Endometriosis treatment in Dormagen

Endometriosis is one of the most common chronic gynecological conditions – yet on average it still takes six to ten years until diagnosis. In our practice we work in a structured way: thorough history, targeted ultrasound along international criteria, honest framing of findings and, where necessary, referral to a specialised endometriosis centre.

Taking endometriosis symptoms seriously – not brushing them off

"Bad period pain is normal." That one line has kept many women from looking for real help for years. Severe pain during the period, pain during sex, pain with bowel movements or urination, chronic pelvic pain, ongoing fatigue, fertility issues – these can all be signs of endometriosis, not "just part of being a woman".

We counsel and accompany patients with suspected endometriosis or established symptoms, and work out the next sensible steps together. Endometriosis is not curable, but in many cases well manageable — the earlier it is recognized, the better.

What endometriosis treatment with Elisa Mahlberg looks like

The endometriosis work-up typically has three steps:

• History with a pain and cycle focus. How long symptoms have existed, when in the cycle they occur, which areas are affected (pelvis, back, bladder, bowel), how daily life and relationships are affected, prior diagnoses, family history. A short pain diary is extremely helpful.
• Targeted endometriosis ultrasound using IDEA and #ENZIAN criteria. Systematic assessment of uterus (adenomyosis signs), ovaries (endometriomas), peritoneum and the Pouch of Douglas, plus indicators of deep infiltrating endometriosis (bladder, bowel, uterosacral ligaments). This structured imaging is part of our standard endometriosis work-up.
• Interpretation and plan. We discuss findings calmly: what is clearly demonstrable, what cannot be ruled out by ultrasound alone, and which treatment options fit your situation – medical with us, surgical via an endometriosis centre if needed.

Endometriosis diagnosis and medical therapy – what we offer and where we refer

Endometriosis diagnostics rest on three pillars: history, clinical exam and imaging. A targeted endometriosis ultrasound following the IDEA consensus (International Deep Endometriosis Analysis) and along the #ENZIAN classification can show many findings – although superficial lesions often cannot be ruled out. The gold standard for confirmation remains laparoscopy with tissue sampling.

Surgical confirmation by laparoscopy is not the first step in every case. Depending on the symptom picture, medical therapy may be appropriate first. The approach is discussed individually.

What we offer in Dormagen:

• Medical therapy: continuous progestin therapy, hormonal IUD, combined pills in long-cycle — according to individual situation and fertility plans. Which medication fits in your case, we discuss in person.
• Pain management and everyday support: medical pain relief, pelvic-floor physiotherapy, multimodal approaches.
• Follow-up with ultrasound as needed, so treatment can be adjusted when things change.

Our scope: we do not offer surgical endometriosis therapy (laparoscopy, excision, bowel or bladder surgery). When surgery becomes appropriate or necessary, we refer you in a structured way to a certified endometriosis center in Düsseldorf, Neuss or Cologne and continue your care afterwards – with clear communication both ways.