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For years, a 32-year-old woman lived with severe menstrual pain and chronic pelvic pain. As her symptoms worsened, she sought care at multiple hospitals, yet her treatment remained limited to pain medication.
Over the previous six months, her condition had deteriorated significantly. By the time she reached specialist care, the disease had progressed deep into the pelvis. She was diagnosed with deep infiltrating endometriosis (DIE), together with a left ovarian endometrioma and multiple uterine fibroids — conditions that had significantly affected her quality of life and well-being.
Complex Disease. Complex Surgery.
On May 21, 2026, Prof. Adel Shervin performed complex laparoscopic surgery for the patient.
The procedure included excision of bilateral deep pelvic endometriosis, with left-sided disease involving the pararectal area; removal of the left ovarian endometrioma; and myomectomy for six uterine fibroids.
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Because of the extent of disease and the complexity of the pelvic anatomy, the procedure required advanced anatomical knowledge, minimally invasive surgical expertise, and close teamwork.
The surgery was completed successfully, with no intraoperative or postoperative complications reported.
Beyond One Surgery
This case represents more than a successful complex procedure.
It reflects a broader challenge faced by women living with endometriosis: symptoms may be overlooked or inadequately addressed while disease continues to progress.
Deep infiltrating endometriosis can be particularly complex. Greater awareness among both the public and healthcare professionals, together with earlier recognition, appropriate diagnosis, and timely access to experienced care, can make a meaningful difference in the lives of patients.
For the Global Endometriosis Movement (GEM), cases such as this reinforce why our work matters.
By advancing awareness, connecting expertise, and encouraging international clinical and academic collaboration, GEM seeks to help build a future in which women with endometriosis can reach the knowledge, expertise, and care they need sooner.
Because no woman should have to spend years searching for answers while living in pain.