Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the womb, most commonly affecting the ovaries, pelvic lining, bowel, and bladder. It affects approximately 1 in 10 women of reproductive age, yet the average time from symptom onset to diagnosis remains 7-10 years.
Why Is Diagnosis Often Delayed?
Many women are told that severe period pain is "normal," which can delay appropriate referral and treatment. Endometriosis symptoms overlap with other conditions, and the disease may not always be visible on standard scans. This means specialist clinical assessment is often essential.
Symptoms That May Indicate Endometriosis
You should consider specialist review if you experience any of the following:
- Severe or worsening period pain that affects your daily activities or requires strong painkillers
- Chronic pelvic pain that persists between periods
- Pain during or after intercourse (dyspareunia)
- Bowel or bladder symptoms during your period, such as pain with bowel movements, bloating, or urinary urgency
- Difficulty conceiving after 12 months of trying
- Fatigue that is disproportionate and persistent
- Pain that does not respond to standard treatments such as the contraceptive pill or anti-inflammatory medication
When Should You Seek Specialist Help?
If you have been experiencing any of the above symptoms for more than six months, or if your symptoms are significantly affecting your quality of life, work, or relationships, it is important to seek assessment from a gynaecologist with expertise in endometriosis.
Early specialist assessment can prevent disease progression, preserve fertility, and significantly improve quality of life. Prof Mahmood provides comprehensive endometriosis care including detailed clinical assessment, advanced imaging, minimally invasive surgery, and long-term management planning.
What to Expect at Your First Appointment
During your initial consultation, Prof Mahmood will take a detailed history of your symptoms, review any previous investigations or treatments, and perform a clinical assessment. Specialist imaging may be arranged if required. Together, you will develop a personalised treatment plan based on your symptoms, goals, and long-term wellbeing.
If you suspect you may have endometriosis, early assessment by a specialist can make a significant difference to your outcomes and quality of life.