Can a telehealth GP help with endometriosis?
Yes. An AHPRA-registered GP at NewDoc can take a detailed symptom history by video, order initial investigations (transvaginal pelvic ultrasound and blood tests), prescribe pain relief and hormonal therapy where clinically appropriate, and refer you to a gynaecologist for specialist assessment.
Definitive diagnosis often requires laparoscopy by a gynaecologist, and a Chronic Disease Management Plan may give you access to allied health support. The consultation, pathology and imaging referrals, and specialist referrals are bulk billed for eligible Medicare cardholders.
What is endometriosis?
Endometriosis is a condition in which tissue similar to the lining of the uterus grows in other places, such as the ovaries, fallopian tubes, and the pelvic lining. It can cause pelvic pain, painful periods, pain during sex, heavy or irregular bleeding, and may contribute to fertility difficulties. It affects an estimated 1 in 9 women and people assigned female at birth in Australia.
Symptoms vary widely. Diagnosis can be delayed because symptoms overlap with other conditions. Early review by a GP and timely specialist referral can help.
How a telehealth GP can help
A NewDoc GP can take a detailed symptom history and order investigations such as a transvaginal pelvic ultrasound and blood tests. Where appropriate, your GP will discuss pain management and hormonal options, and refer you to a gynaecologist. The plan can also coordinate allied health: pelvic physiotherapists, psychologists, and dietitians.
For complex or severe cases, your GP can create a Chronic Disease Management Plan to help coordinate care across providers. Follow-up telehealth consultations are bulk billed for eligible Medicare cardholders.
Risk factors for endometriosis
The exact cause of endometriosis is not fully understood, but several factors may be associated with an increased likelihood of developing the condition. A first-degree family history of endometriosis is one of the most recognised risk factors, as there appears to be a genetic component. Early age at first period, short menstrual cycles, and heavy or prolonged bleeding may also be associated.
Other potential factors include never having been pregnant, conditions that obstruct menstrual flow, and certain immune or inflammatory patterns. Having one or more risk factors does not mean a person will develop endometriosis. A GP can take a careful history and help decide which investigations are appropriate.
Treatment options for endometriosis
Management is highly individualised. It typically combines symptom control with a plan for longer-term care. Pain relief may include simple painkillers or anti-inflammatory medications. Hormonal therapies — the combined pill, progestogen-only options, or hormonal intrauterine devices — may be considered to suppress menstruation and reduce flares. Your GP will discuss which approach suits your history and preferences.
Where symptoms are persistent, worsening, or fertility is a concern, referral to a gynaecologist is often appropriate. A specialist may consider laparoscopic assessment or surgical management. Our specialist referrals online page outlines how this pathway works via telehealth.
Allied health input, including pelvic floor physiotherapy, dietitian support, and psychological care, may play a helpful role. Our mental health telehealth service can support people whose symptoms affect mood or daily functioning.
Tips for managing endometriosis
Keeping a symptom diary that records cycle dates, pain severity, bleeding patterns, and any triggers may help identify patterns over time and guide decision-making with your GP or gynaecologist. Many people find that tracking what helps and what does not is useful for longer-term planning.
Gentle, regular physical activity, a balanced diet, and strategies to support good sleep may contribute to overall wellbeing. Heat packs, mindfulness, and relaxation techniques are commonly used for flare-up days, though individual responses vary. Your GP can suggest strategies tailored to your circumstances and refer you for imaging when appropriate via our imaging referrals service.
Connecting with peer support networks can help some people feel less isolated. If pain is interfering with work, study, or relationships, raise this with your GP so that a coordinated plan can be considered, including psychology support where appropriate.
When to see a specialist about endometriosis
Your GP may recommend specialist review where symptoms are severe, persist despite initial treatment, affect fertility, or suggest deeper disease. Red flags include heavy bleeding causing anaemia, progressive or disabling pain, bowel or bladder symptoms linked to your cycle, or difficulty conceiving. A gynaecologist can provide definitive assessment and discuss options such as laparoscopy. If you are experiencing severe sudden pain, heavy bleeding, or signs of a medical emergency, please call 000 or attend your nearest emergency department.
References
- Endometriosis, Healthdirect Australia
- Endometriosis, Jean Hailes for Women's Health
- Endometriosis, Better Health Channel
This content is informational and does not replace individual medical advice. For personal assessment, book a consultation with your GP. In emergencies, call 000.
Last reviewed 22 April 2026. Editorial policy