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Endometriosis is a common yet often misunderstood condition.  In 2023, the Australian Institute of Health and Welfare (AIHW) reported that 1 in 7 females and those assigned female at birth, or 14% of girls and women in Australia,  are now estimated to live with endometriosis, up from 1 in 9 (11%).

This estimate reflects those diagnosed by the ages of 44 to 49, highlighting both the rising awareness and the long delays many experience in getting a diagnosis.

At Soleil Health Medical Centre in Cottesloe, our expert Gynaecologist, Dr Bernadette McElhinney, works closely with patients to accurately diagnose, explain, and manage endometriosis with compassion and care.

🌼 What is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. These growths may occur on the ovaries, fallopian tubes, bowel, bladder and even the diaphragm. Just like the uterine lining, this tissue responds to the menstrual cycle, thickening, breaking down and bleeding, but with nowhere to go, it can cause inflammation, pain, and scar tissue.

🌸 Common Symptoms of Endometriosis

Symptoms can vary, but may include:

  • Pelvic pain, particularly before or during periods
  • Pain during or after sex
  • Fatigue or low energy
  • Heavy or irregular bleeding
  • Digestive issues such as bloating, constipation or diarrhoea
  • Difficulty conceiving

If you’re experiencing any of these symptoms, it’s important not to dismiss them. Early diagnosis and individualised treatment can make a real difference. 

 The 3 forms of Endometriosis

Not all endometriosis is the same. Dr Bernadette McElhinney helps patients understand the three main forms of endometriosis, each with different implications for treatment and symptom management:

  1. Superficial Peritoneal Endometriosis
    This is the most common form. It involves shallow lesions on the surface of the peritoneum (the lining of your pelvic cavity). While small, these spots can still be painful.
  2. Ovarian Endometriomas (Chocolate Cysts)
    These are fluid-filled cysts that develop inside the ovaries. They can be more complex to manage and may affect fertility.
  3. Deep Infiltrating Endometriosis (DIE)
    This severe form involves tissue growing deep into pelvic organs such as the bladder, bowel or uterine ligaments. It often causes more significant symptoms and may require surgical treatment. 

At Soleil Health Medical Centre, we take a collaborative and individualised approach to endometriosis care. Dr Bernadette McElhinney works with referring GPs and allied health providers to ensure patients have access to the best evidence-based treatments, whether that’s hormonal management, pelvic physiotherapy, or laparoscopic surgery.

We’re proud to offer a supportive environment where women feel heard and empowered.

Book a Consultation

If you suspect you may have endometriosis or want a second opinion on your symptoms, speak to your GP about a referral to Dr Bernadette McElhinney at Soleil Health Medical Centre.

Dr Bernadette McElhinney