Endometriosis Treatment in Mumbai – Relieve Pain & Restore Fertility

Endometriosis is a painful condition where tissue similar to the uterine lining (endometrium) grows outside the uterus, commonly on the ovaries, fallopian tubes, bladder, or pelvic wall.

• This tissue responds to hormonal changes and bleeds during periods
• Blood has no outlet, leading to inflammation and pelvic pain
• Causes scarring, adhesions, and sometimes ovarian cysts called “chocolate cysts” (endometriomas)

Endometriosis symptoms often go undetected on scans but can significantly disrupt daily life and fertility. Common signs include:

• Severe menstrual pain that worsens over time (dysmenorrhea)
• Painful intercourse (dyspareunia)
• Chronic pelvic pain or persistent lower back ache
• Painful urination or bowel movements during periods
• Fatigue, bloating, or nausea linked to your menstrual cycle
• Infertility or trouble conceiving despite regular attempts

Reminder: Pain that disrupts your quality of life is NOT normal. Seek medical evaluation early.

The exact cause of endometriosis isn’t fully understood, but several factors are believed to contribute to the condition.

• Retrograde menstruation: Menstrual blood flows backward into the pelvic cavity
• Hormonal imbalances: Estrogen dominance can stimulate abnormal tissue growth
• Genetics: Family history increases susceptibility
• Immune system issues: Failure to clear misplaced endometrial-like cells
• Embryonic cell transformation: Early developmental changes leading to abnormal tissue growth

Learn more on Mayo Clinic →

Endometriosis severity is mapped using two widely accepted systems: ASRM staging and the latest Enzian classification (2021) for accurate diagnosis and surgical planning.

ASRM Staging (American Society for Reproductive Medicine)

This system stages endometriosis from minimal to severe based on lesion depth, presence of cysts, and adhesions.

Enzian Classification – 2021 (Advanced System)

This modern system maps deep infiltrating endometriosis (DIE), involving organs like bowel, bladder, ureters, and nerves for precise surgical planning.

At Vardaan Hospital, Dr. Dimple Doshi uses these classifications to plan precise 3D laparoscopic excision, ensuring complete removal of visible and hidden disease.

Endometriosis can affect different pelvic structures and is classified into three main types based on location and severity.

• Peritoneal Endometriosis: The most common form where small lesions grow on the peritoneum (lining of the pelvis).
• Ovarian Endometrioma (Chocolate Cyst): Cysts filled with old blood that form on or inside the ovaries, often causing severe pain and infertility.
• Deep Infiltrating Endometriosis (DIE): Advanced form where endometrial-like tissue penetrates deeper into pelvic organs such as bowel, bladder, and uterosacral ligaments.

Endometriosis diagnosis combines clinical evaluation with advanced imaging and minimally invasive techniques for confirmation.

• Detailed history & pelvic exam: Assess pain patterns and tenderness
• Pelvic ultrasound: Detects ovarian cysts (endometriomas) or adhesions
• MRI scan: Identifies deep infiltrating endometriosis and pelvic structures
• Diagnostic laparoscopy: Gold standard to visualize and treat lesions simultaneously

Note: Research is ongoing for blood tests and biomarkers to aid early detection of endometriosis.

Endometriosis tissue behaves like the uterine lining—it thickens and bleeds each cycle but cannot exit the body. This causes:

• Inflammation and internal bleeding
• Scar tissue and adhesions
• Ovarian cyst formation
• Progressive organ damage

These complications often develop silently over time and may only become noticeable when symptoms worsen or fertility issues arise.

