Endometriosis

Service Overview

What Is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus.

It commonly affects areas such as:

• Ovaries
• Pelvic peritoneum
• Fallopian tubes
• Areas behind the uterus
• Other pelvic structures

The condition can cause inflammation and scarring and may sometimes lead to adhesions or ovarian endometriomas.

What Causes Endometriosis?

The exact cause of endometriosis is not fully understood.

Several factors may be involved, including:

• Genetic factors
• Hormonal influences
• Immune-system factors
• Menstrual and reproductive factors
• Other biological mechanisms

Having a family history of endometriosis may increase the likelihood of developing the condition.

Symptoms of Endometriosis

Endometriosis can cause different symptoms, and some people may have few or no symptoms.

Possible symptoms include:

• Severe period pain
• Chronic pelvic pain
• Pain during intercourse
• Painful bowel movements during periods
• Painful urination during periods
• Heavy or irregular menstrual bleeding
• Bloating
• Fatigue
• Lower-back pain
• Difficulty conceiving

Symptoms may change over time and can vary significantly between individuals.

Painful Periods and Endometriosis

Period pain is common, but severe pain that interferes with work, education, relationships, or daily activities should not simply be considered normal.

Endometriosis may be considered when period pain:

• Is severe
• Gets worse over time
• Does not respond adequately to usual pain medication
• Is associated with pain during intercourse
• Occurs alongside bowel or bladder symptoms
• Is associated with fertility concerns

A gynaecological assessment can help identify possible causes.

Endometriosis and Pelvic Pain

Endometriosis is one possible cause of persistent or recurrent pelvic pain.

Pain may be:

• Cyclical
• Constant
• Worse during menstruation
• Associated with intercourse
• Associated with bowel movements
• Associated with urination

Pelvic pain can also result from other gynaecological, urinary, gastrointestinal, or musculoskeletal conditions, so a complete evaluation is important.

Endometriosis and Fertility

Endometriosis can be associated with difficulty conceiving.

Possible mechanisms include:

• Pelvic inflammation
• Adhesions
• Ovarian endometriomas
• Changes in pelvic anatomy
• Effects on ovarian or tubal function

However, having endometriosis does not mean that pregnancy is impossible.

Fertility planning may consider:

• Age
• Duration of infertility
• Ovarian reserve
• Tubal function
• Severity and location of endometriosis
• Previous surgery
• Sperm factors
• Previous fertility treatment

Endometrioma

An endometrioma is an ovarian cyst associated with endometriosis.

Endometriomas can be associated with:

• Pelvic pain
• Painful periods
• Pain during intercourse
• Fertility concerns

Management depends on cyst size, symptoms, ovarian reserve, age, fertility plans, previous treatment, and other clinical findings.

Surgery may affect ovarian reserve in some circumstances, so the potential benefits and risks should be carefully considered before operating.

Deep Endometriosis

Deep endometriosis refers to endometriotic lesions that extend deeply into pelvic tissues.

Depending on their location, they may affect:

• Bowel
• Bladder
• Uterosacral ligaments
• Areas behind the uterus
• Other pelvic structures

Symptoms and treatment depend on the organs involved and the extent of disease.

Advanced imaging and multidisciplinary assessment may be recommended in selected cases.

How Is Endometriosis Diagnosed?

Diagnosis begins with a detailed medical and menstrual history.

Evaluation may include:

• Symptom assessment
• Pelvic examination when appropriate
• Transvaginal ultrasound
• Specialist ultrasound in selected cases
• MRI when indicated
• Other investigations based on symptoms

Imaging can help identify endometriomas and some forms of deep endometriosis.

A normal ultrasound does not necessarily exclude all forms of endometriosis.

Can Endometriosis Be Seen on Ultrasound?

Some forms of endometriosis can be identified on ultrasound, particularly ovarian endometriomas and certain types of deep endometriosis.

However, superficial endometriosis may not always be visible on routine imaging.

The interpretation of symptoms, examination findings, and imaging together is therefore important.

Endometriosis Treatment Options

Treatment depends on:

• Symptoms
• Age
• Disease location
• Severity
• Fertility plans
• Previous treatment
• Ovarian reserve
• Other medical conditions

Possible approaches include:

• Pain medication
• Hormonal treatment
• Observation in selected circumstances
• Laparoscopic surgery
• Fertility treatment
• A combination of treatments

Treatment goals may include reducing pain, managing symptoms, preserving fertility when relevant, and addressing significant anatomical disease.

Medical Treatment for Endometriosis

Hormonal treatment may be used to reduce endometriosis-related symptoms in appropriate patients.

Depending on individual circumstances, treatment may involve:

• Combined hormonal contraceptives
• Progestogen-based treatment
• Other hormonal therapies
• Pain-relieving medication

The choice depends on symptoms, medical history, side effects, contraception needs, and whether pregnancy is currently desired.

Surgery for Endometriosis

Surgery may be considered when:

• Pain remains significant despite medical treatment
• Endometriomas require treatment
• Deep endometriosis causes significant symptoms
• Endometriosis affects pelvic anatomy
• Fertility-related circumstances support surgical treatment
• A diagnosis or treatment procedure is clinically appropriate

Laparoscopic surgery is commonly used for selected cases.

