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Gynaeaesthetics London

Gynaecologist

Endometriosis Specialist in Essex and East London

Mr Mohammad Masood offers private endometriosis care at Gynaeaesthetics London. He helps women across Essex and East London get clear answers and a treatment plan that works for them. You don’t need a GP referral, and appointments are often available the same week.

Endometriosis can be tricky to spot. Symptoms look different for each woman, and scans don’t always show it clearly. At Gynaeaesthetics London, your care usually starts with a talk about your symptoms, then an exam or scan if needed, and a treatment plan built around your health and your plans for the future. 

What Is Endometriosis?

Endometriosis happens when tissue like the lining of the womb grows in other parts of the body. It’s usually found in the pelvis. It can grow on the ovaries, around the womb, on the fallopian tubes, the bowel, or the bladder.

Doctors don’t know the exact cause yet, but a few things seem to play a role. It can also run in families, so if your mum or sister has it, you may be more likely to get it too.

Endometriosis is a long-term condition, but it’s manageable. Some women have mild symptoms. Others have pain that affects work, sleep, or daily life. Interestingly, how much endometriosis is in the body doesn’t always match how much pain someone feels. That’s why NICE says treatment should be based on your symptoms and what matters most to you, not just how much endometriosis is found.

Where Can Endometriosis Grow?

It’s most often found in the pelvis, on the ovaries, around the womb, on the fallopian tubes, or near the bowel and bladder. In rare cases, it can show up in other parts of the body too.

What Are the Symptoms of Endometriosis?

Common symptoms include painful periods, pelvic pain, pain during sex, pain using the toilet during a period, and trouble getting pregnant. Many women also feel very tired. Every woman’s experience is a little different, which is exactly why a proper assessment helps.

Pain often happens mostly during a period, though for some women it continues at other times too. For some, it’s mild. For others, it affects school, work, exercise, or sleep, and getting the right support can make a real difference.

What Is Chronic Pelvic Pain?

This means pain in the lower belly or pelvis that lasts six months or more. Endometriosis can cause this, but so can other things. That’s why it’s worth getting checked by a specialist rather than guessing what it is.

Can Endometriosis Cause Bowel or Bladder Problems?

Yes. Some women feel pain when going to the toilet, especially during a period. This happens because endometriosis can sometimes grow near the bowel or bladder. A specialist can help work out what’s causing it.

Can Endometriosis Cause Pain During Sex?

Yes, this is a common symptom. But pain during sex can have other causes too. If it keeps happening, it’s worth talking to a doctor, since this is very treatable once the cause is found.

How Is Endometriosis Diagnosed?

Diagnosis usually starts with a chat about your symptoms and health history. Your doctor may also suggest an exam and an ultrasound. Sometimes an MRI or a small operation called laparoscopy is used if more detail is needed.

There’s no simple blood test for this. Your doctor looks at everything together, your symptoms, scan results, and history, to reach a clear answer.

What Happens During an Endometriosis Consultation?

Your doctor will ask when your pain happens, how bad it feels, and how it affects your periods, bowel, or bladder. They’ll also ask about past treatments, scans, surgery, family history, and any plans for pregnancy. An exam only happens if it’s helpful and if you’re comfortable with it.

Can an Ultrasound Detect Endometriosis?

A transvaginal ultrasound can spot ovarian cysts linked to endometriosis, and sometimes deeper disease too. It also helps rule out other causes. A normal scan doesn’t always mean there’s nothing there, which is why NICE recommends this scan whenever endometriosis is suspected.

What Is a Transvaginal Ultrasound?

This is a scan that looks closely at the womb and ovaries from the inside. A small probe is gently placed inside the vagina to take clear pictures. If you’d rather not have this type of scan, a regular abdominal ultrasound can be used instead.

Can You Have Endometriosis With a Normal Ultrasound?

Yes. A normal scan doesn’t rule it out completely. Some areas are hard to see on a scan. NICE says doctors should still consider endometriosis if your symptoms point to it, even with a normal scan.