12 Common Complications of Endometriosis

1. Chronic Pelvic Pain: Persistent pain in the lower abdomen, back, or during sex, urination, or bowel movement, affecting sleep and daily life.
2. Difficulty Conceiving: A leading cause of female infertility, endometriosis can block fallopian tubes, alter pelvic anatomy, and affect egg quality.
3. Ovarian Cysts (Endometriomas or Chocolate Cysts): Fluid-filled cysts that may damage ovaries or reduce egg reserve. Larger cysts may require surgery.
4. Internal Scarring and Adhesions: Abnormal tissue sticking organs together, causing:
   • Severe pelvic pain
   • Bowel and urinary difficulties
   • Complex future surgeries (e.g., “frozen pelvis”)
5. Bowel and Bladder Problems: Endometriosis on these organs can cause:
   • Pain during urination or bowel movement
   • Blood in urine or stool during periods
   • Bloating, constipation, or urinary urgency
6. Kidney Damage (Silent but Serious): Blocked ureters can lead to hydronephrosis and permanent kidney damage—often symptomless until advanced.
7. Fatigue and Low Energy: Chronic pain, inflammation, and anemia from heavy bleeding can cause constant tiredness.
8. Emotional Stress and Depression: Anxiety, mood swings, relationship strain, and depression are common due to chronic pain and infertility.
9. Rare Risk of Cancer: Long-standing ovarian endometriosis may slightly increase the risk of ovarian cancer, especially after menopause.
10. Recurrence After Treatment: Endometriosis can return if not fully removed or if hormonal therapy is discontinued.
11. Complications from Repeat Surgeries: Multiple surgeries can reduce ovarian reserve and increase internal scarring risks.
12. Reduced Quality of Life: Missed work, intimacy issues, and social withdrawal often occur without timely diagnosis and treatment.

Key takeaway: Early diagnosis and expert surgical management can prevent or minimize these complications and improve quality of life.

Endometriosis is a leading cause of infertility. It can distort pelvic anatomy, block fallopian tubes, and reduce ovarian reserve, making natural conception difficult. It can also affect IVF success rates if untreated.

• Tubal blockage: Adhesions can block egg and sperm transport
• Ovarian damage: Endometriomas reduce egg quantity and quality
• Inflammation: Affects embryo implantation in the uterus
• IVF outcomes: Untreated severe endometriosis can lower success rates; surgery may improve chances

Tip: Early treatment and fertility-sparing laparoscopic surgery can preserve your chances of pregnancy.

While lifestyle changes cannot cure endometriosis, they help reduce inflammation and pain, improve hormonal balance, and support overall well-being.

• Anti-inflammatory diet: Eat omega-3-rich foods (fish, chia), turmeric, leafy greens; avoid red meat, sugar, and processed foods
• Exercise: Regular moderate workouts reduce estrogen dominance and improve pelvic blood flow
• Stress management: Yoga, meditation, and relaxation techniques lower cortisol, which can worsen hormonal imbalance
• Avoid endocrine disruptors: Reduce BPA, plastics, and chemicals in food and skincare products

Early detection and proactive management can help prevent severe complications and preserve fertility in women with endometriosis.

• Don’t ignore severe or worsening period pain
• Track your symptoms and menstrual cycles regularly
• Consult a gynecologist early for proper evaluation
• Seek a specialist if pain affects work, relationships, or daily life
• Consider laparoscopy if medical treatments are not effective

Tip: Timely intervention is key to preventing complications like adhesions, infertility, and organ damage.

Dr. Dimple Doshi performs endometriosis surgery using the Karl Storz Rubina 4K 3D laparoscopic system, ensuring precision and safety for complex cases.

• Enhanced depth perception and superior visualization of pelvic structures
• Accurate dissection of deep infiltrating endometriosis (DIE)
• Safe removal of ovarian cysts and pelvic adhesions
• Minimal scarring with quicker recovery time

Location: Vardaan Hospital, Goregaon West, Mumbai – delivering world-class endometriosis care close to home.

Laparoscopic surgery is the gold standard for treating endometriosis. It involves precise removal of lesions while preserving fertility whenever possible.

• Step 1: Anesthesia & Access: General anesthesia is given, and small incisions are made in the abdomen.
• Step 2: Insertion of Laparoscope: A 3D high-definition camera provides a clear view of pelvic organs.
• Step 3: Mapping the Disease: Surgeons identify all endometriotic lesions, adhesions, and cysts.
• Step 4: Excision: Endometriotic tissue, nodules, and adhesions are removed using precision instruments.
• Step 5: Fertility Preservation: Ovaries and tubes are carefully protected, and nerve-sparing techniques are used.
• Step 6: Recovery: Minimal scarring, shorter hospital stay, and quick return to daily activities.

Advanced Technology: At Vardaan Hospital, Dr. Dimple Doshi uses Karl Storz Rubina 4K 3D technology for unparalleled precision.

