More than just menstrual pain - recognising and treating endometriosis

Around one in 10 women is affected by endometriosis and suffers month after month. The pain is often noticeable during menstruation or sexual intercourse and can severely restrict the quality of life of affected women. What are the symptoms of endometriosis and how can it be diagnosed and treated? Our specialists can help you.

Woman with abdominal pain or period pains. Perhaps endometriosis?
Woman with abdominal pain or period pains. Perhaps endometriosis?
(shutterstock.com)

When pain becomes the rule


How do you recognise endometriosis?

If a woman struggles with pain month after month more than her female counterparts, she may be suffering from endometriosis. Endometriosis refers to the colonisation of the lining of the uterus (endometrium) outside the uterine cavity. If the mucous membrane is shed in the wrong place, this can cause severe pain. The exact medical cause is unclear, which is why various theories are circulating. One thing is certain: endometriosis is one of the most common gynaecological diseases, affecting around 10% of women.


What to do with endometriosis?

Although endometriosis is very painful, it is a benign disease. Our specialists examine the affected women and then carefully plan individualised treatment. Treatment options include medication or minimally invasive surgery. If you suffer from chronic abdominal pain, pain during sexual intercourse or an unfulfilled desire to have children, endometriosis could be the cause. Talk to us and we will find the right treatment for you.

Important to know

Find out everything you need to know about the clinical picture of endometriosis and find out about the various treatment options we offer.

Painful menstruation = endometriosis?

Typical symptoms occur during menstruation. However, endometriosis could also be the reason why a patient is unable to have children. Pain caused by endometriosis manifests itself in many ways:

  • Pain in the second half of the cycle and around menstruation
  • chronic lower abdominal pain
  • Pain during sexual intercourse
  • Pain during bowel movements or when emptying the bladder
  • Back pain
  • Lack of energy and drive

Are you unsure whether you suffer from endometriosis? Then make an appointment for an examination!

How do you recognise endometriosis?

As a first step, affected women talk to our experts in detail and describe their personal symptoms. This discussion may already indicate a possible diagnosis of endometriosis. In addition, patients undergo a thorough gynaecological examination, either by palpation or ultrasound. However, only larger mucosal accumulations can be detected in this way. Smaller deposits can often only be recognised during a diagnostic laparoscopy.

Using a gentle laparoscopy, tissue samples can also be taken from the accumulated mucous membrane and analysed. This allows the experts to confirm their diagnosis and initiate further treatment. Depending on the individual findings and any surgical planning, an MRI (magnetic resonance imaging) may also be helpful.

Are you unsure whether you suffer from endometriosis? Then make an appointment for an examination!

Recognising and treating endometriosis individually


Hormonal treatment of endometriosis

Endometriosis-related pain and cramps can also be treated hormonally and with medication. As the endometriosis centres build up during the monthly cycle under the influence of the female hormone oestrogen, it helps to take medication that influences the body's own hormone production, for example in the form of the so-called "mini-pill". They keep oestrogen levels low. Women can also counteract their pain with a hormone coil. Talk to our doctors in detail about your personal situation, especially if you wish to have children.


Relieving the pain symptoms of endometriosis

Of course, painkillers can also effectively alleviate symptoms. However, this form of therapy is only a short-term solution to endometriosis. If you take painkillers regularly over a longer period of time, you must expect side effects. You should therefore find out about more sustainable solutions and discuss with our specialists what is possible and desirable for you personally.


Surgically removing centres of endometriosis

In some cases, there is no alternative to surgery: the endometriosis centres must be surgically removed or directly destroyed. This procedure is carefully planned by our doctors and is carried out using minimally invasive techniques as part of a laparoscopy. The good news is that such an operation can lead to the fulfilment of a desire to have children that was previously made impossible by endometriosis.

Depending on the family planning situation, treatment with medication or surgery is preferred. In rare cases, and if there is no other option, the removal of the uterus, fallopian tubes and ovaries may be discussed. Bethesda Hospital is known for its modern and gentle surgical procedures and has a great deal of expertise in this area.

Are you unsure whether you suffer from endometriosis? Then make an appointment for an examination!

Every tenth woman is affected

The benign disease endometriosis only affects women of reproductive age. It is estimated that around one in 10 women has endometriosis. That's around 190,000 women across Switzerland.

Important to know: Endometriosis is not cancer.

Are you unsure whether you suffer from endometriosis? Then make an appointment for an examination!

Endometriosis - Diagnosis programme on telebasel

Severe, cramp-like pain before or during the menstrual cycle can have various causes. Endometriosis is a common but little-known gynaecological disease that affects 10% of women. Typical symptoms include severe menstrual pain, abdominal cramps, cycle disorders, back pain or an unfulfilled desire to have children.

The pain can even prevent sufferers from going to school or work, which has a significant impact on their psychological and social life. We provide information on how endometriosis can develop, how the typical symptoms occur and how we can help you.

«Bethesda Hospital has a great deal of experience in minimally invasive operations.»


Dr J. Humburg, Head of Gynaecology & Head of the Clinic for Women's Medicine

FAQs on endometriosis

We have compiled the most frequently asked questions about endometriosis, answered by our medical experts.

Do you have any other questions that are not answered here?
Please feel free to contact us - we will be happy to help you.

Typical symptoms occur during menstruation. However, endometriosis could also be the reason why a patient is unable to have children. Endometriosis-related pain manifests itself in many ways:

  • Pain in the second half of the cycle and around menstruation
  • chronic lower abdominal pain
  • Pain during sexual intercourse
  • Pain during bowel movements or when emptying the bladder
  • Back pain
  • Lack of energy and drive

As a first step, affected women talk to our experts in detail and describe their personal symptoms. This discussion may already indicate a possible diagnosis of endometriosis. In addition, patients undergo a thorough gynaecological examination, either by palpation or ultrasound. However, only larger mucosal accumulations can be detected in this way. Smaller deposits can often only be recognised during a diagnostic laparoscopy.

Using a gentle laparoscopy, tissue samples can also be taken from the accumulated mucous membrane and analysed. This allows the experts to confirm their diagnosis and initiate further treatment. Depending on the individual findings and any surgical planning, an MRI (magnetic resonance imaging) may also be helpful.

There are various theories as to why endometriosis develops. For example, it is assumed that cells from the lining of the uterus move to other areas of the body and colonise there. It is also assumed that a disturbed interaction of hormones or the immune system plays a role.

Although endometriosis is very painful, it is a benign disease. Our specialists examine the women affected and then carefully plan individualised treatment. Treatment options include medication or minimally invasive surgery. In very rare cases, the uterus has to be removed completely. If you suffer from chronic abdominal pain, pain during sexual intercourse or an unfulfilled desire to have children, endometriosis could be the cause. Talk to us and we will find the right treatment for you.

Endometriosis is a benign disease. Nevertheless, it should be treated because, apart from the pain, it can lead to adhesions in the abdominal cavity or adhesions as possible causes for an unfulfilled desire to have children.

The specialists on the subject of endometriosis

The clinical picture of endometriosis falls within the specialist area of our gynaecology team.

Our experienced specialists will be happy to help you - let them advise you individually as to which of the gynaecology clinic's services is best suited to your needs.

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