When Is an MRI Scan Needed?

An MRI can help when deeper endometriosis is suspected, especially near the bowel, bladder, or the tubes that carry urine from the kidneys. These scans are reviewed by specialists experienced in reading them, so nothing gets missed.

Is Laparoscopy Always Needed for Endometriosis?

No. Not everyone needs surgery. Your symptoms, exam, ultrasound, and MRI often give doctors enough information already. Laparoscopy, a small keyhole operation, may still be used in some cases, even when scans look normal.

A surgeon makes small cuts in the belly and uses a tiny camera to look inside. If you’ve already agreed to treatment, some endometriosis can be treated during the same operation, saving you an extra visit.

What Are Endometriomas?

These are cysts that form on the ovaries because of endometriosis. Some people call them chocolate cysts. They’re sometimes found during an ultrasound and can affect decisions about pain relief, surgery, or fertility plans.

Not every endometrioma needs surgery. The right choice depends on its size, your symptoms, your age, and your plans for having children.

Do Endometriomas Always Need Surgery?

No. Surgery isn’t automatic. When it’s considered, doctors think carefully about the benefits, and also how it might affect your egg supply, especially if you’d like to get pregnant one day.

What Treatments Are Available for Endometriosis?

Treatment may include pain relief, hormone treatment, or surgery. The best choice depends on your symptoms, your health, and whether you’re planning a pregnancy.

Pain relief medicine can help control pain and improve everyday comfort.

Hormone treatment can reduce pain and period symptoms. This may include the combined pill or progestogen-based options.

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When Is Surgery Used for Endometriosis?

Surgery may help when symptoms continue, an endometrioma is present, or deeper endometriosis is suspected. It’s usually done through laparoscopy, the small keyhole operation.

Excision removes the endometriosis tissue completely, while ablation uses heat energy to destroy it. Your doctor will talk you through which option fits you best.

Can Endometriosis Affect Fertility?

It can make getting pregnant harder for some women, but many women with endometriosis do go on to have children naturally. Fertility can be affected by cysts, scar tissue, or other factors, so a personal check-up gives you a much clearer picture than a general statistic.

When Should You See an Endometriosis Specialist?

It’s worth seeing a specialist if symptoms keep coming back, affect your daily life, or haven’t improved with treatment. It’s also a good idea if you have a cyst, ongoing pelvic pain, or you’re worried about fertility.

What Does Specialist Endometriosis Care Include?

Specialist care can include scans, pain relief, hormone treatment, fertility advice, and surgery if needed. Your plan is built around your symptoms, your test results, and what matters most to you.

Why Choose Gynaeaesthetics London?

Gynaeaesthetics London offers private gynaecology care led by Consultant Obstetrician and Gynaecologist Mr Mohammad Masood, GMC number 5201164.

Mr Masood’s clinical work covers obstetrics and gynaecology broadly, with particular experience in diagnosing and managing endometriosis, and in laparoscopic surgery. This focus means your care is led by someone who deals with cases like yours regularly, not occasionally.

  • Private, consultant-led care from your first visit onward
  • No GP referral needed
  • Same-week appointments often available
  • Clinics across Hornchurch, Brentwood, Ilford, Essex, and East London

What Happens at Your First Consultation?

Your first visit gives you time to talk through your symptoms, past scans, treatments, and any fertility questions. Your doctor will then explain what, if anything, comes next, whether that’s an exam, a scan, more tests, or starting treatment. Bringing old scan results and a list of your medicines helps make the visit more useful.

Frequently Asked Questions

Can a normal ultrasound rule out endometriosis?

 No. It can still be present even with a normal scan, since some areas are hard to see

No. Doctors often use symptoms, exams, and scans first, before considering it.

 No. Many women manage well with pain relief or hormone treatment alone

 Yes, sometimes. That’s why follow-up care matters, so any changes get picked up early..

Yes, for some women, though many still get pregnant naturally, especially with early support.

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