{"id":13556,"date":"2026-10-30T05:11:31","date_gmt":"2026-10-30T05:11:31","guid":{"rendered":"https:\/\/nygse.com\/?p=13556"},"modified":"2026-10-30T06:45:27","modified_gmt":"2026-10-30T06:45:27","slug":"negative-laparoscopy-endometriosis","status":"publish","type":"post","link":"https:\/\/nygse.com\/es\/negative-laparoscopy-endometriosis\/","title":{"rendered":"Negative Laparoscopy for Endometriosis: Why Does It Still Hurt?"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"13556\" class=\"elementor elementor-13556\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2712a5b3 e-flex e-con-boxed e-con e-parent\" data-id=\"2712a5b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b94c45e elementor-widget elementor-widget-heading\" data-id=\"b94c45e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u201cThey Found Nothing. So Why Does It Still\nHurt?\u201d<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-127cbd08 elementor-widget elementor-widget-text-editor\" data-id=\"127cbd08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>What a negative laparoscopy for endometriosis can tell you, what it can\u2019t, and what to do next.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_color elementor-element elementor-element-3b23afe elementor-widget elementor-widget-text-editor\" data-id=\"3b23afe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Dr. Pankaj Singhal and Dr. Virginia McLean \u00b7 <\/strong>Gynecologic and robotic surgeons specializing in endometriosis \u00b7 New York Gynecology Surgery &amp; Endometriosis (NYGSE\u2122)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58f9a71 elementor-widget elementor-widget-image\" data-id=\"58f9a71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"940\" height=\"529\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-1024x576.jpg\" class=\"attachment-large size-large wp-image-13609\" alt=\"A young woman reviewing medical records at her desk after a negative laparoscopy for endometriosis.\" srcset=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-1024x576.jpg 1024w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-300x169.jpg 300w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-768x432.jpg 768w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-1536x864.jpg 1536w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-18x10.jpg 18w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain-480x270.jpg 480w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/10\/negative-laparoscopy-endometriosis-pelvic-pain.jpg 1672w\" sizes=\"(max-width: 940px) 100vw, 940px\" title=\"Negative Laparoscopy for Endometriosis: Still in Pain\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11f131a elementor-widget elementor-widget-text-editor\" data-id=\"11f131a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Some of the women we see in our office arrive with a thick folder and a short sentence. \u201cI had the laparoscopy. They said it was normal.\u201d Then, usually after a pause: \u201cBut I still have the pain.\u201d<\/p><p>If that\u2019s you, this post is for you. A negative laparoscopy can feel like the end of the road. For a lot of women it turns out to be a stop along the way, and knowing why can change what you do next.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b3a6fc9 elementor-widget elementor-widget-heading\" data-id=\"b3a6fc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">First, about the pain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eff36f4 elementor-widget elementor-widget-text-editor\" data-id=\"eff36f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A laparoscopy shows what one surgeon saw, through a camera, on one day. It doesn\u2019t measure pain, and it can\u2019t tell you whether your pain is real. It is. A normal result answers a narrower question than most people are told it does.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ca6b5a6 elementor-widget elementor-widget-heading\" data-id=\"ca6b5a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why endometriosis can be missed<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6a3326 elementor-widget elementor-widget-text-editor\" data-id=\"f6a3326\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Endometriosis doesn\u2019t always look the way people expect. Early lesions can be clear, white or red instead of dark. They can sit under scar tissue or in places that are hard to reach, like behind the uterus or up on the diaphragm. Several studies have looked at how often surgeons get it right by sight alone, and the numbers are humbling.<\/p><ul><li>In a study of 1,439 biopsies from 431 patients, the surgeon\u2019s visual call was correct in only 49.7% of the earliest stage (stage I) disease. Deep lesions were about two and a half times more likely to be identified correctly than superficial ones.<\/li><li>In another study of 2,005 tissue samples, tissue that the surgeon judged not to be endometriosis turned out to be endometriosis 24.3% of the time when the lab looked at it.<\/li><li>A 2026 study of 1,309 women having surgery for pelvic pain found that what the surgeon saw and what the pathologist reported disagreed 56% of the time. Of the cases called negative by sight alone, 85% had no biopsy taken.