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Endometriosis Support ✦

Adenomyosis Care ✦

DUTCH Hormone Testing ✦

Chronic Pelvic Pain ✦

Painful Periods ✦

Inflammation Reduction ✦

Immune Regulation ✦

Hormonal Balance ✦

Fertility Support ✦

Surgical Recovery ✦

Surgical Recovery ✦

Understanding the Conditions

Two distinct conditions. One comprehensive approach.

Endometriosis and adenomyosis are related but distinct conditions and many women live with both. Understanding what is actually happening in the body is the first step toward treating it properly.

Condition 01

Endometriosis Tissue outside the uterus

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, on the ovaries, fallopian tubes, bowel, bladder, and throughout the pelvic cavity. It is an inflammatory, immune-mediated condition driven by oestrogen and involving the entire body's systemic response. It affects 1 in 7 women in Australia, with an average diagnosis delay of 7–10 years.

  • Severe dysmenorrhea (period pain)
  • Chronic pelvic pain — cyclical and non-cyclical
  • Dyspareunia (painful intercourse)
  • Bowel and bladder symptoms
  • Fatigue and immune dysregulation
  • Fertility challenges
  • Anxiety, depression and nervous system involvement
Condition 02

Adenomyosis Tissue inside the uterine wall

Adenomyosis occurs when endometrial tissue grows into the muscular wall of the uterus itself, causing the uterus to enlarge and creating a painful, heavy, often debilitating menstrual experience. It often co-exists with endometriosis and is significantly under-diagnosed. Like endo, it is oestrogen-driven and inflammatory in nature.

  • Heavy, prolonged periods (menorrhagia)
  • Severe cramping and uterine pressure
  • Bloating and uterine enlargement
  • Pelvic pain throughout the cycle
  • Pain with intercourse and examination
  • Fertility challenges
  • Profound fatigue and anaemia

Your Endo Care Plan

Not just acupuncture. A full integrative system.

Every endo patient receives a bespoke individualised treatment plan. No two patient's endometriosis presents the same way, and no two plans should either.

01

Acupuncture for Endo

Evidence confirms acupuncture is effective in alleviating dysmenorrhea, reducing pelvic pain, lowering serum CA-125 levels, and improving quality of life in women with endometriosis.

02

Internal Pelvic Release

Specialised hands-on pelvic work addressing adhesions, fascial restrictions, and the structural holding patterns that develop around endo lesions. Trauma-informed and deeply effective.

03

DUTCH Hormone Testing

Mapping oestrogen metabolism, progesterone status, cortisol patterns, and COMT function to identify and address the hormonal drivers of endo at their root.

05

Chinese Herbal Medicine

Combining acupuncture with Chinese Herbal Medicine offers enhanced efficacy in managing endometriosis-related pain compared to either approach alone, including improved quality of life.

01

Anti-Inflammatory Nutrition

Evidence-based dietary strategies targeting the gut microbiome, oestrobolome, and MCAS, the foundations that either feed or starve endo activity.

06

Surgical Team Collaboration

Working alongside the gynaecologist, endometriosis surgeon, and pelvic physio — supporting pre-operative preparation and post-surgical recovery within an integrated care plan.

Functional Hormone Testing

The DUTCH Test: Mapping your hormonal terrain.

Standard blood tests measure hormone levels at a single point in time. The DUTCH Complete™ test or ENDO MAP goes significantly further, assessing not only sex and adrenal hormone levels but the full metabolic pathway.

In endometriosis, this distinction is clinically critical. Sluggish oestrogen methylation can back up physiologically active oestrogen metabolites, contributing to a higher oestrogen load that may directly exacerbate endometriosis activity and symptoms. It also evaluates inflammatory markers and patterns that may be driving endometriosis and pain at a systemic level.

Oestrogen Metabolites

Phase 1 & 2 liver metabolism~ identifying oestrogen dominance at source

Progesterone Status

Identifying progesterone resistance ~ a key driver of endo progression

Cortisol Patterns

Chronic stress worsens endo activity. CAR and diurnal cortisol mapped

COMT Function

Sluggish methylation backs up active oestrogen metabolites

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What the DUTCH Test Reveals

A complete picture of your hormonal landscape.

At-home collection · Results within 2 weeks · Full interpretation included

Sex Hormones
Hormones & metabolites
Adrenal
DHEA & cortisol
Oestrogen
Metabolism pathways
Progesterone
Production & metabolites
Cortisol
Awakening response
Melatonin
Sleep hormone levels
Neurotransmitters
Key marker indicators
Liver Methylation
Phase 2 COMT pathways
Testosterone
DHEA-S & androgens
Organic Acids
Key nutrient markers

What We Address

The full spectrum of what endo and adeno actually feel like.

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Endometriosis and adenomyosis show up differently in every body. The presentation below reflects the breadth of what can be addressed, not a checklist that must be ticked.

