Endometriosis: Fertility implications, symptoms and treatment
Dr Sebastian Renz MRCGP DFFP, Richmond Practice Medical Director provides an insight into the
symptoms and treatment of endometriosis and how it affects fertility.
What is endometriosis?
Endometriosis is a condition in which the tissue (endometrium) normally lining the womb (or uterus)
grows outside, on and around the pelvic and abdominal organs. We most often find that it is
associated with heavy and or abnormal menstrual flow and painful periods. Over 1.5 million women
are affected by endometriosis in the UK. As far as we know the problem is hereditary.
Endometriosis and fertility
Endometrioses can cause infertility, depending on how the disease has affected the reproductive
organs. In some cases the fallopian tubes can become blocked which causes damage to the ovaries,
making conception increasingly difficult and causing infertility.
Consult your doctor, if you:
- Struggle with painful and heavy periods
- Have chronic pelvic pain
§ Experience pain during sexual intercourse
- You cannot get pregnant
We find that symptoms can vary in severity depending on where the endometriosis has implanted
and how long the woman has had the condition.
Diagnosis and treatment
Endometriosis is diagnosed by excluding other conditions, such as fibroids with similar symptoms. It
requires a thorough assessment by a GP or Gynaecologist.
At Richmond Practice a female consultant Gynaecologist will meet with you to discuss your
symptoms. She will then do a pelvic examination, ultrasound scan and/or blood tests. Once all other
causes are excluded the final diagnosis is made by referring for a laparoscopy or key-hole surgery.
With the help of a camera the doctor will establish whether endometrial tissue outside of the womb
developed. If tissue is found, it is treated at the time laparoscopy is undertaken.
To book an appointment call us on 020 8940 5009, text us on 07 or go to our website at