Fulguration / Ablation / Cauterization (Endometriosis)

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 7, 2026

Superficial destruction of tissue using heat, electrical energy, or laser vaporization. As applied to endometriosis, this approach destroys the visible surface of lesions without removing the tissue or underlying disease. Evidence consistently demonstrates it is less effective than excision for symptom resolution, quality-of-life improvement, and fertility outcomes, and is associated with higher recurrence rates. Not preferred in RRM.²⁹²⁷

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