Endometriosis

Endometriosis is a chronic condition that primarily affects women of reproductive age, causing the growth of endometrial tissue outside the uterus. This can result in symptoms such as pelvic pain, irregular menstruation, and fertility issues.

Pelvic PainIrregular MenstruationFertility Issues
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What is Endometriosis?

Endometriosis is a complex condition where cells similar to the uterine lining (endometrium) grow outside the uterus, mostly in the pelvis. The exact cause is unknown, although there are several theories.

Where Endometriosis Can Occur

The ovaries
The fallopian tubes
The outer surfaces of the uterus
The bladder
The bowel and rectum
Rarely: vagina, cervix, umbilicus, surgical scars

Common Symptoms

Pelvic pain - chronic pain throughout the cycle
Painful periods (dysmenorrhoea)
Painful intercourse (dyspareunia)
Painful bowel movements (dyschezia)
Premenstrual spotting and pain
Fertility issues

Management of Endometriosis

Medical Management

Management varies based on individual circumstances and presenting symptoms. Effective medical management includes:

Pain relief medications
Hormone treatment
Alternate therapies with diet changes
Exercise and activity modifications
Complementary therapies

Surgical Options

The surgical excision of endometriosis using laparoscopy has been demonstrated to significantly increase success rates in achieving natural pregnancy.

Endometriosis surgery is a complex procedure that may require collaboration with other specialist colleagues, such as colorectal surgeons or urologists.

In patients with confirmed advanced endometriosis, alternate methods and medicines may be used in IVF treatment.

Frequently Asked Questions

Get Expert Endometriosis Care

Book a consultation to discuss your symptoms and treatment options with Dr Priya Sivadas.

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Prefer to read more first? Learn more about endometriosis on gynaec.com.au, a plain-language patient-education resource by Dr Sivadas.

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