Endometriosis
Michael utilises advanced surgical techniques to treat endometriosis, drawing on his Advanced Training and Clinical Fellowship focused on minimally invasive surgery to optimise outcomes and support a faster recovery.
Understanding Endometriosis
Endometriosis is a condition where tissue similar to the lining of the uterus is found outside the uterus. The most common location for endometriosis is the peritoneum - a thin “glad-wrap” like membrane that lines the pelvic structures. During your menstrual cycle, these deposits become inflamed, leading to cyclical pain and potential subfertility.
Identifying Symptoms
Symptoms of endometriosis are often complex and vary between individuals. Michael will work with you to discuss symptoms such as:
Cyclical pelvic pain which is related to your period
Pain during intercourse, which may worsen around your period
Pain during urination or bowel movements, which is related to your period
Subfertility: Difficulty conceiving
Diagnosis
Advanced ultrasounds performed by ultrasound specialists (COGUs) are increasingly used to detect suspected endometriosis or to determine the extent of the disease. It is important to note that regular ultrasounds are usually not able to detect endometriosis, and mild cases may not be visible even on a specialised COGU scan. Michael can co-ordinate a specialised COGU scan for you as part of your comprehensive assessment [link to booking form].
An Individualised Approach
Treatment options are tailored according to your priorities:
Symptom Improvement: Hormonal therapy to suppress the menstrual cycle is often recommended as a first-line treatment to manage pain.
Surgical Intervention: For patients where hormonal therapy is unsuccessful or not appropriate, Michael performs minimally invasive surgery to remove endometriosis deposits.
Fertility Optimisation: For those seeking to conceive, surgical removal of mild endometriosis has been shown to improve spontaneous pregnancy rates. IVF may be considered the primary path if other factors, such as severe endometriosis, age or low ovarian reserve (AMH) are present.
Post-Surgical Care: Following surgery, Michael may recommend continuing hormonal therapy to prevent new deposits from forming, unless you are currently planning a pregnancy.