Dr. Thaïs Aliabadi

Endometriosis, the typical endometriosis implants are glandular endometriosis.

So when you look at it, they're blood filled, right?

There are these black spots, purple spots all over the pelvis.

But sometimes you really need to look for them.

You have to lift the ovary, look underneath, look at the bladder.

Like with the laparoscope, you have to go really close to find them.

The problem is a small subgroup of patients have stromal endometriosis, who's actually, you know, this stromal endometriosis is not as rare as what you read.

It's actually very common in almost every endometriosis surgery that I do.

My PATH report shows some stromal endometriosis implants.

So stromal endometriosis, imagine those cells in the uterus.

They have the gland, but they also have the stroma, the connective tissue around it.

Stromal endometriosis doesn't have the glandular lesions with it.

It's just these fibers that have nerve endings, and the nerves get squeezed.

And actually, patients with stromal endometriosis tend to have more bloating, more inflammation, and more deeper pain.

But when you put a laparoscope, you only see these...

thin lines sometimes it takes me 15 minutes to find it so if I put a camera and I look for these purple spots I'm like no you don't have it so imagine here you have a patient who's had 15 years of pain ends up in the hospital goes home she lost her job she's on narcotics she's halfway addicted to these medications she's depressed she's anxious and finally the doctor says I think you have endometriosis let's take you to surgery and

And then they wake her up and say, you didn't have it.

But that's what I see.

They missed it.

But you want to vomit.