Center for Urogynecology and Advanced Laparoscopic Surgery
Rafael J. Perez, MD, FACOG
Urogynecologist & Advanced Laparoscopic Surgeon located in South Miami, FL
Endometriosis is associated with pelvic pain, heavy periods and infertility. At the Center for Urogynecology and Advanced Laparoscopic Surgery in South Miami, FL, Dr. Rafael Perez uses innovative approaches to treat endometriosis, helping women find relief from painful symptoms and address infertility issues.
What is endometriosis?
Endometriosis is a painful condition that develops when the tissue that normally grows inside the uterus (the endometrial lining or endometrium) begins to grow outside the uterus. These growths are called implants, and they can form on the outside wall of the uterus, on the ovaries or the fallopian tubes, or in some cases, on the intestines or elsewhere in the abdominal cavity. Endometrial implants can range in size depending on hormonal fluctuations, and they tend to grow only during the childbearing years, with growth halting during menopause, when many implants begin to shrink.
What symptoms does endometriosis cause?
The symptoms of endometriosis can vary depending on changes in hormone levels and the size and location of the implants. Some common symptoms include:
- periods that are very painful and feature sharp cramps
- abnormal vaginal bleeding, including bleeding between periods
- pelvic pain or pressure
- lower back pain during and before periods
- fertility problems
- pain during intercourse
- vaginal bleeding following intercourse
- pain when moving the bowels
- blood in the stool or urine
Some women experience symptoms on a persistent basis while in other women, symptoms may only occur or become worse during their periods. In very mild cases, women may not realize they have the condition until they have difficulty conceiving and an examination reveals the presence of implants.
How is endometriosis treated?
Endometriosis cannot be cured, but it can be managed. One of the most common approaches to the management of mild to moderate endometriosis involves hormone therapy to help stabilize hormonal fluctuations that cause implants to grow and become symptomatic. Medication may also be prescribed to reduce pain. When endometrial implants interfere with fertility or pregnancy or cause significant symptoms that take a toll on quality of life and everyday activities, surgery may be recommended to remove the implants. Most surgery for endometriosis is performed using minimally-invasive techniques, but when the implants are large or numerous, a traditional approach using a larger incision may be a better option. In some cases, implants can recur following removal. Most women benefit from ongoing therapy to prevent or control recurrence.
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Words from our patients
"Excellent. Loved him and his staff, he spent almost 30 minutes talking to me about my medical history and how we were going to proceed."
"Dr. Perez is the best. He remains on point with his responsibilities, he cares for his patients, and asks various questions and listens well."
"He's professional, well mannered. His staff is great! All very sweet and offer exceptional service. I'm glad that I have FINALLY found a good doctor that CARES!"
"He has delivered both of my children via C-section and helped me through an ectopic pregnancy. He gives all your possible options and allows you to make the decisions"
"I have been going to Dr. Perez for about 7 years and he is a excellent Doctor. The office nurse is very friendly and reassuring."
"I have recommended him to all my friends and he excels in specialized cases if you have complicated issues."
"He is an amazing doctor, he is super nice and does a thorough, detail assessment on all his new patients."
"I have now been with Dr. Perez for 9 years. He is easy to talk to and always has a professional demeanor and has a smile on his face."
"My first experience with the doctor was extremely helpful, the doctor answered all my questions and took his time with me."