Colorectal Surgery

Endometriosis

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What Is Endometriosis?

Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, most often on the ovaries, fallopian tubes, pelvic lining, bowel, or bladder. This tissue reacts to hormones during the menstrual cycle, causing inflammation, scarring, and pain. An estimated 1 in 10 people of reproductive age live with endometriosis, and it remains a leading cause of pelvic pain and infertility.

Types of Endometriosis We Treat

Endometriosis is not a one-size-fits-all condition. At the Surgery Group of LA, we diagnose and manage every type, including:

  • Superficial Endometriosis: lesions limited to the pelvic surface.
  • Ovarian Endometriomas: “chocolate cysts” that form within the ovaries.
  • Deep Infiltrating Endometriosis (DIE): endometriosis that penetrates pelvic structures such as the bowel, bladder, ureters, and rectovaginal septum.
  • Extra pelvic Endometriosis: rarer cases involving the diaphragm, abdominal wall, or beyond.

Our multidisciplinary approach ensures tailored care whether symptoms are mild, moderate, or severe.

Symptoms of Endometriosis

Symptoms can vary widely, which often leads to delayed diagnosis. Common signs include:

  • Pelvic pain before, during, or after menstruation
  • Pain during intercourse, bowel movements, or urination
  • Heavy or irregular menstrual bleeding
  • Gastrointestinal issues such as bloating, constipation, or diarrhea
  • Fatigue and difficulty conceiving

Endometriosis can sometimes mimic other conditions like IBS or pelvic inflammatory disease, which makes specialist evaluation critical.

Causes & Risk Factors

The exact cause of endometriosis remains uncertain, but several theories exist:

  • Retrograde menstruation (menstrual blood flowing backward through fallopian tubes)
  • Immune system dysfunction, making the body unable to clear misplaced tissue
  • Genetics and family history
  • Hormonal influence, especially estrogen
  • Possible environmental contributors
Diagnosis & Screening

Diagnosis

Diagnosis typically involves a step-by-step approach:

Surgical Approaches at Surgery Group of LA

Our colorectal and gynecologic specialists are skilled in advanced, minimally invasive surgical techniques, often working together when bowel or bladder involvement is present. Approaches include:
These techniques allow comprehensive treatment of endometriosis while prioritizing fertility, organ preservation, and long-term relief.
Treatment

Treatment Beyond Surgery

  • Hormonal therapy: oral contraceptives, progestins, or GnRH medications to suppress endometriosis growth.
  • Pain management: NSAIDs and complementary therapies.
  • Supportive care: pelvic floor therapy, diet and lifestyle adjustments, and fertility counseling.
Coping Strategies

When to Seek Care

If you are experiencing persistent pelvic pain, infertility, or symptoms that disrupt your quality of life, it may be time to see an endometriosis specialist. Early diagnosis and expert treatment can make a significant difference in managing symptoms and protecting long-term health.

Minimally Invasive Procedures

Frequently Asked Questions

How can I tell if my symptoms are caused by hemorrhoids?

Symptoms like itching, swelling, and occasional bleeding during bowel movements may indicate hemorrhoids. A professional evaluation can confirm the diagnosis.

Are there lifestyle changes that can help prevent hemorrhoids?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

How long does it take for hemorrhoid treatments to work?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Do all hemorrhoids require medical treatment?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Can untreated hemorrhoids lead to complications?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

What are some signs that I might need hemorrhoid surgery?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

36,782

+

Successful Surgeries

126

Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with an Endometriosis Specialist Near Me

Take the first step toward relief. Schedule a consultation today with an experienced endometriosis specialist in Los Angeles at the Surgery Group of LA and get personalized care that makes a difference.

310-861-7493

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