第一阶段子宫内膜异位症

Stage 1 endometriosis is characterized by minimal, superficial lesions or implants on the pelvic lining/ovaries with no significant scarring or adhesions.

Stage 1 endometriosis, also known as minimal endometriosis, is the earliest and least severe form of the condition. In this stage, small patches or isolated implants of endometrial tissue are found outside the uterus, typically on the pelvic lining or ovaries. These implants are small and superficial, measuring only a few millimeters in size. At this stage, there is minimal scarring or adhesion formation.

Despite being classified as the least severe, stage 1 endometriosis can still cause symptoms and discomfort for some individuals. Common symptoms include mild pelvic pain, particularly during menstruation, and possibly pain during intercourse. However, some women with stage 1 endometriosis may have no noticeable symptoms at all.

Diagnosing stage 1 endometriosis typically involves a laparoscopy, a minimally invasive surgical procedure, during which a thin tube with a camera is inserted into the abdomen to visualize and assess the pelvic structures. If stage 1 endometriosis is detected, appropriate management options may include pain medication, hormonal therapy, or lifestyle changes. It’s crucial for individuals experiencing symptoms or fertility concerns to consult with a healthcare professional for a comprehensive evaluation and personalized treatment plan. Early detection and management can help minimize the impact of the condition on a person’s overall health and quality of life.

子宫内膜异位症的阶段（图片来源：施普林格自然瑞士AG，2022）

Symptoms of Stage 1 Endometriosis

Stage 1 endometriosis is the mildest form of the condition, and noticeable symptoms may not always be present. However, some individuals with stage 1 endometriosis may experience the following symptoms:

Mild Pelvic Pain: Women may experience mild, intermittent pelvic pain or discomfort, especially during menstruation (dysmenorrhea). The pain can vary from person to person and may be felt in the lower abdomen or back.
Pain During Intercourse: Some women with stage 1 endometriosis may have pain or discomfort during or after sexual intercourse (dyspareunia).
Mild Menstrual Irregularities: Menstrual cycles may be slightly irregular, with variations in flow or length.
Fatigue: Fatigue or tiredness may occur during menstruation due to hormonal changes and pain.

Importantly, some individuals with stage 1 endometriosis may have no noticeable symptoms and may only discover the condition incidentally during medical evaluations for other concerns, such as infertility investigations.

It’s crucial to understand that the severity and presentation of symptoms can differ significantly among individuals.

Additionally, some women may have stage 1 endometriosis and experience severe pain, while others with more advanced stages may have milder symptoms.

如果您怀疑自己可能患有子宫内膜异位症或正在经历任何令人担忧的症状，请务必与纽约妇科子宫内膜异位症 (NYGE) 预约寻求建议和医疗评估。

Life-threatening Complications in Stage 1 Endometriosis

In Stage 1 endometriosis, life-threatening complications are rare because the disease is in its early and least severe form. However, it’s important to note that endometriosis, regardless of its stage, can cause various health challenges and negatively impact a person’s quality of life. While life-threatening complications are not typically associated with Stage 1 endometriosis, the condition can progress over time and may lead to more severe symptoms or fertility issues if left untreated.

It’s crucial for individuals with endometriosis to seek medical attention, adhere to their healthcare provider’s recommendations, and actively manage the condition to prevent potential complications in the future. Regular follow-ups with a healthcare professional can help monitor the progression of the disease and address any emerging concerns.

Diagnosis of Stage 1 Endometriosis

The diagnosis of Stage 1 endometriosis typically involves a combination of the following steps:

Medical History: Your healthcare provider will begin by taking a detailed medical history, including asking about your symptoms, menstrual cycle, and any previous medical conditions or surgeries.
Physical Examination: A pelvic examination may be performed to check for any abnormalities or signs of endometriosis.
Imaging Studies: While Stage 1 endometriosis may not always be visible on imaging, an ultrasound may be conducted to rule out other possible causes of pelvic pain and to assess the pelvic structures.
Laparoscopy: The gold standard for diagnosing endometriosis is through a surgical procedure called laparoscopy. During laparoscopy, a thin, lighted instrument (laparoscope) is inserted through a small incision in the abdomen to visualize the pelvic organs and look for endometrial implants, lesions, or adhesions. Biopsies of suspicious areas may be taken for further confirmation.
Histology: Biopsy samples obtained during laparoscopy are sent to a pathologist for examination under a microscope to confirm the presence of endometrial tissue outside the uterus.

早期诊断和干预可以为子宫内膜异位症患者带来更有效的管理并提高生活质量。

Surgical Treatment for Stage 1 Endometriosis

Surgical treatment for Stage 1 endometriosis typically involves a minimally invasive procedure called laparoscopy. The main goals of surgical treatment are to diagnose the condition definitively and to remove or ablate (destroy) any endometrial implants or lesions found during the procedure. Here’s how surgical treatment for Stage 1 endometriosis is usually conducted:

腹腔镜检查

Laparoscopic surgery is performed under general anesthesia. A small incision is made near the navel, and a thin, lighted instrument called a laparoscope is inserted to visualize the pelvic organs and identify endometrial implants.

