Endometriosis & Pelvic Pain

Your Pain Deserves to Be Taken Seriously

If you've been told "period pain is normal" or to "just take paracetamol and deal with it"—it's time for a different conversation.

At Ovara Women's Health, we understand that debilitating pelvic pain isn't something you should have to endure. Endometriosis affects 1 in 9 Australian women, yet it still takes an average of 6-7 years to get diagnosed. We're here to listen, investigate properly, and provide effective treatment—not dismiss your pain.

You know your body. If something feels wrong, it deserves proper assessment and management.

Understanding Endometriosis

Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus.

What Happens in Endometriosis

Normal menstrual cycle:

• Uterine lining (endometrium) thickens each month
• If pregnancy doesn't occur, lining sheds during period
• Process repeats

With endometriosis:

• Tissue similar to endometrium grows outside uterus
• Most commonly on: ovaries, fallopian tubes, outer surface of uterus, pelvic ligaments, bladder, bowel
• Less commonly: diaphragm, lungs, surgical scars
• This tissue responds to hormonal cycle like uterine lining
• Bleeds during period but has nowhere to go
• Causes inflammation, scarring, adhesions (organs sticking together)
• Can form cysts on ovaries (endometriomas or "chocolate cysts")

How Common is Endometriosis?

Affects approximately 1 in 9 Australian women and people assigned female at birth

• About 830,000 Australians living with endometriosis
• Can affect anyone who menstruates, from teenagers to those approaching menopause
• Not caused by anything you did or didn't do
• Exact cause unknown (likely genetic and immune system factors)

Why Diagnosis Takes So Long

Average time from first symptoms to diagnosis: 6-7 years

Reasons for delay:

• Women told period pain is "normal" and to just cope
• Symptoms dismissed as "bad periods" or "just stress"
• Normalisation of suffering ("my mother had bad periods too")
• Lack of awareness among some healthcare providers
• Definitive diagnosis requires laparoscopy (surgical procedure)
• Symptoms vary widely between women
• No simple blood test or scan for definitive diagnosis

This delay is unacceptable—and we're working to change it.

Recognising Endometriosis Symptoms

Endometriosis presents differently in different women. You may have severe pain with minimal disease, or extensive disease with mild symptoms.

Classic Endometriosis Symptoms

Painful periods (dysmenorrhoea):

• Severe cramping that disrupts daily activities
• Pain so bad you miss work, school, or social activities
• Not relieved by standard pain medication
• May worsen over time
• Often starts in teenage years
• Different from "normal" period cramps (which are uncomfortable but manageable)

Pelvic pain outside of periods:

• Chronic pelvic pain (lasting 6+ months)
• Pain that occurs throughout menstrual cycle
• Worse at certain times (ovulation, pre-menstrual)
• May be constant dull ache with sharp episodes
• Can radiate to lower back or legs

Pain during or after sex (dyspareunia):

• Deep pain during penetration
• Pain in certain positions
• Pain that continues after intercourse
• Can significantly impact relationships and intimacy
• Often felt deep in pelvis, sometimes in back or rectum area

Bowel symptoms:

• Pain with bowel movements (especially during period)
• Diarrhoea or constipation (particularly cyclical with period)
• Bloating and abdominal distension
• Blood in stool (if bowel endometriosis)
• Feeling of incomplete emptying
• Can be misdiagnosed as irritable bowel syndrome (IBS)

Bladder symptoms:

• Pain when urinating (especially during period)
• Urgency and frequency
• Blood in urine (if bladder endometriosis)
• Can be misdiagnosed as recurrent UTIs

Fertility difficulties:

• Endometriosis found in 25-50% of women with infertility
• May be only symptom in some women (no pain)
• Affects fertility through multiple mechanisms (scarring, inflammation, egg quality)

Other symptoms:

• Fatigue (often debilitating)
• Heavy or irregular periods
• Pain during ovulation
• Nausea (especially during period)
• Chronic lower back pain

Important Facts About Endometriosis Pain

Pain severity doesn't correlate with disease extent:

• Minimal endometriosis can cause severe pain
• Extensive endometriosis may cause minimal pain
• Your pain is valid regardless of what surgery finds

Endometriosis pain is different from normal period pain:

• Normal period pain: Cramping first 1-2 days, manageable with standard pain relief, doesn't significantly disrupt life
• Endometriosis pain: Severe, may last entire period or longer, disrupts work/school/activities, may not respond to standard pain relief, may worsen over time

"Just bad periods" isn't a diagnosis:

• If your periods significantly impact your quality of life, investigation is warranted
• You shouldn't have to plan your life around your period
• Missing work/school due to period pain isn't normal

How Endometriosis is Diagnosed

Diagnosis involves clinical assessment, imaging, and sometimes surgery.

