Covid-19 Update

Covid-19 Update: We're open for a range of services during the Level 4 lockdown. Use the Ask for an Appointment to get a phone appointment with us during this time. 

We will be able to help with: emergency contraception prescriptions, contraceptive pill repeats (and some contraceptive pill starts) and abortion information.

If you are due for your depo provera jab or for your implant to be changed, we will give you a prescription for the pill until we're able to do face-to-face appointments again. 

If you have an appointment booked with us in the next month, we will be in touch with you to reschedule.

Due to infection control requirements we are unable to provide any face-to-face consultations in our clinics during the lockdown.

Schools, principals and teachers: Our Navigating the Journey sexuality education resources are available for just $25 (that's half-price) for the school holidays. Our resource shop is closed for the duration of the lockdown but these e-resources are available for purchase. 


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Endometriosis is a condition that can affect anyone that has a period. It can often be very painful and should not be ignored.


Endometriosis is when the same tissue as the lining of the uterus begins to grow outside the uterus. This can be around the pelvis, ovaries, fallopian tubes, bladder or bowel. Sometimes it can happen somewhere else in the body.

If you have endometriosis and you have your period, this tissue acts as it normally would during a period - bleeding with each cycle into your body, causing inflammation and pain.

If the endometriosis involves the ovaries, cysts known as endometriomas or ‘chocolate cysts,’ may form. Other small lumps can form, called endometrial nodules. These can be very sore.


The exact cause of endometriosis is still not known. Research suggests there are many different factors.

What we do know, is that you are more at risk of developing endometriosis if someone in your family has endometriosis (mother, sister, aunty). They may not have a diagnosis, so it would be helpful to ask if they have any symptoms.



  • Pain and cramping during your period in your pelvis, lower back and tummy. This is the most common symptom.
  • Pain during or after sex.
  • Pain going to the toilet during your period.


  • Endometriosis can sometimes be diagnosed when a woman is having difficulty becoming pregnant.

Other symptoms:

  • Tiredness
  • Problems with your bowels, such as bloating, diarrhoea or constipation. This might have been diagnosed as Irritable Bowel Syndrome (IBS).
  • Problems with your bladder.
  • If you have been diagnosed with Pelvic Inflammatory Disease (PID), but have other symptoms that sound like endometriosis.


If you’re not sure if what you are experiencing is endometriosis, or simply what is normal for a period, see a doctor. Either way, you should not be putting up with severe period pain, and you should ask for help.

You should also see a doctor if:

  • If you have suffered from painful periods in the past and have gone on the pill to control it and it hasn’t helped.
  • If your period pain is becoming increasingly worse each cycle.
  • If you are having trouble getting pregnant.


If you think you may have endometriosis, make an appointment with your local doctor, a gynaecologist, or with a Family Planning doctor.

Before you go, it might be helpful to think about and write down what you’re experiencing. For example:

  • What are your symptoms, and how severe are they?
  • How often do you have them?
  • How long you’ve been having them?
  • Do you think they are linked to your monthly cycle?
  • Does anything make your symptoms better, or worse?
  • Your doctor will probably ask you questions like this, and it can be easier to think of the answers at home, rather than the doctor’s office!

Endometriosis is difficult to diagnose. If you’re not getting the answers or the help you think you need from your doctor, make an appointment to see another one. Family Planning doctors are specialists in women’s reproductive health, and are a great place to start.


Endometriosis can be treated and managed, but it can’t be cured.

Treatment for endometriosis depends on a range of factors, such as how severe your symptoms are, where it is, and whether you plan to still have children. Your doctor will help you decide what is best for you.

Laparoscopic surgery can remove the endometriosis.

There are also medical treatments available. Some options include:

  • The combined oral contraceptive pill can relieve symptoms if you take it continuously (by missing the inactive pills).
  • Other hormonal contraceptives such as the vaginal ring or Depo Provera might be offered.
  • An intra uterine device, such as Mirena, can treat heavy periods and reduce pain.
  • Pain medication, either a prescription from your doctor, or over the counter medication. Talk to your doctor about what is right for you.


Family Planning has clinics located throughout New Zealand. Use the clinic finder to find your nearest clinic.

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