that’s essential for good health, call Dr. Lee Ann Roberts at 919.881.7766 today or use our online Request an Appointment form to schedule your consultation.