Endometriosis treatment in Perth

Endometriosis
If you have been told that you have or may have endometriosis, it is important to seek help in the right place. At woom, we offer integrated women’s health, and part of our work with our patients in the wider Perth metro area focuses on helping you if you have painful periods or excessive bleeding. Often a laparoscopy is needed to create clarity, and allows us to start managing your endometriosis, and, if that is relevant for you, improve your overall fertility.
endometriosis perth
endometriosis perth
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Gynaecologist in Perth

What is endometriosis ?

Let’s start by clarifying what it is. Endometriosis is an inflammatory disorder around the uterus. It is diagnosed when tissue, similar to the lining of your uterus, is found outside the uterus. The condition is linked to your oestrogen levels. Up to 1 in 10 Australian women of reproductive age are diagnosed with endo, mostly before the age of 44.

But when we look at patients who experience a delay in falling pregnant (we call them subfertile patients), an even larger proportion of this group of women have endometriosis. And almost 9 out of 10 women who have chronic pelvic pain, will at some stage get a diagnosis for endometriosis.

Endometriosis Perth
Endometriosis Perth

So as you first hear your GP or gynaecologist mention that you may have endometriosis: it is important that it is an inflammation around the uterus – which may affect your chances of falling pregnant.

So with this understanding of what the condition actually is, what can you expect from an endometriosis treatment?

First of all, it is important to understand that endo cannot be ‘cured’. When your gynaecologist -and this would be a specialist with experience in laparoscopic gynaecology- talks about endometriosis treatment, we are talking about reducing symptoms, improving your quality of life and the chances of having children.

Dr Tamara Hunter - WOOM
Dr Tamara Hunter

Perth gynaecologist

Some options for treatment focus on suppressing your ovulation (for example COCP). Other treatments will be based on their progestogenic nature: progesterone reverses endometriosis at a cellular level.

It may be that along the way, your gynaecologist suggests that you have laparoscopic surgery or, a ‘laparoscopy’.

Perth gynaecologist

What are the symptoms of
endometriosis ?
At Woom, you can count on our team of women’s health experts and specialists to help you manage your symptoms and to plan treatment or surgery if required. To help you, we have listed the most common symptoms below:

The link between the ‘severity’ of your endometriosis, and the severity of your symptoms, is sometimes confusing. In other words, there is no correlation between the potential signs of endometriosis and the extent of the disease. That in itself means that it is recommended to seek the help of a qualified specialist when you suspect you may have it.

Dr Tamara Hunter - WOOM
Dr Tamara Hunter

Perth gynaecologist

Understanding the severity of your endometriosis is even more important if you are hoping to fall pregnant. We know that if it is severe, it will affect your reproductive potential or in other words, the likelihood to fall pregnant.

Gynaecologyst Perth

How is endometriosis diagnosed
and treated?

As said, the condition shows up in a wide variety of appearances and symptoms. The bottom line is that, if you develop painful periods, it may be advised to ask a GP referral, and get checked for endometriosis.

Your gynaecologist will look at a detailed history and perform a clinical examination.

It’s also good to bear in mind that if you have a family history of endometriosis (in a first-degree relative), your chances of developing endometriosis increase by up to 10%.

Menopause Perth
Menopause Perth

As said, the condition shows up in a wide variety of appearances and symptoms. The bottom line is that, if you develop painful periods, it may be advised to ask a GP referral, and get checked for endometriosis.

Your gynaecologist will look at a detailed history and perform a clinical examination.

It’s also good to bear in mind that if you have a family history of endometriosis (in a first-degree relative), your chances of developing endometriosis increase by up to 10%.

Until recently, it was believed that the non-invasive methods (avoiding a laparoscopic surgery) were only moderately successful. But ultrasonographers are getting better at detecting and diagnosing endometriosis. The type of imaging they use is a transvaginal pelvic ultrasound scan.

If you are diagnosed with ‘deep endometriosis’, with implants larger than 5 mm, the symptoms would typically also affect your bowel or bladder. In that case, your gynaecologist will ask you to do additional tests (such as an endorectal USS and MRI) to make it easier to plan your surgery.

The ‘gold standard’ procedure to provide a clear diagnosis is a laparoscopic assessment of your pelvis to visualise and excise endometriosis. So in some situations, you may hear that the way to get diagnosed is actually a type of surgery: diagnostic laparoscopy is a surgical diagnostic procedure, it is low-risk and minimally invasive with small incisions. The instrument used by your gynaecologist is a laparoscope and it allows us to look at the lining of your uterus and the surrounding tissue.

Through a laparoscopy, we can do more than just visualise your pelvis and the areas of endometriosis. These areas can also be excised (cut out) or ablated (burned).

Even after the tissue has been removed, it is possible that you still feel pain. This is linked to what we call the hot-wiring of your nervous system. That is why we recommend seeking medical advice from your gynaecologist at Woom, to stop the transition from painful periods to chronic pelvic pain.

Ideally, you would consider laparoscopic surgery in a timely manner. It means that your doctor can then maximise the options for medical treatment, so you can avoid repeat surgical procedures.

At Woom, we use our combined experience to help you with the pelvic exam, planning your laparoscopy or the management of your endometriosis, and even with all other related fertility tests and treatment plans, if that applies to you.

Gynaecologist & fertility specialist in Perth

Frequently asked questions

Laparoscopic gynaecology surgeon Perth

Doctors / Experts at woom
to help with endometriosis treatment
and management?

Tamara Hunter
Dr Tamara Hunter

Gynaecologist

Shital Julania
Dr Shital Julania

Gynaecologist

Nick Nation - WOOM
Nick Nation

Dietitian

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