At MCRM Fertility, we take endometriosis seriously, and that means giving you real answers, thoughtful care, and proven solutions. If endometriosis excision is right for you, we can refer you to specialists in your area you can trust to help you find relief.
If you’ve been living with the pain, inflammation, or fertility challenges that come with this condition, endometriosis excision could offer the clarity and comfort you’ve been looking for. Let’s break down what to expect and where this procedure can take you on your fertility journey.
Understanding the Endometriosis Excision Procedure
When tissue that behaves like the uterine lining ends up in places like your ovaries, fallopian tubes, or pelvic walls, it tends to bring trouble with it. These circumstances are where excision comes into conversation.
Endometriosis excision is an action typically taken during laparoscopy, which is a minimally invasive surgery. With laparoscopy, surgeons can locate and remove these lesions using high-definition tools and thoughtful precision. It’s not just about reducing pain (though it often does); it’s also about clearing the way for conception, either naturally or with treatment.
Excision can be part of a smart, effective plan, especially when combined with options like IVF or IUI, depending on your full fertility profile.
What to Do Before Endometriosis Excision
Preparation makes a real difference, and your care team will walk you through the fine points. For now, here are some tips to keep in mind leading up to your procedure:
- Coordinate a ride with someone reliable
- Put food and drink on pause after midnight the night before surgery
- Double-check with your doctor about pausing meds like aspirin or blood thinners
- Stock the pantry with broths, gelatin, and electrolyte drinks for the first 48 hours at home
- Pause on smoking habits, ideally a few weeks before surgery
Implementing these points into your planning leading up to surgery sets the stage for an efficient procedure and a smoother recovery.
What Happens During Endometriosis Excision
While you’re comfortably under anesthesia, your surgeon will make a small incision near the bellybutton and inflate the abdomen with gas to get a clear view. A laparoscope (a tiny camera on a flexible tube) goes in next. This high-precision tool lets your doctor identify and either excise or destroy endometrial lesions with incredible accuracy.
Lesions that are deeper may require removal by excision, while surface-level ones may be treated with heat using electricity, ultrasound, or laser. Decisions are made based on lesion depth, size, and your fertility goals. If there’s a cyst on the ovary (an endometrioma), surgeons often remove the full cyst wall to better preserve ovarian tissue and support future fertility.
Once the work is done, the instruments are removed, incisions are stitched up, and you’re moved into recovery.
What to Expect After Endometriosis Excision
If you’ve had a laparoscopy, you’ll likely head home the same day. Recovery usually stretches over about two weeks, though everyone’s timeline varies. Fatigue, minor aches, and bloating are common but manageable with your doctor’s guidance.
Your medical team will monitor you for about an hour or two in post-op before release. After procedure, shoulder pain can happen from the gas used, but it can be eased through gentle walking. Desk work and light routines can often resume within 7–10 days, while more involved activities (exercise, sex, travel) can usually wait until your post-op visit clears you.
Book Your Endometriosis Excision Consultation
Whether you’re managing pain, planning for pregnancy, or both, the best way to understand what to expect from endometriosis excision comes from conversation with a professional who can map things out.
Reach out to MCRM Fertility today to schedule a consultation, get answers, and see where smart science can take you. If endometriosis excision is right for you, we’ll refer you to trusted professionals who can perform the procedure so you can find relief and move forward on your family building journey.