Endometriosis Clinic

Endometriosis Clinic @ Thomson Fertility Clinic

Many women suffer in silence during their monthly periods, assuming that painful cramps are normal. Many endometriosis sufferers go undiagnosed until they try to conceive without success or when the pain worsens, leading the sufferer to a gynaecologist. 

 

Our treatment for women suspected to have endometriosis focuses on:

 

  • Detection of endometriosis
  • Management of endometriosis pain
  • Optimisation of fertility

 

Our Specialist Dr Steven Teo, who is a Gynaecologist and IVF clinician, sub-specialises in the management of endometriosis. He is experienced in the diagnosis and individualised treatment of this condition, which affects about 10 per cent of the female population, with up to half of all infertile women suffering from it.

 

What is Endometriosis?

Endometriosis is a disease defined by the presence of endometrial-like glands outside of the womb cavity. When the inner (menstrual) lining of the womb “migrates” outside of its usual location, it may result in problems and symptoms associated with endometriosis. As the “wrong tissue” appears in the “wrong place” of the body, it will incite a chronic inflammatory reaction, resulting in pain and scarring, which in turn can affect the proper functioning of the reproductive structures.

Typically, sufferers of endometriosis experience pain during or just before menstruation, some have pain during sex and occasionally, a few may complain of pain when moving bowels or passing urine. Certain individuals with severe, long-standing disease may have constant pain which no longer fluctuates cyclically.

Another common symptom of endometriosis is infertility. The inflammation process and resultant scarring can adversely affect the reproductive organs, as well as distort the reproductive structures (e.g. kinking or blockage of fallopian tubes, formation of ovarian cysts, etc) and make pregnancy difficult. In addition, the pain from endometriosis may preclude regular intercourse, further contributing to infertility.

 

Symptoms of Endometriosis

Symptoms generally develop before the age of 30 and can include any of the following:

 

  • Menstrual Pain
  • Pain during or after sex
  • Pain on urination / opening bowels
  • Blood in stools
  • Chronic pain
  • Inability to conceive

 

 

How is endometriosis diagnosed?

The only method of diagnosing endometriosis is by laparoscopy or keyhole surgery, especially with removal of the diseased tissue removed for examination. However, it is an invasive procedure and care must be taken to avoid unnecessary risks for women without endometriosis. The formula for detecting the disease involves detailed interview and physical examination, as well as pelvic ultrasound scans. Hence, we rely heavily on the specialists’ experience, clinical acumen and high index of suspicion in order not to miss cases with endometriosis. There is no need for elaborate blood tests or high-resolution imaging studies for most cases, which are not accurate for endometriosis anyway.

 

What are the management or treatment options for endometriosis?

This can generally be categorised into either surgery and medication. The choice of treatment has to be tailored to the woman (or couple, in some cases), depending on level of suspicion for endometriosis, the impact of the disease on the woman and the desired outcome of treatment (pain control, fertility or both).

 

About Our Specialist - Dr Steven Teo specialises in advanced laparascopy to complement fertility treatment. He is a Level 3 Minimally Invasive Surgery accredited specialist and is actively involved in the teaching of laparascopy. Dr Teo is well-versed in reproductive medicine and assisted reproductive techniques and specialises in general Obstetrics and Gynaecology. Dr Teo also manages general Obstetrics and Gynaecology cases, looking after normal as well as complicated pregnancies, and treats women with conditions such as fibroids, endometriosis and menstrual disorders.

 

Links:

  1. http://www.independent.co.uk/life-style/health-and-families/features/endometriosis-is-more-than-just-period-pain-for-women-10049608.html
  2. http://www.independent.co.uk/voices/comment/endometriosis-the-condition-doctors-take-years-to-spot-10088483.html
  3. http://www.independent.co.uk/life-style/health-and-families/features/endometriosis-chronic-pain-what-is-it-and-what-are-the-symptoms-a6932456.html
  4. http://www.marieclaire.co.uk/news/world/551873/10-things-you-need-to-know-about-endometriosis.html