Initial Assessment

Your Ovara GP will discuss:

• Detailed pain history (type, location, timing, severity)
• Menstrual history (cycle regularity, heaviness, length)
• Sexual health and pain with intercourse
• Bowel and bladder symptoms
• Fertility concerns or difficulty conceiving
• Family history (endometriosis can run in families)
• Previous treatments tried
• Impact on quality of life, work, relationships

Physical examination may include:

• Abdominal examination
• Pelvic examination (may reveal tender areas, nodules, fixed uterus)
• Not all women with endometriosis have abnormal examination findings

Investigations

Pelvic ultrasound:

• Can identify endometriomas (ovarian cysts from endometriosis)
• Can identify other pathology (fibroids, other cysts)
• Cannot see superficial endometriosis deposits
• Normal ultrasound doesn't rule out endometriosis

MRI:

• More detailed imaging
• Better for deep infiltrating endometriosis
• Can assess bowel, bladder involvement
• Not always necessary
• Still can't see all endometriosis

Blood tests:

• No specific blood test for endometriosis
• Can check for anaemia (if heavy periods)
• May check inflammatory markers
• Tumour marker CA-125 sometimes elevated but not diagnostic

Laparoscopy

The gold standard for definitive diagnosis:

• Keyhole surgery under general anaesthetic
• Camera inserted through small incision near belly button
• Surgeon visualises pelvic organs and looks for endometriosis
• Biopsies taken to confirm diagnosis
• Often treatment performed at same time (removal or ablation of endometriosis)

Important points:

• Not every woman needs laparoscopy
• Can start treatment based on clinical suspicion without surgery
• Laparoscopy offered if: diagnosis unclear, symptoms not responding to treatment, fertility investigation, severe symptoms
• Diagnostic delay shouldn't wait for laparoscopy—treatment can start before surgery

Presumptive Diagnosis

We can diagnose "suspected endometriosis" based on:

• Typical symptoms
• Clinical examination findings
• Exclusion of other causes
• Response to treatment

This allows us to start treatment without requiring surgery first

Treatment Options for Endometriosis

There's no cure for endometriosis, but effective management is possible. Treatment is personalised based on your symptoms, fertility goals, and preferences.

Pain Management

The primary goal for most women is controlling pain.

Medications for Pain

Non-steroidal anti-inflammatory drugs (NSAIDs):

• First-line for period pain
• Most effective when started before pain becomes severe
• Regular dosing during period often better than as-needed
• May not be sufficient alone for endometriosis pain

Stronger pain medication:

• May be needed for breakthrough pain
• Not a long-term solution
• Combination with hormonal treatment usually more effective than pain medication alone

Neuropathic pain medications:

• Sometimes helpful for chronic pelvic pain
• Can reduce nerve-related pain
• Often used alongside other treatments

Hormonal Treatments

How they work:

• Suppress menstrual cycle and reduce or eliminate periods
• Less menstruation = less endometriosis activity = less pain
• Don't cure endometriosis but control symptoms

Combined oral contraceptive pill:

• Taken continuously (no hormone-free breaks) is most effective
• Reduces or eliminates periods
• Decreases pain in many women
• Accessible, low-cost, reversible
• Can be tried as first-line treatment

Progestogen-only treatments:

Progestogen-only pill (mini pill):

• Taken daily
• May reduce or stop periods
• Good option if can't take oestrogen

Progestogen implant:

• Small rod under skin of upper arm
• Lasts 3 years
• May stop periods (but irregular bleeding common initially)
• Effective pain control for many women

Progestogen injection:

• Given every 12 weeks
• Often stops periods completely
• Effective pain relief
• Concerns about bone density with long-term use (usually not first choice)

Hormonal IUD:

• Inserted into uterus
• Lasts 5 years
• Lightens periods or stops them
• Particularly good for heavy bleeding associated with endometriosis
• Works locally with minimal systemic hormone absorption

GnRH agonists:

