Treating your endometriosis will help you manage your symptoms. There are many treatments available. It’s a matter of finding the treatment that best suits you.

Your treatment plan needs to cater to your specific symptoms, as different people will experience different symptoms. Patients will often need a combination of treatments to relieve their symptoms. 

Our commitment is to provide patient-centred care. Our interdisciplinary team will work with you to develop a personalised care plan. The severity of your symptoms and the stage of your endometriosis will determine your care plan.

  • Hormone therapy

    Ovaries produce hormones during your menstrual cycle that cause endometrial tissue to thicken, break down, and bleed. When endometrial tissue travels outside the uterus and goes through this process, it often causes pain and inflammation.

    Hormone therapy treatments work by stopping the release of hormones from your ovaries by putting your body into a menopause or pregnancy state. The type of hormone therapy you are taking will determine which state. This is not a permanent change. Once you stop taking the hormones, your body will return to its normal menstrual cycle. You can use hormone therapy no matter what your stage of endometriosis. It is often used in conjunction with other treatments. Types of hormone therapies include:

    • Combined oral contraceptive (birth control) pill
    • Progestogens
    • Gonadotropin-releasing hormone (GnRH) analogues
    • Aromatase inhibitors.
  • Surgery

    Surgery is often recommended for the diagnosis and treatment of endometriosis. It is usually the next step if medications haven’t helped improve your symptoms or if it has been recommended when managing infertility. Although surgery can’t cure endometriosis, it can help improve fertility and provide relief from symptoms.

    Studies have shown how important it is to make sure your surgeon is an endometriosis specialist.1 Having an experienced surgeon with the necessary skills will help reduce the risk of complications and the need for multiple surgeries.

    The surgeries to treat endometriosis include: 


    Surgery to treat endometriosis, primarily by excising lesions. A laparoscopy is a minimally invasive procedure. Incisions are very small, making the recovery time much quicker.


    A major abdominal procedure with large incisions. Large incisions require a longer recovery time. A laparotomy is only recommended if endometriosis isn’t treatable via a laparoscopy, which is uncommon.


    The removal of the uterus, the fallopian tubes, and often the cervix as well. In rare cases, one or both ovaries may also be removed. This operation is irreversible, which means you won’t be able to have a baby after this procedure. 


    The removal of an ovary. This can be a bilateral oophorectomy (removal of both ovaries) or a unilateral oophorectomy (removal of one ovary). This operation is irreversible, which means you won’t be able to have a baby after this procedure.

    1 F Di Guardo, M Shah, M Cerana, A Biondi, E Karaman, P Torok, D Yela, P Giampaolino, A Marin-Buck and A Lagana, ‘Management of women affected by endometriosis: Are we stepping forward?’, Journal of Endometriosis and Pelvic Pain Disorders, 2019, 11(2):77-84,

  • Pain management

    Pain management is an essential part of managing endometriosis. Patients that don’t have effective pain management will often experience a significant impact on their quality of life. 

    Patients with endometriosis may have either acute pain or chronic pain. If you’re experiencing severe pelvic pain, you must speak to your doctor. Pain is not normal and is our body’s way of telling us that something is wrong.

    What can I do to manage my pain?

    Analgesics (also known as pain killers) are medications that can help relieve your pain. These can include:


    Paracetamol is a cheap and effective pain killer. While it may not seem to be effective in severe pain, when taken early together with NSAIDs it can help to prevent the escalation of pain. 

    Nonsteroidal anti-inflammatory drugs (NSAIDs)

    NSAIDs help reduce pain and inflammation by blocking enzymes that lead to the production of prostaglandins. During your period, prostaglandins cause your uterus muscles to contract. If your prostaglandins levels are too high, this can cause severe contractions and period cramps.

    NSAIDs are very effective in treating acute pain. They are often recommended in the early stages of endometriosis.


    Opioids are a strong pain killer that can provide relief from acute pain. They reduce pain by attaching to opioid receptors in cells located in your body. After attaching, they block pain signals to your brain and give you a sense of pleasure by increasing dopamine levels. They also slow down the body’s automatic functions, such as breathing, which helps lower pain levels.

    Opioids are only available by prescription from your doctor due to their strength and the risk of addiction. You should only use opioids for short term, acute pain relief. Opioids are not recommended as a long-term treatment option for chronic pain.


    There are other medications used in the management of pain related to endometriosis. These neuromodulators work by different mechanisms and are effective for different types or pain and patients. Some examples include anticonvulsants, including Pregabalin and Gabapentin, and antidepressant medications including tricyclics, SSRIs, and SNRIs.

