Practice Zurich

Universitäts street 120

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Kilchberg street 19

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Dorf street 43/44

Endometriosis Zurich – Consultation, diagnosis, and individualized treatment at our gynecological practice

Gynecological practice in Zurich , Adliswil and Rüti

Range of gynecological services

Endometriosis

Many patients experience severe menstrual pain, diffuse lower abdominal discomfort, or pain during sexual intercourse for years—and yet for a long time hear phrases such as “That’s just how it is.” However, endometriosis is a chronic, benign condition that must be taken seriously. If you are searching for endometriosis treatment in Zurich, you want one thing above all else: clarity, a reliable diagnosis of your symptoms, and a treatment plan that fits your lifestyle.

Endometriosis is a common disease: in Switzerland, about one in ten women suffer from it, which corresponds to around 190,000 to 280,000 affected women. It takes an average of eight years to diagnose this disease. At our practice, patients receive detailed and understandable information about endometriosis to avoid misunderstandings and support you in your decision-making.

At our gynecological practice in Zurich, we offer comprehensive consultations on endometriosis – empathetic, structured, and focused on what really helps you in your everyday life. Our treatment concept is based on certified criteria in accordance with the EEL (European Endometriosis League). The aim is to alleviate symptoms, improve quality of life, and – if desired – preserve fertility as much as possible.

Gynecological practice in Zurich , Adliswil and Rüti

What Is Endometriosis – and Why Is It So Often Diagnosed Late?

In endometriosis, cells similar to the lining of the uterus grow outside the uterus. These endometriosis lesions can settle in various locations such as the peritoneum, throughout the abdominal cavity, on the ovaries (where they can form special cysts known as endometriomas), on the fallopian tubes, the bladder, the vagina, within the uterine wall, or inside the uterine cavity. These cells often reach the abdominal cavity through retrograde menstruation, meaning the backward flow of menstrual blood.

Endometriosis lesions consist of parts of the uterine lining and can cause inflammation and irritation, which may irritate nerves and trigger severe pain. In rare cases, when the bladder is affected, blood may appear in the urine. Endometriosis lesions can cause adhesions in the fallopian tubes or destroy ovarian tissue, potentially leading to infertility. The disease occurs in different forms, such as superficial lesions, deeply infiltrating lesions, or endometriomas. The exact causes are multifactorial and may include genetic, immunological, or hormonal factors.

Symptoms of endometriosis can begin with the onset of menstruation, and the disease is one of the most common causes of involuntary childlessness. A typical course of suffering may look like this: many patients endure severe pain and nonspecific symptoms for years before receiving a diagnosis, as the symptoms often resemble those of other conditions. After menopause, symptoms often decrease significantly.

Typical symptoms may include:

  • Severe menstrual pain (dysmenorrhea), often progressively worsening
  • Chronic lower abdominal or pelvic pain
  • Pain during sexual intercourse (e.g., with lesions involving the vagina)
  • Pain during urination or bowel movements (cycle-dependent, especially when the bladder or intestines are affected)
  • Cycle irregularities, heavy bleeding, or spotting
  • Unfulfilled desire to have children
  • Fatigue, “brain fog,” reduced resilience

Important: Not every patient experiences all symptoms—and severe pain is not “normal.” A specialist evaluation is recommended if symptoms recur or noticeably reduce quality of life.

Symptoms and Effects of Endometriosis

Endometriosis manifests in affected women through a wide range of symptoms that can significantly impair daily life and quality of life. Particularly common are severe menstrual pains that go far beyond what is considered normal. Many patients also report chronic lower abdominal pain that may occur independently of the menstrual cycle, as well as pain during sexual intercourse. These symptoms arise because tissue similar to the uterine lining—the so-called endometrium—settles outside the uterus, causing inflammation and adhesions.

Another possible symptom is infertility: endometriosis can impair fertility and make it more difficult to conceive. Pain during urination or bowel movements, especially during menstruation, is also not uncommon. The condition may additionally present with fatigue, concentration problems, and reduced physical endurance. Because symptoms can vary greatly, it is important to schedule an early consultation at a specialized gynecological practice if complaints recur. Only then can targeted therapy be initiated and quality of life sustainably improved.

Prevention and Early Detection: Opportunities in Modern Gynecology

Modern gynecology today offers numerous opportunities to detect and treat endometriosis early. Regular gynecological examinations play an important role, as early signs of the disease can be identified during these visits. Women who experience unclear symptoms such as lower abdominal pain or unusual bleeding should have these evaluated promptly.