<\/li><\/ul><p>None of this means your surgery was done badly. It means that \u201cwe didn\u2019t see endometriosis\u201d and \u201cthere is no endometriosis\u201d aren\u2019t the same statement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32bcfd7 elementor-widget elementor-widget-text-editor\" data-id=\"32bcfd7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong><span style=\"color: #a48b60;\">A CAREFUL WORD ABOUT ONE STUDY<\/span><\/strong><\/p><p>One small study took biopsies of normal-looking tissue in 142 women with pelvic pain and found endometriosis under the microscope in 39% of them. It\u2019s a striking number, but it comes from a single retrospective series, and microscopic endometriosis has also been found in women who have no pain at all. So a positive biopsy of normal-looking tissue doesn\u2019t automatically explain someone\u2019s symptoms. We include it because it shows how much the eye can miss. It doesn\u2019t prove anything about any one person\u2019s case.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e4d7ea elementor-widget elementor-widget-heading\" data-id=\"2e4d7ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Experience changes what gets found<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fac8c14 elementor-widget elementor-widget-text-editor\" data-id=\"fac8c14\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The 2026 study also asked who did the surgery. A negative laparoscopy was about two and a half times as likely when the surgeon didn\u2019t have fellowship training in endometriosis surgery. That isn\u2019t a criticism of anyone. Recognizing subtle endometriosis is a skill, and it gets sharper with every case. It\u2019s the reason the UK\u2019s national guideline (NICE) says a diagnostic laparoscopy should be done by \u201ca gynaecologist with training and skills in laparoscopic surgery for endometriosis\u201d who performs \u201ca systematic inspection of the pelvis.\u201d<\/p><p>The guidelines themselves show the tension. NICE says that if a full, systematic laparoscopy is normal, a woman can be told she doesn\u2019t have endometriosis. The European guideline (ESHRE, 2022) adds that \u201cnegative histology does not entirely rule out the disease.\u201d We think both are right. The word doing the work in the NICE sentence is \u201cfull.\u201d<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a4d3cf elementor-widget elementor-widget-heading\" data-id=\"7a4d3cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">It may not be endometriosis, and that matters too<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f0f266 elementor-widget elementor-widget-text-editor\" data-id=\"8f0f266\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sometimes the laparoscopy was thorough and the cause of the pain is somewhere else. Pelvic floor muscle problems, nerve pain, bladder pain and bowel conditions can all cause symptoms that overlap with endometriosis.<\/p><p>In one older study of women who still had pain after a negative laparoscopy, a hidden musculoskeletal cause (most often myofascial pain in the muscles of the abdominal wall and pelvis) was found in 47%, and about three quarters of those women improved or recovered with treatment. A negative result can still point you toward the right answer, as long as someone keeps looking.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c352f4 elementor-widget elementor-widget-heading\" data-id=\"3c352f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What you can do now<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-97eeea9 elementor-widget elementor-widget-text-editor\" data-id=\"97eeea9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ol><li>Ask for two documents: your operative report and your pathology report. They show which areas were inspected, whether photos were taken, and whether any tissue was sent to the lab. You\u2019re entitled to both.<\/li><li>Keep a simple symptom record for two or three cycles. Note when the pain comes, how bad it is, and what it affects (bowel movements, urination, sex, work). Pain that tracks your cycle is one of the most useful clues there is.<\/li><li>Don\u2019t assume the next step is another operation. Ultrasound or MRI done with endometriosis in mind can often show deeper disease and help plan care before anyone goes back to the operating room.<\/li><li>Get an opinion from someone who treats endometriosis every week, and bring your two documents with you.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0dc76af elementor-widget elementor-widget-heading\" data-id=\"0dc76af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Do I have endometriosis? Find out in 3 minutes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2aa0d6b elementor-widget elementor-widget-text-editor\" data-id=\"2aa0d6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>We built a free checker called \u201cDo I Have Endometriosis?\u201d to help women put their symptoms into words and get a sense of how likely endometriosis is before they see a doctor. It now has a section just for women who\u2019ve had a negative laparoscopy.<\/p><p>You\u2019ll be asked three quick questions about that surgery: who did it (a general gynecologist or an endometriosis specialist), whether biopsies were sent to the lab, and how long ago it was. The checker weighs those answers alongside your symptoms. A specialist\u2019s surgery with negative biopsies lowers the estimate more than a surgery where no tissue was taken, and an operation from several years ago counts for less than a recent one. It never stops the calculation just because a laparoscopy was negative.