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Location: Brazil

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Dr. Mauricio Abrão

Dr. Mauricio Abrão

January 3, 2026

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Dr. Henrique Abrão

January 3, 2026

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FAQs

Let us know if you still have doubts or questions and our team will contact you.

What are the most common symptoms of endometriosis?

Here are some of the top reasons patients turn to ESSI for help:

You have painful periods
You have unexplained pelvic and/or bladder pain
Sexual intercourse is painful
You had a negative MRI despite endometriosis symptoms
You had negative ultrasound results
You have Adenomyosis
You have an ovarian Endometrioma
You were prescribed Lupron or Orilissa for your symptoms
You have unexplained infertility
You had miscarriages or biochemical pregnancies

You want to freeze your eggs but have endometriosis
You have experienced IVF failures
Your PGS normal embryos failed to implant
You were told IVF will bypass endometriosis (it may not)
You were told “you may lose your ovary” during surgery
A doctor told you that surgery is too risky
You are not sure your doctor is an excision specialist
You were told your symptoms are “all in your head”
You are worried that endometriosis surgery will damage your fertility

What is Endometriosis Mapping?

ESSI combines advanced imaging techniques with a pioneering mapping process to create precise endometriosis maps. This way, both the patient and surgeon know what to expect. Endometriosis Mapping Creates a treatment guide. It uses imaging techniques to chart the location(s), size, and depth of endometrial lesions in the patient’s body. This helps the surgeon properly diagnose the severity and forms of endometriosis they are treating. Mapping is particularly useful for excision of deep infiltrating endometriosis (DIE) and lesions that are present in multiple locations.

Does a diagnosis of Stage 4 endometriosis mean I will need a hysterectomy?

No, a hysterectomy is not a cure or a required treatment for Stage 4 endometriosis. The goal of surgery is the complete excision of all endometriotic lesions, wherever they are located. A hysterectomy is a treatment for uterine conditions like adenomyosis, but it will not remove endometriosis from the bowel, bladder, or ovaries. The decision to perform a hysterectomy is separate from endometriosis excision and is made only after a thorough discussion about your specific symptoms and fertility goals.

What is the risk of my endometriosis coming back after excision surgery?

The single most important factor in preventing recurrence is the complete and thorough removal of all endometriotic lesions during the initial surgery. The high recurrence rates often cited (40-50% within 5 years) are typically associated with incomplete surgery or superficial ablation, which leaves deeper disease behind. While no surgeon can guarantee a 0% recurrence rate, the rate following meticulous excision by a true endometriosis specialist is dramatically lower. Our surgical philosophy is centered on this principle: remove the disease in its entirety, the first time, to give our patients the very best chance of long-term, definitive relief.

What makes surgery for deep infiltrating endometriosis on the bowel so complex, and why is a specialist necessary?

Surgery for deep infiltrating endometriosis on the bowel or bladder is among the most technically demanding procedures in pelvic surgery. When disease has invaded the bowel wall, it may require a specialized procedure such as a bowel resection and reanastomosis (removing a segment of the bowel and reconnecting it). This demands an elite level of surgical skill to avoid complications and preserve function. An endometriosis specialist with high-volume experience in these specific procedures, working within a multidisciplinary team, is critical to minimize risks and ensure the entire disease is removed in one surgery, which is the key to preventing recurrence and the need for future operations.

Is ESSI right for you?

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Whether you are currently looking for an endometriosis diagnosis or are already diagnosed and searching for the best surgeon, we have the answers you are seeking.

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Disclaimer:
The content on internationalendo.com is not intended nor recommended as a substitute for medical advice, diagnosis or treatment. Connect with our expert doctors for additional information.

ESSI® is a registered trademark of ESSI LLC. ESSI LLC provides administrative and management support services to independently owned and operated physician practices and does not practice medicine or deliver clinical services. Medical care is provided exclusively by independent licensed physicians and their professional practices.

How We Help
Treatment Overview
Meet Our Team
- Why Choose ESSI
Locations
ESSI Journal

How We Help
Treatment Overview
Meet Our Team
- Why Choose ESSI
Locations
ESSI Journal

Privacy Policy
Cookie Policy
Terms And Conditions
Disclaimer
Acceptable Use Policy

Privacy Policy
Cookie Policy
Terms And Conditions
Disclaimer
Acceptable Use Policy

Is ESSI right for you?

Request a Consultation

Whether you are currently looking for an endometriosis diagnosis or are already diagnosed and searching for the best surgeon, we have the answers you are seeking.

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EXCELLENCE PROGRAM

How We Help
Treatment Overview
Meet Our Team
- Why Choose ESSI
Locations
ESSI Journal

How We Help
Treatment Overview
Meet Our Team
- Why Choose ESSI
Locations
ESSI Journal

Privacy Policy
Cookie Policy
Terms And Conditions
Disclaimer
Acceptable Use Policy

Privacy Policy
Cookie Policy
Terms And Conditions
Disclaimer
Acceptable Use Policy

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