In addition to clinical examinations, imaging techniques such as ultrasound are used to visualize endometriosis lesions on the uterus, ovaries, or in the pelvic area. In certain cases, an MRI scan may also be useful to more precisely determine the extent of the lesions. These modern diagnostic tools allow changes to be detected early and enable the initiation of individually tailored therapy. As a result, serious consequences of the disease can often be avoided or at least mitigated.

Endometriosis Zurich: How the Consultation Works in Our Practice

Our endometriosis consultation is intentionally designed so that we do not simply “take a quick look,” but proceed systematically. Individual care is central, as endometriosis affects not only the body, but also daily life, relationships, professional life, and often family planning.

During the consultation, we take time for:

  • Your medical history (anamnesis), capturing your personal history of suffering in detail to properly account for the often long and difficult journey associated with endometriosis
  • Your current symptoms
  • Cycle pattern, pain profile, previous therapies, and their effectiveness
  • Possible comorbidities (e.g., irritable bowel–like symptoms)
  • Your goals: pain reduction, everyday stability, desire to have children, avoiding surgery, or surgical evaluation

You will receive comprehensive and understandable information about endometriosis and the next steps to best support you in your decision-making.

At the end, there is a clear next step: diagnostics, therapy options, self-help strategies, and—if necessary—coordinated referral to appropriate specialist services.

Why an Endometriosis Competence Center?

An endometriosis competence center offers affected women specialized and comprehensive care at the highest medical level. Experts from various disciplines—ranging from gynecology and surgery to pain management—work closely together to ensure optimal diagnosis and treatment.

The interdisciplinary team develops individualized therapy concepts together with patients, tailored to their specific needs and life situations. Women with complex disease courses or an existing desire to have children particularly benefit from close collaboration with other specialties such as reproductive medicine or psychotherapy. In such a center, the focus is not only on medical treatment, but also on comprehensive counseling and long-term support aimed at improving quality of life. The close care and concentrated expertise make an endometriosis competence center a key point of contact for women living with this chronic condition.

Diagnosing Endometriosis: What Options Are Available?

Endometriosis diagnostics rarely consist of “a single test.” Diagnosis is usually made through a combination of several methods:

  1. Gynecological examination and detailed consultation
  2. Ultrasound (transvaginal/abdominal) to assess the ovaries, uterus, possible cysts, or abnormalities. Vaginal ultrasound is one of the most important diagnostic tools for endometriosis and can also reveal endometriomas (cystic changes on the ovaries caused by endometriosis-like tissue).
  3. Depending on the situation: additional evaluations or imaging procedures such as magnetic resonance imaging (MRI), which can help clarify unclear findings
  4. In cases of persistent suspicion and appropriate indication: discussion of further steps, possibly including surgical evaluation via laparoscopy. This allows direct visualization and, if necessary, removal of endometriosis lesions.

Crucially, diagnostics should not be purely “technical,” but always considered in relation to your symptoms. Treatment options depend individually on the size and location of the lesions. This is exactly where our structured endometriosis consultation comes in.

Treatment of Endometriosis: Options We Discuss Together

Endometriosis is individual—and treatment should be just as individual. In our practice, we discuss all options clearly and without time pressure. Several components are often combined, depending on life stage and personal goals.

Pain Management

Pain is the main issue for many patients. We clarify the type of pain, the degree of limitation, and which strategies can realistically help. These include medication options, as well as pain education, cycle tracking, and practical everyday measures.

Medical treatment may also include hormonal therapy to relieve pain.

As an alternative treatment method, acupuncture may be used to relieve endometriosis-related pain. Dietary changes and micronutrient supplementation may also help reduce symptoms. Phytotherapy using traditional medicinal plants can contribute to symptom relief. Omega-3 fatty acids have anti-inflammatory effects and may be beneficial in endometriosis. Reducing the intake of arachidonic acid, which is found in animal products, may positively influence symptoms. In addition, higher vitamin D levels may have a favorable effect on endometriosis-related pain.

2) Hormonal Treatments

Hormonal therapies can influence the growth of endometriosis lesions and significantly reduce symptoms. Medical hormone treatments usually involve progestins or a combination of progestin and estrogen hormones. These can be administered in various forms, such as tablets, injections, implants, or intrauterine devices. We discuss benefits, possible side effects, and whether hormonal treatment fits your life situation—especially if you have or are planning a desire to have children.

