SmackAMack’s Blog

March 11, 2009

Endometriosis (aka Mack Attack)

Filed under: Uncategorized — smackamack @ 3:53 pm


Ok…here’s some information on what I have (we think):

180px-douglas_endometrioseEndometriosis (from endo, “inside”, and metra, “womb“) is a medical condition in women in which endometrial cells are deposited in areas outside the uterine cavity. The uterine cavity is lined by endometrial cells, which are under the influence of female hormones. Endometrial cells deposited in areas outside the uterus (endometriosis) continue to be influenced by these hormonal changes and respond similarly as do those cells found inside the uterus. Symptoms often exacerbate in time with the menstrual cycle.

Endometriosis is typically seen during the reproductive years; it has been estimated that it occurs in roughly 5% to 10% of women.[1] Symptoms depend on the site of implantation. Its main but not universal symptom is pelvic pain in various manifestations. Endometriosis is a common finding in women with infertility.

Laparoscopy to remove or vaporize the growths in women who have mild or minimal endometriosis is effective in improving fertility. One study has shown that surgical treatment of endometriosis approximately doubles the fecundity (pregnancy rate).[20] The use of medical suppression after surgery for minimal/mild endometriosis has not shown benefits for patients with infertility.[3] Use of fertility medication that stimulates ovulation (clomiphene citrategonadotropins) combined with intrauterine insemination (IUI) enhances fertility in these patients.[3]

Now tomorrow I am having this…
180px-laproscopic_surgery_robotA very small fiber-optic scope [5mm in diameter] called a laparoscope is inserted into the abdomen below the umbilicus, to look for endometriosis, scarring, adhesions, ovarian mass, fibroids and other pelvic diseases. This procedure can be performed under general anesthesia, and the patient normally goes home two hours following the completion of this procedure. Dr. Kanayama developed highly effective techniques to treat endometriosis, fibroids and other gynecologic conditions by this outpatient laparoscopy approach.
Dr. Kanayama also specializes in deep nodular excisions of endometriosis or related advanced conditions. Having succefully treated over 3,500 endometriosis cases, he developed a highly specialized surgical excision technique, which involves deep retro-peritoneal dissections and complete removal of deep endometriosis implants and sparing major organs close to deep endometriosis. His technique is a highly safe procedure and results in one of the minimum complication rates in the US. Similar techniques are practiced by only a few dozen gynecologic surgeons in the world.

dr_kanayama1Furthermore, Dr. Kanayama developed a new technique of unique pelvic reconstructive surgery by operative laparoscopy. By using this meticulous technique, normal anatomical functions and locations of vital organs affected by endometriosis are restored, including uterus, fallopian tubes, ovaries, bladder, rectosigmoid colon and pouch of Douglas. By this reconstructive laparoscopy, after endometriosis excisions, many of Dr. Kanayama’s patients achieve spontaneous pregnancies, without medications or IVF.

Yup, my doctor Kanayama is one of only 6 in the US that can perform this (12 in the world).  Fingers crossed we don’t go in there and find nothing…that would probably be the most awful news i could possibly here…too many years of pain. 

I hope this clears everything up! So see you guys after spring break!



  1. well be careful to avoid any spontaneous pregnancies! I’ll see you next week… good luck and gimme a txt when you’re functional

    Comment by mswiley2508 — March 11, 2009 @ 4:35 pm | Reply

  2. that info on kanayama is not correct…i wish you well, and hope you do not have pain and problems, but he tends to stretch the truth

    Painful sex / bowel movements can be related to endo in the cul-de-sac / pouch of douglas, located between the rectum and vagina.

    These are some great sites, surgery can help. Endo can get worse without surgery 😦 (they’re great!)

    Comment by lola — April 24, 2009 @ 2:33 am | Reply

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