Understanding Endometriosis

Stages, Surgery & Treatment Options

At PRM, we want to ensure our patients have everything they need to prepare for each of their appointments, consultations, and operations. Here, you’ll find the resources you need and answers to your questions, so you can best prepare to meet with your endometriosis excision surgeon and know how to prepare and care for yourself before, during, and after your operation.

View our collection of educational resources designed to help you better understand symptoms, progression, and advanced treatment approaches.

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Stages of Endometriosis Types of Endometriosis Surgery What Is Excision? When to Seek Care Specialized Care

Endometriosis Stages 1-4

Exploring the Stages and Progression of Endometriosis

Endometriosis is classified into four stages based on the extent, depth, and location of tissue growth. These stages range from minimal surface lesions to deep infiltrating disease affecting surrounding organs.

It’s important to understand that stage does not always correlate with pain severity. Some patients with early-stage disease experience significant pain, while others with advanced disease may not.

Severe endo stages may involve:

• Deep lesions
• Adhesions
• Organ involvement
• Scar tissue formation

Understanding progression helps guide long-term treatment decisions.

Endometriosis Surgery Options for Diagnosis and Removal

It’s important for patients to understand that there are different types of endometriosis surgery available to diagnose and treat endometriosis. The two most common surgical approaches are diagnostic laparoscopy, which is used to identify and confirm the condition, and laparoscopic excision surgery, which involves removing endometriosis lesions. At PRM Centers of Excellence nationwide, our experts specialize in laparoscopic excision surgery, coupled with the PRM Protocol™ to optimize surgical outcomes prior to excision and support the management of inflammation and comorbidities following surgery.

Endometriosis Symptoms

When to Seek Specialized Care

If you experience:

• Severe menstrual pain
• Pain that limits daily life
• Symptoms returning after prior surgery
• Bowel or bladder involvement
• Family history of endometriosis

 Endometriosis can look different for everyone. Some people experience constant discomfort, while others have pain that comes and goes or worsens over time. Because many people are told their pain is normal, it can be difficult to know when symptoms deserve more attention. Our pain score quiz can help you better understand how your symptoms are affecting your daily life and whether it may be time to explore additional support.

Endometriosis Pain Impact Score

This quick quiz helps you put a number to how pelvic pain is affecting your day-to-day life. It is not a diagnosis, but it can help you decide what your next step should be.

0 = no pain, 10 = worst pain imaginable
Tip: On desktop, hold Ctrl/Cmd to select multiple. On mobile, tap to select.
Please answer the required questions so we can calculate your score.

Your Pain Impact Score: --

Impact Level: --

Want to better understand endometriosis and what treatment options may be available to you? Fill out the form below or call us today to learn more and stay informed about the latest advances in pelvic pain care.

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Specialized Endometriosis Care Nationwide

At PRM’s Center of Excellence, our surgical team is fellowship-trained in minimally invasive endometriosis surgery and focused exclusively on the diagnosis and treatment of endometriosis.

We believe patients deserve a comprehensive, long-term strategy. They do not just need temporary symptom management. This expertise allows us to treat complex and advanced disease patterns with precision and care.

If you interested in learning more about our approach to endometriosis beyond surgery, contact our team of specialists today.

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