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Dr. Abhishek Mangeshikar, leading endometriosis specialist from the Indian Center for Endometriosis, shares expert insights on post-excision medical management and endometrioma concerns. His straightforward explanations debunk common myths while providing practical guidance for patients navigating surgical recovery and ongoing treatment options.
• Medical management after excision may be appropriate for patients with adenomyosis who wish to keep their uterus
• Progesterone-containing IUDs like Mirena can help suppress adenomyosis symptoms
• Temporary hormonal suppression (3-4 months) may protect healing ovaries after large cyst removal
• Endometrioma rupture during surgery does not cause disease spread or "upstaging" as with cancer
• Virtually all endometrioma excisions involve some rupture as part of the surgical process
• Successful surgery requires complete ovary mobilization and removal of all underlying disease
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