CONDITIONS
Endometriosis (incl. bowel, bladder, diaphragmatic endometriosis)
Endometriosis: Understanding the Condition, Symptoms, and Treatment Options in London
Endometriosis is more common than many realise — and far more disruptive than it’s often given credit for. For countless women, it’s a condition that creeps into everyday life, quietly stealing comfort, energy, and in some cases, the hope of starting a family. If you’re experiencing persistent pelvic pain, unusually heavy periods, or ongoing fatigue, you’re not alone — and you’re not imagining it.
Whether you’ve just started searching for answers or you’ve already received a diagnosis, understanding endometriosis is the first step toward regaining control. As a private gynaecologist in London, I meet women every day who’ve been dismissed, delayed, or disheartened. Happiher was created to change that — by offering clear answers, expert treatment, and compassionate care tailored to you.
Finding an Endometriosis Specialist
What Is Endometriosis?
Endometriosis is a condition where tissue similar to the lining of the womb (the endometrium) grows in places it shouldn’t — usually in the pelvis. These misplaced tissue deposits can appear on the ovaries, fallopian tubes, bowel, bladder, or the lining of the pelvis itself.
Just like the womb lining, this tissue responds to hormonal changes during your cycle. It thickens, breaks down, and tries to shed — but unlike a period, it has nowhere to go. This can lead to inflammation, scarring, cysts, and significant pain. Endometriosis can affect women at various stages of life, including menopause.
Understanding Gynaecological Conditions
How Common Is It?
It’s estimated that 1 in 10 women of reproductive age in the UK is affected by endometriosis, though the true number is likely higher due to underdiagnosis and delayed recognition. Endometriosis affects approximately 10% of women of childbearing age in the UK. Many patients wait 7–10 years for a correct diagnosis — a statistic we are working hard to change. Young patients, especially teenagers aged 16-17, are often struggling to find appropriate specialised care, highlighting the low availability of resources and the need to address their unique challenges in seeking help and treatment options.
What Are the Symptoms of Endometriosis?
The symptoms of endometriosis vary significantly from woman to woman. Some experience intense pain every month, while others have subtle symptoms that are easily overlooked or mistaken for other issues.
Common signs include:
Pelvic pain that worsens around your period
Painful or heavy periods
Pain during or after sex
Pain when passing urine or opening your bowels, especially during menstruation
Persistent fatigue
Bloating (sometimes called “endo belly”)
Difficulty getting pregnant
It’s also possible to have endometriosis with no obvious symptoms at all — particularly in its early stages. It is crucial to address patient concerns related to these symptoms to ensure comprehensive care and understanding of their reproductive health. During consultations, it is important to address patients’ questions to help diagnose and manage endometriosis effectively. Addressing patient concerns and symptoms can bring them to a precise diagnosis.
What Causes Endometriosis?
The exact cause of endometriosis is still unknown, but several theories exist, including:
Retrograde menstruation: where menstrual blood flows backward through the fallopian tubes into the pelvis
Genetic factors: it tends to run in families
Immune system dysfunction: that allows endometrial-like cells to grow where they shouldn’t
Hormonal imbalance: particularly related to oestrogen
Ongoing investigation into these causes is crucial for advancing our understanding and treatment of endometriosis. This ongoing process integrates clinical expertise and evidence-based practices to guide decision-making and ensure that patient care is delivered with excellence.
Regardless of the cause, it’s important to understand that endometriosis is not your fault — and it’s not just “bad periods.”
Endometriosis vs. Adenomyosis — What’s the Difference?
Many patients ask about the difference between endometriosis and adenomyosis, as they often co-exist and share overlapping symptoms.
Endometriosis is when endometrial-like tissue grows outside the uterus
Adenomyosis is when endometrial tissue grows within the muscular wall of the uterus
Both can cause painful periods, heavy bleeding, and fertility challenges. If you’re experiencing these symptoms, it’s important to see a gynaecologist who can carefully assess and differentiate between the two conditions — especially one familiar with advanced diagnostic imaging and treatment options. Consulting with a qualified doctor is crucial for accurate diagnosis and effective treatment.
How Is Endometriosis Diagnosed?
The road to a diagnosis can be frustrating, especially when symptoms are vague or attributed to stress, IBS, or “just part of being a woman.” Scheduling an appointment is the first step towards understanding your symptoms and what to expect during your visit. You can easily book an appointment for a comprehensive assessment, ensuring convenience and thorough care.