• Temporarily stop ovarian function (medical menopause)
• Very effective pain relief
• Significant side effects (hot flushes, bone density loss, mood changes)
• Requires add-back hormone therapy to manage side effects
• Usually reserved for severe cases or pre-surgery to shrink lesions
• Not suitable for long-term use

Dienogest:

• Progestogen medication specifically studied for endometriosis
• Daily tablet
• Good evidence for pain relief
• May cause irregular bleeding initially

Important Notes on Hormonal Treatment

Doesn't cure endometriosis:

• Controls symptoms while taking it
• Endometriosis returns when treatment stopped
• That's okay—managing chronic condition, not expecting cure

Fertility considerations:

• Hormonal treatment prevents pregnancy (that's the point)
• Not suitable if trying to conceive now
• Fertility returns when stopped
• Doesn't damage long-term fertility

May need to try different options:

• Not all treatments work for all women
• May take trial and error to find what works
• Can switch if one doesn't help

Surgical Treatment

Surgery can diagnose and treat endometriosis simultaneously.

Laparoscopy for Endometriosis

What happens:

• Keyhole surgery under general anaesthetic
• Small incisions (usually 3-4, each about 1cm)
• Camera and instruments inserted
• Endometriosis identified and removed or destroyed

Methods of treating endometriosis during surgery:

• Excision: Cutting out endometriosis lesions (generally preferred for deep disease)
• Ablation: Burning/destroying lesions with heat or laser
• Adhesiolysis: Separating organs stuck together by scar tissue
• Cyst removal: Removing endometriomas from ovaries

Benefits:

• Can provide significant pain relief
• Can improve fertility
• Removes disease rather than just suppressing it
• Allows definitive diagnosis

Limitations:

• Not a cure—endometriosis often recurs (up to 50% within 5 years)
• Surgery has risks (bleeding, infection, damage to organs)
• May need repeat surgeries over lifetime
• Not all endometriosis can be safely removed (depends on location)

When surgery recommended:

• Severe symptoms not controlled by medication
• Endometriomas (ovarian cysts from endometriosis)
• Fertility issues (surgery may improve conception chances)
• Deep infiltrating endometriosis affecting bowel or bladder
• Diagnostic uncertainty

Hysterectomy

Removal of uterus, sometimes with ovaries.

Important facts:

• Not first-line treatment for endometriosis
• Doesn't cure endometriosis (disease is outside uterus)
• May help if significant adenomyosis (endometriosis within uterus wall)
• Considered only when: childbearing complete, other treatments failed, severe symptoms
• Removing ovaries more effective than uterus alone (but causes surgical menopause)
• Major decision requiring careful discussion

Non-Medical Treatments

Complementary approaches that may help alongside medical treatment.

Pelvic floor physiotherapy:

• Specialised physiotherapy for pelvic floor muscles
• Often tight/overactive in women with chronic pelvic pain
• Can reduce pain and improve sexual function
• Not a cure but helpful adjunct
• Evidence-based treatment

Transcutaneous electrical nerve stimulation (TENS):

• Device that sends electrical impulses through skin
• Can reduce pain perception
• Safe, non-invasive
• Some women find it helpful during periods

Heat therapy:

• Heat packs or hot water bottles
• Can ease cramping and pain
• Accessible, safe, low-cost

Dietary modifications:

• No specific endometriosis diet proven
• Some women find reducing inflammatory foods helps
• Anti-inflammatory diet (Mediterranean-style) may help some women
• Avoid restrictive diets without evidence

Exercise:

• Regular moderate exercise may reduce pain
• Don't exercise through severe pain
• Gentle movement (walking, yoga, swimming) during flares
• Listen to your body

Acupuncture:

• Some evidence for pain relief
• May help some women
• Best used alongside medical treatment

What doesn't have good evidence:

• Specific supplements marketed for endometriosis
• Extreme dietary restrictions
• "Detox" programs
• Most herbal remedies

Endometriosis and Fertility

Endometriosis is found in 25-50% of women with infertility.

