Westover Hills Women's Health -  - OBGYN

Houmam Al-Hakeem, MD

OBGYN located in San Antonio, TX

Endometriosis Specialist

Endometriosis causes pain and other symptoms similar to, and often mistaken for, conditions such as irritable bowel syndrome or pelvic inflammatory disease (PID). But the treatment for endometriosis is very different. Dr. Houmam Al-Hakeem is a board-certified obstetrician and gynecologist in San Antonio who has the skills needed to correctly diagnose and treat endometriosis to relieve your pain and other problems. Call Westover Hills Women’s Health today or try his online scheduling service to make an appointment with Dr. Al-Hakeem.

Endometriosis Q & A

What is endometriosis?

Endometriosis occurs when tissue that normally lines the inside of your uterus (endometrium) also grows outside your uterus. This displaced tissue commonly affects your ovaries, fallopian tubes, and other pelvic organs, as well as the outer uterine wall and the tissue lining the pelvis itself.

In the same way that your uterine lining responds to your menstrual cycle, this abnormal endometrial tissue swells with blood, breaks down, and then sheds during your period. But because of its location, it can’t leave your body. Instead, it drains into the surrounding pelvic area, causing swelling and discomfort.

What are the symptoms of endometriosis?

Symptoms can vary in intensity and frequency but typically include:

  • Significantly painful periods with cramping that may start several days before your period and last for several days after your period
  • Pain during or after sexual intercourse
  • Pain with bowel movements or urination during your period
  • Heavy menstrual bleeding and bleeding between periods

Endometriosis can also cause fatigue, diarrhea, constipation, and abdominal bloating. It may also be the source of long-term lower back pain and is one of the causes of female infertility.

What causes endometriosis?

It’s not really clear what causes endometrial tissue to grow outside the uterine lining but several factors may play a role, including:

  • Genetic factors
  • Hormonal issues such as increased estrogens
  • A faulty immune system that would ordinarily destroy endometrial tissue found outside of the uterus
  • Endometrial tissue that’s misplaced during surgical procedures such as C-section or hysterectomy
  • Retrograde menstrual flow that occurs when tissue normally shed during your period flows back through the fallopian tubes rather than exiting the body

What is the treatment for endometriosis?

There are several successful treatment options for endometriosis. The most effective for you often depends on the severity of the condition and your circumstance. For instance, if you’re not trying to get pregnant, Dr. Al-Hakeem may recommend hormonal manipulation such as extended-cycle birth control that significantly decreases or even eliminates your symptoms by greatly reducing the frequency of your menstrual periods.  

For severe symptoms or fertility issues caused by endometriosis, Dr. Al-Hakeem may suggest surgery to remove the misplaced endometrial tissue. He prefers to use a minimally invasive, laparoscopic/robotic technique for this type of surgery whenever possible. This method uses very small incisions, is less painful, and requires less time for healing than a standard surgical approach.

Accepted Insurance

We accept almost all insurance plans. If you have any questions about your coverage, please call our office. We are happy to help!

Aetna
Aflac
AIG
Allstate
Anthem
Blue Cross Blue Shield
Blue Cross Blue Shield of Texas
Carefirst Bluechoice
Cigna
EMI Health
HighMark
Humana
MetLife
Molina Healthcare
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UnitedHealthcare
Testimonials

Words from our patients

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    "Dr. Al-Hakeem is amazing. He delivered my last two daughters and did my tubal surgery. He is very professional, courteous and respectful."

    Anna L.
  • Google+

    "I am so blessed to have found such a great doctor after having two miscarriages. He found out what the problem was and helped me successfully deliver my two daughters!"

    Verified Patient
  • Healthgrades

    "Dr. Al-Hakeem is very professional, honest, calm and treats every patient as a family member. We will go to him for sure if we decided on having a third baby."

    Verified Patient
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    "Dr. Al-Hakeem exceeded our expectations. He truly knows what he is doing and his office staff is very welcoming. You feel the positive energy in the office."

    Stephanie S.
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    "Best doctor and staff. They make you feel so comfortable and you can talk to them about anything! Highly recommend them!"

    Carmen C.
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    "Words can't explain how amazing this group has been throughout my pregnancy, during and after my delivery... and Diana is the best midwife that you can ever meet."

    Shanara G.
  • Google+

    "He is very professional, attentive to your needs and very compassionate about his patients. I would definitely recommend them for pregnancy or gynecological needs."

    LaToya S.
  • Google+

    "Always makes you feel at ease and always giving the best care. I would definitely recommend him to everyone. He is by far the best OB/GYN."

    Erica F.
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    "We really appreciate the extraordinary treatment and care he provided for our family. Highly recommend him to anyone looking for a fantastic labor and delivery doctor."

    Geno C.
  • Google+

    "Dr. Al-Hakeem is amazing, he delivered both of my kids. Also, the midwives are amazing, they all take the time to answer any questions you have. Definitely recommend."

    Irys V.
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    "I knew this office was perfect from the front office staff and their warm welcomes to the genuine beside manner of Dr. Al-Hakeem and his Midwife Diana..."

    Kristina P.
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