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Is There A Cure For Endometriosis?

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Is there a cure for endometriosis? Sadly, it is a chronic condition with no cure as of today. Fortunately, there are several treatment options available you can discuss with Victor Grigoriev, MD, FACS is a urologist in Las Vegas to help reduce the symptoms of this very common condition.

What Is Endometriosis?

Endometriosis is a common gynecological condition that affects up to 10% of women. When a woman has endometriosis, the tissue lining the inside of the uterus, known as endometrium, grows in other parts of your reproductive system. You can find this tissue outside of the uterus, fallopian tubes, bowels, and tissue lining your pelvis. Endometrial tissue that grows outside of the uterus is known as an endometrial implant.

The hormonal changes during your menstrual cycle affect this tissue and cause the area near the endometrial implant to become inflamed and painful. The precipitates the tissue to grow, thicken, and then break down. As time passes, the tissue has nowhere to go and is trapped in your pelvis.

Adhesions, irritation, scar formation, severe pain during your period, and issues with fertility are all the result of this trapped tissue.

Common Symptoms Of Endometriosis

Symptoms can range from mild to severe. Some women have no symptoms at first and don’t realize they have endometriosis.

Watch for the following symptoms:

  • Pain and cramps before and during menstruation
  • Heavy menstrual bleeding
  • Pain during sex and discomfort during bowel movements
  • Infertility

If you begin to notice any of these symptoms, make an appointment with Dr. Grigoriev in Las Vegas, NV.

How Is Endometriosis Treated?

Treatments may be based on the severity of your symptoms.

OTC Medications

If symptoms are mild, pain relievers like non-steroidal anti-inflammatory medications will be recommended at first. Prescription medications may also be a treatment. Watchful waiting by your physician will be employed to see if symptoms change, but no other treatment is deemed necessary at this time.

Hormone Treatments

This can be in the form of a pill, injection, or nasal spray.

  • Oral contraceptive with both estrogen and progestin hormones to prevent ovulation and reduce menstrual flow.
  • Progestin alone.
  • Another hormone to stop hormone production.
  • The male hormone, danazol, where you will only have a period occasionally or not at all.

These hormonal treatments have their pros and cons, so speak with Dr. Grigoriev to discuss which option may be right for you.

Surgery

Minimally invasive laparoscopic surgery is a conservative approach to removing endometrial tissue using lasers. This is considered if hormonal treatments do not work and you want to have children. Here, endometriosis is treated without damaging any other tissue or organs.

As a last resort, a woman can have a hysterectomy where both the uterus and cervix are removed. The ovaries may also be removed. Once you have a hysterectomy performed, you cannot have children. Seeking a second opinion is always recommended before taking this step.

The symptoms of endometriosis usually improve after menopause.

Talk with Victor Grigoriev, MD about which endometriosis treatment(s) may be best for you. Call 702-233-0727 to schedule an appointment today.

When to See a Specialist for Recurrent Urinary Tract Infections

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Urinary tract infections (UTIs) are among the most common infections, especially for women. While a single UTI can usually be treated quickly with antibiotics, recurrent UTIs are a different story. When infections keep recurring, they can significantly impact your quality of life and signal a more serious underlying issue that requires specialized care. [web:3][web:6]

If you’ve had more than one UTI recently, it could be time to take a closer look. [web:2]

What Counts as a Recurrent UTI?

A recurrent UTI is typically defined as:

  • Two or more infections within six months, or
  • Three or more within one year

You may notice the usual symptoms: burning during urination, frequent urges to go, pelvic pain, or cloudy, strong-smelling urine. If these symptoms return repeatedly, seek medical guidance to identify what’s causing the pattern. [web:3][web:6]

Common Causes of Recurrent UTIs

Several factors can contribute to chronic or frequent UTIs:

  • Anatomy and hormonal changes: Women have shorter urethras, making it easier for bacteria to enter the bladder. Hormonal shifts during menopause can also reduce natural defenses. [web:3][web:6]
  • Sexual activity and hygiene habits: These can influence how often bacteria are introduced into the urinary tract. [web:6]
  • Underlying health conditions: Such as bladder dysfunction, kidney stones, or diabetes, which can make it harder for your body to fully clear infections. [web:6][web:7]
  • Antibiotic resistance: If bacteria become resistant to the medications used to treat UTIs, they can keep coming back, sometimes harder to treat each time. [web:1]

Recurrent UTI: When to See a Specialist

If UTIs are interfering with your daily life or don’t respond to standard treatment, it may be time to see a urologist or urogynecologist. You should seek expert care if:

  • You’ve had multiple UTIs in a short time.
  • You experience severe or unusual symptoms.
  • You have fever, chills, or pain in your back or side, which could mean the infection has spread to your kidneys.
  • You’ve noticed infections returning shortly after antibiotic treatment.
  • You have persistent urinary symptoms even between infections.

If you suspect the infection has reached your kidneys, seek medical treatment right away. Kidney infections can be very serious and require professional intervention. [web:3][web:7]

What to Expect During Your Specialist Visit

Your visit will start with a detailed medical history and a conversation about your symptoms. Although the circumstances around your infection can feel awkward or sensitive, don’t be afraid to speak openly. UTIs are extremely common, and doctors see them all the time. [web:2][web:3]

Depending on your case, your provider may recommend:

  • A pelvic exam to check for structural causes.
  • Urine cultures to identify the type of bacteria involved. [web:1]
  • Imaging like an ultrasound to evaluate your kidneys and bladder. [web:7]
  • Cystoscopy, a minor procedure to look inside the bladder. [web:4][web:7]
  • Urodynamics testing to evaluate how your bladder stores and releases urine.

These tools help your specialist pinpoint the root cause and recommend a treatment plan tailored to you. [web:2][web:7]

Recurrent UTIs are not the kind of thing you want to ignore, work around, or try to live with. A urologist can help you understand the root cause of the condition so you can stop the infection once and for all. [web:2][web:7]

Treatment Options for Recurrent UTIs

Once the cause is clear, treatment may include:

  • Targeted antibiotics based on urine cultures. [web:1]
  • Preventive measures like vaginal estrogen (post-menopause), hydration strategies, or probiotics. [web:6]
  • Behavioral changes and hygiene guidance.
  • In some cases, minor procedures to correct underlying structural issues. [web:7]

Recurrent Urinary Tract Infections: The Takeaway

If you get UTIs that keep coming back, a specialist can help you find lasting relief and protect your long-term urinary health. UTIs can be painful and cause significant interference with your daily life, but you have options to deal with them effectively. [web:2][web:3]

For more info on treating recurrent UTIs, get in touch with Dr. Grigoriev at our urology clinic in Las Vegas today. [web:2]

When Should You Consider Urogynecology Surgery

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A urogynecologist is a doctor who is specially trained to treat women with both gynecologic issues as well as problems concerning urology. This medical field of urogynecology did not exist until 2011, so it is a relatively new medical profession. Urogynecologists treat many issues so women only need to see one doctor instead of multiple ones. If you are having issues with any pelvic floor disorders or with incontinence, when should you consider urogynecology surgery?

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When Should I See My Gynecologist About Pelvic Pain?

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The simple answer to the question, “when should I see my gynecologist about pelvic pain?” is if the pelvic pain is new or different, see your gynecologist. Aside from typical cramps during your period, you shouldn’t be experiencing pain in your pelvic area. Any pain indicates something is awry in your body, so don’t ignore a pain in your reproductive area. Let’s find out why.
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