Endometriosis-associated pelvic pain is a chronic recurrent condition in women, and has no specific “cure” other than surgery to remove all internal sexual organs with the endometriosis. The clinical course of endometriosis-associated pelvic pain can be variable, but is progressive in 70% of patients, spontaneously regressing in 10-15% and staying stable in the remainder. Because the diagnosis requires tissue for microscopic inspection, biopsy by laparoscopy is required when endometriosis is suspected. Most cases of endometriosis cannot be diagnosed by blood tests, ultrasounds, or CT scans. Because the condition is progressive in a majority of patients with chronic pelvic pain, diagnosis is essential to instituting timely therapy to stabilize the condition, suppress the growth of implants, and reduce inflammation in the pelvic tissues. Accordingly, the diagnosis and treatment of endometriosis typically combines both surgery and medical therapies.
Endometriosis medical expert witness specialties include gynecology, urogynecology, robotic gynecology, and anesthesiology.