Endometriosis Specialist

Andrei Buna, M.D. -  - OB-GYN

Andrei Buna, M.D.

OB-GYN located in Randolph, NJ

Approximately one in every 10 women suffer from endometriosis, a condition in which your uterine lining grows outside your uterus. Diagnosis and treatment of endometriosis can be tricky, but women in the area of Randolph, New Jersey, can trust OB/GYN Andrei Buna, MD, for expert evaluation, management, and medical and surgical treatment. Call his office or book an appointment online if you have symptoms that suggest endometriosis.

Endometriosis Q & A

What is endometriosis?

Endometriosis occurs when your uterine lining, called the endometrium, grows outside your uterus on areas such as the ovaries, fallopian tubes, and other tissues inside your pelvis. In some cases, the endometrium can expand to the bladder, vagina, rectum, and bowel.

The uterine tissue that grows outside your womb continues to act like it does when it’s located inside the uterus. So it sheds each month, causing bleeding each time you have your period. But it’s hard for the endometrial tissue that’s located outside the uterus to exit your body, so it becomes trapped, causing scarring, cysts, and adhesions.


What are the symptoms of endometriosis?

Endometriosis often causes pain. Other symptoms may include:

  • Extra-long periods
  • Heavy menstrual flow
  • Intense menstrual cramps
  • Bowel and urinary issues
  • Nausea and vomiting
  • Infertility
  • Pain during sexual intercourse


Endometriosis may also cause chronic fatigue. The severity of your symptoms doesn’t always show how serious your case is. Women with mild endometriosis may suffer intense symptoms while advanced endometriosis can have minimal symptoms.


How is endometriosis diagnosed?

Dr. Buna does a comprehensive exam and review of your symptoms to help inform his diagnosis. Sometimes endometrial tissue that’s outside the uterus can be felt during a conventional pelvic exam.

The only sure way to diagnose endometriosis is through a diagnostic laparoscopy. During this procedure, a tiny camera is inserted through small incisions into your pelvic area. Dr. Buna can take biopsies of any suspicious tissue to be confirmed as endometriosis by a diagnostic lab.


How is endometriosis treated?

Endometriosis treatment often depends on the severity of your symptoms and your reproductive and health goals. In some cases, symptoms can be managed with low-dose oral contraceptives or a hormonal intrauterine device. Painkillers and hormone therapy also offer symptom management.

Surgery is required in some cases. Severe endometriosis may require a hysterectomy, but Dr. Buna may offer laparoscopic excision surgery for women who want to preserve their fertility. He’ll do everything possible to excise the errant endometrial tissue without damaging your reproductive organs.

For more information about the diagnosis and treatment of endometriosis, call Dr. Buna’s office or book an appointment online.