<\/p><p>At the end you get an estimate and a one-page summary you can print or save and bring to your appointment. It\u2019s private: nothing you enter is sent anywhere or stored. It isn\u2019t a diagnosis, and it can be wrong in either direction, but it\u2019s a good way to start a more useful conversation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ee8fe3 elementor-widget elementor-widget-text-editor\" data-id=\"3ee8fe3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong><span style=\"color: #a48b60;\">FREE \u00b7 3 MINUTES \u00b7 PRIVATE<\/span><\/strong><\/p><h3>Take the 3-minute check<\/h3><p><a href=\"https:\/\/nygse.com\/es\/do-i-have-endometriosis\/\">nygse.com\/do-i-have-endometriosis<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8ed77b elementor-widget elementor-widget-heading\" data-id=\"a8ed77b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">If you\u2019re still in pain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9ead4e elementor-widget elementor-widget-text-editor\" data-id=\"d9ead4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>You don\u2019t have to choose between accepting \u201cnormal\u201d and starting over from scratch. Bring us your reports and your symptom notes and we\u2019ll go through them with you, including what was looked at, what may have been missed, and what else could be going on.<\/p><p>Call us at <a href=\"tel:631-533-9733\">631-533-9733<\/a> or email <a href=\"mailto:info@nygse.com\">info@nygse.com<\/a>. Our office is at 325 West Main St., Bldg 1, Ste 2A, Babylon, NY 11702.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-823755d elementor-widget elementor-widget-text-editor\" data-id=\"823755d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This article is for general education and isn\u2019t medical advice for any individual. If you have sudden severe pelvic pain, heavy bleeding, fever or fainting, seek urgent care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7f40a6e9 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f40a6e9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5e5bb8ff\" data-id=\"5e5bb8ff\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"gt3-core-button--alignment_block elementor-element elementor-element-1bfba326 elementor-widget elementor-widget-gt3-core-button\" data-id=\"1bfba326\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"gt3-core-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"gt3_module_button_elementor size_custom alignment_block button_icon_none hover_none\">\r\n\t\t<a class=\"button_size_elementor_custom alignment_block border_icon_none hover_none btn_icon_position_left\" href=\"\/es\/contact\/\">\r\n\t\t\t\t<span class=\"gt3_module_button__container\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"gt3_module_button__cover front\"><span class=\"elementor_gt3_btn_text\">CONT\u00c1CTENOS<\/span><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t<\/a>\r\n\t<\/div>\r\n\r\n<script type=\"application\/json\" id=\"settings--1bfba326\">[]<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-4473fc42\" data-id=\"4473fc42\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f360750 elementor-widget elementor-widget-image\" data-id=\"2f360750\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/elementor\/thumbs\/icon-31-rdd68obr4igz20jqvuoqi3gy9h8jee0vs0vdqtlg0i.png\" title=\"icono-31\" alt=\"icono-31\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6f62456f\" data-id=\"6f62456f\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_line_height elementor-element-custom_font_family elementor-element-custom_font_weight elementor-element-custom_color elementor-element elementor-element-2190b5aa elementor-widget elementor-widget-text-editor\" data-id=\"2190b5aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>LLAME PARA UNA CITA<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_line_height elementor-element-custom_font_weight elementor-element elementor-element-1f906024 elementor-widget elementor-widget-text-editor\" data-id=\"1f906024\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #31609f;\"><a href=\"tel:631-533-9733\" style=\"color: #31609f;\">+631 533 9733<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-2aad1fe8 e-flex e-con-boxed e-con e-parent\" data-id=\"2aad1fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6aa89c15 elementor-widget elementor-widget-heading\" data-id=\"6aa89c15\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Referencias<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-197aca8b elementor-widget elementor-widget-text-editor\" data-id=\"197aca8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ol><li>Reliability of visual diagnosis of endometriosis. J Minim Invasive Gynecol. 2013. PMID 24183270.<\/li><li>Laparoscopic excision of lesions suggestive of endometriosis or otherwise atypical in appearance. J Minim Invasive Gynecol. 2008. PMID 18262141.<\/li><li>Int J Gynaecol Obstet. 2020. PMID 32644227 (occult microscopic endometriosis in normal-appearing peritoneum, n = 142).<\/li><li>Aust N Z J Obstet Gynaecol. 2026. PMID 42104671 (negative laparoscopy, surgeon training and histology, n = 1,309).<\/li><li>J Reprod Med. 1991. PMID 1830102 (somatic causes of pain after negative laparoscopy).<\/li><li>National Institute for Health and Care Excellence. Endometriosis: diagnosis and management (NG73), section 1.5.<\/li><li>ESHRE guideline: endometriosis. Hum Reprod Open. 2022. PMID 35350465.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Still in pain after a negative laparoscopy for endometriosis? What the research says about missed endometriosis, two documents to request, and a free 3-minute checker.<\/p>","protected":false},"author":12,"featured_media":13609,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[69,72],"tags":[],"class_list":["post-13556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endometriosis","category-physician-insights"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>They Found Nothing. So Why Does It Still Hurt? | NYGSE<\/title>\n<meta name=\"description\" content=\"Still in pain after a negative laparoscopy for endometriosis? 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