MIGYNAE Advanced Care for Endometriosis and Adenomyosis (ACEA)

Endometriosis and adenomyosis are chronic conditions that can significantly affect physical, emotional, and social well-being. At MIGYNAE, we understand the complexities of managing these conditions and are committed to delivering comprehensive, interdisciplinary care tailored to your needs.

Our ACEA service offers advanced diagnostics, innovative treatments, and holistic management for patients navigating mild to severe cases of endometriosis and adenomyosis.

What Are Endometriosis and Adenomyosis?

  • Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus, causing pain, heavy periods, fatigue, and infertility. It often affects the ovaries, fallopian tubes, and other pelvic structures.
  • Adenomyosis involves the growth of uterine lining tissue into the muscle wall of the uterus, leading to painful and heavy menstrual bleeding, chronic pelvic pain, and an enlarged uterus.

Both conditions frequently coexist, compounding symptoms and challenges. Without timely intervention, they can progress to chronic pelvic pain and significantly impact fertility.

Is ACEA Right for You?

The MIGYNAE Advanced Care for Endometriosis and Adenomyosis (ACEA) service is designed for patients with complex or advanced cases of endometriosis and/or adenomyosis, or those experiencing debilitating persistent pelvic pain (PPP), who would benefit from a highly tailored, interdisciplinary approach to their care. This includes:

  • Patients with a confirmed or strongly suspected diagnosis of severe endometriosis, adenomyosis, or debilitating PPP, particularly where symptoms significantly impact daily life, work, or mental health.
  • Those exploring fertility options such as preservation, IVF, or managing infertility associated with these conditions.
  • Patients requiring advanced surgical care, including laparoscopic or robotic-assisted surgery for severe or multi-system involvement.
  • Cases needing a collaborative, interdisciplinary approach, involving specialists across pain management, physiotherapy, dietetics, gastroenterology, and more.

To provide the most comprehensive care, we gather and review your previous medical history and ask patients to complete detailed pre-appointment questionnaires. This allows us to create a thorough, individualised care plan tailored to your needs.

Supporting Your Care Through Medicare and Team Care Plans

From 1 July next year, new Medicare rebates for pelvic pain and endometriosis-related services will help improve access to diagnosis and multidisciplinary care. These changes reflect growing recognition of the impact of these conditions on Australian women and align with MIGYNAE’s commitment to patient-centred care.

Additionally, patients may be eligible for a Team Care Plan, which provides subsidised access to multidisciplinary care through your GP. This plan helps integrate services such as physiotherapy, pain management, and dietary support into your care pathway. For more information, visit Patients.org.au.

Our Services

At MIGYNAE, we specialise in excisional surgery, which involves carefully removing endometriotic lesions from affected areas. Excisional surgery is widely regarded as the gold standard for managing endometriosis due to its ability to alleviate pain more effectively, reduce the risk of recurrence, and preserve surrounding healthy tissue. However, we recognise that excision is not always the most appropriate approach. For example, in cases involving the fallopian tubes or ovaries, or with stage IV endometriosis where adhesions and an obliterated pouch of Douglas are key concerns, alternative techniques may be required to optimise outcomes while minimising risk.

  • Minimally Invasive Laparoscopy: Expert-led techniques to minimise scarring, improve recovery, and address complex cases involving adhesions or anatomical distortion.
  • Robotic-Assisted Surgery: Offering precision excision of endometriosis and adenomyosis using advanced robotic technology for enhanced accuracy and recovery.

Our approach ensures that each surgical decision is tailored to the patient’s individual condition and informed by the latest evidence and best practices.

Endometriosis and adenomyosis can significantly affect fertility. MIGYNAE collaborates closely with Genea Fertility, a leader in innovative fertility care with success rates that surpass the national average.

Genea’s services include:

  • World-leading technologies like Geri® time-lapse incubation.
  • Personalised fertility treatment plans, from ovulation induction to advanced IVF options.
  • Dedicated emotional support and counselling throughout your fertility journey.
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To address the full spectrum of endometriosis and adenomyosis symptoms, we work with trusted specialists in:

  • Radiology
  • Physiotherapy (including pelvic floor tension myalgia support)
  • Sexual counselling
  • Psychology (with hypnotherapy options)
  • Pain management
  • Gastroenterology
  • Colorectal surgery
  • Urology
  • Dietetics
  • Acupuncture

MIGYNAE offers CBD oil as part of a tailored approach to managing chronic pelvic pain. Patients prescribed CBD oil are supported through regular follow-ups to monitor progress and ensure optimal outcomes. To qualify, patients must:

  • Be under the care of a pain specialist.
  • Complete detailed Quality of Life questionnaires as part of their ongoing treatment plan.

Aligned with National Priorities

MIGYNAE’s ACEA service reflects the principles of the National Action Plan for Endometriosis, prioritising:

  • Timely Diagnosis: Addressing delays in diagnosis through better awareness and access to care pathways.
  • Holistic Management: Combining medical, surgical, and psychosocial care for comprehensive treatment.
  • Research and Innovation: Supporting advancements in treatment and fertility preservation techniques.
  • Equity and Accessibility: Ensuring high-quality care for all patients, including those in underserved communities.

Participate in Research

MIGYNAE is dedicated to advancing care through research. We actively participate in a wide range of studies focused on improving outcomes for patients with endometriosis and adenomyosis. We encourage our patients to consider involvement in research opportunities, contributing to the development of better treatments and care pathways for future generations.

Take the First Step

At MIGYNAE, we are dedicated to supporting you through every stage of your journey with endometriosis and adenomyosis. From advanced surgical care to fertility and holistic management, our ACEA service is here to help you live your best life. Contact us today to book an appointment.

Get in touch with our friendly team.

We are a general gynaecology clinic based in Melbourne, dedicated to the latest Minimally Invasive (MI) gynaecological diagnostic and surgical techniques. We are leaders in laparoscopic and cutting-edge robotic “keyhole” surgery.

If you have a question about a condition or treatment, or would like to book an appointment, please get in touch.