Endometriosis
Endometriosis is well known to women as a cause of infertility, period pains, ovarian cysts, tubo ovarian adhesions and bowel problems. The gold standard in treatment is laparoscopic excision.
10% of females develop endometriosis sometime in their lives. There are a number of possible causes.
Endometriosis lesions infiltrate the pelvis, irritating nerve fibres and acting as a “glue” which binds structures (tubes, ovaries, uterus) to each other and then to organs (rectum, bladder, bowel). This eventually results in severe stage endometriosis, often referred to as D.I.E. (deep infiltrating endometriosis).
A pelvic examination is required to confirm pelvic endometriosis. Tender nodules indicate endometriosis, whilst a tender uterus may indicate adenomyosis (“uterine endometriosis”). Detection of D.I.E. requires an MRI after a positive pelvic examination.
How is Endometriosis Treated?
Dr Singh has 30+ years of knowledge and experience in the diagnosis and treatment of endometriosis, and will discuss the range of available options with you.
Endometriosis can be controlled but cannot be cured. Laparoscopic endometriosis excision reduces the symptoms, but the continuing normal cycles of oestrogen stimulation will encourage regrowth. Repeat surgery is often required at some point.
It is important to suppress endometriosis infiltration before and after laparoscopy. Various hormonal medications are available, together with pain management medications until pregnancy is desired.
We will discuss the options before and after laparoscopy, and what to do if associated pathology (PCOS, fibroids, tubal adhesions) are found.
What Does Laparoscopy Involve?
Laparoscopy (also known as keyhole surgery) is a minimally invasive technique involving the passage of a narrow telescope through the umbilicus, with 2 or more 5mm instruments on other parts of the abdominal wall. These instruments allow the surgeon to palpate, mobilise and correct any anomalies involving the uterus, ovaries and fallopian tubes.
You will be kept informed before and after laparoscopy of the treatment options available as your symptoms change with regression or progression of the endometriosis lesions in your pelvis. Your choice of option will always be supported by your attending doctors and staff.
Endometriosis lesions infiltrate the pelvis, irritating nerve fibres and acting as a “glue” which binds structures (tubes, ovaries, uterus) to each other and then to organs (rectum, bladder, bowel). This eventually results in severe stage endometriosis, often referred to as D.I.E. (deep infiltrating endometriosis).
A pelvic examination is required to confirm pelvic endometriosis. Tender nodules indicate endometriosis, whilst a tender uterus may indicate adenomyosis (“uterine endometriosis”). Detection of D.I.E. requires an MRI after a positive pelvic examination.
How is Endometriosis Treated?
Dr Singh has 30+ years of knowledge and experience in the diagnosis and treatment of endometriosis, and will discuss the range of available options with you.
Endometriosis can be controlled but cannot be cured. Laparoscopic endometriosis excision reduces the symptoms, but the continuing normal cycles of oestrogen stimulation will encourage regrowth. Repeat surgery is often required at some point.
It is important to suppress endometriosis infiltration before and after laparoscopy. Various hormonal medications are available, together with pain management medications until pregnancy is desired.
We will discuss the options before and after laparoscopy, and what to do if associated pathology (PCOS, fibroids, tubal adhesions) are found.
What Does Laparoscopy Involve?
Laparoscopy (also known as keyhole surgery) is a minimally invasive technique involving the passage of a narrow telescope through the umbilicus, with 2 or more 5mm instruments on other parts of the abdominal wall. These instruments allow the surgeon to palpate, mobilise and correct any anomalies involving the uterus, ovaries and fallopian tubes.
You will be kept informed before and after laparoscopy of the treatment options available as your symptoms change with regression or progression of the endometriosis lesions in your pelvis. Your choice of option will always be supported by your attending doctors and staff.
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