360° Femina Program for Endometriosis & Adenomyosis

A comprehensive specialist assessment for women with suspected, newly diagnosed, recurrent, or complex endometriosis or adenomyosis.

We carefully evaluate pain patterns, menstrual symptoms, bowel and bladder function, fertility history, previous imaging, medical treatments, and surgical reports.

Our objective is to understand the complete clinical picture, identify possible contributors to symptoms, and establish a personalized management strategy that prioritizes long-term outcomes.

Understanding the anatomy before planning treatment.

Expert imaging is central to the assessment of endometriosis and adenomyosis. Detailed evaluation may identify ovarian endometriomas, adenomyosis, adhesions, and features of deep endometriosis involving pelvic structures.

Where indicated, specialized MRI complements ultrasound to assess complex disease and support precise anatomical mapping.

This approach helps guide treatment decisions, anticipate surgical complexity, and identify cases requiring multidisciplinary expertise.

Not every patient needs surgery.

Medical management remains an important part of comprehensive endometriosis and adenomyosis care.

We develop individualized treatment plans using appropriate hormonal therapies, analgesic strategies, and other evidence-based interventions to address pain, heavy menstrual bleeding, and associated symptoms.

Treatment decisions consider age, fertility intentions, contraindications, previous treatment response, and personal preferences.

The goal is effective symptom control while avoiding unnecessary interventions.

Precision surgery. Anatomical expertise. Patient-centered decisions.

In selected patients, minimally invasive surgery may play an important role in managing symptomatic or complex endometriosis.

Surgical approaches may include laparoscopic excision of endometriosis, management of ovarian endometriomas, adhesiolysis, treatment of deep infiltrating lesions and frozen pelvis.

The decision to operate is individualized, with careful consideration of expected benefits, limitations, fertility implications, and potential complications.

Surgery is coordinated in appropriately equipped and licensed hospitals.

Deep endometriosis may involve structures beyond the reproductive organs, including the bowel, bladder, ureters, pelvic nerves, and surrounding tissues.

These cases require more than technical surgical expertise. They demand accurate preoperative mapping, comprehensive risk assessment, and coordinated surgical planning.

Our approach prioritizes appropriate disease management while minimizing the risk of injury to vital structures and preserving urinary, bowel, reproductive, and neurological function.

Complex disease deserves coordinated expertise.

Endometriosis can affect multiple organs and different aspects of a woman's health.

Depending on individual needs, our care pathway may involve collaboration with colorectal surgeons, urologists, fertility specialists, pelvic floor physiotherapists, pain specialists, radiologists, and mental health professionals.

Through coordinated assessment and treatment planning, we aim to reduce fragmented care and ensure that each patient benefits from the expertise relevant to her condition.

Adenomyosis can cause severe menstrual pain, heavy bleeding, chronic pelvic discomfort, and reproductive difficulties.

Our assessment focuses on the extent and pattern of adenomyosis, associated endometriosis, symptom severity, and reproductive intentions.

We discuss medical and hormonal management, fertility considerations, and selected surgical options.

For appropriate patients, uterine-preserving strategies may be considered after careful evaluation of their benefits, limitations, and potential reproductive risks.

Endometriosis and adenomyosis may affect fertility through anatomical, inflammatory, ovarian, and uterine factors.

Our fertility-focused pathway includes assessment of ovarian reserve where indicated, reproductive history, pelvic anatomy, associated uterine disease, and previous fertility treatments.

We work with reproductive medicine specialists to support individualized decisions regarding expectant management, assisted reproductive techniques, and surgical treatment where clinically justified.

Special attention is given to preserving ovarian tissue and minimizing the potential impact of surgery on ovarian reserve.

Pain is complex. Its treatment should be equally comprehensive.

Persistent pelvic pain may involve active pelvic disease, pelvic floor muscle dysfunction, nervous system sensitization, and overlapping pain conditions.

Our assessment extends beyond visible lesions to understand the different mechanisms contributing to pain.

When appropriate, management may include medical treatment, pelvic floor physiotherapy, pain-specialist input, rehabilitation, and multidisciplinary support.

Our objective is not only to reduce pain but also to improve mobility, sleep, daily activities, and overall function.

Living with endometriosis can affect physical health, emotional wellbeing, relationships, and professional life.

We recognize these challenges as an important part of the patient's experience.

Individualized support may address physical activity, sleep, nutrition, fatigue, stress management, and psychological wellbeing.

These supportive interventions complement appropriate medical and surgical care.

Successful surgery extends beyond the operating room.

Our postoperative pathway focuses on appropriate recovery, early recognition of complications, pain control, bowel and bladder function, and gradual return to daily activities.

Where indicated, pelvic floor rehabilitation and coordinated specialist follow-up support functional recovery.

Treatment outcomes are evaluated not only through surgical findings but also through symptom improvement, reproductive goals, organ function, and quality of life.

Endometriosis care is a journey, not a single intervention.

Endometriosis is a chronic condition that may require ongoing monitoring and adjustment of treatment.

We develop individualized follow-up plans to assess symptoms, reproductive goals, treatment tolerance, and signs of persistent or recurrent disease.

For selected patients, postoperative hormonal treatment may help reduce recurrence risk, although recurrence cannot be completely prevented.

Our goal is sustainable symptom control, informed decision-making, and continuity of care throughout different stages of life.

At Fémina Clinic, we offer a confidential, individualized consultation focused on gynecological concerns that may affect conception. We explain your options clearly and support informed decisions that reflect your needs and preferences.

Together, we will outline practical next steps, which may include reassurance, symptom management, monitoring, additional investigation, a tailored care plan, or referral. You will have an opportunity to ask questions and understand how each recommendation fits your personal circumstances.