01

Severe Period Pain

Dysmenorrhea that is incapacitating, requires prescription medication, or disrupts work and life. Addressed at the level of prostaglandins, blood flow, nervous system sensitisation, acupuncture & herbs.
02

Chronic Pelvic Pain

Non-menstrual pelvic pain constant, cyclical, or unpredictable involving the uterus, ovaries, bowel, bladder, and the fascial and neuromuscular structures of the pelvis.
03

Heavy Bleeding

Menorrhagia periods that require double protection, pass large clots, last longer than 5+ days, or contribute to iron deficiency and anaemia. Particularly common in adenomyosis and also endo.
04

Painful Intercourse

Dyspareunia pain with penetration, deep pelvic pain during sex, or discomfort that persists for hours or days afterward. One of the most impactful and under-addressed symptoms.
05

Bowel & Bladder Symptoms

Cyclical or chronic diarrhoea, constipation, bloating, rectal pain, bladder urgency, and frequency. Often dismissed as IBS or UTI rather than recognised as endo-related.
06

Fatigue & Brain Fog

The exhaustion of chronic inflammation not ordinary tiredness. Associated with immune dysregulation, disrupted sleep, iron deficiency, and the neurological impact of sustained pain signalling.
07

Hormonal Dysregulation

Oestrogen dominance, impaired progesterone production, PMS, PMDD, and the downstream mood, energy, and cycle irregularity that follows from a dysregulated hormonal landscape.
08

Fertility Challenges

Endometriosis and adenomyosis are among the leading contributors to infertility. Addressing the inflammatory and hormonal environment before conception significantly improves outcomes.
09

Post-Surgical Recovery

Recovery after laparoscopy or excision surgery supporting tissue healing, reducing scar tissue formation, preventing recurrence, and rebuilding the body's regulatory capacity.
10

Anxiety & Mood Disruption

The psychological impact of years of unvalidated pain, diagnostic delays, and the direct hormonal and neurological effects of endometriosis on mood regulation and nervous system function.
11

Endo Belly & Bloating

Severe abdominal bloating often described as looking pregnant, associated with inflammation, digestive disruption, and the systemic inflammatory load of active endometriosis.
12

Recurrence Prevention

Post-surgical recurrence is common without integrative intervention. Addressing the underlying hormonal and inflammatory drivers significantly reduces the risk of lesion regrowth.
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For Dr Amanda's patients, this test provides the clinical depth required to understand what is actually driving their hormonal picture and to build a treatment plan that addresses root cause, not just symptom management

Frequently Asked Questions

Find answers to our most common questions below.

Adenomyosis is a condition where endometrial tissue grows into the muscular wall of the uterus, causing heavy periods, severe cramping, uterine enlargement, and fertility challenges. Dr Amanda Waaldyk at Angea Acupuncture Clinic in Melbourne treats adenomyosis using acupuncture, Chinese herbal medicine, and DUTCH hormone testing.

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus on the ovaries, fallopian tubes, bowel, or bladder. It affects 1 in 7 Australian women and takes an average of 7–10 years to diagnose. Dr Amanda Waaldyk specialises in endometriosis treatment in Melbourne at Angea Acupuncture Clinic.

Yes. A 2024 systematic review confirms acupuncture is effective in reducing endometriosis-related dysmenorrhea and pelvic pain. Dr Amanda Waaldyk integrates acupuncture with DUTCH hormone testing, ENDO mapping, Chinese herbal medicine, Internal pelvic release, and nutrition at Angea Acupuncture Clinic, Melbourne.

Dr Amanda Waaldyk is a Stage 4 endometriosis and adenomyosis warrior herself. She offers a six-pillar integrative care plan acupuncture, internal pelvic release, DUTCH testing, Endo mapping, herbal medicine, nutrition, and surgical team collaboration. Treating the whole condition, not just symptom management, in Melbourne.

Yes.

While endometriosis affects approximately 10–15% of women in the general population, its prevalence rises to nearly 50% among women who are struggling to conceive. Frontiers

The risk of infertility in women with endometriosis is two to four times higher than in the general population. ScienceDirect

Endometriosis affects fertility through multiple pathways ~ including chronic inflammation, reduced ovarian reserve, poor oocyte quality, impaired endometrial receptivity, and pelvic adhesions that can block sperm passage and oocyte release. Frontiers

Dr Amanda Waaldyk works with women who have endometriosis-related infertility, using Chinese medicine to optimise reproductive health, support IVF cycles, and investigate what standard testing may have missed.

The DUTCH test ~ Dried Urine Test for Comprehensive Hormones ~ is one of the most detailed hormone investigations available, and for women with endometriosis, it reveals what a standard blood test simply cannot.

Endometriosis is commonly characterised as an oestrogen-dominant syndrome, with a connection to progesterone receptor suppression. The DUTCH test goes beyond measuring hormone levels ~ it maps how your body is producing, using, and clearing those hormones. DUTCH Test

For endometriosis, the DUTCH test looks at:

  • Oestrogen metabolism ~ whether you are using the protective 2-OH pathway or the more harmful 4-OH pathway to clear oestrogen ~ a key driver of oestrogen-dependent disease
  • Progesterone ~ to assess the oestrogen-progesterone balance
  • Cortisol and adrenal function ~ elevated cortisol and DHEA are markers associated with the inflammatory patterns seen in endometriosis
  • Gut and microbiome markers ~ women with endometriosis tend to have a higher abundance of bacteria that produce beta-glucuronidase, an enzyme that can increase oestrogen levels in the body
  • Oxidative stress ~ through markers like 8-OHdG, which signals cellular damage from chronic inflammation

This is the kind of investigation helps me understand what is actually driving your symptoms and where to direct treatment.

Dr Amanda Waaldyk uses the DUTCH test as part of a comprehensive integrative workup for women with endometriosis, hormonal imbalance, and fertility concerns.

Ready for care that sees your endo as the whole body disease it is?

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