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Endometriosis And Pelvic Pain

Pelvic pain is one of the most common reasons why women are seen in hospital during their reproductive lives (15-45 years). It may happen at any time (sporadic) or at particular phases of the menstrual cycle (cyclical).

Endometriosis occurs when the tissue that lines the womb finds its way to the outside of the womb onto the pelvic lining and tissues. This leads to inflammation and tenderness from contact with the penis.

It accounts for a large proportion of pelvic pain in women during these years, and can impact very negatively on family life and productivity.

Women are more likely to be affected if other close family members have had the condition.

At Aurora, we are experts in helping women achieve relief from its potentially-devastating consequences of pelvic pain and infertility. 

Treatment of Endometriosis

We provide tests to diagnose, and treatment tools for endometriosis at all stages. Early diagnosis is favoured. The sooner you seek medical advice, the sooner we can help you.

There are conservative, medical and surgical types of treatment. Don’t worry, everything will be explained to you at every stage to make sure you fully understand your options and the risks associated.

Many other conditions also give rise to pain in the pelvis. We offer a methodical yet compassionate approach to the investigation and treatment of pelvic pain syndromes, with counselling and chronic pain physiotherapy available if you need them.

Other Types of Pelvic Pain

Pelvic pain can also be caused by an infection, uterine fibroids, ovarian cysts, cancer and non-gynaecological causes such as a bladder infection, gall stones, appendicitis, or a bowel dysfunction. Whatever the cause, pelvic pain can be extremely debilitating for the sufferer, contributing to work absences and disruption of personal and family life.

Pelvic Pain Treatment

Taking a detailed history of your symptoms creates a clearer picture of what may be causing the pain. We will then undertake a full physical examination, including your abdomen and pelvis, and take vaginal and cervical swabs to check for infections. A pelvic ultrasound scan can be used to detect the presence of any swellings and cysts. Sometimes, the scan will not reveal the cause of the pain, in which case laparoscopy may be necessary.

General Measures

Painkillers, particularly anti-inflammatory ones, may help manage the symptoms. Those with cyclical menstrual pain may benefit from having fewer periods, which can be achieved through the pill. In some cases the best form of pelvic pain treatment is to stop your periods altogether for a short time, through the use of monthly or three-monthly injections.

Most forms of pelvic pain are treated successfully. However, a small number of sufferers with chronic pelvic pain may unfortunately not be helped by painkillers or surgery. In such cases, you would be referred to the care of chronic pain specialists, who would help you to manage the condition and pain as effectively as possible.

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