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Dr. Jeff Arrington, a renowned excision specialist and patient advocate, shares his expert perspective on when ablation might be appropriate in endometriosis treatment. He discusses the nuanced decision-making process that balances complete disease removal against fertility preservation, challenging the notion that excision is always the only acceptable approach.
• Small, superficial lesions could potentially be fully destroyed by ablation, though with more surrounding tissue damage
• When endometriosis grows around blood vessels to ovaries or the uterus, ablation may be used to preserve fertility
• Patient priorities, especially fertility concerns, should guide treatment approach decisions
• Ablation is ineffective for deeply invasive disease, especially on major organs
• Informed consent allows patients to understand risks and benefits of different approaches
Send your endometriosis questions for future Quick Connect episodes via the link in the episode description, by emailing contact@endobattery.com, or through the contact page at endobattery.com.
Website endobattery.com
Introduction to Quick Connect
Speaker 1
0:00
Life
moves
fast
and
so
should
the
answers
to
your
biggest
questions
.
Welcome
to
EndoBattery's
Quick
Connect
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,
and
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remember
expert
opinions
shared
here
are
for
general
information
and
not
for
personalized
medical
advice
.
Always
consult
your
provider
for
your
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.
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Send
it
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the
answers
.
I'm
your
host
,
alana
,
and
it's
time
to
connect
.
Meet Dr. Jeff Arrington
Speaker 1
0:44
Today
I
have
an
incredible
expert
joining
us
Dr
Jeff
Arrington
.
If
you've
spent
any
time
in
the
endometriosis
community
,
you've
probably
heard
his
name
.
Dr
Arrington
isn't
just
an
excision
specialist
.
He's
a
fierce
advocate
for
informed
consent
and
breaking
down
the
barriers
that
keep
so
many
from
accessing
proper
endometriosis
care
.
His
passion
goes
beyond
the
operating
room
.
He's
fighting
for
real
change
,
pushing
back
against
misinformation
and
making
sure
that
patients
have
the
knowledge
and
options
they
deserve
.
Let's
dive
in
.
Are
there
any
instances
where
ablation
is
used
and
is
When Ablation Can Be Effective
Speaker 1
1:18
effective
?
Speaker 2
1:18
I
would
have
to
say
yes
,
you
know
,
and
I
don't
burn
small
superficial
lesions
,
but
I
mean
there
are
some
areas
.
Say
there's
one
or
two
little
spots
.
In
theory
I
think
that
it
could
be
fully
,
you
know
,
burned
enough
to
where
that
lesion
is
fully
destroyed
.
Now
it
is
going
to
create
more
thermal
damage
or
heat
damage
to
the
surrounding
tissue
maybe
than
what
excision
would
be
damage
or
heat
damage
to
the
surrounding
tissue
maybe
than
what
excision
would
be
.
And
the
question
comes
you
know
what's
more
damaging
or
what's
worse
?
You
know
,
a
big
area
of
burned
tissue
versus
an
area
of
raw
tissue
that
will
heal
over
?
Speaker 2
1:52
In
my
practice
there
are
some
instances
where
I
do
ablation
and
the
main
thing
when
a
patient
comes
in
with
advanced
disease
,
infertility
is
the
highest
priority
.
I
let
them
know
that
we're
Fertility Preservation Considerations
Speaker 2
2:02
going
in
with
.
You
know
,
my
goal
is
to
remove
all
of
the
endo
.
But
if
I
find
endometriosis
that's
growing
really
tightly
around
blood
vessels
to
an
ovary
or
blood
vessels
to
the
uterus
,
things
of
that
nature
,
and
my
first
attempt
is
to
try
to
separate
the
disease
from
those
,
but
if
I
can't
get
it
separated
without
putting
the
organ
at
risk
,
then
I
will
back
off
and
treat
those
spots
more
conservatively
with
trying
to
burn
the
disease
rather
than
cutting
it
,
because
I
don't
want
to
risk
the
fertility
of
the
patient
.
So
those
typically
come
into
play
when
,
at
least
in
my
practice
,
where
fertility
is
the
highest
priority
and
going
after
the
disease
with
complete
excision
really
would
increase
the
risk
of
losing
an
ovary
or
a
uterus
.
And
you
know
the
patient
gets
to
decide
if
that's
the
appropriate
time
for
that
or
not
.
Speaker 1
2:53
Yeah
,
do
you
do
ablation
on
major
organs
if
you
don't
have
a
specialist
in
the
OR
with
you
?
Ablation Limitations on Major Organs
Speaker 2
3:02
No
,
I
mean
most
of
the
major
organ
type
stuff
I
can
take
care
of
on
my
own
.
Anyways
,
I
use
excision
on
those
.
Truthfully
,
if
the
disease
is
bad
enough
that
you
would
need
another
specialist
to
come
in
,
ablation
is
going
to
do
absolutely
nothing
for
it
,
Because
that
to
me
,
by
definition
that
means
it's
deeply
invasive
disease
and
burning
across
the
surface
is
going
to
do
absolutely
nothing
.
Episode Wrap & Contact Information
Speaker 1
3:27
That
makes
sense
.
That's
a
wrap
for
this
Quick
Connect
.
I
hope
today's
insights
helped
you
move
forward
with
more
clarity
and
confidence
.
Do
you
have
more
questions
?
Keep
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,
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answers
.
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link
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episode
or
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endobatterycom
or
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endobatterycom
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.
Until
next
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,
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.