I had surgery yesterday and was incredibly pleased that Expert Surgeon found and removed endometriosis in precisely the spot where I have had the most pain in the past few years. Most interesting was the fact that that was the only place she found it. Both of my ovaries were clear.
That made me wonder whether my previous surgeon could have possibly been mistaken in thinking that she had left some in order to prevent greater damage to the impacted ovary. After all, what she had described would have been visible, and if there is currently endometriosis on my ovaries it cannot be seen. But Endometriosis notes that:
The anatomic manifestations of endo–implants and adhesions– can be assessed before and after therapy to determine whether the treatment is of value. However, such a simple comparison makes two assumptions. First, it is assumed that endo is invariably a progressive disease, never to regress on its own. This is not necessarily correct, however, as the disease has in fact been noted to regress in some instances in both baboons and humans. Second it is assumed that once regression has occurred via medical therapy, it is stable. this, too, is not the case; endo is a dynamic disease that constantly changes over time.
So it is apparently not strikingly odd that I no longer had endometriosis where it was left, but did have a new patch where it was not observed in the last surgery.
I am very thankful that everything now looks great. My understanding is that the chance of adhesions is minimal due to the location of the endometriosis that had to be removed, though I will find out more at the follow-up appointment.