Endometriosis affects approximately 1 in 9 Australian women of reproductive age, yet it remains one of the most underdiagnosed conditions in gynaecology. On average, women wait 6-8 years before receiving a correct diagnosis. Understanding the signs early can make a significant difference to your quality of life and fertility.
What Is Endometriosis?
Endometriosis occurs when tissue similar to the lining of the uterus (the endometrium) grows outside the uterus; on the ovaries, fallopian tubes, bladder, or bowel. Like normal uterine tissue, it responds to your hormonal cycle: thickening, breaking down, and bleeding each month. But because this blood has nowhere to go, it causes inflammation, scarring, and pain.
Common Symptoms
- Painful, heavy, or irregular periods
- Pelvic pain outside of menstruation
- Pain during or after intercourse
- Bowel or bladder changes during your period
- Difficulty conceiving
It’s important to note that pain severity does not always reflect the extent of the disease. Some women with severe endometriosis have minimal symptoms, while others experience debilitating pain with mild disease.
Diagnosis and Treatment
Endometriosis cannot be diagnosed by ultrasound alone; laparoscopy (keyhole surgery) remains the gold standard for definitive diagnosis. Treatment options range from hormonal management and pain relief to laparoscopic surgery to remove endometrial deposits, depending on your symptoms and fertility goals.
If you experience any of the symptoms above, don’t dismiss them as “normal” period pain. Early assessment by an experienced gynaecologist is key.
Dr. van der Griend consults at North Shore Private Hospital, St Leonards. Call (02) 9966 5500 to make an appointment.
