Hello, lovelies. My name is Arti Shah, and welcome to another episode of A Ray of Sunshine, a journey of an endo warrior and everything in between.

In this episode, we discuss endometriosis causes and treatment from a patient's perspective and from specialist doctors' perspective.

There’s no cure for endometriosis, which is a historically underfunded area of medical research.

Currently, pain management is the main treatment goal for endometriosis for most patients who can’t afford an excision surgery for endometriosis.

Surgery for endometriosis is either excision which is the golden standard surgery treatment for endometriosis and ablation. Excision surgery is physically cutting out endometriosis lesions at the root and not leaving any of the disease behind. Whereas ablation is burning or vaporising endometriosis at the surface with a laser or heat gun, leaving roots and other scar tissue behind, causing reoccurrence of the illness.

Non-surgical treatments available do not address the endometriosis itself, but instead aim to alleviate corresponding symptoms and help manage the condition.

We also hear from the following Endo patient advocates and doctors:

Katie Boyce, Board-Certified Patient Advocate and Chemist, Co-Founder of Endo Girls Blog (https://endogirlblog.com/), USA

Dr. Vimee Bindra is a Consultant Gynaecologist, Laparoscopic Surgeon, and medical writer. She specializes in Gynaecology and Obstetrics, Gynae Endoscopic Surgery, and Endometriosis Excision. Dr. VImee Bindra Basu is a renowned Obstetrician and Gynecologist at Apollo Hospitals, Jubilee Hills, Hyderabad.

Dr. Ramiro Cabrera Carranco, MD, Endometriosis Specialist, Gynecologist.Mexico.

Disclaimer: The information on this podcast is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment.

The transcript of the first few minutes of this podcast is presented below:

Hello, Lovelies. My name is Arti Shah, and welcome to another episode of A Ray of Sunshine, a journey of an endo warrior and everything in between. Welcome home.

In today's episode, we discuss endometriosis causes and treatment of endometriosis from a patient perspective and from specialist doctors. There are different hypothesis as to what causes endometriosis. Unfortunately, none of these theories have ever been entirely proven, nor do they fully explain all the mechanisms associated with the development of this chronic condition.

Thus, the cause of endometriosis remains unknown.

Katie: Endometriosis can, and usually, I mean it can and is a progressive disease. So what happens is that over time, you know, it's not just found in the same routine areas, it can start to get real nasty in there as it continues to feed off of its own estrogen and inflame, and it damages nearby tissue, and then we get scar tissue, we get adhesions forming.

Even though, those adhesions and that scar tissue, when we put it under a microscope, we don't see the qualities that you see of normal endometriosis lesions. What's interesting is that that's not classified as endometriosis, but it is secondary to it, and it definitely is 100% part of that disease and incredibly painful.

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