Specialist assessment and long-term management of endometriosis and adenomyosis
Endometriosis and adenomyosis are two of the most under-diagnosed conditions in gynaecology — it isn’t unusual to have lived with pain for years, or to have been told your symptoms are “just normal periods”, before getting a proper answer. Endometriosis alone affects around 1 in 10 women of reproductive age, and your pain deserves to be taken seriously from the first appointment.
Our Endometriosis & Adenomyosis Clinic gives these conditions the depth of assessment they need — combining specialist consultation, detailed ultrasound and, where appropriate, further investigation — followed by a long-term, individualised management plan built around your symptoms, fertility plans and priorities.
Severe period pain is never something you just have to live with — persistent, disruptive pain deserves proper investigation.
We take a detailed history of your pain and cycle pattern, alongside specialist transvaginal ultrasound, which can identify adenomyosis and many forms of endometriosis without the need for surgery. Where ultrasound findings are unclear, or your symptoms suggest deeper disease, we discuss further investigation or referral for laparoscopy, which remains the only way to confirm some forms of endometriosis definitively. From there, we build a management plan that reflects your pain, your fertility plans, and what you want to prioritise.
Endometriosis and adenomyosis are long-term conditions, and treatment isn’t usually a single decision — it’s medication, hormonal treatment, fertility planning and, for some women, surgery, adjusted over time as your circumstances change. We stay involved for that whole picture, not just the first appointment.
Nationally, diagnosis can take several years from first symptoms, partly because pain is often dismissed as normal period pain. Our aim is to shorten that significantly with a detailed assessment from your first visit.
Increasingly, yes — specialist ultrasound can identify adenomyosis and many forms of endometriosis. Laparoscopy is still sometimes needed to confirm certain types, but it’s not always the first step.
Endometriosis is when tissue similar to the uterine lining grows outside the uterus, while adenomyosis is when it grows within the muscular wall of the uterus itself. They can occur together, and both cause pain and heavy bleeding.
It can, though not always — the impact depends on the extent and location of disease. We assess this specifically if you’re trying to conceive, and can coordinate directly with LUNA Fertility.
No — many women manage symptoms well with medication or hormonal treatment. Surgery is considered when symptoms are severe, fertility is affected, or other treatment hasn’t helped.
Book your Endometriosis & Adenomyosis assessment and stop being told it’s normal.
