The precise cause of endometriosis remains unknown. Endometriosis is believed to occur when uterine lining cells travel via the fallopian tubes to the pelvis during your period. Typically, endometriosis runs in families. Women who experience shorter or longer-than-average menstrual periods are more likely to develop endometriosis.



Endometriosis is a severely painful condition that develops when tissue resembling the uterine lining develops outside the uterine cavity. The displaced endometrial-like tissue is affected by the hormonal fluctuations of the menstrual cycle, which prompts inflammation and pain in the area. This implies that the tissue will swell, become thicker, and degrade.

The tissue degenerates over time and becomes trapped in your pelvis. Between two and ten women out of every 100 are affected, making endometriosis a relatively prevalent illness. If your mother or sister has been diagnosed with endometriosis, you are more likely to get it as well. Typically, endometriosis strikes women while they are fertile. Endometriosis is a chronic disorder that can significantly affect your everyday activities, emotional stability, and general physical health. This illness is neither contagious nor cancerous.

Deep Infiltrating Endometriosis (DIE) is an advanced and highly invasive form of endometriosis. As a result, the endometrial tissue spreads within the organs of the pelvic cavity or surrounding areas. In this case, the abnormal tissue penetrates the pelvic organs by over 5mm. This is a serious condition and much harder to treat than the standard form of endometriosis. However, in severe cases, Dr Bryant performs surgery such as laparoscopic surgery or surgical removal of the targeted organs to relieve symptoms.

What are the signs/symptoms of endometriosis?

The symptoms of endometriosis vary. Some women may display moderate to severe symptoms, while others present with minor symptoms of the condition. The most common symptoms include:

  • Anxiety
  • Bloating
  • Chronic pelvic pain
  • Constipation
  • Depression
  • Diarrhoea
  • Fatigue
  • Heavy menstrual bleeding
  • Infertility
  • Intermenstrual bleeding
  • Lower back pain
  • Nausea
  • Painful bowel movements
  • Painful periods
  • Painful sex
  • Painful urination
  • Severe cramping
  • Worsening allergies


First, Dr Bryant begins with conservative measures. If your problem doesn't get better, she will suggest surgery. People respond differently to various therapeutic alternatives. You can choose the one that works best for you with Dr Bryant's assistance. Treatment options include:

  • Medical management (contraceptives) such as the following:
    1. Hormonal based contraception
    2. Visanne
    3. Intrauterine system (IUS) and Mirena
  • Surgical resection
  • Hysterectomy is an irreversible procedure largely considered when endometriosis symptoms become too severe. Normally, women who do not desire more children will opt for this procedure.
  • Excision, including bowel resection, vaginal nodule resection and bladder resection.

Dr Emma Bryant is not a fertility specialist. If you have infertility associated with endometriosis and you are planning to conceive, you will be referred to a fertility unit.


Does my diet affect endometriosis?

Because foods play a role in hormone regulation, the wrong diet can adversely affect endometriosis.

When should I get surgery for endometriosis?

Dr Bryant recommends surgery if you are suffering from chronic pelvic pain.

How long does endometriosis surgery take?

Depending on the type of surgery, it should take Dr Bryant between one and two hours to complete endometriosis procedures. Sometimes, surgery may take longer for stage IV disease requiring bowel resection.

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