Areas of care
Endometriosis: diagnosis, follow-up and treatment in Tel Aviv
Period pain that disrupts daily life is not something to simply accept. A detailed history, an examination and an ultrasound make it possible to assess the likelihood of endometriosis and to build a plan suited to the symptoms, the age and any plans for pregnancy.
When to come in
- Periods that require painkillers or time off
- Pelvic pain that continues outside the period
- Deep pain during intercourse
- Pain when passing urine or stool during the period
- Digestive symptoms that follow the cycle
- Difficulty conceiving
- An endometriosis diagnosis that needs follow-up
How the consultation works
- 1
Understanding the pain. When it comes, where it is, how long it lasts, what makes it worse and which treatments have already been tried. In endometriosis, a precise history is an essential step in the diagnosis.
- 2
The gynecological examination. It allows tender areas to be located and the mobility of the pelvic organs to be assessed.
- 3
The ultrasound. Performed at the practice during the same consultation, it can identify some forms of endometriosis. A normal scan does not, however, rule out the diagnosis.
- 4
Setting the plan. Medical treatment, monitoring, further tests or assessment of a surgical indication: care is adapted to the symptoms, the results of the work-up and any plans for pregnancy.
The question of surgery
Endometriosis does not require surgery. Many patients are well managed with medical treatment and monitoring, sometimes over many years.
Surgery is considered when pain remains poorly controlled despite treatment, when a lesion justifies it, or as part of a fertility assessment. It is a decision built over time, not in a single consultation.
Dr Jonathan Ouahba is both a gynecologist and a surgeon. In practice: the same doctor follows the assessment, the medical treatment and, if an operation is decided on, the operation and the follow-up that comes after.
Frequently asked questions
No blood test gives the answer. The history, the examination and the ultrasound together allow the likelihood to be assessed and further tests to be decided on.
No. Some forms are not visible on ultrasound. A normal scan rules out certain possibilities but does not close the assessment if symptoms continue.
Not necessarily. Many women with endometriosis conceive without difficulty. Where there is difficulty, it is investigated alongside pain management, not after it.
The information on this page is general and does not constitute individual medical advice.
Book an appointment
Appointments can be booked online, or by WhatsApp message, with a reply during consultation hours.