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Endometriosis
Endometriosis is a chronic, progressive condition, in which cells similar to those which line the uterus (endometrium), grow in other parts of the body, outside of the uterus. It most commonly arises in the pelvic organs, affecting the reproductive organs, but can, in rare circumstances affect other parts of the body as well.
Endometriosis affects up to 1 in 10 women of reproductive age, but many women received delayed diagnoses of up to 6.5 years due to the fluctuating nature of the condition over time
The endometrial tissue deposits grow under the same cyclical and menstrual changes associated with a women’s menstrual cycle, and as such symptoms may arise when these deposits become more active, and they may also bleed at the same time as your menstrual cycle.
The causes of endometriosis are generally unknown, and while we do have some theories as to how the problem may arise, we do know that it can run in families.
While, period pain is common, symptoms of endometriosis include:
- Pelvic pain
- Heavy bleeding
- Bladder and bowel problems
- Pain with intercourse
- Fatigue
Endometriosis affects up to 1 in 10 women of reproductive age, but many women don’t get a diagnosis for up to 6.5 years due to the fluctuating nature of the condition over time.1 Your Evoca GP will take the time to carefully explore your symptoms and signs and evaluate whether Endometriosis could indeed be the cause. Early diagnosis and treatment are key to mitigating the severity and complications of the disease.
Our Endometriosis services
At Evoca, your GP will be able to facilitate a thorough assessment, any necessary investigations, and a treatment plan tailored to your needs, bringing in allied health providers such as physiotherapists and dieticians where needed. Your GP can assist in creating GP management plans and team care arrangements for your endometriosis management, to ensure a holistic multidisciplinary team.
References
1 https://www.endometriosisaustralia.org/
How to prepare for your visit
Keep a symptom diary and share this with us
Keep a record of the contraceptive options you have tried and what effect they had on your symptoms
Make a note of how the symptoms affect your work and social life, and share this with us
Bring information or results of any tests you have had done in relation to the symptoms
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr Amatun Rashid
General Practitioner
Craigieburn, VIC 3064
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Bindi Sethi
General Practitioner
Ringwood, VIC 3134
Dr Danise Theron
General Practitioner
Rockingham, WA 6168
Dr Darren So
General Practitioner
Epping Plaza, VIC 3076
Dr Donna Nobleta
General Practitioner
Moonee Ponds VIC 3039
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Farisha Begum
General Practitioner
Blacktown NSW 2148
Dr Gayathri Kosaka
General Practitioner
Oxley QLD 4075
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Jenny He
General Practitioner
Maroubra, NSW 2035
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Josephine Salazar
General Practitioner
Ballarat, VIC 3350
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mokhlesur Rahman
General Practitioner
Ballarat, VIC 3350
Dr Nicola Cahill
General Practitioner
Ballarat, VIC 3350
Dr Olivia Waturuocha
General Practitioner
Springfield, QLD 4300
Dr Rachael Norman
General Practitioner
Southport QLD 4215
Dr Rashida Perveen
General Practitioner
Springfield, QLD 4300
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Rosaleen Jacob
General Practitioner
Rouse Hill, NSW 2155
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Samantha Taylor
General Practitioner
Springfield, QLD 4300
Dr Sanda Bonchis
General Practitioner
Springfield, QLD 4300
Dr Shoma Chowdhury
General Practitioner
Narre Warren, VIC 3805
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Sudhish Sudhan
General Practitioner
Craigieburn, VIC 3064
Dr Sushma Chaparala
General Practitioner
Melton VIC 3337
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr Tania Altaf
General Practitioner
Belconnen, ACT 2617
Dr Thandar san
General Practitioner
Frankston VIC 3199
Dr Thomas Shashian
General Practitioner
Narre Warren, VIC 3805
Dr Zulaiha Ghazaly
General Practitioner
Werribee, VIC 3030
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Clare Oliver
General Practitioner
Werribee, VIC 3030
Dr. Dzung Do
General Practitioner
Campsie, NSW 2194
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Frances Pengelly
General Practitioner
Rouse Hill, NSW 2155
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Ignatius Oyugbo
General Practitioner
Modbury, SA 5092
Dr. Jay Kotecha
General Practitioner
Robina, QLD 4226
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Lily Han
General Practitioner
Belconnen, ACT 2617
Dr. Liyana Jayaweera
General Practitioner
Chatswood, NSW 2067
