It would appear this article has sparked a lot of controversy and as the pendulum is swinging I think I’m suppose to be a nay-sayer. However, I am not. I will preface this by saying a disease or a syndrome? I could care less. What I think resonates with me the most is that Horne https://twitter.com/horne_research/status/1293219410526842880

Is taking a rather optimistic/proactive/holistic approach that comes with a lot of assumptions (ones I would like to see in my lifetime). 1. Patients are educated about endometriosis at a young age to mitigate the shock of a diagnosis at reproductive age.

2. Every family doctor and gynecologist is eager and actively seeking root cause of pelvic pain, dysmenorrhea and gastrointestinal issues along with anemia, and are willing to refer patients to holistic practitioners OR a Centre of excellence.

3. Governments are funding holistic approaches so that even those at a lower SES can ‘afford’ therapies such as osteo, physio, pelvic floor therapy... and furthermore hospitals are moving towards a Centre of excellence approach in every city @DrSonySinghMD

These Centres of excellence should be addressing the patient has a whole and not just treating the lesions. We cannot afford to take surgery off the table but we can afford to approach disease management and root cause analysis through a variety of trained professionals:

Allopathic and other, working together. Pharma treatment will always be an option, but should be an ‘option’ with other options on the table. As for imaging,... we have experts who are getting closer to using imaging as a stronger (not perfect) @GeorgeCondous @mathewleonardi

Tool that help us monitor the development of DIE and endometriomas. So while I do not disagree that an earlier more proactive approach needs to happen there are several considerations to this approach. Has surgery helped me? Ablation gave me 3 months. Excision gave me less than

A year which indicates if I had been approached with a more whole-body approach we would have discovered there was more to my pain than just endo. We cannot promote the Lena Dunham approach of continuous excision surgeries. It’s harmful!