What is Endometriosis?

What is Endometriosis?

Endometriosis is a condition where the tissue similar to the lining of the uterus is found in areas outside of your uterus in the pelvis, such as your ovaries, bladder or even bowel.

It affects 1 in 7 women in Australia and on average takes 6.5 years to be diagnosed with Endometriosis.

In general, endometriosis is more commonly diagnosed in women in their 20’s and 30’s, but even adolescents can be diagnosed with endometriosis.

What are the common symptoms of endometriosis?

What are the common symptoms of endometriosis?

Women can present with symptoms of endometriosis in many different ways, common symptoms include:

  • Pain with periods (dysmenorrhoea)
  • Painful sex (dyspareunia)
  • Fatigue
  • Infertility
  • Non-specific pelvic pain
  • Pain radiating to the back, upper thighs or buttock
  • Bladder and bowel symptoms (bloating, pain with urination, changes in bowel motions during your period, pain with opening your bowels)
What should a patient expect?

What should a patient expect?

Every patient is different and will have a unique bespoke journey for their treatment of endometriosis.

Patients should expect an initial 45 minute consultation that can be performed face to face of via telehealth. During the consultation:

  • A detailed history will be taken
  • In some cases, a pelvic examination with use of a speculum is required
  • Review of (or ordering) investigations such as a pelvic ultrasound or MRI

A discussion on treatment planning will occur identifying your goals as a patient and should surgery be indicated there will be a detailed discussion about the processes, risks, costs, post-surgical management as well as time frames.

FAQs

Can endometriosis come back after surgery?

Yes, endometriosis can recur. Best practice aims to excise endometriosis and remove the cells. If pregnancy is not desired, hormonal suppression may be recommended to try and prevent endometriosis from recurring.

How much does endometriosis surgery cost in Sydney?

Please contact Sam's reception staff to discuss his fees for surgery, the complexity of the endometriosis will dictate the fee and eligible medicare rebate.

What is the recovery time after laparoscopic endometriosis surgery?

Most patients will go home the same day of surgery, or the next day. Sam's surgeries are minimally invasive and promote prompt recovery time and early return to work.

When should I see an endometriosis surgeon in Sydney?

If you think you have endometriosis! Too many women dismiss their symptoms and suffer in pain, endometriosis is a real condition, women should be heard and see by an endometriosis surgeon as soon as it is suspected.

What does an endometriosis specialist do?

They are specialist in management of this complex disease. They often work alongside a multi-disciplinary team to best manage your symptoms and unique situation. They will discuss management options with may be surgical excision of disease from the pelvis or medical management with medicine.

How is Endometriosis Diagnosed?

Endometriosis can be diagnosed clinically or surgically. 

A clinical diagnosis is based on the symptoms of the patient and or evidence of endometriosis on examination, ultrasound or MRI. 

A surgical diagnosis is made with excisional surgery of endometriosis. Where tissue is removed from the pelvis and examined under a microscope. 

How should endometriosis be removed?

Guidelines have been developed that strongly suggest best practice is to excise and remove the endometriosis as opposed to ‘ablate’ or ‘burn’ the endometriosis. 

What is the qualification of an endometriosis surgeon?

Endometriosis surgery should be performed by a qualified AGES accredited laparoscopic surgeon who is accredited to perform Level 6 surgery. These surgeons have the highest level of qualification and are considered specialist endometriosis surgeons 

What are the benefits of minimally invasive surgery?

Minimally Invasive Surgery is the best approach to excising endometriosis. It allows for a shorter hospital stay, faster recovery, earlier return to normal daily activities and reduced post operative pain. Minimally invasive surgery allows careful handling of the pelvic organ tissues, minimising risk and improving fertility outcomes, reduced pain and scarring compared to open surgery.