Endometriosis is a chronic condition affecting 10% of women of reproductive age.
It is associated with pelvic pain and painful periods, which can be debilitating, and fertility problems. Our centre aims to provide patients with the best possible treatment for their symptoms, and support them through every step of their treatment journey. We offer a range of medical and surgical treatments, and work closely with other specialties to provide multidisciplinary care. At every stage, the emphasis is on patient-centred care; offering the appropriate treatment for that patient at that time in her life.
What we offer
Our multidisciplinary team provides high quality, evidence-based care to assess and treat women with all grades of endometriosis, ranging from mild disease to the most severe form involving the bladder and bowel. We work closely with our colleagues in pain management. Patients with endometriosis seeking fertility can be managed jointly with the fertility service.
We are accredited by the British Society of Gynaecology Endoscopy (BSGE) as a specialist centre for the treatment of severe endometriosis, including safe surgical treatment of the most complex cases.
We are incredibly proud of our performance which includes:
- Nearly all cases of endometriosis managed by laparoscopy (keyhole surgery), providing a shorter hospital stay, quick recovery, less infection, fewer wound complications and less scarring
- Using laser to treat endometriosis which is proven to be safe and effective in treatment of Endometriosis
- Our patients report an improvement in their quality of life following treatment that exceeds the national average
How to prepare for your visit
It may be helpful to keep a record of your symptoms in the few months before your appointment (2-3 months if possible) – especially days when your pain is bad, and their relationship to your periods.
At the first appointment, you will be given the BSGE pelvic pain questionnaire to help us understand your problems and to find the most appropriate treatments. It may also help you to formulate your thoughts on your symptoms and the way in which they can affect your quality of life.
Then a detailed history will be taken by the specialist doctor about your symptoms and the extent to which your lifestyle is being affected. This will help to build the basis upon which the treatment will be planned.
A detailed treatment plan will be made at this visit; information will be given about endometriosis and available treatment options. At this appointment you will have the opportunity to discuss your treatment and any concerns.
Any necessary investigations will be arranged (ultrasound scan, blood tests, other imaging including MRI or CT in some cases) and a laparoscopy (looking inside the abdomen) or hysteroscopy (looking inside the womb) will be arranged.
Where appropriate a further appointment will be made to discuss the results of the investigations and plan the treatment.
Referring a patient
We accept referrals from GPs and from other gynaecologists.
GPs are advised to refer patients with known or suspected endometriosis with any of the following:
- Suspected deep infiltrating disease (involving the bladder / bowel)
- With symptoms that have returned after previous surgery
- With symptoms that have not improved with medical treatments
- With ultrasound evidence of endometriosis
Symptoms may include painful periods severe enough to cause an impact on work, home or family life (dysmenorrhea); pain in the pelvis (lower tummy) throughout the month; pain during sex (dyspareunia) or pain on passing urine or opening the bowels, that may worsen during the period.
Endometriosis can be associated with infertility problems. In these cases, patients should be referred via the fertility pathway – their endometriosis treatment will be managed in parallel with their fertility treatment.
Meet our team
- Mr Peter Hinstridge – consultant gynaecologist, Endometriosis Centre lead
- Miss Akila Karthikeyan – consultant gynaecologist with special interest in endometriosis
- Afeeza Illahibuccus – endometriosis specialist nurse
- Mr Lee Dvorkin – consultant colorectal surgeon
- Mr Gopal Nair- consultant urologist
- Dr Alice Man – pain management specialist
T: 0208 887 2620
Generic email: firstname.lastname@example.org