Dr Melissa Delgado, Obstetrician & Gynaecologist

Endometriosis

Endometriosis is a complex gynaecological condition that can affect far more than the menstrual cycle. For some women, it causes severe period pain. For others, it may contribute to ongoing pelvic pain, discomfort during intimacy, bowel or bladder symptoms, fatigue or difficulty conceiving.

Because symptoms can vary widely, endometriosis is sometimes overlooked or dismissed for years. Pain that regularly interferes with work, study, exercise, sleep or day-to-day life should not be considered something women simply need to tolerate. With the right assessment and management plan, many women can achieve meaningful improvement in symptoms and quality of life.

Dr Melissa Delgado provides specialist care for women with suspected or diagnosed endometriosis, offering thoughtful assessment, clear advice and personalised treatment options.

Endometriosis can behave differently from one woman to another. Symptoms may be cyclical, occurring mainly around the time of a period, or they may be present throughout the month. Some women experience pain that feels disproportionate to what is seen on imaging, while others may have more advanced disease with fewer obvious symptoms.

This variability is one reason specialist assessment can be helpful. A careful consultation allows Dr Delgado to understand the pattern of symptoms, previous treatments, menstrual history, reproductive goals and how the condition is affecting daily life. This broader picture is important when deciding which investigations or treatment options may be appropriate.

For some women, imaging such as pelvic ultrasound may help identify signs of endometriosis, ovarian cysts or other causes of pelvic pain. However, normal imaging does not always rule out endometriosis. Depending on the symptoms and clinical findings, further investigation or laparoscopic surgery may be considered.

Treatment is tailored to the individual. Some women may benefit from medical management, including pain relief or hormonal therapies designed to reduce symptoms. Others may require surgical treatment, particularly when pain is persistent, fertility is a concern or endometriosis is suspected to be affecting pelvic organs. In more complex cases, care may involve collaboration with other specialists or allied health professionals.

Fertility planning is also an important part of endometriosis care. Endometriosis does not mean a woman cannot conceive, but it can affect fertility in some cases. If pregnancy is part of your current or future plans, Dr Delgado can discuss how this may influence management and whether further fertility assessment or support may be appropriate.

Living with endometriosis can be frustrating, especially when symptoms have been minimised or diagnosis has taken time. Compassionate care, clear communication and an individualised plan can make a significant difference.

If you are experiencing painful periods, ongoing pelvic pain or symptoms that may be related to endometriosis, Dr Melissa Delgado can provide specialist assessment and discuss the options available to help manage your symptoms and support your long-term health.

Endometriosis: Frequently Asked Questions

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