3) Surgical Treatment

In some cases, surgical intervention may be appropriate—for example, in specific findings, severe symptoms, or when other measures are insufficient. Surgical treatment for endometriosis is often performed via laparoscopy. During such procedures, endometriosis lesions can be specifically removed. In consultation, we clarify when surgery is medically appropriate, what goals are realistic, and how aftercare and long-term management should look.

4) Supportive Strategies and Self-Help

Many patients also benefit from a holistic approach: appropriately paced physical activity, heat applications, stress reduction, physiotherapy (e.g., pelvic floor therapy), keeping a nutrition diary to identify triggers, or targeted cycle-related relief strategies. In Zurich, various endometriosis treatment options also include self-help and complementary approaches alongside conventional therapy. For example, some patients report that regular yoga practice significantly reduced their pain. We help you distinguish what is truly practical from what may cause additional overload.

Endometriosis and Fertility: Sensitive, Realistic, and Planable

Endometriosis can affect fertility—but it does not necessarily have to. Endometriosis lesions may cause adhesions in the fallopian tubes or impair the transport of the egg to the uterine cavity, thereby reducing fertility. Endometriosis is also one of the most common causes of infertility (involuntary childlessness).
If you have a desire to have children (now or in the future), early and thoughtful planning is helpful. In our endometriosis consultation in Zurich, we discuss:

Our goal is to provide you with clarity and confidence—and a path that is both medically sound and personally manageable.

Prognosis and Outlook: Living With Endometriosis

Today, the prognosis for women with endometriosis has improved significantly thanks to modern diagnostics and individually tailored therapy options. Early detection and consistent treatment are crucial. Regular consultations in a specialized practice or an endometriosis competence center allow symptoms to be monitored and therapy to be continuously adjusted.

Many women experience noticeable relief of symptoms and regain quality of life through targeted treatment. Even though endometriosis is a chronic condition, there are many ways to minimize its impact on daily life and achieve personal goals—whether that means pain relief, fulfilling a desire to have children, or greater everyday stability. Close care by an experienced team and continuous adaptation of therapy are key to a positive prognosis and a self-determined life with endometriosis.

Your Next Step: Schedule an Endometriosis Appointment in Zurich

If you recognize yourself in the symptoms described or already have a diagnosis and would like a second opinion, schedule an endometriosis consultation in Zurich. We take your concerns seriously, explain things clearly, and work with you to develop a strategy that fits your body and your daily life.

FAQ

Frequently asked questions about endometriosis

If the pain occurs during your menstrual cycle, intensifies over time, or affects your quality of life, it is advisable to consult a gynecologist.

Yes. Some patients experience intestinal or bladder problems, back pain, or infertility issues.

No. Endometriosis can affect fertility, but many women with endometriosis do become pregnant. Individual assessment and planning are crucial.

The best treatment is the one that suits your goals (pain reduction, everyday life, desire to have children) and is sustainable in the long term. It is often a combination of several components.

Not necessarily. Whether surgery is advisable depends on your symptoms, findings, and life situation. We will clarify this together during the consultation.

Contact

We look forward to your visit!

We are a dedicated team committed to providing you with the best possible medical care and support.

At the same time, we want you to feel comfortable with us and confident that all your concerns are in good hands.

Consultation hours Zurich

Mon: 07.30 – 20.00
Tue: 08.00 – 20.00
Wed: 08.00 – 17.00
Thu: 08.00 – 17.00
Fri: 08.00 – 17.00

Consultation hours Adliswil
Consultation hours Rüti
Gynecological practice in Zurich , Adliswil and Rüti
Our telephone hours

Mon-Fri: 08.00 – 17.00

We speak:

German – English – Hungarian – Albanian – Italian – French – Bulgarian – Russian – Spanish – Greek – Catalan – Ukrainian

Outside our office hours, you can contact the doctor on duty at the gynecology clinic at See-Spital Horgen – Tel. 044 728 17 10.

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Gynecological practice in Zurich , Adliswil and Rüti
Gynecological practice in Zurich , Adliswil and Rüti
Gynecological practice in Zurich , Adliswil and Rüti
Gynecological practice in Zurich , Adliswil and Rüti
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