Gynaecology

Endometriosis

Endometriosis is a condition where abnormal tissue outside of the uterine cavity reacts to the hormonal changes of the menstrual cycle. Endometriosis lesions are structurally similar to the endometrium in your womb. Active endometriosis is associated with inflammation and scarring. Lesions, nodules and endometriomas (endometriosis lined ovarian cysts, known as chocolate cysts) can cause anatomical damage to important pelvic organs, leading to impaired fertility. Inflammatory mediators of endometriosis in a woman’s pelvic environment can have toxic effects on eggs and embryos.

Endometriosis can cause a spectrum of pelvic pain syndromes, which are cyclical in nature. Pain tends to be worst in the days leading up to and during your menstrual period. Endometriosis can also cause pain associated with your bowel and bladder function and “deep“ pain with sexual intercourse.

The gold standard treatment for endometriosis is surgical removal of abnormal tissue. It is SO important that in women seeking fertility, a conservative surgical approach is taken. Extensive surgery to a woman’s ovaries can destroy normal surrounding ovarian cortex (the tissue containing her eggs). As a Fertility Specialist, Dr Raelia Lew is highly trained in minimally invasive laparoscopic gynaecological surgery. Her treatment goal is to simultaneously eradicate your endometriosis symptoms and to maximize your fertility.