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Endometriosis

Please refer to Endometriosis Clinic

Please attach a pelvic USS to your referral letter 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
  • Relevent 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

http://www.rcog.org.uk/womens-health/clinical-guidance/investigation-and-management-endometriosis-green-top-24

 

Date reviewed                     20/06/2019

Next review due                  20/06/2020

Author                          Dr Anna Harrold

 

Version No       2.1