Endometriosis/Endo recurrence?


I had laparoscopic surgery to remove cyst from my left ovary and severe endometriosis 4 months ago. Last month was my first monthly period without agonising pain. Last night I had a severe dull aching on my right side and intercourse is slightly painful now too

I'm contemplating going back to my doctor and asking for a repeat ultrasound just to check all is ok but surely after just 4 months I shouldn't be having problems again.

I'm at my wits end, low because of this. I feel I can't take much more.  Don't want to keep going through operations for this :-;(

Any advice would be very much appreciated

Hello and happy new year,
I am sorry to learn of your recurrent symptoms; as unfortunate as this development is, it is not in the least unusual. If the disease was not excised and the cyst merely drained, it is completely feasible to consider the possibility of remaining disease continuing to cause problems.  An ultrasound may indicate presence of a new/recurrent endometrioma, but it is unlikely to show any rectovaginal or other active disease. An MRI is more highly sensitive/specific; ultimately, however, only surgery will prove presence of disease.  If surgery is indicated (repeat surgery is very common in endometriosis due to failed prior treatments including incomplete surgery, as you may have possibly experienced yourself), be sure to choose a surgeon who will excise and completely cut out all disease vs. ablation or vaporization, both highly ineffective means of surgical treatment.  You can interact with others and learn more/obtain recommendations for a new physician to seek secondary opinions from here: https://www.facebook.com/EndoResCenter You may also be interested in our free records review; outlined here: http://centerforendo.com/index.htm  Best wishes and speedy healing to you!


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Heather Guidone


Minimally Invasive Gynecologic Surgery Program & Education Director - Center for Endometriosis Care | Senior Voting Member, Executive Board - Endometriosis Research Center | Former Director of Clinical Education - Endometriosis Foundation | Immediate-past Board Member, American Society for Reproductive Medicine's Women's Council | Member, AAGL, SLS & ASRM | Extensively published female reproductive health writer/consultant


Minimally Invasive Gynecologic Surgery Program & Education Director for the Center for Endometriosis Care, a 25 year old specialty practice serving the global endometriosis population. Senior voting Director on the Executive Board of the Endometriosis Research Center, an international non-profit. Former Director of Scientific, Medical & Industry Education for the Endometriosis Foundation, a non-profit organization founded by celebrity Padma Lakshmi and Tamer Seckin, MD. More than 2 decades spent collaborating with and working for various industry clientele, including the world's leading biotech, medical device and clinical research corporations. Diverse works include successful planning and execution of core scientific programs for endometriosis surgery and biomedical research; health coaching and patient advocacy; extensive authorship of CME programming and content, monographs, case studies and much more; strategic planning and patient relationship optimization; implementation and administration of novel programs designed to improve delivery of patient-centric women’s healthcare; planning and oversight of educational outreach endeavors including those designed specifically for nurses, physicians, students, legislators and the general public; and more. Author of countless endometriosis and woman’s health materials in the consumer and professional sectors, and been a featured guest and consultant for multiple segments on national radio health programs, within leading health magazines, within the legislative sector, and across many professional Symposia. NOTE: This service is provided for information purposes ONLY. It is not, under any circumstances, to be misconstrued as medical advice or serve as a replacement for your personal physician/patient relationship. If you are experiencing a medical emergency or require medical advice, please contact your private healthcare provider immediately.

Endometriosis Research Center; American Society for Reproductive Medicine; Society of Laparoendoscopic Surgeons; Association of American Gynecologic Laparoendoscopists; Association of Reproductive Health Professionals; National Association of Chronic Disease Directors; World Endometriosis Society; World Endometriosis Research Foundation.

Journal of Gynecologic & Obstetric Investigation; APGO; AAGL; proceedings of the 9th World Congress on Endometriosis; Journal of Informed Medicine; Insider Reports; Life Tools for Women; Bella Gynecology; OBGYN.net; America Online's Health Network; Galaxy of Health; Discovery Health TV; the Health Channel; Association of Professors of Gynecology & Obstetrics; Valeo Medical; Jespersen Associates; Women with Disabilities Task Force; Covidien Corporation; ValleyLab; Cytyc Corporation; PortaScience; MammoSite; MedPond; Dr. Jennifer Ritchie-Goodline; Endometriosis Research Center; Associated Content; Comcast Media; Thrive@Health; Health Frontier; New South Wales Endometriosis Association of Australia; National Women's Health Information Center; Menses United Kingdom; Equus Sanctuary; Season Magazine; RedBook Magazine; Cosmopolitan Magazine; Pregnancy Today; Nurses World; Coping with Endometriosis" by Glenda Motta, RN, MPH and Robert Phillips, Ph.D.; "Living well With Endometriosis" by Kerry-Ann Morris; "Endometriosis: 100 Questions & Answers" by David Redwine, MD; the "Letter from Survivors" (a poignant insight into the life of the Endo patient which has received international acclaim and been extensively reprinted in innumerable resources and presented on the steps of the Lincoln Monument in Washington, DC); "Real People, Real Stories: How the Internet is Touching Lives;" Times Herald Record; much, much more.

Association of PeriOperative Registered Nurses-AORN Certified: Perioperative Standards & Recommended Practices, Certified, Operating Room Protocols. Certified, Exposure to Bloodbourne Pathogens Standards (OSHA). Rutgers University, School of Continuing Adult Ed-Certified: Women's Health Educator, Med-Surg/Operating Techniques, Certified, Anatomy & Physiology, Certified, Patient Exam Techniques. Columbia University, School of Professional Continuing Education-Certified: Journalism for Business, Certification/Professional Writing, Certification/Creative Writing & Marketing. Sacramento State, College of Continuing Education-Certified: Healthcare Management.

Awards and Honors
National Winner, 2012 "Passion in Women's Pelvic Health" award Featured in 20th edition of "Who’s Who among American Women" 12-term judge by invitation for National Health Information Resource Centers "World Wide Web Health Awards" Program Invited Presenter & Co-Chair, Second Annual Women in Government Health Summit, Washington, DC

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