Early consultation with a gynecologist can prevent severe complications. Book an appointment if you experience any of the following:

• Painful periods (dysmenorrhea) or pain during sex
• Difficulty conceiving for 6–12 months despite regular attempts
• Frequent bloating, constipation, or persistent fatigue
• Diagnosed or suspected ovarian cysts
• Suspicion of endometriosis or need for a second opinion

Tip: Timely specialist care improves pain management, preserves fertility, and prevents long-term organ damage.

Treatment for endometriosis focuses on pain relief, disease control, and preserving fertility. Options include both non-surgical and surgical methods.

Non-Surgical Treatments

• Hormonal therapies: Oral contraceptive pills (OCPs), progestins, GnRH analogs, and antagonists to suppress endometrial growth
• NSAIDs: Non-steroidal anti-inflammatory drugs for pain relief
• Lifestyle measures: Diet changes, physiotherapy, and pelvic floor relaxation exercises

Surgical Treatments

• 3D laparoscopic excision: Precision removal of endometriotic nodules and fibrotic tissue
• Cystectomy: Safe removal of ovarian endometriomas (chocolate cysts)
• Adhesiolysis: Removal of adhesions to restore pelvic anatomy
• Hysterectomy: Reserved for advanced cases where fertility preservation is not a priority

Expert Approach: Dr. Dimple Doshi uses nerve-sparing and fertility-preserving 3D laparoscopic techniques for optimal outcomes.

While endometriosis cannot always be fully prevented, proactive steps can help reduce risk and manage recurrence after treatment.

Hormonal Regulation

• Use hormonal contraceptives to suppress estrogen cycles
• Avoid estrogen-only therapy if you have a high risk

Anti-inflammatory Diet

• Eat foods rich in omega-3 fatty acids, turmeric, and leafy greens
• Limit red meat, processed sugar, and trans fats

Detox Your Lifestyle

• Reduce exposure to plastics, BPA, and endocrine disruptors
• Choose organic and minimally processed foods when possible

Early Evaluation

• Never ignore severe menstrual pain or unusual symptoms
• Schedule timely scans or diagnostic laparoscopy when recommended

Post-Surgery Maintenance

• Follow prescribed hormonal suppression therapy
• Maintain regular follow-ups with your gynecologist

Recovery from laparoscopic surgery is usually quick, but healing fully depends on the extent of surgery and overall health. Here’s what to expect:

• Day 1–2: Mild discomfort, bloating, and shoulder pain (due to CO₂ gas). Start walking gently to prevent clots.
• Day 3–7: Resume light household activities. Pain usually improves significantly with medication.
• Week 2: Most patients can return to work (desk jobs). Avoid strenuous exercise or lifting heavy objects.
• Week 4–6: Full recovery for most women. Resume normal exercise, sexual activity, and daily routine after doctor’s clearance.

Tips for Faster Recovery:

• Eat a fiber-rich diet to avoid constipation
• Stay hydrated and walk daily to improve circulation
• Follow your doctor’s post-op care instructions strictly
• Schedule follow-up visits for early detection of recurrence

Dr. Dimple Doshi is a leading gynecologist and laparoscopic surgeon in Mumbai, specializing in advanced, fertility-preserving endometriosis surgery.

• 27+ years of experience in gynecology and advanced laparoscopy
• Performed over 25,000 successful surgeries
• Successfully treated 1,500+ endometriosis cases
• Expert in nerve-sparing, fertility-preserving laparoscopic surgery
• Uses Karl Storz Rubina 3D 4K laparoscopic system for precision and safety

ICD-10 Codes for Endometriosis

CPT Codes for Endometriosis Diagnosis & Treatment

Q1. Can I live normally with endometriosis?

Q2. Will endometriosis go away naturally?

Q3. What is the best lifestyle for endometriosis?

Q4. How to stop endometriosis from spreading?

Q5. How long can a person live with endometriosis?

Q6. What does stage 3 endometriosis look like?

Q7. Can endometriosis be treated without surgery?

Q8. Does endometriosis affect life expectancy?

Q9. How do you remove endometriomas?

Q10. Will endometriosis get worse with age?

Q11. What are the risks of living with untreated endometriosis?

Q12. What age does endometriosis usually start?

Q13. Is endometriosis a high-risk condition?

Q14. Can I get pregnant with endometriosis?

Q15. How to prevent endometriosis naturally?

Q16. Can endometriosis cause weight gain?

Q17. Can stress cause endometriosis?

Q18. What does endometriosis pain feel like?