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One in ten women of reproductive age are thought to have endometriosis, yet many remain untreated for years. A woman’s relationships, emotional health, and quality of life can all be greatly impacted by the excessive bleeding, ongoing pelvic pain, and difficulties with fertility it causes. Our goal at Ankith Multi Speciality Hospital is to use our team of top gynecological specialists in Santosh Nagar, Hyderabad, to deliver compassionate, evidence-based care and prompt diagnosis.

Endometriosis treatment

What is Endometriosis?

Endometrial tissue, which resembles the lining of the uterus, grows outside the uterine cavity in endometriosis, a chronic but frequently disregarded gynecological condition. This misplaced tissue still responds to hormones even though it may adhere to the ovaries, fallopian tubes, pelvic lining, or even the intestine or bladder. That means that every menstrual cycle causes it to thicken, break down, and flow, but unlike a regular period, this blood has nowhere to go. This results in painful adhesions, scarring, and ongoing inflammation.

Causes and Risk Factors

The exact cause of endometriosis remains unclear, but several theories and risk factors have been proposed:

  • Retrograde Menstruation: Menstrual fluid containing endometrial cells may flow backward through the fallopian tubes into the pelvic cavity and implant on surrounding organs.

 

  • Coelomic Metaplasia: Peritoneal cells might change into endometrial-like tissue under certain stimuli.

 

  • Lymphatic or Vascular Spread: Rarely, endometrial cells may travel to distant organs via blood or lymphatic circulation.

 

Common risk factors include:

  • Starting menstruation early (menarche before age 12)

 

  • Short menstrual cycles (less than 27 days)

 

  • Heavy or prolonged periods

 

  • Never having given birth

 

  • Higher estrogen exposure

 

  • Family history of endometriosis

 

  • Anatomical anomalies or immune system dysfunction

At Ankith Hospital, we carefully evaluate these risk factors and symptoms to ensure no case goes undetected or misdiagnosed.

Signs and Symptoms of Endometriosis

Endometriosis presents with a variety of symptoms. While some women may experience only mild discomfort, others face debilitating pain and fertility issues.

Pelvic and Menstrual Pain

Persistent cramps that begin before and extend well beyond periods are common and often worsen over time.

Pain During Intercourse

Deep dyspareunia due to adhesions and inflamed tissue affecting the pelvic organs.

Heavy or Irregular Periods

Excessive menstrual bleeding or spotting between periods due to lesions affecting the uterine lining.

Infertility

Endometriosis may impair ovulation or fertilized egg implantation, and many women first learn they have the condition when trying to conceive.

Bowel or Bladder Symptoms

Including painful bowel movements during menstruation, constipation, bloating, and blood in urine during periods.

Fatigue and Irritable Bowel Syndrome (IBS)-like Symptoms

Chronic inflammation may cause fatigue, gut disturbances, and low-grade fever.

Recognizing the pattern of cyclical pain tied to periods—rather than viewing symptoms as unrelated—is crucial for timely diagnosis, which is why Ankith Hospital advocates early screening.

How Endometriosis is Diagnosed

Diagnosing endometriosis involves a stepwise process:

1. Detailed Medical History

We take comprehensive your history of menstrual patterns, family background, and symptom severity.

2. Physical Pelvic Examination

A gentle examination to detect enlarged or tender areas in the uterus, ovaries, or presence of nodules.

3. Imaging (Ultrasound, MRI)

Transvaginal ultrasound can identify ovarian endometriomas (“chocolate cysts”), while MRI helps detect deeper infiltrating lesions. While helpful, these may miss subtle pelvic implants.

4. Laparoscopy – The Gold Standard

A minimally invasive procedure to explore the pelvis directly and take tissue biopsies. This confirms diagnosis and can sometimes treat visible implants in the same surgery.

5. Blood Markers (CA‑125)

Typically elevated in many affected women, though not specific enough for definitive diagnosis.

At Ankith Multi Speciality Hospital, our dynamic team of gynecology specialists tailors diagnostic workflows based on symptoms, imaging results, and patient goals, ensuring accuracy and comfort at every step.

Endometriosis Treatment Options at Ankith Hospital

Treatment for endometriosis at Ankith is fully personalized, depending on pain severity, lesions’ extent, age, and fertility goals.

1. Medical (Hormonal) Management

Hormone therapy halts cyclical changes, preventing lesion growth and reducing inflammation.

  • Non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief

 

  • Oral contraceptives to regulate cycles and reduce bleeding

 

  • Progestin therapy via pills, injections, or IUDs

 

  • Gonadotropin-releasing hormone (GnRH) agonists/antagonists to reduce estrogen levels short-term

 

  • Emerging therapies like aromatase inhibitors or Dienogest focus on severe or recurrent cases

2. Surgical Treatment

Recommended when pain is severe or fertility is impacted.

  • Conservative laparoscopy to remove endometrial implants and adhesions — preserving fertility

 

  • Excision vs ablation—we prioritize complete excision where skilled removal improves outcomes

 

  • Endometrioma cystectomy (ovarian cyst removal)

 

  • Hysterectomy and/or oophorectomy in severe, refractory cases when childbearing is complete

Our minimally invasive techniques offer reduced pain, quicker recovery, and high precision, provided as part of advanced surgical care at Ankith Hospital.

Lifestyle and Diet Tips from Expert Gynecologist

Lifestyle changes can meaningfully reduce pain and support treatment across all stages.

  • Anti-inflammatory foods: Omega‑3 fatty acids (fish, flaxseed), leafy greens, berries, and turmeric

 

  • Limit pro‑inflammatory foods: Red meat, dairy, refined carbs, and sugars which exacerbate inflammation

 

  • Regular low-impact exercise: Walking, yoga, or swimming to improve circulation and decrease pelvic congestion

 

  • Warm baths and heat packs: Easy pain relief for cramps

 

  • Stress management: Mind‑body tools like meditation, breathing exercises, and therapy

 

  • Supplements: Vitamin D, magnesium, and probiotics after medical advice for potential benefits

 

  • Avoid toxins: Limit caffeine, alcohol, and minimize exposure to endocrine disruptors

These strategies, combined with clinical treatment, help patients manage symptoms more effectively and improve long-term wellness.

Q&A:

Can endometriosis go away on its own?

No. Since endometrial tissue is sensitive to hormones, it usually persists or worsens without treatment. Hormonal suppression or surgical removal is needed to control progression.

Absolutely not. Many women find relief through medications, lifestyle changes, and pain management. Surgery is typically reserved for persistent pain, fertility complications, or lesion complications.

Yes. Many women conceive naturally or with fertility treatments. Early diagnosis and optimized treatment, including surgical lesion removal, often improve fertility success rates.

Natural strategies include anti-inflammatory diet, regular exercise, heat therapy, stress reduction, and supplements like magnesium or vitamin D (under supervision).

Conclusion

Endometriosis is a chronic, painful condition that affects not only physical health but emotional and social well-being. However, with a multidisciplinary, patient‑centered approach that combines medical care, minimally invasive surgery, and lifestyle support, women can manage symptoms and pursue lifelong fertility options confidently.
As one of the best women’s hospitals in Santosh Nagar Hyderabad, Ankith Hospital offers compassionate, expert care for endometriosis. If you experience pelvic pain, menstrual issues, or fertility struggles, consult our specialists for an individualized care plan built for healing, resilience, and hope.