Gynaecology
Endometriosis
A chronic but treatable condition — with the right care, most women can find meaningful, lasting relief.
Endometriosis is a chronic condition where tissue similar to the lining of the uterus grows in other parts of the pelvis. It is common, often painful, and frequently underdiagnosed — but with the right care, most women can find meaningful relief.
Symptoms
Symptoms vary widely between women, and severity does not always reflect the extent of disease.
How endometriosis is diagnosed
A detailed conversation about your symptoms, cycle, and quality of life, followed by a careful pelvic examination.
Expert ultrasound can identify deeper forms of endometriosis and endometriomas — ovarian cysts caused by the condition.
Sometimes used for surgical planning to better map the extent of disease before any procedure.
The gold standard — keyhole surgery with microscopic tissue confirmation to definitively diagnose endometriosis.
Treatment approach
Endometriosis is best managed as a long-term condition with an individualised plan. Options are tailored to your symptoms, goals, and fertility wishes.
Medical therapy
Oral contraceptive pill, progestogens, the Mirena IUD, and other hormonal options to manage symptoms and slow progression.
Pain management
Targeted strategies including non-hormonal options to improve day-to-day comfort and quality of life.
Pelvic floor physiotherapy
Specialist physiotherapy to address pelvic floor dysfunction, which commonly accompanies endometriosis.
Laparoscopic surgery
Minimally invasive excision of endometriosis deposits — the most effective approach for removing disease and relieving pain.
Multidisciplinary care
Coordination with pain specialists, dietitians, physios and fertility specialists where required for comprehensive support.
Expert minimally invasive surgery
Dr Krones completed a extra Fellowship training in advanced minimally invasive gynaecological surgery at the Royal Hospital for Women in Sydney — one of Australia's leading centres for endometriosis care. Where surgery is required, his approach favours careful laparoscopic excision of disease, with the aim of preserving fertility and ovarian function.
Dr Krones is also a member of the GRACE research team at the University of NSW, which is dedicated to advancing the understanding and treatment of endometriosis.
When to see a specialist
Early assessment leads to earlier diagnosis and better long-term outcomes. Consider a specialist review if you experience:
- Ongoing pelvic pain that is affecting daily life
- Period pain that impacts work or normal activities
- Pain during or after intercourse
- Difficulty conceiving
Book a consultation
Dr Krones consults at Suite 3A, North Shore Private Hospital, St Leonards, with operating privileges at North Shore Private Hospital and The Mater Hospital.
A valid GP or specialist referral is required for all new appointments.
02 9053 1245