Endometriosis is a commonly diagnosed condition associated with chronic pelvic pain, infertility and chocolate cysts or endometriomas. The condition typically causes pain before and during periods and also painful sex. It can only be diagnosed with a laparoscopy (keyhole surgery) although it may be suspected from symptoms and sometimes on an ultrasound if an endometriotic cyst is identified. Olivia will complete all necessary investigations and offer treatment for endometriosis when it’s diagnosed.
Treatment for endometriosis is either using medication and / or surgery:
Painkillers – such as anti-inflammatories (e.g. Ibuprofen, Naproxen), Paracetamol and/or opiates (e.g. Codeine, Tramadol)
Combined oral contraceptives – often taken without the break
Progesterones – Cerazette {Desogestrel} (one type of minipill), Depoprovera injections, Nexplanon (implant), Mirena IUS (hormone coil) {all off-license uses but can be effective}
GnRH analogues (usually with add-back HRT {Hormone replacement therapy}):injections to cause a temporary menopause and allow the endometriosis to subside and heal. This is a highly effective but potent treatment.

Surgery may involve laparoscopic cauterisation or excision (cutting out) of the endometriosis or removal of cysts and scar tissue and sometimes as a last resort removal of the womb, tubes and ovaries (hysterectomy). It is important to remove the ovaries to help prevent recurrence of the endometriosis at a later date. If you have your ovaries removed it is important to use HRT (hormone replacement therapy) at least up to the age of natural menopause or longer.