Endometriosis

At Bondi Doctors we offer a comprehensive women's health service including the diagnosis and management of endometriosis.

Endometriosis is one of the top three causes of female infertility. It is the most common cause of pelvic pain in women aged between 10 years and 50 years.

What is endometriosis?

Endometriosis is a disorder in which endometrium cells (the cells that line the inside of your uterus) grow outside your uterus.

 

The displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. However, the displaced tissue has no way to exit your body and becomes trapped, which can sometime cause surrounding tissue to become irritated and in some cases to develop scar tissue and adhesions.

Common signs and symptoms 

  • Pelvic pain is the primary symptom of endometriosis

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into a menstrual period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during a menstrual period.

  • Excessive bleeding. You may experience occasional heavy menstrual periods or bleeding between periods (intermenstrual bleeding).

  • Infertility. Sometimes, endometriosis is first diagnosed in those seeking treatment for infertility.

  • Other signs and symptoms. You may experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

 

Management of endometriosis

Endometriosis can be a challenging condition to manage. Options include lifestyle changes, pain-relief medications, hormone therapy and different types of surgery.

 

An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Resources: Mayo Clinic