Endometriosis
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, often causing pelvic pain, heavy or painful periods, bowel or bladder symptoms, fertility problems, and broader inflammation throughout the body.
Endometriosis is a common but often difficult condition to diagnose. Many women live with pain, fatigue, bowel or bladder symptoms, or fertility problems for years before receiving clear answers — particularly when scans have previously been reported as “normal”.
I specialise in the diagnosis and treatment of endometriosis in Auckland, combining advanced pelvic ultrasound with fellowship-trained laparoscopic surgery to build a precise understanding of what is happening and what treatment is most likely to help.
Endometriosis symptoms
Endometriosis may cause:
Painful periods
Pelvic pain outside of your perio
Bowel or bladder pain
Fatigue
Difficulty falling pregnant or recurrent miscarriage
Symptoms vary widely, which is why careful specialist assessment is essential.
How endometriosis is diagnosed
Standard ultrasound often does not detect endometriosis. Advanced pelvic ultrasound can identify deep endometriosis, reduced organ mobility, and characteristic changes in pelvic structures that suggest the condition.
This allows many cases to be detected and mapped before surgery, rather than discovered unexpectedly during an operation.
Advanced endometriosis ultrasound training
I completed a fellowship in advanced gynaecological and endometriosis ultrasound at University College London Hospitals (UCLH) — one of the world’s leading centres for pelvic imaging and endometriosis assessment.
This training focuses on identifying not only ovarian disease but also deep endometriosis affecting ligaments, bowel, bladder, and pelvic organs, allowing disease to be mapped accurately before any surgery is considered.
Endometriosis treatment options
Treatment may include:
Medication or hormonal therapy
Pain management
Fertility planning
Laparoscopic (keyhole) surgery to remove endometriosis
We will talk through what is happening, what your options are, and what approach best fits your symptoms, goals, and stage of life.
Advanced laparoscopic surgery for endometriosis
I have completed the AGES-accredited Advanced Endoscopic Surgery Training Program (AATP) and am accredited to perform Level 6 laparoscopic procedures — the highest level for complex endometriosis surgery.
This includes the management of Stage IV endometriosis, including disease involving the bowel, bladder, or deep pelvic structures, working alongside colorectal and urology surgeons when required.
For patients, this means surgery can be carefully planned and delivered by a coordinated specialist team, reducing the risk of incomplete treatment or repeat operations.
How I can help
I combine advanced pelvic ultrasound and fellowship-trained laparoscopic surgery to assess and treat endometriosis with precision — including complex and deep disease.
For many women, having a clear diagnosis and a well-planned treatment approach is the first step toward relief.
Related services
Book an assessment
If you have bleeding or pain in early pregnancy and have been referred or already had an ultrasound, you can book a consultation online.