The Dr. Brighten Show

Endometriosis Symptoms vs Normal Period Pain with Dr. Patrick Yeung

11 snips
Mar 3, 2026
Dr. Patrick Yeung, a fellowship-trained minimally invasive gynecologic surgeon who founded the Restore Center for Endometriosis, discusses how endometriosis is a systemic, neuroinflammatory disease. He highlights red flags that distinguish it from normal period pain. He explains why mapping, specialized excision surgery, fertility preservation, and multidisciplinary care matter. He also covers limits of hormonal suppression and when surgery is appropriate.
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ADVICE

Pick A High Volume Center Focused On Endometriosis

  • Choose high-volume, dedicated endometriosis centers for excision surgery.
  • Patrick Yeung recommends at least ~50 cases/year and asks surgeons about their adhesion prevention strategy and post-op suppression philosophy.
ADVICE

Aim For Anatomy Optimization During Excision

  • During excision aim for anatomy optimization: remove suspicious implants and prevent adhesions.
  • Patrick Yeung stresses reconstructing ovaries, using adhesion barriers, PRP, temporary suspension, and meticulous closure to improve fertility and reduce reoperations.
INSIGHT

One And Done Surgery Is Achievable

  • One-and-done excision is possible and realistic when done optimally without routine post-op suppression.
  • Yeung's 10-year study reported <5% repeat surgery with most patients not taking long-term suppression.
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