What are the treatment options for endometriosis?

Endometriosis is tissue similar to the uterine lining growing outside the uterus. Treatment aims to reduce pain, limit cycle-related activity or remove visible disease; it does not follow one pathway for everyone.

Anti-inflammatory therapy can help period pain. Hormonal options such as the combined pill, hormonal coil or GnRH analogue therapy may reduce bleeding and suppress hormonal stimulation. These options have different effects, contraindications and fertility implications, so a clinician should match them to your needs.

Start by describing pain, bowel or bladder symptoms, bleeding, previous treatments and whether you are trying to conceive. Laparoscopic excision of endometriosis may be considered when symptoms persist or disease needs surgical treatment. A hysterectomy is a major decision and may be discussed only in selected circumstances; it ends the ability to carry a pregnancy.

Review the plan if pain returns, treatment causes troublesome effects or pregnancy goals change. Ask about non-medical support, pelvic pain care and fertility planning alongside treatment.

Book a review for persistent pelvic pain, painful sex, bowel or bladder pain linked with periods, or fertility concerns. Seek urgent care for sudden severe pelvic pain, heavy bleeding with weakness, fever, vomiting or fainting.

What is the likely source of my symptoms? Which treatment fits my pregnancy plans? How long should I try it before review? Could surgery help, and what would it involve?