As a private gynaecologist in London, I start with a thorough consultation to understand your full history and symptoms. This may be followed by:
Pelvic examination
Ultrasound scan, particularly useful for spotting endometriomas (ovarian cysts)
MRI scan, if deep endometriosis is suspected
Diagnostic laparoscopy — a minimally invasive surgery that remains the gold standard for definitive diagnosis and treatment
Thorough testing is crucial during your visit to ensure a comprehensive understanding of your reproductive health. This includes various diagnostic tests such as blood tests, urine tests, hysteroscopy, and imaging tests, all designed to provide a complete picture in a single visit. A comprehensive health assessment is essential to identify or rule out specific gynaecological conditions.
At Happiher, we offer comprehensive assessments in a calm, compassionate setting — because every woman deserves to be taken seriously.
Endometriosis and Fertility
One of the most difficult aspects of endometriosis is its potential impact on fertility. Scar tissue, inflammation, and anatomical changes can interfere with ovulation, egg transport, or implantation.
However, a diagnosis of endometriosis is not the end of the road. Many women with the condition go on to conceive naturally or with support from fertility specialists. With timely treatment and the right care team, there is often a way forward. It is crucial to find the right help to ensure access to high-quality treatment and individualised care for fertility issues related to endometriosis. A consultant gynecologist affiliated with the University of Bologna, specialising in minimally invasive surgery, can provide expert care for these fertility issues.
Treatment Options for Endometriosis
There is no cure for endometriosis, but there are many treatments available to manage symptoms and improve quality of life. Your treatment will depend on your symptoms, age, fertility goals, and the severity of your condition.
At Happiher, we create personalised care plans based on our individualised approach to patient care. Treatment options include:
Our service emphasises a patient-centric approach, prioritising women’s health through empathetic listening, thorough examinations, and efficient diagnostics to enhance the quality of life for female patients.
Medical Management
Hormonal therapy to suppress ovulation and slow tissue growth (e.g. the pill, progestogens, Mirena coil)
Pain relief tailored to your symptoms and cycle
In order to provide effective care, a systematic approach to treatment is essential, addressing both physical symptoms and individual patient needs.
Minimally Invasive Surgery
When symptoms are severe, or when fertility is affected, a surgical procedure may be necessary. As an endometriosis specialist in London, I specialise in:
Laparoscopic (keyhole) surgery to excise (not just burn) endometriosis deposits
Robotic-assisted surgery, offering even greater precision, especially for deep or complex cases
Careful preservation of fertility whenever possible
Surgical treatment can provide long-term relief, especially when performed by a gynaecologist experienced in advanced pelvic surgery. Each case is unique, and personalised treatment options are considered to determine the best approach for specific cases.
Multidisciplinary Support
Endometriosis can affect not just your body, but your mental and emotional wellbeing. It may also negatively affect family relationships with partners, friends, and children. At Happiher, we work closely with pain specialists, physiotherapists, nutritionists, and fertility experts when needed — creating a circle of support that centres around you. We believe in treating each patient as an individual, acknowledging that personalised care is essential for managing conditions like endometriosis and pelvic pain. Potential patients are encouraged to make enquiries about endometriosis treatment and support.
Advanced Surgical Techniques
Advanced surgical techniques, such as minimally invasive surgery and robotic-assisted surgery, are increasingly being used to treat gynaecological conditions. These techniques offer several benefits, including reduced recovery time, less pain, and improved outcomes. A consultant gynaecologist with expertise in advanced surgical techniques can perform procedures such as hysteroscopy, laparoscopy, and ultrasound-guided surgery.
The use of advanced surgical techniques can improve the accuracy of diagnosis and treatment, reducing the risk of complications and improving patient outcomes. Women with complex gynaecological conditions, such as endometriosis or fibroids, may benefit from advanced surgical techniques, which can help to improve their quality of life. Advanced robotic surgery is available for treating endometriosis at specialized clinics, offering precision and effectiveness in complex cases. A specialist clinic, such as an endometriosis clinic, may offer access to advanced surgical techniques and expertise, providing women with the best possible care and treatment options.
