Spital Clinic offers comprehensive care for women with endometriosis, a complex and often painful disorder affecting the reproductive system.
The information provided in this article is for educational purposes only and is based on NHS recommendations. It is not a substitute for professional medical advice. Always consult your doctor or a qualified healthcare provider for advice on medical conditions or treatments.
Endometriosis is a chronic condition in which tissue similar to the lining of the uterus (endometrium) grows outside the uterus. This displaced endometrial tissue, known as endometrial implants, can develop on the ovaries, fallopian tubes, peritoneum (the lining of the abdominal cavity), and other pelvic organs. In rare cases, endometrial implants may even occur in areas beyond the pelvic region.
Like the normal endometrium, these endometrial implants respond to hormonal changes throughout the menstrual cycle, growing and breaking down with each period. However, unlike the endometrium, which sheds through the vagina during menstruation, the displaced tissue has no way to exit the body. This can lead to inflammation, scarring, and the formation of adhesions (abnormal tissue bonds) between pelvic organs, causing pain and other symptoms.
Diagnosing endometriosis can be challenging, as the symptoms can mimic other conditions and the extent of the disease does not always correlate with the severity of symptoms. A healthcare provider may suspect endometriosis based on a woman's medical history, symptoms, and physical examination findings, such as pelvic tenderness or enlarged ovaries.
Imaging tests, such as transvaginal ultrasound or magnetic resonance imaging (MRI), can help identify ovarian cysts (endometriomas) and other signs of endometriosis. However, the definitive diagnosis of endometriosis requires a surgical procedure called laparoscopy. During laparoscopy, a thin, lighted tube with a camera (laparoscope) is inserted through a small incision in the abdomen, allowing the surgeon to directly visualise and biopsy any endometrial implants. The tissue samples are then examined under a microscope to confirm the diagnosis.
Treatment for endometriosis depends on several factors, including the severity of symptoms, the extent of the disease, and the woman's age and reproductive goals. For mild cases, over-the-counter pain relievers and hormonal contraceptives (birth control pills, patches, or rings) may be recommended to manage pain and regulate menstrual cycles. Gonadotropin-releasing hormone (GnRH) agonists or antagonists, which temporarily suppress ovarian function and reduce estrogen levels, may be prescribed for more severe cases.
Surgery is another treatment option for endometriosis, particularly when conservative measures are ineffective or when the disease is causing significant pain or infertility. Laparoscopic surgery involves removing visible endometrial implants and adhesions while preserving healthy tissue. In severe cases or when childbearing is complete, a hysterectomy (removal of the uterus) with or without oophorectomy (removal of the ovaries) may be considered. However, it is important to note that while surgery can provide relief, there is a risk of endometriosis recurrence, and the decision to undergo surgery should be made in consultation with a healthcare provider.
The exact cause of endometriosis is unknown, but several factors may increase a woman's risk of developing the condition. These include a family history of endometriosis (mother, sister, or daughter with the condition), never having given birth, starting menstruation at an early age, short menstrual cycles (less than 27 days), heavy menstrual bleeding lasting more than seven days, and certain reproductive tract abnormalities, such as a uterine septum or cervical stenosis. Additionally, some studies suggest that immune system disorders, environmental toxins, or retrograde menstruation (the backward flow of menstrual blood into the pelvic cavity) may play a role in the development of endometriosis.
Endometriosis can have a profound impact on a woman's quality of life, both physically and emotionally. The chronic pain associated with the condition can interfere with daily activities, work, and relationships. Many women with endometriosis experience pain during or after sexual intercourse, which can lead to intimacy issues and strain on partnerships. Infertility, another potential consequence of endometriosis, can cause significant emotional distress and alter life plans. Additionally, the unpredictable nature of symptoms and the need for ongoing management can contribute to feelings of anxiety, depression, and isolation. However, with proper support, treatment, and self-care strategies, many women with endometriosis can effectively manage their symptoms and lead fulfilling lives.
We provide a comprehensive range of services, from private GP consultations and specialised men's and women's health care to advanced ultrasound scans and proactive health screenings, all within a reassuring and state-of-the-art environment.
You have a question about Endometriosis? We have an answer.
Currently, there is no known cure for endometriosis. However, the condition can be effectively managed through various treatment options, including medication, surgery, and lifestyle modifications. The goal of treatment is to alleviate symptoms, improve quality of life, and address any associated complications, such as infertility. While endometriosis is a chronic condition that may require ongoing management, many women are able to find relief and lead healthy, productive lives with the right care and support.
Pregnancy does not cure endometriosis, but it may provide temporary symptom relief for some women. During pregnancy, the body produces high levels of progesterone, which can suppress the growth of endometrial implants and reduce inflammation. However, this effect is typically short-lived, and symptoms often return after childbirth or the cessation of breastfeeding. It is important to note that while some women with endometriosis may experience a reduction in symptoms during pregnancy, the condition itself can also contribute to fertility challenges, making it more difficult to conceive in the first place.
While endometriosis itself is not a cancerous condition, some studies suggest that women with endometriosis may have a slightly increased risk of developing certain types of cancer, particularly ovarian cancer. This risk is thought to be related to the chronic inflammation and hormonal imbalances associated with endometriosis. However, it is important to note that the overall risk of developing cancer due to endometriosis is low, and most women with the condition do not develop cancer. Regular gynaecological check-ups and open communication with healthcare providers can help monitor for any potential complications and ensure prompt intervention if necessary.
According to verified reviews from platforms such as Doctify, TrustPilot and Google - 99% patients have a positive experience at Spital Clinic.
"Great experience. Frustratingly we had 3 NIPTs come back with no result so had to do 3 blood redraws but thanks to LPC’s persistence we finally got a result on the 4th draw. After the 3rd no result they also kindly offered us a free anomaly scan."
"I had a surprisingly positive experience. The most friendly and helpful staff, clean and beautiful premises. The visit was smooth and quick but never felt rushed and I was able to ask all the questions I had. Thanks so much!"
"The service was exceptional from the moment we booked to the moment we left the building post our appointment. The lovely colleagues at the main desk were great and approachable. They made the whole process very comforting."
"I really recommend this clinic, everything was smooth and perfect. All staff are helpful and our sonographer Miss Shaz is an expert on her job, she is very kind and explained everything that we asked. I am glad to choose LPC."
Our medical centre is at 36 Spital Square, E1 6DY, City of London.
