Pelvic Pain and Endometriosis
What are the symptoms of endometriosis?
Endometriosis classically presents with painful periods, mainly in the lower abdomen and pelvis and pain during sexual intercourse. If there is involvement of the bladder or bowel, there can be symptoms related to these structures depending on the organ involved.
How can endometriosis be diagnosed?
The diagnosis is made by doing a minor surgical procedure called laparoscopy. Laparoscopy is done under general anaesthetic with a small telescope passed through the belly-button after inflating the belly with gas to help visualise the organs of the pelvis. There may be another small cut in the abdomen to help facilitate visualisation of the different pelvic organs.
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How can endometriosis be treated?
Initially, endometriosis can be treated using medications including the contraceptive pill or pills containing the hormone progesterone on a continuous basis for six months. Other treatments include monthly injections of hormones that will help the endometriosis heal by reducing the level of female hormones produced from the ovaries. Generally, these injections are given over a period of six months with tablets to counteract the side effects of hot flushes that can occur as a result of the injections.
What is the surgical treatment of endometriosis?
If the above measures failed, then the endometriosis can be excised surgically. This is done through key-hole surgery, where all the endometriosis deposits are removed from the pelvis. Almost always, this is done through key-hole surgery, with quick recovery and return to normal activities. Our consultants provide specialist expertise in minimal access surgical treatment of endometriosis.