Care · By concern
Periods that keep you in bed, pain that returns every month, sometimes difficulty conceiving: endometriosis affects about one woman in ten and is still too often diagnosed late. At the practice, 42 avenue Mozart, Dr Chaima Gatri — OB-GYN and gynecological (gynaecological) surgeon — makes the diagnosis, leads the treatment and operates, when necessary, at the Clinique de la Muette. English-speaking practice.
Updated on 19 October 2026
Recognizing it
Endometriosis is the presence, outside the uterus, of tissue similar to its lining. With each cycle, this tissue responds to hormones, causes inflammation and, over time, lesions and adhesions. Signs vary from one woman to another, and their intensity says nothing about the extent of the disease.
Pain that prevents you from living normally is not normal: it can be investigated and treated.
Diagnosis
Diagnosis begins with listening: the history of your pain, its rhythm, its impact, any plans for pregnancy. It continues with a gynecological examination and a pelvic ultrasound performed on site, during the consultation, on a latest-generation ultrasound system — targeted ultrasound now detects most endometriosis lesions, ovarian as well as deep. A pelvic MRI completes the mapping of the lesions when deep lesions are suspected, and before any surgery.
Dr Gatri also sees patients referred by their gynecologists and general practitioners for the diagnosis and management of endometriosis. She works within Resendo, the Paris community-hospital network dedicated to endometriosis. When assisted reproduction is needed, she refers her patients to the fertility (IVF) team of the Clinique de la Muette.
Management
Endometriosis is a chronic disease: it is not “removed” once and for all, it is controlled, and treatment adapts to your pain, your age and your plans for pregnancy.
Information documents are given to you at the consultation: understanding endometriosis, laparoscopy.
Information
Every procedure carries risks: Dr Gatri sets them out at the consultation and gives you the information sheet on laparoscopy of the French College of Gynecologists and Obstetricians (CNGOF), translated into English, whose wording is used here.
Frequently asked questions
The consultation for surgery is an appointment at the practice. Dr Gatri examines your situation, explains the planned procedure and answers your questions. If the procedure is decided on, you receive a quotation and an informed-consent form; once they are signed, a date is set for the procedure at the Clinique de la Muette.
It is a chronic disease, which evolves in flare-ups and most often subsides at menopause. It can be controlled: the great majority of patients return to a normal life with appropriate treatment.
Too long, on average — several years between the first symptoms and the diagnosis. At the practice, the ultrasound performed during the first consultation often allows progress that very day; an MRI, if useful, is prescribed straight away.
In most cases, yes, when it is targeted and performed by a gynecologist trained in this search. MRI completes the work-up when deep lesions are suspected, and always before surgery.
Surgery has precise indications: pain that resists medical treatment, certain lesions, certain infertility situations. It is performed by laparoscopy, through small incisions, and is decided with you.
Say so at the first consultation: plans for pregnancy change the strategy. Depending on your age, your lesions and your work-up, Dr Gatri proposes the most favorable order — surgery, natural attempts or referral to the fertility (IVF) team of the Clinique de la Muette.
Yes, the practice offers it to patients suffering from endometriosis-related pain, as a complement to treatment. The protocol is that of pelvic floor rehabilitation: six sessions of 20 to 30 minutes over three weeks, fully clothed, without a probe.
In part. Consultations, ultrasound, MRI and surgery are partly covered by the French health insurance (Assurance maladie); in certain forms, endometriosis may qualify for coverage at 100% of the Assurance maladie tariff, excluding excess fees. The practice applies direct billing to the French national health insurance (tiers payant): with an up-to-date carte Vitale, you do not pay that part upfront. What remains payable by you includes the excess fee (dépassement d'honoraires), which may be reimbursed by your complementary insurer (mutuelle), depending on your policy. The full picture is in “Fees and reimbursement”, further down.
The CNGOF information sheet describes a simple recovery in most cases. The gas used during the operation causes abdominal pain, which sometimes rises to the shoulders; pain treatment eases it. Dr Gatri plans a 2-day hospital stay. Showers are possible from the next day, a bath after a week. Pain, fever, bleeding or vomiting means contacting the surgical team without delay.
Yes, and it makes a real difference. The CNGOF information sheet is explicit: smoking increases the risk of surgical complications in any operation, and stopping 6 to 8 weeks beforehand removes that added risk. Raise it with Dr Gatri and with the anesthetist (anaesthetist) as soon as the operation is scheduled; the sheet also points to the French Tabac-Info-Service helpline, on 3989, for support in stopping.
On Doctolib, with Dr Gatri, choosing a gynecology consultation or the endometriosis follow-up consultation, or by telephone through the secretariat.
Fees
Appointments
Appointments can be booked online via Doctolib or by telephone through the secretariat.
Book an appointment on Doctolib