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Endometriosis & Pelvic Pain
Treatment in Malmesbury

Period pain that rules your life is not "just part of being a woman." Dr Amon Siveregi provides expert diagnosis and compassionate, effective treatment for endometriosis and chronic pelvic pain at Crestcare Hospital.

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Pain with a name — and a plan

Endometriosis affects roughly 1 in 10 women of reproductive age, yet many wait years for a diagnosis — often after being told repeatedly that severe period pain is normal. It isn't. Endometriosis is a real, physical condition in which tissue similar to the lining of the uterus grows outside it, causing inflammation, pain and sometimes fertility problems.

The first step out of that cycle is being taken seriously. At Dr Siveregi's practice in Malmesbury, pelvic pain is investigated properly: a careful history, examination, pelvic ultrasound, and where needed, diagnostic laparoscopy — the definitive way to confirm and simultaneously treat endometriosis.

Signs that deserve assessment

Period pain that disrupts life

Missing work, school or plans every month is not normal period pain.

Pain with intimacy

Deep pain during or after intercourse is a classic, under-reported sign.

Pain beyond your period

Pelvic pain through the month, painful ovulation, bowel or bladder pain.

Struggling to conceive

Endometriosis is found in a significant share of women with fertility difficulty.

How endometriosis is treated

There is no single right treatment — the plan depends on your symptoms, your stage of life, and whether pregnancy is on your horizon. Options include:

  • Pain management done properly: effective anti-inflammatory strategies, not just "take a painkiller and cope"
  • Hormonal treatment: suppressing the cycle to quiet endometriotic tissue — pills, progestogens, hormonal IUDs and other options matched to you
  • Laparoscopic surgery: keyhole excision of endometriotic tissue and ovarian endometriomas by a surgeon with advanced laparoscopic training, at Crestcare Hospital
  • Fertility-focused care: when conceiving is the priority, treatment is planned hand-in-hand with your fertility assessment so the two goals work together, not against each other
  • Whole-person follow-up: endometriosis is often a long-term condition — ongoing care adapts as your life and priorities change

Pelvic pain isn't always endometriosis

Chronic pelvic pain has many possible causes — fibroids, ovarian cysts, adenomyosis, pelvic infection, adhesions from previous surgery, and bowel or bladder conditions among them. That's why the assessment starts broad rather than assuming. Whatever the cause turns out to be, the goal is the same: a clear diagnosis and a treatment plan that gives you your life back.

Frequently asked questions

How is endometriosis diagnosed?

Assessment starts with your history, examination and pelvic ultrasound, which can show cysts and other clues. The definitive diagnosis is made by laparoscopy — a keyhole procedure that allows Dr Siveregi to see, confirm and usually treat endometriosis in the same operation.

Can endometriosis be cured?

There is currently no permanent cure, but symptoms can very often be controlled well with hormonal treatment, surgery, or both — and many women achieve lasting relief. The right combination depends on your symptoms and goals.

Will endometriosis stop me falling pregnant?

Not necessarily. Many women with endometriosis conceive naturally. It can reduce fertility in some women, which is why treatment is planned around your family goals — sometimes surgery improves the chances of conception, and fertility assessment runs alongside pain treatment.

My previous doctor said bad period pain is normal. Should I still come?

Yes. Pain that regularly disrupts your work, studies or relationships warrants proper assessment, whatever you've been told before. Even if it turns out not to be endometriosis, identifying the actual cause is the first step to treating it.

Your pain is real. So are the solutions

Book a pelvic pain assessment at Crestcare Hospital, Malmesbury.

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