The latest advancements in surgical technology, such as robotic-assisted surgery, can enhance the precision and effectiveness of surgical procedures, leading to better results and improved patient satisfaction. A consultant gynaecologist with experience in advanced surgical techniques can discuss the benefits and risks of these procedures with patients, helping them to make informed decisions about their care. It is essential to consult with a qualified doctor to explore payment options for appointments and follow-up visits, ensuring access to expert medical care.
Living with Endometriosis
Living with endometriosis can be challenging, especially when the condition is invisible to others. The physical symptoms are only part of the story. Many women with endometriosis find their work, education, and social lives severely disrupted. The emotional impact — frustration, isolation, uncertainty — can be just as real.
That’s why I believe in more than just treatment. I believe in listening, validating, and empowering. My goal is to help you feel seen, understood, and supported — from your very first consultation through every step of your journey. Building trust is essential in ensuring that you receive the genuine and reliable care you deserve. Addressing your questions and concerns during consultations is a crucial part of this process.
Why Choose Happiher?
If you’re looking for an endometriosis specialist in London, Happiher offers:
Rapid access to private consultations
Advanced imaging and diagnosis
Expertise in laparoscopic and robotic-assisted surgery
A warm, empathetic environment designed for women
Comprehensive gynaecology services delivered across multiple leading London hospitals, including Chelsea & Westminster, The Lister, and The Wellington
HCA’s One-Stop Gynaecology Clinics provide a full investigation and treatment plan in one visit, ensuring a streamlined and efficient approach to care.
Rapid access to private consultations
Advanced imaging and diagnosis
Expertise in laparoscopic and robotic-assisted surgery
A warm, empathetic environment designed for women
Comprehensive gynaecology services delivered across multiple leading London hospitals, including Chelsea & Westminster, The Lister, and The Wellington
Final Thoughts
If you’re living with undiagnosed pain, heavy periods, or unexplained fatigue, don’t settle for being told it’s “normal.” Endometriosis is a real condition — and real relief is possible. Whether you’re just starting to explore what’s going on, or seeking a second opinion on your current diagnosis, you deserve expert care delivered with compassion.
At Happiher, we’re committed to excellence in providing high-quality care. We’re here to listen — and to help you find answers that truly fit your life. We strive to offer world-class care to ensure the best outcomes for our patients.
Endometriosis: Understanding the Condition, Symptoms, and Treatment Options in London
Endometriosis is more common than many realise — and far more disruptive than it’s often given credit for. For countless women, it’s a condition that creeps into everyday life, quietly stealing comfort, energy, and in some cases, the hope of starting a family. If you’re experiencing persistent pelvic pain, unusually heavy periods, or ongoing fatigue, you’re not alone — and you’re not imagining it.
Whether you’ve just started searching for answers or you’ve already received a diagnosis, understanding endometriosis is the first step toward regaining control. As a private gynaecologist in London, I meet women every day who’ve been dismissed, delayed, or disheartened. Happiher was created to change that — by offering clear answers, expert treatment, and compassionate care tailored to you.
Finding an Endometriosis Specialist
What Is Endometriosis?
Endometriosis is a condition where tissue similar to the lining of the womb (the endometrium) grows in places it shouldn’t — usually in the pelvis. These misplaced tissue deposits can appear on the ovaries, fallopian tubes, bowel, bladder, or the lining of the pelvis itself.
Just like the womb lining, this tissue responds to hormonal changes during your cycle. It thickens, breaks down, and tries to shed — but unlike a period, it has nowhere to go. This can lead to inflammation, scarring, cysts, and significant pain. Endometriosis can affect women at various stages of life, including menopause.
Understanding Gynaecological Conditions
How Common Is It?
It’s estimated that 1 in 10 women of reproductive age in the UK is affected by endometriosis, though the true number is likely higher due to underdiagnosis and delayed recognition. Endometriosis affects approximately 10% of women of childbearing age in the UK. Many patients wait 7–10 years for a correct diagnosis — a statistic we are working hard to change. Young patients, especially teenagers aged 16-17, are often struggling to find appropriate specialised care, highlighting the low availability of resources and the need to address their unique challenges in seeking help and treatment options.
What Are the Symptoms of Endometriosis?
The symptoms of endometriosis vary significantly from woman to woman. Some experience intense pain every month, while others have subtle symptoms that are easily overlooked or mistaken for other issues.