How Endometriosis Affects Fertility

Multiple mechanisms:

• Scarring and adhesions blocking or distorting fallopian tubes
• Inflammation affecting egg quality
• Endometriomas affecting ovarian reserve
• Altered immune environment
• Changes to egg and embryo development

Important facts:

• Many women with endometriosis conceive naturally
• Severity of endometriosis doesn't always correlate with fertility impact
• Minimal endometriosis can still affect fertility
• Earlier treatment may improve fertility outcomes

Trying to Conceive with Endometriosis

If trying to conceive:

• Don't delay—fertility declines with age and endometriosis can worsen
• Seek help sooner than standard 12-month guideline
• Surgery may improve natural conception chances (evidence mixed)
• Suppressing endometriosis with hormones doesn't improve fertility (you can't conceive while on treatment)

When to seek fertility help:

• After 6 months if over 35
• After 6-12 months if under 35 (depending on severity of endometriosis)
• Immediately if: severe endometriosis, endometriomas, previous surgery affecting tubes/ovaries

Fertility Treatment Options

If natural conception doesn't occur:

• Ovulation induction (medication to stimulate egg release)
• Intrauterine insemination (IUI)
• IVF (in vitro fertilisation)—often most effective for moderate-severe endometriosis

Surgery before fertility treatment:

• May be recommended to remove endometriomas before IVF
• Can improve ovarian response to stimulation
• Needs careful consideration (surgery can also reduce ovarian reserve)
• Specialist reproductive endocrinologist assessment important

Pregnancy and endometriosis:

• Pregnancy often reduces endometriosis symptoms (no periods for 9 months)
• Symptoms usually return after birth, especially if breastfeeding stops
• Pregnancy doesn't cure endometriosis

Other Causes of Pelvic Pain

Not all pelvic pain is endometriosis. Proper diagnosis is essential.

Adenomyosis

Endometrial tissue growing within uterine muscle wall.

Symptoms:

• Heavy, painful periods
• Enlarged, tender uterus
• Chronic pelvic pain
• Pain during sex
• Often occurs alongside endometriosis

Diagnosis:

• Ultrasound or MRI
• Definitive diagnosis only after hysterectomy (pathology examination)

Treatment:

• Similar to endometriosis (hormonal treatments, pain management)
• Hysterectomy is only cure (for those who've completed childbearing)

Pelvic Inflammatory Disease (PID)

Infection of reproductive organs (uterus, fallopian tubes, ovaries).

Symptoms:

• Pelvic pain (often bilateral)
• Abnormal vaginal discharge
• Pain during sex
• Fever and feeling unwell
• Pain with urination

Causes:

• Usually sexually transmitted infections (chlamydia, gonorrhoea)
• Sometimes other bacteria

Treatment:

• Antibiotics (urgent treatment important)
• Partner treatment needed
• Can cause chronic pelvic pain and fertility problems if untreated

Ovarian Cysts

Fluid-filled sacs on ovaries.

Types:

• Functional cysts (normal part of ovarian cycle, usually resolve spontaneously)
• Endometriomas (blood-filled cysts from endometriosis)
• Dermoid cysts
• Cystadenomas
• Others

Symptoms:

• Often no symptoms (found incidentally on ultrasound)
• Pelvic pain (dull ache or sharp pain)
• Pain during sex
• Bloating
• If cyst ruptures or twists: sudden severe pain (emergency)

Management:

• Many resolve without treatment (functional cysts)
• Monitoring with repeat ultrasound
• Surgery if: large, persistent, concerning features, causing symptoms

Fibroids

Non-cancerous growths in uterus muscle.

Symptoms:

• Heavy menstrual bleeding
• Pelvic pressure or pain
• Frequent urination (if pressing on bladder)
• Constipation (if pressing on bowel)
• Enlarged abdomen
• Pain during sex

Management:

• Medication to reduce bleeding and pain
• Hormonal treatments
• Procedures (uterine artery embolisation, fibroid ablation)
• Surgery (myomectomy to remove fibroids, or hysterectomy)

Irritable Bowel Syndrome (IBS)

Functional bowel disorder causing abdominal pain and altered bowel habits.

Symptoms:

• Abdominal pain related to bowel movements
• Bloating and gas
• Diarrhoea, constipation, or alternating
• Often worsens with stress

Can coexist with endometriosis:

• Symptoms overlap significantly
• Both can cause cyclical bowel symptoms
• May have both conditions

Differentiation:

• IBS symptoms not typically cyclical with period (unless both conditions present)
• Response to dietary changes (FODMAP diet) suggests IBS
• Endoscopy/colonoscopy normal in IBS

Pelvic Floor Dysfunction

Overactive, tight, or poorly coordinated pelvic floor muscles.

