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Dr Mark Insull
Gynaecological
Laparoscopic Surgeon
Tel: +64 9 522-3797
Fax: +64 9 520-9526
Mob: 027 544-8862
Dr Hilary Liddell
Gynaecological
Laparoscopic Surgeon
Tel: +64 9 520-9361
Fax: +64 9 520-9562
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Do you have:
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Yes
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No
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| 1. |
Period pain that causes you to take pain medications (e.g. Panadol) every month? |
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| 2. |
Period pain that results in you needing to spend time in bed? |
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| 3. |
Period pain or pain throughout your cycle that causes you to have time off work? |
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| 4. |
Heavy bleeding and/or bleeding between your periods? |
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| 5. |
Pain midway through your cycle? |
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| 6. |
Pain when having sex? |
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| 7. |
Pain with bowel motions? |
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| 8. |
Pain with a full bladder? |
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| 9. |
A mother, sister or female relative who has had the above symptoms, or had to have a hysterectomy for pain or bleeding? |
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If you are concerned about any of these symptoms, it is important that you speak to your GP or Specialist. Ask for a referral to the Endometriosis Centre at Ascot for further assessment. Early detection can make a difference

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