Endometriosis Diagnosis and Treatment

Endometriosis symptoms

Endometriosis occurs when tissue resembling the lining of the womb develops outside the womb. Symptoms of Endometriosis vary greatly. While some individuals experience no symptoms, others may endure severe, mild, or moderate discomfort. The size of endometrial patches does not always correlate with symptom severity, and common symptoms include:

• Painful period cramps

• Long-term pain in your lower back and pelvis

• Pain during or after sex

• Stomach pain

• Bleeding between periods

• Painful bowel movements

• Difficulty becoming pregnant (infertility)

• Digestive problems

In uncommon cases, Endometriosis may occur in unexpected locations, causing unusual symptoms such as nosebleeds or shoulder pain during menstruation. If you suspect you might have Endometriosis, seeking medical advice is vital.

Diagnosis of Endometriosis

If you think you may have endometriosis, it may be time to make an appointment. At your visit, Our specialists use a range of diagnostic methods to identify Endometriosis:

• Ultrasound scans: Transvaginal ultrasound is a common diagnostic tool. A probe is inserted into the vagina to detect ovarian cysts or endometriosis lesions.

• Advanced imaging: In some cases, an MRI scan may be used to provide a detailed view of the extent and location of Endometriosis.

• Medical history: Your healthcare provider will take the time to understand your symptoms, medical history, and personal health goals.

• Pelvic examination: A physical exam may reveal the presence of cysts or scar tissue (adhesions) around the uterus.

Causes of Endometriosis

The precise cause of endometriosis has not been known for decades, but several theories exist:

• Cysts: Large patches of endometriosis may form cysts known as ‘chocolate cysts,’ which bleed during periods and accumulate dark-coloured blood.

• Retrograde menstruation: During menstruation, some endometrial cells may flow backwards, passing through the fallopian tube and into the cavity of the pelvis.

• Adhesions: Endometrial patches are often sticky and can cause organs to adhere to one another, leading to discomfort and complications.

Treatment of Endometriosis

At our clinic, we create personalised treatment plans tailored to your specific needs and goals. Both non-surgical and surgical options are available, depending on your symptoms and whether you wish to conceive.

Our multidisciplinary team includes:

• Ultrasound technicians

• Radiologists

• Nurse practitioners

• Pelvic floor specialists

• Pain psychologists

• Surgeons

Medications for endometriosis

Medication is often the first step in managing endometriosis. While not a cure, certain treatments can alleviate symptoms:

• Progestogen-only treatments: Administered as pills, implants, or injections, these can alleviate symptoms but may not always act as contraceptives.

• Hormonal contraception: Pills, patches, or rings may reduce pelvic pain during periods.

• Intrauterinedevices (IUDs): Options like the levonorgestrel-releasing IUD can offer symptom relief.

Treatment success varies, and healthcare providers will consider potential side effects when recommending options.

Surgical options

Hysterectomy:

In severe cases, a hysterectomy may be considered. This procedure involves removing the womb and possibly other reproductive organs. While it can alleviate symptoms, it also eliminates the possibility of future pregnancies.

Several factors need to be considered when deciding if a hysterectomy is the right option or not. Some factors are;

• Are you experiencing any pain?

• How much Endometriosis do you have?

• Do you want to conceive later in life?

• If you have other diseases like adenomyosis

Laparoscopic Surgery

For individuals with significant pain or fertility challenges, laparoscopic surgery can remove endometrial lesions. This minimally invasive procedure involves inserting a thin instrument through a small incision to excise the affected tissue.

Post-treatment  support

At our clinics, we provide ongoing care following treatment to ensure your symptoms improve and your quality of life is enhanced. Follow-up appointments may be conducted virtually or in person, allowing us to monitor your progress and adjust your treatment plan as necessary.

Living with Endometriosis can be challenging, but you do not need to face it alone. At our clinics, we are here to help. Whether you experience painful periods, bloating, or fertility concerns, our specialists are ready to work with you to find the right solution.

For more information or to schedule an appointment, please contact us.