Endometriosis Surgery In Singapore

Endometriosis is a common condition that affects around 1 in 10 women of reproductive age. If you experience chronic pelvic pain, painful periods, or difficulty conceiving, endometriosis could be the cause. In this article, we cover the symptoms, diagnosis process in Singapore, treatment options, and what to expect from endometriosis surgery and recovery.

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What Is Endometriosis?

Endometriosis is a chronic condition in which tissue similar to the lining of the womb grows outside the uterus. This tissue behaves like endometrial tissue — thickening, breaking down, and bleeding with each menstrual cycle — but it has no way to exit the body, which leads to inflammation, scarring, and pain.

Common sites where endometriosis develops include:

• Ovaries.
• Fallopian tubes.
• Outer surface of the uterus.
• Pelvic cavity lining.
• In some cases, the bowel or bladder.

Symptoms Of Endometriosis

Symptoms vary from person to person. Some women may have no symptoms at all, while others experience debilitating pain. The most common signs include:

• Severe menstrual cramps.
• Chronic pelvic pain.
• Pain during or after sex.
• Heavy or irregular periods.
  Pain during bowel movements or urination (especially during menstruation).
• Fatigue, nausea, or bloating.
• Difficulty conceiving.

If you are experiencing these symptoms, it is important not to dismiss them as ‘normal’. Early intervention can lead to better outcomes.

How Is Endometriosis Diagnosed In Singapore?

Diagnosis can be challenging because symptoms often overlap with other conditions like fibroids or pelvic inflammatory disease. In Singapore, the diagnostic process usually involves:

1. Medical history and symptom review.
2. Pelvic examination.
3. Imaging tests, such as ultrasound or MRI, to detect cysts or abnormal growths.
4. Diagnostic laparoscopy – a minor surgical procedure that allows a gynaecologist to see inside the abdomen and confirm the presence of endometriosis lesions. This is considered the gold standard for diagnosis.

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Treatment Options: When Is Endometriosis Surgery Necessary?

Treatment depends on the severity of the condition, age, symptoms, and whether fertility is a concern. Options may include:

1. Pain management

Over-the-counter painkillers such as NSAIDs may offer temporary relief for mild cases.

2. Hormonal therapy

Birth control pills, hormone-releasing IUDs, or GnRH agonists may help reduce or eliminate menstruation, slowing the growth of endometrial tissue.

3. Endometriosis surgery

Surgery is often recommended when:

• Symptoms are severe and not relieved by medication.
• There are large ovarian cysts (endometriomas).
• Fertility is affected.
• The condition is suspected to be advanced.

Types Of Endometriosis Surgery In Singapore

Laparoscopic Surgery (Keyhole Surgery)

This is the most common and preferred method. It involves small incisions through which a camera and instruments are inserted to remove or destroy endometrial tissue. It is minimally invasive and has a quicker recovery time.

Laparotomy (Open Surgery)

Used for more severe cases, this involves a larger incision and longer recovery. It is usually considered when endometrial growths are extensive or involve critical organs.

Hysterectomy

In rare and severe cases, a hysterectomy (removal of the uterus) may be considered. However, this is usually a last resort, especially for women who wish to preserve fertility.

What To Expect After Surgery

Recovery depends on the type of procedure:

• Laparoscopic surgery: Most patients recover within 1–2 weeks.
• Laparotomy: Recovery may take 4–6 weeks.

You may be advised to rest, avoid strenuous activity, and attend follow-up appointments. In some cases, hormonal treatment may continue after surgery to prevent recurrence.

Book An Appointment With An Endometriosis Specialist In Singapore

Endometriosis can be life-disrupting, but it is treatable — especially when diagnosed early. 

If you are looking for advice, diagnosis, or endometriosis surgery in Singapore, contact us for an introduction to a trusted specialist.

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