Causes:

• Chronic pain (muscles tighten as protective mechanism)
• Previous trauma or surgery
• Anxiety and stress
• Can develop alongside or after endometriosis

Symptoms:

• Pelvic pain (aching, burning)
• Pain during sex
• Difficulty emptying bladder or bowel
• Urinary urgency and frequency
• Feeling of pelvic heaviness

Treatment:

• Pelvic floor physiotherapy (release and relaxation, not strengthening)
• Pain management
• Addressing contributing factors

Interstitial Cystitis / Painful Bladder Syndrome

Chronic bladder condition causing pain and urinary symptoms.

Symptoms:

• Bladder pain (worsens as bladder fills)
• Urinary urgency and frequency
• Pain during sex
• Symptoms can be cyclical (worse during period)

Often confused with:

• Recurrent UTIs (but urine cultures negative)
• Endometriosis affecting bladder

Diagnosis:

• Diagnosis of exclusion (ruling out infection, other causes)
• Sometimes cystoscopy (looking inside bladder)

Treatment:

• Dietary modifications
• Bladder instillations
• Medications
• Pelvic floor physiotherapy

Chronic Pelvic Pain

Pain in pelvic area lasting 6 months or longer.

Understanding Chronic Pain

Chronic pelvic pain is complex:

• May start with specific cause (endometriosis, infection, surgery)
• Over time, nervous system changes ("central sensitisation")
• Pain signals amplified
• Pain continues even after original cause treated
• Multiple factors often involved (physical, psychological, social)

Not "all in your head":

• Changes in nervous system are real and measurable
• Chronic pain is a medical condition
• Requires multidisciplinary approach

Multidisciplinary Pain Management

Effective chronic pain management often requires:

Medical management:

• Treating underlying causes (endometriosis, etc.)
• Pain medications (may include neuropathic pain medications)
• Hormonal treatments if cyclical component

Physical therapy:

• Pelvic floor physiotherapy
• General physiotherapy for movement and function
• Graded exercise programs

Psychological support:

• Chronic pain significantly impacts mental health
• CBT for pain management
• Mindfulness and relaxation techniques
• Addressing anxiety and depression

Lifestyle modifications:

• Pacing activities
• Sleep hygiene
• Stress management
• Maintaining social connections and activities

Pain clinic referral:

• For complex, severe, or treatment-resistant pain
• Specialist pain management programs
• Multidisciplinary team approach

Living with Endometriosis and Chronic Pelvic Pain

Managing a chronic condition while maintaining quality of life.

Self-Management Strategies

Tracking symptoms:

• Pain diary helps identify patterns
• Tracks what helps and what worsens symptoms
• Useful for medical appointments
• Apps available for period and pain tracking

Planning around flares:

• Anticipate difficult times (periods if pain cyclical)
• Arrange flexible work if possible
• Communicate needs with employer, family, friends
• Have strategies ready (heat packs, medications, rest)

Energy management:

• Pacing activities (not doing too much on good days)
• Rest when needed without guilt
• Prioritising important activities
• Accepting limitations during flares

Communication:

• With partner about pain and intimacy
• With employer about needs (may be covered under disability discrimination laws)
• With healthcare team about what's working and what's not

Impact on Relationships and Intimacy

Endometriosis and chronic pelvic pain affect relationships:

Sexual intimacy:

• Pain during sex is common and distressing
• Can create fear and avoidance
• Impacts both partners
• Intimacy isn't just penetrative sex
• Communication essential

What helps:

• Open communication with partner about pain
• Experimenting with positions, timing (not during period if cyclical pain)
• Extended foreplay
• Lubricants
• Pain management before sex
• Redefining intimacy
• Couples therapy if relationship strain significant

Fertility impact:

• Uncertain fertility creates anxiety
• "Trying to conceive" stress
• Partner may not understand urgency
• Fertility treatment is challenging

Support for partners:

• Educate partner about condition
• Include them in medical appointments if helpful
• Support groups for partners exist
• Acknowledge their experience too

Work and Career

Endometriosis can significantly impact work:

• Missing work during flares
• Reduced productivity when in pain
• Brain fog and fatigue
• Career progression concerns

Your rights:

• Endometriosis can be considered disability under discrimination laws
• Entitled to reasonable adjustments
• Flexible working arrangements
• Sick leave for flares

Strategies:

• Communicate with employer (to level you're comfortable)
• Request flexible working if helpful
• Heat packs, ergonomic seating, regular breaks
• Know your rights

