Endometriosis and Adenomyosis

Our Specialists:

• Dr Ashfaq Khan
• Ms Scharazed A Rouabhi
• Mr Oudai Ali

Endometriosis, a condition where the cells of the lining of the womb (endometrium) are found elsewhere in the body, usually in the pelvis – and adenomyosis (a condition where the endometrium is found in the muscle of the womb).

Endometriosis can affect women at any age from puberty to menopause. It is a common condition, affecting up to 10 in 100 women. You are more likely to develop endometriosis if your mother or sister has had it.

The exact cause of endometriosis is not known.

Your symptoms depend on where your endometriosis is, and some may have no symptoms at all.

Common symptoms are:

• Painful periods. Pelvic pain and cramping may start before a menstrual period and last for days into it. You also may have lower back and stomach pain.
• Another name for painful periods is dysmenorrhea.
• Pain with sex. Pain during or after sex is common with endometriosis.
• Pain with bowel movements or urination. You're most likely to have these symptoms before or during a menstrual period.
• Excessive bleeding. Sometimes, you may have heavy menstrual periods or bleeding between periods.
• Infertility. For some people, endometriosis is first found during tests for infertility treatment.

Other symptoms: You may have fatigue, diarrhoea, constipation, bloating or nausea. These symptoms are more common before or during menstrual periods.

•  A transvaginal (internal) ultrasound scan – this may show whether there are any cysts on your ovaries or may show evidence of endometriosis in pelvis.
•  MRI scan – this can be useful to identify endometriosis involvement of your bowel or bladder or pelvic wall and to identify possible adenomyosis.
•  Laparoscopy / keyhole surgery: It can be used to diagnose and to treat endometriosis. You may be offered this surgery if initial treatment to help your symptoms is not effective.
•  Endotest: Test using your saliva an innovative, non invasive, diagnostic tool based on the analysis of salivary miRNAs via NGS (Next Generation Sequencing) and by Artificial Intelligence (AI).
•  Endosure: The EndoSure Test* is a Non-Invasive, 30 Minute Clinical Decision Support Tool that uses myoelectrical data that comes from an Electrogastrogram (EGG)/Electroviscerogram (EVG)