Endometriosis is a condition where tissue similar to the lining of the uterus grows outside it, often around the pelvis. It can cause pain and inflammation, and for some women it affects fertility. In Australia, it can take an average of around six to seven years to be diagnosed, so recognising the signs early matters.
Common signs
- Period pain that stops you working, studying or doing normal activities
- Pelvic pain at other times of the month
- Pain during or after sex
- Pain with bowel motions or passing urine, especially around your period
- Bloating and tiredness
- Difficulty getting pregnant
Symptoms vary a lot, and the amount of pain doesn't always match how much endometriosis is present.
How it's diagnosed
Your GP will talk through your symptoms and history, and may examine you and arrange a specialised pelvic ultrasound. These can strongly suggest endometriosis, but a definite diagnosis sometimes needs keyhole surgery (laparoscopy) by a gynaecologist. You don't always need surgery before starting treatment.
Treatment options
- Pain relief, with a plan for your worst days
- Hormonal treatments, including some contraceptive options such as a hormonal IUD
- Pelvic physiotherapy and other pain support
- Surgery, in some cases
- Fertility support and referral when needed
Many women do best with a team approach. Dr Syed can coordinate your care and refer you to a gynaecologist or pelvic pain service when needed.
Want to talk it through? Dr Syed sees patients at The Doctors Hope Island, and Runaway Bay Medical & Dental.
Book online Women's health with Dr Syed →Common questions
Is severe period pain normal?
Some period discomfort is common, but pain that stops you doing normal activities isn't something you should have to put up with. See your GP.
How is endometriosis diagnosed?
Your GP will assess your symptoms and may arrange a specialised ultrasound. A definite diagnosis sometimes needs keyhole surgery, but treatment can often start before that.
Can a GP treat endometriosis?
Yes. GPs can start pain management and hormonal treatment, and refer you to a gynaecologist or pelvic pain service when needed.
Further reading: Endometriosis Australia · Jean Hailes for Women's Health · healthdirect Australia
This article is general information only and is not a substitute for advice about your own health. In an emergency, call 000.
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