Common signs include:
Pelvic pain that worsens around your period
Painful or heavy periods
Pain during or after sex
Pain when passing urine or opening your bowels, especially during menstruation
Persistent fatigue
Bloating (sometimes called “endo belly”)
Difficulty getting pregnant
It’s also possible to have endometriosis with no obvious symptoms at all — particularly in its early stages. It is crucial to address patient concerns related to these symptoms to ensure comprehensive care and understanding of their reproductive health. During consultations, it is important to address patients’ questions to help diagnose and manage endometriosis effectively. Addressing patient concerns and symptoms can bring them to a precise diagnosis.
What Causes Endometriosis?
The exact cause of endometriosis is still unknown, but several theories exist, including:
Retrograde menstruation: where menstrual blood flows backward through the fallopian tubes into the pelvis
Genetic factors: it tends to run in families
Immune system dysfunction: that allows endometrial-like cells to grow where they shouldn’t
Hormonal imbalance: particularly related to oestrogen
Ongoing investigation into these causes is crucial for advancing our understanding and treatment of endometriosis. This ongoing process integrates clinical expertise and evidence-based practices to guide decision-making and ensure that patient care is delivered with excellence.
Regardless of the cause, it’s important to understand that endometriosis is not your fault — and it’s not just “bad periods.”
Endometriosis vs. Adenomyosis — What’s the Difference?
Many patients ask about the difference between endometriosis and adenomyosis, as they often co-exist and share overlapping symptoms.
Endometriosis is when endometrial-like tissue grows outside the uterus
Adenomyosis is when endometrial tissue grows within the muscular wall of the uterus
Both can cause painful periods, heavy bleeding, and fertility challenges. If you’re experiencing these symptoms, it’s important to see a gynaecologist who can carefully assess and differentiate between the two conditions — especially one familiar with advanced diagnostic imaging and treatment options. Consulting with a qualified doctor is crucial for accurate diagnosis and effective treatment.
How Is Endometriosis Diagnosed?
The road to a diagnosis can be frustrating, especially when symptoms are vague or attributed to stress, IBS, or “just part of being a woman.” Scheduling an appointment is the first step towards understanding your symptoms and what to expect during your visit. You can easily book an appointment for a comprehensive assessment, ensuring convenience and thorough care.
As a private gynaecologist in London, I start with a thorough consultation to understand your full history and symptoms. This may be followed by:
Pelvic examination
Ultrasound scan, particularly useful for spotting endometriomas (ovarian cysts)
MRI scan, if deep endometriosis is suspected
Diagnostic laparoscopy — a minimally invasive surgery that remains the gold standard for definitive diagnosis and treatment
Thorough testing is crucial during your visit to ensure a comprehensive understanding of your reproductive health. This includes various diagnostic tests such as blood tests, urine tests, hysteroscopy, and imaging tests, all designed to provide a complete picture in a single visit. A comprehensive health assessment is essential to identify or rule out specific gynaecological conditions.
At Happiher, we offer comprehensive assessments in a calm, compassionate setting — because every woman deserves to be taken seriously.
Endometriosis and Fertility
One of the most difficult aspects of endometriosis is its potential impact on fertility. Scar tissue, inflammation, and anatomical changes can interfere with ovulation, egg transport, or implantation.
However, a diagnosis of endometriosis is not the end of the road. Many women with the condition go on to conceive naturally or with support from fertility specialists. With timely treatment and the right care team, there is often a way forward. It is crucial to find the right help to ensure access to high-quality treatment and individualised care for fertility issues related to endometriosis. A consultant gynecologist affiliated with the University of Bologna, specialising in minimally invasive surgery, can provide expert care for these fertility issues.
Treatment Options for Endometriosis
There is no cure for endometriosis, but there are many treatments available to manage symptoms and improve quality of life. Your treatment will depend on your symptoms, age, fertility goals, and the severity of your condition.
At Happiher, we create personalised care plans based on our individualised approach to patient care. Treatment options include:
Our service emphasises a patient-centric approach, prioritising women’s health through empathetic listening, thorough examinations, and efficient diagnostics to enhance the quality of life for female patients.
Medical Management
Hormonal therapy to suppress ovulation and slow tissue growth (e.g. the pill, progestogens, Mirena coil)
Pain relief tailored to your symptoms and cycle
In order to provide effective care, a systematic approach to treatment is essential, addressing both physical symptoms and individual patient needs.