根据医疗蓝皮书，腹腔镜子宫内膜异位症切除术的费用可能因地点、医疗保健提供者和保险类型而异。平均而言，该手术的费用从 4,000 美元到 15,000 美元不等。请务必注意，这些是估计成本，可能并不反映您可能产生的实际成本。

为了获得准确的费用估算，建议请求与纽约妇科子宫内膜异位症 (NYGE) 预约。

切除或消融

In Stage 1 endometriosis, both excision and ablation are possible surgical treatment options, depending on the specific characteristics of the endometrial lesions and the surgeon’s expertise. Here’s an explanation of each procedure:

Excision: Excision involves surgically removing the endometrial lesions or implants. The surgeon carefully cuts away the affected tissue, ensuring that the entire lesion is removed, including any deep-seated parts. This method aims to completely eliminate the endometriotic tissue, reducing the likelihood of recurrence.
Ablation: Ablation, also known as vaporization or coagulation, uses heat (laser or electrical energy) to destroy the endometrial lesions. The heat energy effectively destroys the tissue on the surface, but it may not penetrate deeply into the lesion. As a result, there is a higher chance of residual tissue remaining, which can potentially lead to a higher chance of recurrence compared to excision.

While both excision and ablation can be used for Stage 1 endometriosis, excision is generally considered more effective for completely removing the endometrial tissue and reducing the risk of recurrence. However, the choice of the surgical technique depends on various factors, including the size and location of the lesions, the surgeon’s expertise, and the individual patient’s preferences and needs.

机器人手术

Robotic surgery is an advanced and minimally invasive approach for treating Stage 1 endometriosis. During the procedure, small incisions are made in the abdomen, and a robotic surgical system is used to control precise movements of surgical instruments. The surgeon can visualize the pelvic organs in high-definition 3D, identify and remove or ablate endometrial implants, and potentially address any adhesions. Robotic surgery offers advantages such as improved precision, reduced tissue trauma, shorter hospital stays, and potentially faster recovery compared to traditional open surgery.

However, the choice of surgical approach should be discussed with a qualified healthcare professional based on individual needs and circumstances.

Pankaj Singhal, MD, MS, MHCM

机器人手术外科医生大师

Pankaj Singhal 博士是全球公认的子宫内膜异位症外科医生，在腹腔镜切除手术方面拥有超过 25 年的专业知识，这使他能够充满信心地应对最具挑战性的子宫内膜异位症病例。 Pankaj 医生治疗患有多种子宫内膜异位症相关疾病的患者，从卵巢子宫内膜异位症到影响肠道和其他器官的严重深部浸润性子宫内膜异位症。

Pankaj 医生优先考虑微创手术并提供全面的个人护理。此外，他还是纽约妇科和子宫内膜异位症 (NYGE) 的所有者和创始人，并一生致力于倡导、尊重和治疗患有这种鲜为人知的疾病的女性。他是全美国少数完成超过 5,718 例机器人辅助妇科手术的外科医生之一。

我们接受大多数主要保险计划

便捷的计费选项，全面覆盖。

手术通常由健康保险承保。然而，承保范围可能会有所不同，具体取决于具体的保险计划和保单。一些保险计划可能涵盖广泛的外科手术，包括选择性和必要的手术，而其他保险计划可能对某些手术有限制或排除。

在某些情况下，某些保险计划或计划可能会全额承担手术费用，使患者无需承担经济责任。

听取我们客户的意见

NYGE 确实改变了我的生活。我之前在纽约市的一家知名医疗服务提供者那里接受过花费 15k 的子宫内膜异位症手术，这对我来说需要 6 小时的车程，两年后才需要再次手术。

医生们从切除能力和对疾病的理解，到手术技巧，再到病人护理，都非常优秀，知识渊博。我距离手术还有 6 周时间，他们仍然会检查我并回答我的任何和所有问题。

我非常感激能找到他们。

Singhal 医生是一位了不起且优秀的医生！他解释得很彻底，很友善，而且对待病人的态度非常好！他向我保证并安慰了我的手术过程以及我的选择。

花时间回答我所有的问题和疑虑。他的员工也很优秀。回电话，并随时回答问题。见到他从来不用等很长时间。

他确实是最好的外科医生和医生之一！我强烈推荐他！！

Singhal 医生和 McLean 医生是非常彻底且知识渊博的外科医生。他们对我的两次手术设定了明确的期望。 Singhal 医生和 McLean 医生为我进行了第四期子宫内膜异位症手术。

手术切口非常小，几乎不易察觉。手术缓解了我正在经历的胃肠道症状，例如排便疼痛、腹胀和腹胀。

我强烈推荐他们给任何需要他们专业知识的人。

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