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Endometriosis is an under-diagnosed and under-treated problem. It is estimated that 1 in every 10 women have endometriosis during their reproductive years. However, many women did not realize that they have endometriosis until it causes severe pain or fertility problems. Indeed, multi-country studies show that there is a significant delay of up to 7-12 years in the diagnosis of endometriosis.
Endometriosis can cause:
A surgery is the gold standard to diagnose endometriosis and the only effective way to remove endometriosis. A surgery would be beneficial to you if:
Medical treatments may be offered to patients with chronic pain or endometriosis. Although it is reasonable to use these medical treatments as first-line therapies to relieve symptoms, none of them can remove endometriosis. The symptoms and disease will return once the woman stops using the medication. These treatments are usually:
Hormonal treatments or Mirena are not suitable for women who are trying to get pregnant.
The most effective way to remove endometriosis is with laparoscopic (keyhole) surgery. The high-definition, magnifying camera in laparoscopy (called laparoscope) allows doctors to have an accurate view of pelvic structures and identify endometriosis. The sophisticated, dedicated laparoscopic devices are also ideal for precise removal of endometriosis around pelvic organs.
Endometriosis surgery is a highly specialized procedure. Before going for surgery, it is important to ask your doctor:
Our “one-go” diagnostic and therapeutic endometriosis surgery
Our surgeon is experienced in diagnosing and treating endometriosis by advanced laparoscopic techniques. We are familiar with all form and severity of endometriosis. Our principle is to remove all disease that causes symptoms, while preserving the normal functions of pelvic organs and fertility.
Our “see-and-treat” strategy means that once endometriosis is identified, the disease is removed in the same surgery. In this way, the optimal therapeutic result can be achieved in one surgery. A second stage surgery is only reserved for the exceptional cases where the disease is very severe or involves structures outside the reproductive organs, e.g. bowel, bladder and urinary tract.
Our doctor will advise you on the options and treatment strategy in specific to your individual condition and personal needs.
Compared to an open surgery, patients who have undergone a laparoscopic surgery have less pain and scarring, go home earlier and recover quicker. Full recovery usually takes 2-3 weeks. The recovery time varies according to the extent of the disease and complexity of the surgery.
In the hands of experienced surgeons, women are six times more likely to have reduced pelvic pain six months after their endometriosis surgery.* For women with fertility problems, they are more likely to fall pregnant after the surgery and have a take home baby.
For patients who are not planning to get pregnant, there are options of adjuvant medical treatment that can reduce the chance of recurrence in the future. Our specialists will discuss this with you.
For women who have had infertility issues, they can try to get pregnant once the recovery period is over, either by natural conception or IVF.
Every woman is individual and her situation requires a tailored plan of management. If you think these issues relate to you, please contact us to arrange a personal consultation and discussion of your case.
*Compared to a diagnostic laparoscopy. Laparoscopic surgery for endometriosis (Review). Cochrane Database Syst Rev. 2014 Apr 3;4.
31 Bertram Street
Chatswood NSW 2067
1300 885 803
02 9475 0028
Dr. Sarah Choi