Endometriosis Expertise – incl. Advanced Stage Endometriosis

Specialist Expertise in Endometriosis Management (Including Advanced & Deep Infiltrating Disease)

Living with endometriosis is more than just having painful periods. It’s a chronic, whole-body inflammatory disease that can affect your career, your relationships, and your mental well-being. The journey to a diagnosis is often long and frustrating, and finding a treatment plan that works can feel even harder.

At Happiher, we understand. Our “Endometriosis Expertise” service is a dedicated, consultant-led program designed to provide what you need most: a definitive diagnosis, a comprehensive understanding of your specific disease, and a strategic, long-term management plan. Dr. Manou Kaur is a leading specialist in the diagnosis and surgical treatment of all stages of endometriosis, from minimal disease to the most complex cases of deep infiltrating endometriosis (DIE).

Our Philosophy: Diagnosis is the Beginning, Not the End

A diagnosis of endometriosis is the start of a partnership. Our outpatient service is the hub for this partnership, focusing on a multi-faceted approach to your care.

• Gold Standard Diagnostics: We use advanced techniques to not just diagnose, but to map the extent of your endometriosis, which is critical for effective treatment planning.
• A Holistic View: We listen to your story and understand how your symptoms impact your life, your work, and your fertility goals.
• Collaborative Strategy: We believe the best care plan is one we create with you. We will explore all available medical and surgical options, empowering you to make the most informed decision for your body.

The Outpatient Journey: Your Path to a Strategic Plan

Your initial consultations are about building a complete picture of your health in a calm, supportive environment.

Step 1: In-Depth Consultation: This is where we listen. We’ll discuss your entire symptom history, previous treatments, and what you hope to achieve.

Step 2: Advanced Gynaecological Ultrasound: Dr. Kaur is an expert in performing transvaginal ultrasound scans specifically for the diagnosis of endometriosis. This is a highly specialized skill. She can identify endometriomas (“chocolate cysts”) on the ovaries and signs of deep infiltrating endometriosis affecting the bowel, bladder, and ligaments, which are often missed in a standard scan.

Step 3: Creating Your Management Plan: Based on your diagnosis and personal goals, we will develop a strategic plan. This may involve:

Medical Management: Using hormonal treatments (like the hormonal coil or specific pills) to suppress endometriosis activity and manage pain.

Surgical Planning: For those with severe symptoms or deep disease, we will discuss the gold standard treatment: Robotic-Assisted Laparoscopic Excision. This is meticulously planned, sometimes in collaboration with other specialists like colorectal surgeons if the bowel is involved.

Step 4: Pre- and Post-Operative Care: All planning for surgery, and all follow-up care after surgery, is managed through our comprehensive outpatient service.

Specialist Care for Advanced & Deep Infiltrating Endometriosis (DIE)

Deep infiltrating endometriosis is a severe form of the disease where the tissue grows deeply into pelvic organs. Its management requires an exceptionally high level of surgical skill and planning.

• Expert Surgical Skill: Dr. Kaur specializes in the complex, delicate work of excising deep endometriosis using the da Vinci robotic system. This technology allows for the precision needed to safely remove the disease from critical areas.
• Multi-Disciplinary Approach (MDT): For the most complex cases, we work with a team of specialists to ensure the safest and most effective surgery. Your case is planned meticulously long before you enter the operating theatre.

Frequently Asked Questions (FAQ)

1. I’ve been told my previous scans were “clear.” How is your ultrasound different?
   Diagnosing deep endometriosis via ultrasound requires a specific, dynamic technique and an expert eye trained to look for subtle signs of the disease. It is a specialised skill that is very different from a standard gynaecological scan.
2. Is surgery the only option for endometriosis?
   Not at all. For many women, medical and hormonal therapies can be very effective at managing symptoms and controlling the disease without surgery. The right path depends entirely on your specific situation.
3. What is the difference between excision and ablation?
   Ablation simply burns the surface of the lesion, leaving the root behind. Dr. Kaur exclusively performs excision, meticulously cutting out the entire lesion. This is the gold standard and offers the best chance for long-term pain relief.
4. I want to get pregnant. How does this affect my treatment?
   Your fertility goals are a central part of the discussion. For many women, surgically removing endometriosis can improve fertility. All treatment plans are designed to align with your personal family-planning goals.

Find a Partner in Your Endometriosis Care

You don’t have to manage this complex disease alone. We are here to provide the specialist expertise and long-term support you deserve.