Mental Health and Endometriosis

Living with chronic pain affects mental health:

• Higher rates of anxiety and depression
• Grief and loss (fertility, missing activities, changed life plans)
• Frustration with delayed diagnosis
• Feeling dismissed or not believed
• Impact on identity and self-esteem

Seeking mental health support is important:

• Not weak or giving up
• Managing mental health helps pain management
• May need specific therapy or medication
• Part of comprehensive treatment approach

Finding Support

You don't have to navigate this alone:

Endometriosis Australia:

• Information, resources, advocacy
• Support groups (online and in-person)
• Awareness campaigns
• Website: endometriosisaustralia.org

Pelvic Pain Foundation of Australia:

• Information about chronic pelvic pain
• Support and resources
• Website: pelvicpain.org.au

Online communities:

• Facebook groups
• Forums
• Connecting with others who understand

Professional support:

• Counselling or psychology
• Support groups
• Pain management programs

When to Seek Urgent Care

Most pelvic pain isn't an emergency, but some situations require immediate assessment.

Go to Emergency Department or Call 000 if:

• Sudden severe pelvic pain (possible ovarian torsion or ruptured cyst)
• Pelvic pain with fever and feeling very unwell (possible severe infection)
• Pelvic pain with fainting or dizziness (possible ruptured ectopic pregnancy or internal bleeding)
• Severe abdominal pain with vomiting and unable to keep fluids down
• Pelvic pain in early pregnancy with bleeding

See Your GP Urgently (Within 24-48 Hours) if:

• New or significantly worsening pelvic pain
• Pelvic pain with abnormal vaginal discharge and fever (possible PID)
• Pelvic pain with urinary symptoms and fever (possible kidney infection)
• Pain during sex that's new or significantly worse

Book Routine Appointment if:

• Painful periods interfering with daily life
• Chronic pelvic pain (present for weeks-months)
• Pain during sex
• Concerns about endometriosis
• Heavy or irregular bleeding with pain
• Fertility concerns with known or suspected endometriosis

Frequently Asked Questions

"I have terrible period pain but my ultrasound was normal. Do I still need to worry about endometriosis?"

Yes. Ultrasound can't see superficial endometriosis (only deep disease and endometriomas). Normal ultrasound doesn't rule out endometriosis. Clinical diagnosis based on symptoms is valid.

"Does endometriosis mean I can't have children?"

No. Many women with endometriosis conceive naturally. It can affect fertility, but most women with endometriosis can get pregnant, often with treatment or assistance if needed.

"Do I have to have surgery to get diagnosed?"

Not necessarily. We can make "presumptive diagnosis" based on symptoms and start treatment. Surgery (laparoscopy) is only definitive diagnosis but isn't always necessary before beginning treatment.

"Will a hysterectomy cure my endometriosis?"

No. Endometriosis is outside the uterus, so removing the uterus doesn't cure it. Hysterectomy may help if significant adenomyosis, but it's not first-line treatment for endometriosis.

"I had surgery to remove endometriosis but my pain is back. Did the surgery fail?"

Not necessarily. Endometriosis commonly recurs after surgery (up to 50% within 5 years). Surgery isn't a cure—it's part of managing a chronic condition. Ongoing treatment often needed.

"Can endometriosis turn into cancer?"

Endometriosis itself is not cancer. Very rarely (less than 1%), endometriosis-associated ovarian cancer can develop, but overall cancer risk is very low.

"Will menopause cure my endometriosis?"

Symptoms often improve significantly after menopause when oestrogen levels drop. However, some women continue to have symptoms, and if you take HRT after menopause, endometriosis can remain active.

"My mother/sister had endometriosis. Will I definitely get it?"

Having a family history increases your risk significantly (about 7-10 times higher), but it's not inevitable. If you have symptoms, seek assessment early.

"I'm a teenager—aren't I too young for endometriosis?"

No. Endometriosis commonly starts in teenage years. If you have severe period pain that disrupts your life, you deserve investigation and treatment regardless of age.

Book Your Pelvic Pain Assessment

Your pain is real. Your pain deserves investigation. Your pain can be managed.

Our Ovara specialists provide comprehensive assessment and evidence-based treatment for endometriosis and chronic pelvic pain across 110+ clinics in Australia. We take the time to listen, investigate properly, and create a treatment plan tailored to your needs.

Stop suffering. Get answers. Book your appointment today.

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