Endometriosis and UTI: Endometriosis Diagnosis and Treatment - Dr. Shaheen Khazali (Part 2)

In this video Dr. Khazali, a gynecological surgeon based in London, discusses the following:
● If Endometriosis is suspected, the diagnostic method is usually determined after a thorough inquisition into the patient’s pain characteristics. Diagnostic tools include ultrasound, laparoscopy and MRI.
● For anyone suspecting they may have Endometriosis, clear and frank communication may help medical practitioners take action towards diagnosis.
● Currently in the UK, the average duration before Endometriosis is diagnosed is eight years, however, there are some promising emerging technologies-involving blood and saliva testing-that could significantly improve this in the future.
● When it comes to treatment, this isn’t a one-size-fits-all approach because symptoms and patient concerns differ.
● Treatment is devised by considering the least invasive method that will achieve the patient’s desired outcomes. And an Endometriosis diagnosis doesn’t automatically mean surgery will be suggested, although it is considered the gold standard.
● If surgery is required there are two main types: Ablation, which is not recommended, and Excision. Ablation involves applying heat and is effective only on superficial lesions. Excision involves cutting away the abnormal areas and requires much more expertise.
● In some cases, where Endometriosis has grown into other areas of the body, a partial removal of the organ may be an option. It’s important to remember that Endometriosis is not life threatening in itself, the reason for treatment is around quality of life, not preservation of life.
● Though Endometriosis can recur, recurrence after excision is very low.
● After surgery, instances of excessive menstrual bleeding or urinary symptoms usually ease.
● Those who have Endometriosis can safely use HRT or vaginal estrogen therapy if needed.
● Medication for Endometriosis is for symptom management only, not eradication.
● Little is known about the relationship between long term antibiotic use (for recurrent and chronic UTI) and Endometriosis.
● When it comes to supplements for Endometriosis, Dr. Khazali reminds us that there is no conclusive evidence that they are effective but they are probably unlikely to be doing harm.
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About Dr. Shaheen Khazali
Dr. Khazali is a gynecological surgeon based in London, England. He has focused his
practice almost exclusively on laparoscopic and robotic Endometriosis surgery and has a particular interest in gastrointestinal and urinary tract Endometriosis excision and
Neuropelveology.
He served on the council of British society for Gynaecological Endoscopy (BSGE) until 2021 and is now the Honorary Secretary of the International Society of Neuropelveology and an executive board member of European Endometriosis League as well as member of the advisory boards of ESGE.
Visit Dr. Khazali’s website: Endometriosisc...
Follow Dr. Khazali on social media: @shaheenkhazali
About Live UTI Free
Live UTI Free is a patient advocacy and research organization. We do not endorse specific treatment approaches, clinicians or diagnostics methods. The content of this video does not provide medical advice. It is intended for informational purposes only. The medical and/or nutritional information is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen. liveutifree.com/
Post-production: Melissa Wairimu / kreativlee_