The Cotswold Endometriosis and Pelvic Pain Clinic

The weekly Specialist Clinic provides high-quality, evidence-based care to diagnose and treat all stages of endometriosis. and related pain and/or infertility. Because of the complex nature of endometriosis and pelvic pain our team also includes Consultant bowel surgeons, a Consultant urologist, pain specialists, Women’s health physiotherapists, dietitian and an acupuncturist. Onward referral for alternative therapies can also be made.

The clinic runs weekly at the Nuffield Hospital, Cheltenham. At the initial appointment a complete history is taken including any previous medical or surgical treatments. It is often useful to have a ‘pain diary’ completed beforehand. An examination and pelvic ultrasound may then be undertaken. 

Diagnosis – At present, the diagnosis of endometriosis can only be made by a ‘diagnostic laparoscopy’. This will be offered to you unless a recent laparoscopy has been undertaken by an experienced consultant gynaecologist.

Treatment – The numerous treatment options will be discussed which include analgesia, hormonal treatments (Including Progesterones i.e Mirena coil™, Combined contraceptive pills, GnRh analogues) and surgery. Almost all surgery undertaken by the team is completed laparoscopically with endometriosis usually being excised rather than only diathermied (heated) as this technique is more likely to remove deep endometriosis completely.

Severe endometriosis surgery is highly complex surgery and Mr Kaloo often operates jointly on such cases with Mr Neil Borley or Mr Damian Glancy (Consultant Colorectal Surgeons) or Mr Mark Whittaker (Consultant Gynaecologist).

Mr Philip Kaloo also runs the NHS Endometriosis/pelvic pain clinic based at Cheltenham General Hospital.

A woman’s menstrual cycle is unique to her and usually it causes no problems. More than 1/3 of women however experience irregular, heavy or painful periods at some stage. These problems often have negative effects on their work, social or sex lives and often women feel they have to ‘just put up with it’! The aim of this clinic is to sensitively and effectively investigate and treat these problems.

The Gloucestershire Menstrual Disorders clinic

The Clinic runs weekly at the Nuffield Hospital, Cheltenham and Spire Clinic, Cheltenham to allow quick investigation and treatment if required.

Possible investigations suggested either at the time or later include cervical smears, swabs, Hysteroscopy, and Endometrial biopsy. Please see our treatments/investigation page for more information.

After you have had one or more of the investigations we can then discuss with you the findings and all of your suitable options. These may include commencing medical treatment i.e. non-hormonal and hormonal medications including hormone-containing coil (Mirena™ coil); considering various surgical options i.e. endometrial ablation, laparoscopy (‘Key-hole’ surgery) to investigate the cause of pelvic pain or laparoscopic sub-total or total hysterectomy.