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Gynaecology

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> Endometriosis
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Endometriosis
Endometriosis is a condition where the same type of tissue that lines the uterus is found in places outside the womb. The tissue behaves in the same way during your period as the tissue in your womb. Endometriosis may cause irritation to the tissues around it, and may lead to heavy painful periods, pelvic pain, pain during sex and reduced fertility.

An ultrasound may be suggestive of endometriosis, but the "gold standard" way to diagnose endometriosis is a laparoscopy - using key-hole surgery, a telescope is inserted through the tummy button to check the pelvic organs under general anaesthetic.
What is the treatment for endometriosis?

Endometriosis may be treated either medically or surgically. Simple pain relief may be of benefit. Using hormones such as the combined contraceptive pill, the Mirena intra-uterine device or an Implanon may help. Surgery may be necessary to remove "endometriomas" - cystic collections of old blood.

For a few women who have had no success with other treatments and have completed their families, it may be decided that the best option is to have a hysterectomy, but this does not always help with pain.
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