Mr Mohamed Elsherbiny
Consultant Gynaecologist and Endometriosis Specialist at Circle Cheshire Clinic, with extensive expertise in advanced laparoscopic and robotic surgery. He manages complex gynaecological conditions, including endometriosis, fibroids, and menstrual disorders, offering personalised, patient-centred care.

“Pain that disrupts daily life, intimacy, or emotional well-being is not normal — and women deserve to be heard sooner.”
Endometriosis affects around one in ten women, yet it remains one of the most underdiagnosed conditions in women’s health. On average, it takes seven to nine years for a woman to receive a diagnosis. During this time, many are told their pain is “normal” or something they must simply live with.
Endometriosis is far more than painful periods. It can cause chronic pelvic pain, pain during intercourse, bowel or bladder symptoms, fatigue, and fertility challenges. These symptoms often affect not only physical health but also emotional well-being, self-esteem, and intimate relationships. Around occasions such as Valentine’s Day, when connection and closeness are celebrated, many women with undiagnosed endometriosis may feel isolated, misunderstood, or anxious about intimacy.
One of the reasons diagnosis is delayed is that endometriosis does not always show on scans, and symptoms can vary widely. This makes listening to women’s experiences absolutely crucial. When symptoms are dismissed, opportunities for early support and treatment are missed.
An earlier diagnosis can be life-changing. It allows women to access appropriate care sooner, understand their bodies better, and make informed choices about pain management, fertility, and relationships. Just as importantly, it provides validation — reassurance that their pain is real and deserves attention.
Raising awareness is essential. Painful periods that interfere with work, relationships, or quality of life are not normal. By encouraging open conversations and listening carefully, we can shorten the diagnostic journey and help women reclaim their health, well-being, and confidence.
Dr Mahshid Nickkho Amiry
Consultant Obstetrician and Gynaecologist at Circle Cheshire Clinic, specialising in hysteroscopy and comprehensive women’s health management. She treats a wide range of conditions, including abnormal bleeding, menstrual disorders, and other gynaecological issues, providing evidence-based and compassionate care.

Periods as a health check?
For many women, periods arrive quietly each month and are quickly forgotten. But the menstrual cycle is more than a routine—it acts as a natural report card for hormonal and reproductive health. When periods become irregular, the body may be signalling that something is out of balance.
Most menstrual cycles fall between 21 and 35 days. Irregular periods can appear as missed cycles, unpredictable timing, very heavy or very light bleeding, or spotting between periods. These changes can occur due to everyday pressures such as stress, disrupted sleep, sudden changes in weight, intense physical activity, or poor nutrition. Medical conditions like polycystic ovary syndrome (PCOS), thyroid problems, and endometriosis are also common causes.
In today’s fast-paced world, lifestyle habits significantly influence menstrual health. Skipping meals, long work hours, emotional stress, and limited physical movement can interfere with hormonal regulation. Simple practices—eating balanced meals, exercising moderately, managing stress, and keeping track of cycle patterns—can help restore regularity and highlight when something feels off.
Irregular periods should not be ignored if they persist or occur alongside symptoms such as severe cramps, heavy bleeding, constant fatigue, acne, or difficulty conceiving. Consulting a gynaecologist can help identify the cause and guide appropriate treatment.
Open conversations about menstruation help break long-standing taboos. Paying attention to menstrual changes is not unnecessary worry; it is an important part of caring for long-term women’s health.
Circle Cheshire Clinic
The Courtyard, Hall Lane, Wincham, Northwich CW9 6DG / Tel: 01606 535500
www.circlehealthgroup.co.uk/hospitals/circle-cheshire-clinic



