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Our Approach To Endometriosis Pain Treatment

Our endometriosis pain service is for people who have realised that there is more to endometriosis treatment than drug therapies and surgery.  And those who believe the wisest approach to endometriosis treatment is to try and identify its underlying causes. As opposed to settling for symptom-based care alone.

Our endometriosis treatments combine lifestyle advice, cutting-edge technology, hands-on pain relief, tailored breathing programs, and stress management. This enables us to target even the most stubborn treatment-resistant endometriosis cases.

We provide transformative healthcare in a welcoming and friendly environment. For us, genuine care and authentic communication are not bonus features. They are healthcare fundamentals.

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Gold Standard Endometriosis Pain Treatment

A fast-growing number of people are realising that their doctor and district health board are not able to offer a comprehensive approach to their health issues. Many of these people are those seeking relief from the pain associated with endometriosis.

Rather than approaching endometriosis like a disease that needs to be cut out, or simply a symptom to be masked. We seek to optimise and support the factors that lead to strong healthy organ function.

Some endometriosis sufferers need help identifying dietary and lifestyle factors that aggravate their symptoms. Some need ‘endometriosis treatments’ that reduce inflammation in their bodies. Others need better stress management and breathing exercises. Some endometriosis sufferers even find that their lower back was a major reason behind their symptoms.

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Endometriosis Pain Causes

There are many possible causes of endometriosis pain. Knowing how to accurately diagnose the underlying causes of endometriosis pain can be a tricky job, even for trained professionals. Read our comprehensive guide to the possible causes of endometriosis pain.
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Endometriosis Treatments

Many people still find it difficult to get effective treatment for their endometriosis pain, and there is still much debate over the best endometriosis pain treatment. The good news is that with a flexible approach most cases of endometriosis pain are very manageable.
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Endometriosis Pain Treatment FAQ

The primary indication of endometriosis manifests as pelvic discomfort, often intricately entwined with menstrual cycles. While many experience cramps during menstruation, individuals with endometriosis frequently endure more intense menstrual pain. This discomfort tends to escalate progressively over time.

Typical symptoms of endometriosis encompass:

  • Painful menstruation: Pelvic pain and cramping may commence before menstruation and persist for several days during the cycle.
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  • Accompanying lower back and abdominal pain may also occur. This condition is known as dysmenorrhea.
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  • Dyspareunia: Pain during or after intercourse is a common occurrence in endometriosis.
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  • Discomfort during bowel movements or urination: These symptoms typically arise before or during menstruation.
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  • Menstrual irregularities: Some individuals experience heavy menstrual bleeding or spotting between periods.
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  • Infertility: Endometriosis may be discovered during fertility evaluations.
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  • Additional symptoms: Fatigue, diarrhoea, constipation, bloating, or nausea may arise, particularly before or during menstruation.

To diagnose endometriosis, your doctor will typically begin with a physical examination. During this visit, you will describe your symptoms, including the location and timing of pain.

Tests used to investigate the possibility of endometriosis include:

  • Pelvic exam: Your healthcare provider will use one or two gloved fingers to feel for any unusual changes in your pelvic area. These changes may include cysts on the reproductive organs, tender spots, irregular growths known as nodules, and scarring behind the uterus. In some cases, small areas of endometriosis may not be detectable without the formation of a cyst.
  • Ultrasound: This imaging test utilises sound waves to create images of the body’s interior. A transducer may be pressed against the abdominal area or inserted into the vagina (transvaginal ultrasound) to obtain images of the reproductive organs. While a standard ultrasound cannot definitively diagnose endometriosis, it can identify cysts associated with the condition, such as endometriomas.
  • Magnetic resonance imaging (MRI): MRI employs a magnetic field and radio waves to produce detailed images of the body’s organs and tissues. 
  • Laparoscopy: Sometimes, your doctor may refer you to a surgeon for this procedure. During laparoscopy, a surgeon examines the inside of your abdomen for signs of endometriosis tissue. Before the surgery, you’ll receive medication to induce a sleep-like state and prevent pain. The surgeon then makes a small incision near your navel and inserts a slender viewing instrument called a laparoscope.

Several factors increase the risk of developing endometriosis:

  • Nulliparity (never giving birth).
  • Early onset of menstruation.
  • Late onset of menopause.
  • Short menstrual cycles, typically less than 27 days.
  • Prolonged and heavy menstrual periods lasting over seven days.
  • Elevated levels of oestrogen in the body or prolonged exposure to oestrogen throughout life.
  • Low body mass index (BMI).
  • Family history of endometriosis, such as a mother, aunt, or sister with the condition.
  • Any condition that impedes the normal flow of menstrual blood out of the body can also increase the risk of endometriosis. Similarly, reproductive tract disorders may pose a risk.

Symptoms of endometriosis often manifest years after the onset of menstruation. Pregnancy may temporarily alleviate symptoms, while pain may gradually diminish with menopause unless oestrogen therapy is administered.

Currently, there is no known cure for endometriosis; however, various treatment options are available to address the associated pain and infertility.

Endometriosis can pose challenges to conception, with approximately 30-50% of individuals affected experiencing infertility. Compared to the average monthly pregnancy rate of 10-20% for those without endometriosis, individuals with surgically confirmed endometriosis may face reduced chances, ranging from 1-10%.

