Endometriosis

Endometriosis is a chronic disease related to the presence of tissue similar to the uterine lining outside the uterus, which causes pain that is often disabling and infertility problems.

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What is endometriosis?

Endometriosis occurs when fragments of the endometrium, the inner lining of the uterine cavity, grow elsewhere, such as on the ovaries or in the vagina.

Most cases of endometriosis are diagnosed when women experience pelvic pain or heavy bleeding and severe cramping during their period, usually between the ages of 25 and 40.

Which healthcare professional treats endometriosis?

A gynaecologist is the doctor that specialises in functions and diseases of the female reproductive system. A gynaecologist provides healthcare throughout a woman’s life. For example, care during pregnancy and childbirth, screenings, contraception, health education, medically assisted procreation, endometriosis, cystic diseases, etc .

A gynaecologist-surgeon also performs surgical operations and treats benign or malignant pathologies such as gynaecological cancers (breasts, ovaries, fallopian tubes, uterus, vagina).

How is endometriosis diagnosed?

The most reliable method is to use an endoscope to examine the abdominal cavity (laparoscopy or laparoscopy). A tube with a camera and light source is inserted through a small incision in the abdomen to provide a panoramic view of the abdominal cavity and internal organs.

The procedure is performed under anaesthesia. Your doctor will make three small skin incisions: one in the navel and two in the lower abdomen. They will insert an endoscope into the navel, and using a thin tube that passes through the lower abdomen, will carefully extract tissue samples that are then analysed under a microscope to confirm the diagnosis. 
 

When and why should I see a gynaecologist : what are the symptoms of endometriosis ?

You should book an appointment as soon as possible, when the first symptoms appear or are suspected. 

  • At the beginning of the condition, pain mainly occurs:
  • During menstruation or ovulation
  • During or after sexual intercourse
  • During urination
  • In the sacral area (lower back pain)
  • During defecation when you are menstruating
  • When inserting a tampon.

Endometriosis causes mild disorders that get worse over time. 

What treatment is available for endometriosis ?

Today, there is no cure for endometriosis, although hormonal drugs or surgery can stem the progress of the disease for several years depending on the case.

Endometriosis is a disease that is regulated by the menstrual cycle and it is oestrogen that is responsible for the proliferation of the endometrial lining. Treatment entails preventing menstruation by using hormonal contraceptives. 

A surgical procedure, carried out by expert endometriosis surgeons (gynaecological surgeons), may be offered to remove the lesions.

FAQ

How can I obtain a visa?

To obtain your visa for France, you will need to apply to the French Embassy in your country of residence. Once you have paid the care cost estimate provided by the ELSAN International Patients Department, you will be sent a letter of invitation and a certificate of payment signed by the hospital where your procedure will take place.  These documents should be attached to your visa application.

What about follow-up treatment?

Depending on your personal situation, your medical team may recommend a rehabilitation hospital stay. This will be discussed with you. 

How long before I can fly?

Your doctor will make specific recommendations. We suggest that you ask them to issue a Fit to Fly certificate, as depending on your medical situation, it may be necessary to respect a certain time limit in the interest of your health.

Will I be reimbursed?

For patients not covered by French health insurance, we provide an estimate of the cost of treatment. You should submit this estimate, along with your treatment plan, to your insurer to obtain their prior agreement, in accordance with your insurance policy.  

In some cases insurers will pay directly (avoiding any advance payments by the policyholder) or reimburse the policyholder on proof of payment (paid invoice). This will depend on your insurance policy.

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Our specialised clinics in Endometriosis

Marseille

Bouchard Clinic

Nantes

Santé Atlantique