The potential benefits and risks of surgery should be discussed carefully, particularly when ovarian endometriosis is present.

Fertility-Preserving Endometriosis Treatment

For patients who wish to preserve future fertility, treatment planning may take ovarian reserve and reproductive goals into account.

Important considerations can include:

• Age
• Ovarian reserve
• Endometrioma size
• Disease severity
• Previous ovarian surgery
• Tubal function
• Fertility history
• Future pregnancy plans

In selected circumstances, fertility preservation may also be discussed before treatment.

Endometriosis and Pregnancy

Many women with endometriosis can become pregnant.

However, some may experience difficulty conceiving.

If pregnancy is desired, treatment planning should consider whether the priority is:

• Pain control
• Trying to conceive naturally
• Fertility treatment
• Fertility preservation
• Surgical management

A fertility-focused consultation can help determine an appropriate pathway.

Endometriosis and Menstrual Bleeding

Endometriosis can occur with painful periods and sometimes heavy or irregular bleeding.

However, heavy menstrual bleeding can also have other causes, including fibroids, adenomyosis, hormonal conditions, and uterine polyps.

Appropriate evaluation can help determine the underlying cause.

Endometriosis and Bowel Symptoms

Some patients with endometriosis experience gastrointestinal symptoms, particularly around menstruation.

These may include:

• Painful bowel movements
• Bloating
• Constipation
• Diarrhoea
• Rectal pain during periods

These symptoms can also have non-gynaecological causes. When bowel involvement is suspected, specialist assessment and appropriate imaging may be recommended.

Endometriosis and Bladder Symptoms

Endometriosis involving or near the urinary tract may cause:

• Painful urination
• Urinary discomfort during periods
• Pelvic pressure
• Blood in the urine during menstruation in uncommon cases

Persistent urinary symptoms should be medically assessed.

Endometriosis and Adenomyosis

Endometriosis and adenomyosis are different conditions, although they can occur together.

Endometriosis involves tissue similar to the uterine lining growing outside the uterus.

Adenomyosis occurs when similar tissue grows within the muscular wall of the uterus.

Both can cause painful periods and pelvic symptoms.

When Should You See an Endometriosis Specialist?

Consider an evaluation if you have:

• Severe period pain
• Persistent pelvic pain
• Pain during intercourse
• Painful bowel movements during periods
• Painful urination during periods
• Recurrent ovarian endometriomas
• Difficulty conceiving
• Persistent menstrual symptoms
• Symptoms that interfere with daily activities
• Previously diagnosed endometriosis

Prompt medical assessment is appropriate for sudden severe pelvic pain, fainting, heavy unexpected bleeding, fever, or symptoms associated with a possible pregnancy complication.

Endometriosis Consultation in Dwarka

An endometriosis consultation generally begins with a detailed discussion of your symptoms and medical history.

Your doctor may review:

• Menstrual history
• Pain pattern
• Fertility history
• Previous pregnancies
• Previous surgeries
• Previous ultrasound or MRI reports
• Medication history
• Previous endometriosis treatment
• Reproductive goals

A symptom diary can also help identify patterns in pain and menstrual symptoms.

Endometriosis Specialist in Dwarka Delhi

If you are searching for an endometriosis specialist in Dwarka Delhi, a specialist consultation can help evaluate pelvic pain, painful periods, endometriomas, and fertility concerns associated with endometriosis.

Patients from Dwarka Sector 6, Sector 7, Sector 10, Sector 11, Sector 12, Sector 13, Sector 14, Sector 17, Sector 19, Dwarka Mor, and nearby Delhi NCR areas may seek consultation for:

• Suspected endometriosis
• Diagnosed endometriosis
• Severe period pain
• Chronic pelvic pain
• Endometriomas
• Deep endometriosis
• Pain during intercourse
• Bowel or bladder symptoms
• Endometriosis-related infertility
• Fertility-preserving treatment

CTA: Schedule Endometriosis Consultation in Dwarka

Endometriosis Treatment Cost in Dwarka

The cost of endometriosis evaluation and treatment depends on the investigations and treatment required.

Potential costs may include:

• Specialist consultation
• Pelvic ultrasound
• Specialist endometriosis ultrasound
• MRI when indicated
• Blood tests
• Medication
• Follow-up consultations
• Laparoscopic surgery
• Fertility treatment when required

Not every patient requires all of these investigations or treatments.

A personalised estimate can be provided after evaluation and development of an appropriate treatment plan.

CTA: Enquire About Endometriosis Treatment Cost in Dwarka

Preparing for Your Endometriosis Consultation

Bring previous medical records when available, including:

• Ultrasound reports
• MRI reports
• Operative notes
• Pathology reports
• Fertility-treatment records
• Pregnancy records
• Current medication list

It can also be helpful to record:

• Period dates
• Pain severity
• Location of pain
• Pain during intercourse
• Bowel or bladder symptoms
• Medications used for pain
• How symptoms affect daily activities