Endometriosis · Adenomyosis · Chronic Pelvic Pain
You deserve more than symptom
management.
Endometriosis and adenomyosis are complex, whole-body conditions not simply "bad periods." A truly integrative approach goes beyond pain management to address the inflammation, hormonal imbalance, immune dysregulation, nervous and metabolic systems involved in these multi-factoral conditions.
Endometriosis Support ✦
Adenomyosis Care ✦
DUTCH Hormone Testing ✦
Chronic Pelvic Pain ✦
Painful Periods ✦
Inflammation Reduction ✦
Immune Regulation ✦
Hormonal Balance ✦
Fertility Support ✦
Surgical Recovery ✦
Surgical Recovery ✦
From the Inside Out
I am a Stage 4 Endometriosis& Adenomyosis Warrior
For years my endometriosis was silent, present but undetected until two laparoscopies confirmed Stage 4 Endometriosis and Adenomyosis. In 2021 I had surgery to remove my fallopian tubes due to endosalpingiosis. I have navigated miscarriages, surgical recovery, and the particular complexity physical, emotional, and hormonal that these diseases carry.
This lived experience is not separate from my clinical work. It is woven into the heart of it. When you sit with me, you are sitting with someone who has lived with these conditions, who has worn the same hospital gown, waited for results, and felt the same quiet grief when the body does not do what you hoped it would.
I understand the frustration of being dismissed. I understand what it is to trust a surgeon who was not worthy of that trust, and to reckon with a system designed to help us that has failed us. And I understand how to find a way through.
Collaboration with gynaecologists, excision surgeons and allied health practitioners is central to this work. The goal is not to replace conventional care, it is to be the most effective integrative partner in your team. Someone who speaks both languages. Someone who stays with you across the whole journey, not just the appointments.
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.
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
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.
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.
Specialised hands-on pelvic work addressing adhesions, fascial restrictions, and the structural holding patterns that develop around endo lesions. Trauma-informed and deeply effective.
Mapping oestrogen metabolism, progesterone status, cortisol patterns, and COMT function to identify and address the hormonal drivers of endo at their root.
Combining acupuncture with Chinese Herbal Medicine offers enhanced efficacy in managing endometriosis-related pain compared to either approach alone, including improved quality of life.
Evidence-based dietary strategies targeting the gut microbiome, oestrobolome, and MCAS, the foundations that either feed or starve endo activity.
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.
Phase 1 & 2 liver metabolism~ identifying oestrogen dominance at source
Identifying progesterone resistance ~ a key driver of endo progression
Chronic stress worsens endo activity. CAR and diurnal cortisol mapped
Sluggish methylation backs up active oestrogen metabolites
What the DUTCH Test Reveals
A complete picture of your hormonal landscape.
At-home collection · Results within 2 weeks · Full interpretation included
What We Address
The full spectrum of what endo and adeno actually feel like.
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.
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