Dr. Momotaj Begum
General Practitioner
Belconnen, ACT 2617
Dr. Nitya Krishnamurthy
General Practitioner
Dapto, NSW 2530
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Dr Tania Altaf
General Practitioner
Belconnen, ACT 2617
Dr. Lily Han
General Practitioner
Belconnen, ACT 2617
Dr. Momotaj Begum
General Practitioner
Belconnen, ACT 2617
Dr Arthikka Kirupal
General Practitioner
Blacktown NSW 2148
Dr Farisha Begum
General Practitioner
Blacktown NSW 2148
Dr Grace Abdukeyum
General Practitioner
Charlestown, NSW 2290
Dr Jenny He
General Practitioner
Maroubra, NSW 2035
Dr Jolly Dutta
General Practitioner
Blacktown NSW 2148
Dr Rita Almohty
General Practitioner
Campsie, NSW 2194
Dr Rosaleen Jacob
General Practitioner
Rouse Hill, NSW 2155
Dr Salina Ahmed
General Practitioner
Charlestown, NSW 2290
Dr Sophie Vavladelis
General Practitioner
Bondi Junction, NSW 2022
Dr Syeda Bushra
General Practitioner
Blacktown NSW 2148
Dr. Dzung Do
General Practitioner
Campsie, NSW 2194
Dr. Farhat Jehan
General Practitioner
Caringbah, NSW 2229
Dr. Frances Pengelly
General Practitioner
Rouse Hill, NSW 2155
Dr. Hana Sandrik
General Practitioner
Maroubra, NSW 2035
Dr. Kalyanie Kuruppuarachchi
General Practitioner
Maroubra, NSW 2035
Dr. Liyana Jayaweera
General Practitioner
Chatswood, NSW 2067
Dr. Nitya Krishnamurthy
General Practitioner
Dapto, NSW 2530
Dr. Sneha Wadhwani
General Practitioner
National Clinical Director – Evoca women’s health
Bondi Junction, NSW 2022
Dr Gayathri Kosaka
General Practitioner
Oxley QLD 4075
Dr Olivia Waturuocha
General Practitioner
Springfield, QLD 4300
Dr Rachael Norman
General Practitioner
Southport QLD 4215
Dr Rashida Perveen
General Practitioner
Springfield, QLD 4300
Dr Samantha Taylor
General Practitioner
Springfield, QLD 4300
Dr Sanda Bonchis
General Practitioner
Springfield, QLD 4300
Dr. Caroline van der Vlugt
General Practitioner
Robina, QLD 4226
Dr. Fatima Elnaggar
General Practitioner
Victoria Point, QLD 4165
Dr. Jay Kotecha
General Practitioner
Robina, QLD 4226
Dr. Jennifer Cortez
General Practitioner
Robina, QLD 4226
Dr. Jody Waters
General Practitioner
Victoria Point, QLD 4165
Dr. Shilpi Wahi
General Practitioner
Victoria Point, QLD 4165
Dr Alison Clarke
General Practitioner
Norwood SA 5067
Dr. Ignatius Oyugbo
General Practitioner
Modbury, SA 5092
Dr Amatun Rashid
General Practitioner
Craigieburn, VIC 3064
Dr Bindi Sethi
General Practitioner
Ringwood, VIC 3134
Dr Darren So
General Practitioner
Epping Plaza, VIC 3076
Dr Donna Nobleta
General Practitioner
Moonee Ponds VIC 3039
Dr Faiza Mehfooz
General Practitioner
Ballarat, VIC 3350
Dr Josephine Salazar
General Practitioner
Ballarat, VIC 3350
Dr Loba Haque
General Practitioner
Ballarat, VIC 3350
Dr Mahua Sharmin Huq
General Practitioner
Ballarat, VIC 3350
Dr Mokhlesur Rahman
General Practitioner
Ballarat, VIC 3350
Dr Nicola Cahill
General Practitioner
Ballarat, VIC 3350
Dr Shoma Chowdhury
General Practitioner
Narre Warren, VIC 3805
Dr Sidra Imtiaz
General Practitioner
Ballarat, VIC 3350
Dr Sudhish Sudhan
General Practitioner
Craigieburn, VIC 3064
Dr Sushma Chaparala
General Practitioner
Melton VIC 3337
Dr Sushma Chaparala
General Practitioner
Moonee Ponds VIC 3039
Dr Thandar san
General Practitioner
Frankston VIC 3199
Dr Thomas Shashian
General Practitioner
Narre Warren, VIC 3805
Dr Zulaiha Ghazaly
General Practitioner
Werribee, VIC 3030
Dr. Clare Oliver
General Practitioner
Werribee, VIC 3030
Dr. Palmyra de Banks
Clinical Director - VIC
General Practitioner
Preston, VIC 3072
Dr. Vidya Prabhu
General Practitioner
Epping Plaza, VIC 3076
Dr Danise Theron
General Practitioner
Rockingham, WA 6168
Dr Sid Viswanath
General Practitioner
Rockingham, WA 6168
Dr. Gagandeep Kundal
General Practitioner
Rockingham, WA 6168
FAQ’s
Treatments for endometriosis have come a long way over the years. Hysterectomy is very much a last resort, and the main stay of treatment is around hormonal therapies in the first instance, which suppress endometrial tissue activity.
If endometriosis goes untreated, its cumulative effects can cause adhesions and scarring which may affect fertility. However, this does not occur in all cases. Family planning is an important consideration when diagnosing and managing endometriosis.
1 https://www.jeanhailes.org.au/health-a-z/endometriosis/fertility
The gold standard of diagnostics for endometriosis is a surgical keyhole procedure called a laparoscopy, which directly looks for deposits of endometrial tissue outside the uterus on the pelvic organs. However in recent years specialist sonographers have been able to detect on ultrasound scan some manifestations of endometriosis such as nodules and chocolate cysts. These are specialist clinics who provide this type of ultrasound and your Evoca GP may request this type of test for you
2 Reference: https://www.jeanhailes.org.au/health-a-z/endometriosis/diagnosis
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