Pelvic pain & bleeding
Tissue similar to the womb lining growing outside the womb (endometriosis) or within the womb muscle (adenomyosis). Common, benign and treatable.
Understanding
Endometriosis is a condition where tissue similar to the lining of the womb grows outside the uterus, most commonly on the ovaries, fallopian tubes, pelvic side walls, bowel and bladder. Adenomyosis is closely related: the same tissue grows inside the muscle of the womb itself.
Both are common, benign and not contagious. They often run alongside one another. Symptoms can vary widely, and many patients live with them for years before a diagnosis is made. Modern treatment is highly effective, and with the right plan, most patients see a real, measurable improvement.
Common symptoms
Painful periods or pelvic pain
Pain during or after sex
Painful bowel movements or urination during periods
Fatigue, low energy
Difficulty getting pregnant
Diagnosis
Approach
A structured workup, often within one appointment, to identify the cause and shape a clear treatment plan.
Pelvic examination
Transvaginal pelvic ultrasound
MRI scan when indicated
Diagnostic laparoscopy in selected cases, both to confirm and treat
Treatment
Treatment is built around your symptoms, preferences and any other conditions. Options often combine medication, hormonal treatments and where appropriate, surgery.
Pain relief: paracetamol and anti-inflammatories (ibuprofen, naproxen)
Hormonal options: the combined pill, mini-pill, depot injection, implant, Mirena coil and GnRH treatments
Laparoscopic excision surgery to remove visible deposits: the gold standard for long-term symptom control
Fertility-focused management where appropriate
Hysterectomy considered in selected cases
Related procedures
Diagnostic & operative
Keyhole investigation of the pelvic and abdominal organs through a small camera. Used to diagnose and often treat conditions such as endometriosis, cysts and adhesions in the same operation.
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Laparoscopic surgery
Specialist keyhole surgery to fully remove endometriosis lesions: the gold standard for long-term pain relief and improved fertility outcomes.
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Major keyhole surgery
Keyhole removal of the womb, cervix and (where indicated) the fallopian tubes and ovaries. Faster recovery and smaller scars than open hysterectomy.
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Your consultation
A first appointment is unhurried. We work through your history, your symptoms and your priorities, and where helpful arrange examination, imaging or further tests at the same visit. You leave with a clear plan and time to ask any question you bring.