Episode 4: Robotic Surgery vs. Excision, Medical Treatment Post Excision, Endometriomas and Fertility
Release Date: 09/12/2019
The Endometriosis Podcast
In this illuminating episode, Dr. Shanti Mohling and Dr. Nicholas Fogelson dive into the science behind supplements and functional medicine approaches to managing endometriosis. From NAC and curcumin to the role of Vitamin D and the gut microbiome, they explore which anti-inflammatory tools hold real promise—and which ones may not. They also tackle a listener's question about persistent post-op symptoms and break down why the term “IBS” isn’t always the end of the diagnostic road. Highlights: The anti-inflammatory mechanisms of NAC, alpha-lipoic acid, curcumin, and fish oil Why...
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In this episode, Dr. Nicholas Fogelson and Dr. Shanti Mohling dive deep into the complex overlap between endometriosis and nerve-related pelvic pain. They discuss a pivotal paper by Dr. Marc Possover on laparoscopic treatment for endometriosis and vascular entrapment of the sacral plexus — groundbreaking work that opened new paths for addressing sciatica caused by pelvic disease. The conversation explores how nerve irritation and compression can manifest, why menstrual cycle patterns matter, and how careful patient selection guides surgical decisions. If you or someone you know has...
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In this episode, Dr. Nicholas Fogelson and Dr. Shanti Mohling discuss a compelling new study from the Journal of Minimally Invasive Gynecology exploring spontaneous conception and live birth rates in infertility patients after endometriosis surgery. They break down what the data reveals about excision versus ablation, the role of age, and the surprising lack of correlation between disease stage and fertility outcomes. Along the way, they examine how inflammation impacts egg viability, why BMI may not matter as much as once believed, and how social media is transforming surgical education and...
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In this episode, Dr. Nicholas Fogelson and Dr. Shanti Mohling relaunch The Endometriosis Podcast with an in-depth look at one of the most crucial surgical decisions for patients with deep endometriosis: how aggressive should bowel surgery be? You’ll hear their thoughts on recent meta-analysis comparing conservative techniques (like shave and discoid resection) to radical approaches (like segmental bowel resection). Dr. Fogelson and Dr. Mohling break down how disease severity, nerve preservation, and surgical judgment all shape patient outcomes — and why sometimes a more radical surgery is...
info_outlineThe Endometriosis Podcast
Join surgeon Nicholas Fogelson and endometriosis researcher Libby Hopton as they answer listener questions and discuss recently published research. This episode was recorded in July 2017. Stay tuned for future episodes!
info_outlineThe Endometriosis Podcast
Dr. Nicholas Fogelson, MD, and Libby Hopton discuss new literature on endometriosis. Studies include a comparison of excision and ablation surgeries for superficial endometriosis, and a review of studies on treating the disease with hormonal contraception. Also, a look at how endometriosis may be connected to the state of a patient's microbiome, and more.
info_outlineThe Endometriosis Podcast
Dr. Nicholas Fogelson, MD, and Libby Hopton discuss new literature on endometriosis and answer questions from the endometriosis patient community. Topics include removing abdominal wall endo after c-section, Visanne studies, whether to chose a surgery center or a hospital and more.
info_outlineThe Endometriosis Podcast
Dr Nicholas Fogelson, MD, and researcher Libby Hopton discuss literature on endometriosis and answer question from the endometriosis patient community. Topics include endometriosis research production, BPA and endometriosis incidence, and outcomes after resection of bladder endometriosis.
info_outlineJoin surgeon Nicholas Fogelson and endometriosis researcher Libby Hopton as they answer listener questions and discuss recently published research. This episode was recorded in July 2017. Stay tuned for future episodes!