11) If your Dr recommends laparoscopic surgery to confirm endometriosis and says they will also remove any they find, ASK how they will remove it.
 12) Excision ( cutting it out ) is the only way to permanently remove that endometriosis nodule. Unfortunately there are very few true excision experts, only about 100 so chances are your Dr will burn, ablate, fulgurate it. Many women have to travel to be treated by an excision expert. 13) Most Dr’s will ablate ( burn with a laser), vaporize or fulgurate. These methods DO NOT permanently get rid of the endo nodule. Think of it as a weed in a garden. If you only cut off the top ( ablate, etc.,) the root is still intact and the weed ( endo nodule) will still be there and continue to become symptomatic and cause problems. 
 14) Ablation destroys the surface tissue so samples cannot be sent for pathology confirmation. If the nodule is deep and penetrating, the Dr cannot tell if they have completely destroyed it. 15) Ablation can leave carbon deposits permanently changing the appearance of that area. Further surgeries for endo ( and with ablation you will likely need future surgeries) will be more difficult as the endo may not be visibly present in areas previously ablated.
 16) If you have endo on your bowels, bladder, intestines or other organs, they will refuse to ablate, etc., it so the endo will be left untreated. An endo excision expert will be able to get it excised whether it is on bowels, bladder., etc. 
 17) Hysterectomy may be recommended. THIS DOES NOT STOP ENDOMETRIOSIS, unless you have adenomyosis (endometriosis within the uterus muscles) and no where else. Endometriosis nodules can produce their own estrogen. Post menopausal women have still had active endometriosis with symptoms/pain. 
 18) Just because you have been diagnosed with endometriosis does not mean you can’t conceive. Many women with endometriosis become pregnant and give birth to a healthy baby. It depends where your endometriosis is and how severe it is.
 19) Getting pregnant does not mean your endometriosis will be gone. It may be better while pregnant, but usually returns afterwards. 
 20) The overwhelming numbers of Drs and RNs and other heath professionals do not understand how severe the symptoms and pain of endometriosis can be for some women. They don’t understand the effect on daily life,
i.e., education, employment, financial, relationships, social life, or symptoms of pain, nausea, depression, frustration, appetite, difficulty with urination, bowel movements. 
 21) Many women have found a mild to moderate decrease in severity of their symptoms with an anti-inflammatory diet, gentle yoga, meditation, mindful breathing and mild exercise. The best thing you can do is educate yourself. These sites have excellent information and are reliable sources. 
( remember, I’m a RN so you can count on the information in these sites as accurate). Disclaimer, I’m not associated with either site or practice nor do I receive any kind of compensation. http://www.centerforendo.com/ http://m.facebook.com/Endopaedia You will have to log into Facebook to access the endopaedia site. Another good site is Nancy’s Nook for Endometriosis on Facebook. It is a closed group so you will have to request to join. There is evidenced based information and resources. There is also a referral list to the excision experts, some that do FREE medical reviews by mail for a second opinion. Hoping this information helps you in this challenging journey.