    To receive an email copy of the Endometriosis Pain Management Guide, fill in your details at

  • Pelvic floor physiotherapy 

    Pelvic floor dysfunction involves the abnormal activity or function of the pelvic floor musculature. Insufficient pelvic floor muscle relaxation, coordination and/or strength can contribute to pelvic floor dysfunction.

    When someone experiences persistent or severe pelvic pain, it’s common for the pelvic floor muscles to struggle to relax in response to this pain.

    A pelvic floor physiotherapist can assess your pelvic floor muscles and function. Based on your individual symptoms and assessment they can provide you with an individualised treatment plan to improve your pelvic floor function, including contracting and relaxing your pelvic floor muscles optimally.

    Pelvic floor physiotherapy is a specialised area of physiotherapy. Our nurses may recommend you see a pelvic floor physiotherapist with the training needed to help you improve your pelvic floor function.

  • Exercise

    Exercise increases the anti-inflammatory and antioxidant markers within our bodies. As endometriosis is an inflammatory condition, these markers can help to calm inflammation. It also increases blood flow to your stomach and pelvis, helping to clear inflammatory by-products of inflammation. Exercise has also been found to reduce the pain response in many pain conditions and helps your physical and mental health. 

    Exercise can result in pain if you don’t find an activity that suits you or if you don’t prepare your body for exercise. Your body can tighten the muscles in the pelvic area in anticipation of pain. If you’re unsure how to approach exercise, our exercise physiologists can tailor an exercise plan suited to your needs.

  • Nutrition

    Nutrition is another tool you can use to help control your endometriosis symptoms. Certain foods can trigger symptoms and cause inflammation. There are specific diets that eliminate foods that are known to cause inflammation.

    Gluten-free diet

    Removes gluten from your diet. Gluten is a protein found in wheat, rye, and barley. Some common foods containing gluten include bread, beer, cakes, pies and cereals.

    FODMAP diet

    Removes FODMAPS from your diet. FODMAPs are short-chain carbohydrates that are hard for the body to digest. Common FODMAPs include dairy products with lactose and fruits and vegetables containing fructose. FODMAPS tend to trigger symptoms in people with endometriosis. Some endometriosis patients are seeing a big improvement in their symptoms after following a low FODMAP diet.2

    2 J Moore, P Gibson, R Perry and R Burgell, ‘Endometriosis in patients with irritable bowel syndrome: Specific symptomatic and demographic profile, and low response to the low FODMAP diet’, Australian and New Zealand Journal of Obstetrics & Gynaecology, 2017, 57(2):201-205,

  • Complementary therapies

    Complementary therapies can help manage endometriosis symptoms and can be used in conjunction with other treatments.

    These therapies can include:


    Uses specific yoga postures, exercises and breathwork to help you with your physical and emotional needs. 


    Involves manipulation and rubbing of your muscles and soft tissue. 


    Calms you by developing your concentration and improving your focus.

    Guided image therapy

    A relaxation technique in which people focus on an image that makes them feel relaxed and happy.

    Music therapy

    Uses music to help your physical, emotional, cognitive, and social needs. 


    This is a guided relaxation technique in which people are placed in a state of heightened awareness (also known as a trance). 


    Naturopathy uses of natural medicines to allow the body to heal itself

How to choose Epworth for your endometriosis care

Our endometriosis nurse coordinators are here to help answer your questions and provide guidance through your diagnosis, treatment and care at Epworth. You can self-refer to this service. To access this service please follow these steps:

  1. Download and complete the fillable download our referral & consent form.
  2. Email your completed form to to [email protected].
  3. You will receive a call from a member of our team to schedule an initial review with one of our endometriosis nurse coordinators. These appointments last for approximately one hour and can take place in person or on telehealth.
  4. After the nursing review, the nurse will create a plan with you and provide you with recommendations as required. They will also write a letter to your GP and chosen Epworth Endometriosis specialist.
  5. Once you have seen an Epworth endometriosis specialist you can book follow up reviews with the endometriosis nurse coordinator to access their ongoing support with navigating your treatment and management of endometriosis.

If you have any questions you can call our nurse coordinators on 03 9516 2434. Alternatively, you can email [email protected]

If you would like to see an Epworth endometriosis specialist and do not want to access our Endometriosis nurse coordinator service first you can find more information about our specialists here.

Julia Argyrou Endometriosis Centre at Epworth

Are you struggling with the symptoms of endometriosis?

We can help you manage the painful symptoms of endometriosis so you can enjoy a better quality of life.

Speak to one of our endometriosis nurse coordinators to learn more.

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