Endometriosis carries substantial social, public health, and economic consequences. It can profoundly impact quality of life by causing severe pain, fatigue, depression, anxiety, and infertility. For some, the pain is so debilitating that it interferes with their ability to attend work or school. Pain during intercourse can disrupt or deter sexual activity, affecting the sexual health of individuals and their partners. Prioritising the management of endometriosis is essential to empower those affected by it, ensuring their right to optimal sexual and reproductive health, overall well-being, and quality of life.

Endometriosis is a chronic condition for which there is currently no cure. However, several treatment options and lifestyle adjustments can help alleviate symptoms and improve quality of life. Here are some strategies to cope with endometriosis:

  • Dietary modifications: Pay attention to your diet; certain foods may influence endometriosis symptoms. Increasing your intake of fruits and vegetables while reducing your consumption of red meat has been associated with a lower risk of developing endometriosis. Omega-3 fatty acids in foods like salmon, flaxseeds, and walnuts may also be beneficial.
  • Regular exercise: Incorporating regular physical activity into your routine can help reduce endometriosis symptoms over time. High-intensity exercises like running, swimming, and biking can be particularly effective. Still, low-intensity activities such as yoga may also provide relief.
  • Stress management: Endometriosis can contribute to elevated stress levels, which in turn can exacerbate symptoms. Employ relaxation techniques such as deep breathing, progressive muscle relaxation, visualisation, and autogenic training to help manage stress and promote relaxation.

It’s important to remember that managing endometriosis is a multifaceted process, and what works for one person may not work for another. Working closely with your healthcare provider to develop a personalised treatment plan is vital to effectively managing your symptoms and improving your overall well-being.

 

Experiencing fertility challenges is a significant complication associated with endometriosis. While individuals with milder forms of the condition may still be able to conceive and carry a pregnancy to full term, medications typically used to treat endometriosis do not enhance fertility. Endometriosis symptoms can exacerbate over time, potentially complicating natural conception. Therefore, comprehensive assessments before and during pregnancy are crucial. Moreover, managing chronic pain associated with endometriosis can be challenging. It may lead to mental health issues such as depression and anxiety. Seeking support from healthcare professionals, joining support groups, or utilising other resources can aid in managing these challenges effectively.

Currently, there are no known methods to prevent endometriosis. However, increased awareness followed by early diagnosis and management can slow down or stop the disease’s natural progression, reducing its symptoms’ long-term impact. This approach also helps mitigate the risk of central nervous system pain sensitisation. It’s important to note that there is currently no cure for endometriosis.

After undergoing surgery for endometriosis, it’s essential to follow up with your doctor to monitor your condition and assess the risk of recurrence. The likelihood of endometriosis returning after surgery depends on various factors, such as the type of operation performed. Studies show that approximately 20% to 30% of women who undergo surgery for endometriosis experience a recurrence within five years.

Several factors may increase the risk of recurrence, including the presence of ovarian cysts at the time of surgery, the size of endometriotic lesions, and the involvement of other organs. Additionally, incomplete removal of endometriosis during the initial surgery can also raise the likelihood of recurrence. Regular follow-up appointments with your doctor can help identify any signs of recurrence and determine the appropriate course of action.

Knowing when to seek medical attention for symptoms of endometriosis is crucial. Diagnosis of endometriosis can be a lengthy process, often taking an average of seven years. This delay is frequently attributed to the variability of symptoms among women and the misconception that menstrual pain is a normal part of life. It’s important to note that some women may have asymptomatic endometriosis, meaning they do not experience common symptoms such as pelvic pain or infertility. In such cases, the condition may be discovered incidentally during unrelated medical procedures. 

Improving the chances of an early diagnosis involves providing your doctor with a comprehensive overview of your symptoms, medical history, and any relevant test results. Once diagnosed and properly managed, most women with endometriosis can experience significant improvement in their symptoms and overall well-being.

Endometriosis is believed to have a hereditary component, with genetic factors influencing its development in specific individuals. However, the exact causes of endometriosis remain largely unknown. Genetic studies comparing the DNA of women with and without the condition offer valuable insights into the biological mechanisms underlying its onset and progression.

In the most extensive genetic study to date, researchers identified 42 genomic regions associated with an increased risk of endometriosis. One particular interest is the discovery that many implicated genes are associated with pain perception and maintenance. The study revealed a shared genetic basis between endometriosis and various chronic pain conditions such as migraines, back pain, and multi-site pain. This association may be linked to central nervous system sensitisation, which heightens an individual’s susceptibility to different types of pain. These findings raise the possibility of developing new non-hormonal treatments focused on pain management for endometriosis or repurposing existing pain therapies to alleviate symptoms associated with the condition.

 

Our Team

Tobias Hall

DC BSc. Hons. IIst Nat. Dip. NZCA

Kade Christensen

BHSc. (Paramedicine) EMT, CERT. ST

Zabad Michaels

DPT (Doctor of Physiotherapy)
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Wellington

Featherston Street Pain Clinic

3/23 Waring Taylor Street

Greytown

Main Street Pain & Injury Care

82 Main Street

Masterton

Jackson Street Pain & Injury Care

1 Jackson Street

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