Laparoscopies are used not only to diagnose endometriosis, but also to surgically remove endometriosis growths to relieve symptoms, improve fertility outcomes, and stop disease progression. It’s shown to be successful in many cases. “With surgery, some [issues caused by endometriosis] can be remedied and fertility treatment options such as in vitro fertilization, medically-stimulated cycles, and intrauterine insemination are commonly used by endometriosis patients with success,” gynecologist Jennifer Hirshfeld-Cytron shared with Best Health Magazine.
Endometriosis tissue is removed during a laparoscopy through excision or ablation. Per Endometriosis.net, in ablation, endometrial growths are burned off through freezing, heat, electrosurgery, or radiofrequency. In excision, they’re cut out from their root. Some specialists find that the tissue is less likely to return with excision. Fewer physicians are trained to do excision, however, and because it’s more invasive, the recovery time is longer.
In some cases, physicians choose the method based on other factors, such as the location (excision can be risky and can potentially damage adjacent organs) and depth of the adhesions (ablation can be more effective for surface-level adhesions than deeper ones). One patient advocate for Endometrios.net explained her personal experience, saying, “When I was looking for a specialist to treat my endometriosis, many fellow patients told me that the most effective treatment would be excision surgery. However, when I finally spoke to my specialist, he told me he used both procedures depending on the type of adhesions and their location.”