Diagnosis and treatment

A complex and often progressive disease, endometriosis is suspected in cases of infertility and/or when the patient reports typical symptoms. However, the symptoms are very varied depending on which organs are affected. They are:

  • chronic pelvic pain
  • abundant and painful periods
  • pain during sex
  • pain on defecation or urination
  • infertility

The patient's quality of life can be particularly impaired by this disease.

Endometriosis may already be suspected from the case history (the information provided by the patient about the history of her disease) or during a routine gynaecological examination. Various additional examinations are useful if endometriosis is suspected. Gynaecological ultrasound reveals cysts of typical appearance, and magnetic resonance scans reveal, among other things, the presence of deep nodules.

Laparoscopy can confirm suspected endometriosis. Under general anaesthesia, a camera inspects the abdominal cavity, then any suspicious areas are examined under the microscope (histology). During this intervention, it is possible not only to detect the presence of areas of endometriosis but also to treat them directly.

Treatment

Our consultation combines specialists in reproductive medicine, gynaecology, radiology, visceral surgery or in urology. It is essential to determine precisely the most suitable treatment for each patient.

If the main worry is infertility, we decide together with the patient the most appropriate approach in her particular situation. In some cases, surgery may prove to be useful. In other situations, the use of a medically assisted reproduction technique will be discussed. The surgery of endometriosis can be complex and it is essential to have an experienced team used to dealing with these cases.

If there is pain, we offer a complete approach to relieving it (treatment with medicines, surgery and psychological support).

Team of specialists

  • Dr Nicolas Vulliemoz

    Hospital Clinician
    Head of the Reproductive Medicine Unit

  • Dr Chahin Achtari

    Senior Consultant
    Department of Gynaecology

  • Prof. Jean-Yves Meuwly

    Registrar
    Department of Diagnostic Radiology

  • Prof. Dieter Hahnloser

    Senior Consultant
    Department of Visceral Surgery

  • Prof. Patrice Jichlinski

    Head of Department
    Department of Urology

  • Fabienne Coquillat

    Sexual health counsellor

  • Marie-Claude Frémaux

    Psychologist, specialist in psychotherapy FSP (Swiss Federation of Psychologists)

 Last updated on 17/07/2018 at 09:58