Minimally Invasive Surgery
When symptoms are severe, or when fertility is affected, a surgical procedure may be necessary. As an endometriosis specialist in London, I specialise in:
Laparoscopic (keyhole) surgery to excise (not just burn) endometriosis deposits
Robotic-assisted surgery, offering even greater precision, especially for deep or complex cases
Careful preservation of fertility whenever possible
Surgical treatment can provide long-term relief, especially when performed by a gynaecologist experienced in advanced pelvic surgery. Each case is unique, and personalised treatment options are considered to determine the best approach for specific cases.
Multidisciplinary Support
Endometriosis can affect not just your body, but your mental and emotional wellbeing. It may also negatively affect family relationships with partners, friends, and children. At Happiher, we work closely with pain specialists, physiotherapists, nutritionists, and fertility experts when needed — creating a circle of support that centres around you. We believe in treating each patient as an individual, acknowledging that personalised care is essential for managing conditions like endometriosis and pelvic pain. Potential patients are encouraged to make enquiries about endometriosis treatment and support.
Advanced Surgical Techniques
Advanced surgical techniques, such as minimally invasive surgery and robotic-assisted surgery, are increasingly being used to treat gynaecological conditions. These techniques offer several benefits, including reduced recovery time, less pain, and improved outcomes. A consultant gynaecologist with expertise in advanced surgical techniques can perform procedures such as hysteroscopy, laparoscopy, and ultrasound-guided surgery.
The use of advanced surgical techniques can improve the accuracy of diagnosis and treatment, reducing the risk of complications and improving patient outcomes. Women with complex gynaecological conditions, such as endometriosis or fibroids, may benefit from advanced surgical techniques, which can help to improve their quality of life. Advanced robotic surgery is available for treating endometriosis at specialized clinics, offering precision and effectiveness in complex cases. A specialist clinic, such as an endometriosis clinic, may offer access to advanced surgical techniques and expertise, providing women with the best possible care and treatment options.
The latest advancements in surgical technology, such as robotic-assisted surgery, can enhance the precision and effectiveness of surgical procedures, leading to better results and improved patient satisfaction. A consultant gynaecologist with experience in advanced surgical techniques can discuss the benefits and risks of these procedures with patients, helping them to make informed decisions about their care. It is essential to consult with a qualified doctor to explore payment options for appointments and follow-up visits, ensuring access to expert medical care.
Living with Endometriosis
Living with endometriosis can be challenging, especially when the condition is invisible to others. The physical symptoms are only part of the story. Many women with endometriosis find their work, education, and social lives severely disrupted. The emotional impact — frustration, isolation, uncertainty — can be just as real.
That’s why I believe in more than just treatment. I believe in listening, validating, and empowering. My goal is to help you feel seen, understood, and supported — from your very first consultation through every step of your journey. Building trust is essential in ensuring that you receive the genuine and reliable care you deserve. Addressing your questions and concerns during consultations is a crucial part of this process.
Why Choose Happiher?
If you’re looking for an endometriosis specialist in London, Happiher offers:
Rapid access to private consultations
Advanced imaging and diagnosis
Expertise in laparoscopic and robotic-assisted surgery
A warm, empathetic environment designed for women
Comprehensive gynaecology services delivered across multiple leading London hospitals, including Chelsea & Westminster, The Lister, and The Wellington
HCA’s One-Stop Gynaecology Clinics provide a full investigation and treatment plan in one visit, ensuring a streamlined and efficient approach to care.
Rapid access to private consultations
Advanced imaging and diagnosis
Expertise in laparoscopic and robotic-assisted surgery
A warm, empathetic environment designed for women
Comprehensive gynaecology services delivered across multiple leading London hospitals, including Chelsea & Westminster, The Lister, and The Wellington
Final Thoughts
If you’re living with undiagnosed pain, heavy periods, or unexplained fatigue, don’t settle for being told it’s “normal.” Endometriosis is a real condition — and real relief is possible. Whether you’re just starting to explore what’s going on, or seeking a second opinion on your current diagnosis, you deserve expert care delivered with compassion.
At Happiher, we’re committed to excellence in providing high-quality care. We’re here to listen — and to help you find answers that truly fit your life. We strive to offer world-class care to ensure the best outcomes for our patients.
Book your appointment today
Book your appointment today
Book your appointment today