The Cotswold Endometriosis and Pelvic Pain Clinic

The specialist clinic provides high-quality, evidence-based care to diagnose and treat endometriosis-related pain and infertility as well as chronic pelvic pain. This specialist multi-disciplinary clinic is run weekly by two NHS consultant gynaecologists with more than 20 years experience of managing all stages of endometriosis both medically and surgically. Because of the complex nature of endometriosis and pelvic pain our team also includes Consultant bowel surgeons, a Consultant urologist, pain specialists, women’s health physiotherapists, dietician and an acupuncturist. Onward referral for alternative therapies can also be made.

The clinic runs weekly at the Nuffield Hospital, Cheltenham. At the initial appointment a complete history is taken including any previous medical or surgical treatments. It is often useful to have a ‘pain diary’ completed beforehand. An examination and pelvic ultrasound may then be undertaken.

Diagnosis – At present the diagnosis of endometriosis can only be made by a ‘diagnostic laparoscopy’. This will be offered to you unless a recent laparoscopy has been undertaken by an experienced consultant gynaecologist.

Treatment – The numerous treatment options will be discussed which include analgesia, hormonal treatments (Including Progesterones i.e Mirena coil™, Combined contraceptive pills, GnRh analogues) and surgery. Almost all surgery undertaken by the team is completed laparoscopically with endometriosis usually being excised rather than only diathermied (heated) as this technique is more likely to remove deep endometriosis completely.