SERVICES

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OUR SERVICES

Our focus at The Endometriosis Clinic is entirely on you, our patient, and we bring our experience and expertise to make your visit to our clinic as pleasant and helpful as possible.

We aim to provide a holistic approach to the management of your condition, irrespective of the stage and location of your endometriosis.

TREATMENT PROCESS

We have a simple process that takes little time to complete:

  • Firstly, completion of a short questionnaire prior to your consultation to help us understand your symptoms, their severity and the impact of the condition on your life.
  • You will then be seen in the clinic by one of our Consultant Gynecologists. Your case will be discussed in a Multi-disciplinary Team (MDT) meeting if severe.
  • If surgery is necessary, it will take place at either the BMI Priory Hospital, or the BMI Edgbaston Hospital, in Birmingham or the Spire Parkway Hospital in Solihull.

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HISTORY TAKING

Endometriosis is commonly found in the pelvis and is a condition where cells similar to those found lining the womb (uterus) are found in other parts of the body. Besides the pelvis, which includes inside or on the ovaries, behind the uterus and on the bowel and bladder, endometriosis can also be found in the lungs, chest cavity, abdominal wall scars, the navel and elsewhere in the body.

Each month that a woman is not pregnant, the uterus lining breaks down and becomes a menstrual period. The endometriosis tissue goes through a similar cycle and bleeds during menstruation. This usually causes pain during periods, inflammation and scarring and can cause organs or structures to stick to each other and can lead to distortion of the normal anatomy. This cyclical pattern is believed to be a major contributing factor in the development of symptoms associated with endometriosis.

EXAMINATION

It is not known what causes endometriosis, however there are some factors that may contribute to it and these may be inherent in families. Two popular theories are:

  • Retrograde Menstruation. This is a popular theory that states that endometriosis occurs when cells that line the womb go backwards through the fallopian tubes into the pelvis during a normal menstrual period.
  • Metaplasia. This describes a process which involves cells that are situated in the pelvis and abdomen which change, for reasons that are not fully understood, into endometrial type cells.

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ULTRASOUND SCAN

Endometriosis is commonly found in the pelvis and is a condition where cells similar to those found lining the womb (uterus) are found in other parts of the body. Besides the pelvis, which includes inside or on the ovaries, behind the uterus and on the bowel and bladder, endometriosis can also be found in the lungs, chest cavity, abdominal wall scars, the navel and elsewhere in the body.

Each month that a woman is not pregnant, the uterus lining breaks down and becomes a menstrual period. The endometriosis tissue goes through a similar cycle and bleeds during menstruation. This usually causes pain during periods, inflammation and scarring and can cause organs or structures to stick to each other and can lead to distortion of the normal anatomy. This cyclical pattern is believed to be a major contributing factor in the development of symptoms associated with endometriosis.

MRI SCANS

Approximately 10% of women suffer from endometriosis and some women may have no significant symptoms of the disease. However, some common signs include:

  • Pain passing urine and with bowel movements
  • Pain during sex
  • Pain in the pelvis
  • Painful periods
  • Pain between periods in the pelvis and abdomen
  • Difficulty in becoming pregnant

We sometimes utilise MRI imaging to determine whether these symptoms may be present due to invasive disease in the vagina, bladder and bowel, as well as to look for the presence of adenomyosis and endometriomas (chocolate cysts in the ovaries).

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LAPAROSCOPY

Laparoscopic or 'keyhole' surgery is used for the diagnosis or treatment of disease and is an established alternative to laparotomy (an open cut to the stomach) for the treatment of a large number of conditions.

Benefits of laparoscopy over conventional 'open' surgery

Laparoscopic surgery means less discomfort after surgery and a much faster recovery. Indeed, the majority of our patients are fit to go home the same day of surgery or after one overnight stay following their surgery, and their return to work and everyday life is considerably sooner compared to open surgery.

Patients who undergo laparoscopic surgery also have less of a physical stress response to surgery and a reduced incidence of chest complications following their surgery.

Another benefit of laparoscopic surgery over open surgery is the reduced size of the cuts or incisions required and this is reflected in the improved cosmetic effect following the patient's surgery.

World class expertise

The Endometriosis Clinic is one of a small number of centres in the UK to provide world class laparoscopic surgery for gynaecological disorders for which patients have traditionally required laparotomy with prolonged hospital stays and long recovery times.

Our multi-disciplinary team is led by one of the UK's most experienced laparoscopic surgeons, Chris Mann, MBChB, BSc (Hons), MD, MRCOG, Consultant Gynaecological Oncologist and Laparoscopic Surgeon.