Endometriosis: UK Online Doctor Pathway
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Endometriosis: tissue similar to womb lining grows outside the womb.
- UK average diagnosis takes 7–8 years — early advocacy matters.
- Symptoms: severe period pain, painful sex, painful bowel/bladder, fertility issues.
- Treatment: pain relief, hormonal suppression, surgery.
- An online GP can assess and refer to gynaecology.
Symptoms
- Severe period pain not relieved by usual painkillers.
- Pain during or after sex.
- Painful bowel movements or urination during periods.
- Heavy bleeding.
- Fertility difficulties.
- Chronic pelvic pain.
- Fatigue.
Diagnosis
Definitive diagnosis is laparoscopy. Symptom-based treatment is often started before formal diagnosis. MRI helps in some cases.
Treatment
- NSAIDs (mefenamic acid).
- Combined pill — continuous use.
- Mirena IUD.
- Progesterone-only pill.
- GnRH analogues (specialist).
- Laparoscopic surgery — excision of lesions.
- Pelvic physiotherapy and pain specialist input.
Frequently asked questions
Common questions UK patients ask about endometriosis.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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