Endometriosis Care
Period pain gets waved away as normal far too often. Endometriosis, tissue similar to the womb lining growing outside it, can bring years of pain, heavy bleeding and fertility worries in many cases long before a diagnosis is made.
At The Pelvic Clinic, Mr Jonathan Broome takes the time to properly investigate what’s happening, then builds a plan around you, whether that means pain management, hormonal treatment or keyhole surgery.
Overview
With endometriosis, tissue similar to the lining of the womb grows outside the uterus, most often on the ovaries, fallopian tubes, bowel, bladder or pelvic lining. This tissue still responds to the menstrual cycle: it thickens, breaks down and bleeds each month, but has no way to leave the body. Over time, this causes inflammation, scar tissue and sometimes ovarian cysts.
Around one in ten women of reproductive age in the UK are affected. Yet, diagnosis is often delayed for years because symptoms overlap with ordinary period pain and conditions like IBS (Irritable Bowel Syndrome). The amount of tissue present does not reliably predict how much pain someone experiences, so a proper clinical assessment matters more than comparing symptoms to what a period should feel like. Endometriosis is staged from mild to severe, and because scans do not always detect it, a laparoscopy is often needed to confirm the diagnosis.
Recognising the Signs
Pain that starts before your period, lasts longer than typical cramps, and does not ease with usual painkillers.
Deep pain during or after sex, which can affect confidence and intimacy but is rarely mentioned.
Discomfort passing urine or opening your bowels, especially around your period, sometimes with visible blood.
Periods that soak through protection quickly, with clots or flooding, plus unpredictable bleeding between periods.
Persistent, disproportionate tiredness alongside abdominal bloating that can come on quickly, often called endo belly.
Trouble getting pregnant, found in many women investigated for fertility problems, though pregnancy is still possible.
What Causes It
The exact cause of endometriosis is still not fully understood. Research points to several factors that may contribute to how and why it develops.
Menstrual blood flows backwards through the fallopian tubes into the pelvis, where cells implant and grow, though this happens in most women.
Endometriosis tends to run in families, and having a mother or sister with it raises your own likelihood of developing it.
In a healthy pelvis, the immune system clears stray cells before they take hold. In endometriosis, that clean-up process seems to fail.
Cells outside the womb can transform into endometrial-like tissue, or implant directly into a surgical scar such as a caesarean.
Treatments Available
Treatment is built around your symptoms and priorities, from hormonal and pain-relief options through to keyhole surgery to remove endometriosis, scarring and adhesions where needed.
Hormonal options such as the combined pill, progestogen-only treatments or the Mirena coil can reduce bleeding and slow the growth of endometrial tissue.
Laparoscopic, or keyhole, surgery can both confirm the diagnosis and remove endometriosis, scar tissue and adhesions, often as a day case.
A combined plan of painkillers, dietary changes and, where helpful, physiotherapy can ease day-to-day pain alongside your main treatment plan.
Where endometriosis is affecting your fertility, treatment is planned around your goals, with referral for fertility treatment arranged when it would help.
Meet Your Consultant
Mr Jonathan Broome is a consultant gynaecologist and urogynaecologist based in Manchester, with 26 years’ experience, including 16 years in full private practice. He was trained in medicine at the University of Birmingham before completing a fellowship in advanced endoscopic gynaecology at the Royal Hospital for Women in Sydney. He then built his reputation treating complex pelvic floor cases as a consultant at Royal Bolton Hospital, and now consults privately, managing endometriosis at Spire Manchester and Spire Hale.
He founded The Pelvic Clinic to give women the time to be listened to, to offer accurate diagnosis and a meaningful treatment plan individualised to each patient’s requirements, concerns and lifestyle goals.
In Our Patients’ Words
Verified reviews from patients seen by Mr Broome, shared through Doctify.
Real Patient Journeys
A snapshot of real patients that Mr Broome has treated across the range of conditions he specialises in.
A difficult labour left Alison with a uterine and vaginal wall prolapse. A keyhole sacrohysteropexy with Mr Broome lifted the…
Years of flooding periods and iron-deficiency anaemia caused by fibroids. A keyhole myomectomy with Mr Broome removed the…
Kate had been living with severe pelvic pain from endometriosis for over a decade. Laparoscopic excision surgery with Mr Broom…
After menopause, Kaye developed a bothersome vaginal vault prolapse that stopped her running and swimming. A…
Mr Jonathan Broome sees patients privately at Spire Manchester and Spire Hale, offering a thorough assessment and a treatment plan built around your symptoms and priorities.
Endometriosis diagnosis on the NHS is often delayed for years, partly because standard scans do not always detect it. Seeing a private specialist can mean a faster initial assessment and quicker access to diagnostic tests such as a laparoscopy, without waiting for an NHS referral to progress.
Endometriosis can affect fertility, but many women with the condition conceive naturally. Where fertility is a concern, treatment is planned around your goals.
Initial consultations with Mr Jonathan Broome start from £250. Costs beyond that depend on what you need, from hormonal management through to surgery, and whether you’re using health insurance or paying privately. You’ll be given a clear breakdown of costs before any treatment goes ahead.
Self-pay and insured patients can usually be seen within a week – often much sooner than the NHS wait for a specialist opinion.
It can. Recurrence rates vary, but thorough excision by an experienced surgeon significantly reduces the chance of recurrence. Where appropriate, hormonal treatment after surgery can help keep symptoms under control.
Common Questions
Answers to the questions patients ask most often about endometriosis, diagnosis, and treatment at The Pelvic Clinic. If your question is not here, please get in touch; we are happy to help.
