Premenstrual spotting is an important characteristic sign of endometriosis. It usually takes the form of dark or brown staining or spotting lasting more than 12 hours prior to menstruation beginning normally. This association has been known about for some time but has not been well appreciated by doctors or gynaecologists. There appears to be…
Over the last few years I have travelled to Hong Kong and China to operate and run surgical workshops where I have had the honour of teaching and working with other specialist gynaecological surgeons. I am registered as a specialist gynaecologist in Hong Kong and have been accredited to operate as an advanced level laparoscopic…
A recent paper suggests that vaginal delivery at childbirth might be protective for the recurrence of endometriosis. What a fabulous idea. I am not sure why this should be so. It certainly avoids the problem of endometriosis invading into caesarian section scars (a rare but painful manifestation) . It might have something to do with…
Adenomyosis is yet another poorly understood gynaecological disorder that is reasonably common, difficult to diagnose and difficult to treat. It is defined as the presence of endometrial glands within the myometrium or muscle of the uterus and in many respects is similar to endometriosis. It was previously known as endometriosis internus although it is likely…