Endometriosis
Please refer to Endometriosis Clinic
Please attach a pelvic USS to your referral that has been done within 3 months of referral
Definition:
Endometriosis is defined as the presence of endometrial like tissue outside the uterus which induces a chronic inflammatory reaction. Symptoms of endometriosis include:
- Severe dysmenorrhoea
- Deep dyspareunia
- Chronic pelvic pain
- Ovulation pain
- Cyclical or perimenstrual symptoms such as bowel or bladder with or without abnormal bleeding or pain
- Infertility
- Chronic fatigue
- Pain on defaecation
Refer to Endometriosis Clinic if:
- Confirmed or recurrent endometriosis
- Symptoms are highly suspicious of endometriosis
Information to include in referral
- Parity
- Contraception
- Symptoms as above
- Effect on QOL
- Relevant past medical / surgical history
- Current regular medication
- Pelvic USS results within last 3 months
Desirable Information
- Smear history (including last smear & result)the patient will still be seen without this but if you can retrieve it automatically it speeds up the appointment
- Treatment so far – consider medical oligo / amenorrhoea (eg Tricycle COCP/ Mirena)
References
RCOG Green Top Guideline No 24 Oct 2006The Investigation and Management of Endometriosis
Date reviewed December 2020
Next review due December 2021
Author Dr S Burns GP
Contributors: RCHT Gynaecology consultants
Version No 2.2