Endometriosis: Symptoms, Causes & Management



Endometriosis: Symptoms, Causes & Management
Endometriosis affects millions of women worldwide but remains widely misunderstood and frequently underdiagnosed. At Isha Women’s Hospital, Dr. Chinmay Pataki, an expert gynaecologist and laparoscopic surgeon, along with his skilled team, is dedicated to raising awareness and offering the most advanced treatment options for women facing this complex condition.
 


What is Endometriosis?

Endometriosis occurs when the tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These abnormal growths, often called endometrial implants, can be found on the ovaries, fallopian tubes, and other pelvic organs. Unlike the normal endometrium, which sheds during menstruation, these implants remain trapped, leading to inflammation, scarring, and pain.
 


Symptoms of Endometriosis

The symptoms of endometriosis vary from person to person.
Common signs include:
  • Pelvic pain: Often more severe during menstruation.
  • Heavy menstrual bleeding: Or spotting between periods.
  • Painful intercourse: Discomfort during or after sexual activity.
  • Infertility: Difficulty conceiving may be the first sign for some women.
  • Digestive issues: Such as bloating, constipation, or diarrhoea, especially during periods.
If you are experiencing any of these symptoms, it’s crucial to consult a specialist for an accurate diagnosis and effective management.
 


Diagnosis

Diagnosing endometriosis can be challenging, as its symptoms often mimic other conditions. At Isha Women’s Hospital, Dr Chinmay Pataki one of the best gynaecologists in Thane utilizes advanced diagnostic methods, the diagnosis typically involves:
  • Medical History: A detailed discussion of symptoms, menstrual cycles, and family history.
  • Pelvic Exam: A manual exam to check for abnormalities, but this can only suggest the possibility of endometriosis.
  • Imaging Tests: Ultrasound scans can help detect cysts (endometriomas) or large areas of endometrial tissue.
  • Laparoscopy: The gold standard for diagnosis, where a thin tube with a camera is used to view the pelvic organs directly. If endometriosis is present, biopsies may be taken for analysis.


Stages of Endometriosis

Endometriosis is classified into four stages based on the severity, location, and extent of the implants:
  1. Stage I (Minimal): Small lesions or implants are found on the pelvic organs, but there is little to no scarring or adhesions.
  2. Stage II (Mild): More implants are present, and some adhesions may form.
  3. Stage III (Moderate): Larger implants, cysts (endometriomas) on the ovaries, and more widespread adhesions.
  4. Stage IV (Severe): Extensive endometrial implants and cysts, along with significant scarring and adhesions that can distort pelvic organs, leading to major complications.


Treatment Options

While there is no definitive cure for endometriosis, various treatments can help manage symptoms and improve quality of life, Dr Chinmay Pataki’s Isha Women's Hospital offers advanced fertility treatments such as
  • Medications: Pain relievers and hormonal therapies to regulate menstruation.
  • Surgical interventions: Expertised Laparoscopic surgery by one of the best laparoscopic surgeons Dr Chinmay Pataki to remove endometrial implants, cysts, and scar tissue.
  • Fertility treatments: For women facing infertility, assisted reproductive technologies like IVF & ICSI offer hope towards their fertility journey.
  • Diet and Lifestyle Counseling: Recommendations to reduce inflammation and improve overall well-being.
At Isha Women’s Hospital, we understand the physical and emotional toll of endometriosis. Dr. Chinmay Pataki and our dedicated team provide personalized care to ensure every patient receives the best possible outcomes. Whether you’re seeking pain relief, fertility solutions, or guidance on managing endometriosis, we are here to support you.
Endometriosis is a manageable condition, and early intervention can make all the difference. . Contact Isha Women’s Hospital today to schedule a consultation and start your journey to better health.
 


Frequently Asked Questions (FAQs)

1. What is Endometriosis?
Answer: Endometriosis is a chronic gynecological condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus. This abnormal growth can cause inflammation, pain, and fertility issues. It most commonly affects the ovaries, fallopian tubes, and pelvic lining.
2. What are the common symptoms of endometriosis?
Answer: Symptoms can vary but often include:
  • Painful periods (dysmenorrhea)
  • Pelvic pain during or after sex
  • Heavy menstrual bleeding
  • Pain during bowel movements or urination
  • Infertility
  • Fatigue, bloating, or nausea during menstruation

3. What causes endometriosis?
Answer: The exact cause is unknown, but possible factors include:
  • Retrograde menstruation (menstrual blood flows backward into the pelvis)
  • Genetic predisposition
  • Immune system dysfunction
  • Hormonal imbalances
  • Surgical scar implantation (e.g., after C-section)

4. How is endometriosis diagnosed?
Answer: Diagnosis typically involves a combination of:
  • Medical history and symptom review
  • Pelvic examination
  • Ultrasound or MRI
  • Laparoscopy (a minimally invasive surgical procedure) for definitive diagnosis

5. What are the treatment options for managing endometriosis?
Answer: Treatment depends on the severity and patient’s fertility goals, and may include:
  • Pain relief (NSAIDs)
  • Hormonal therapies (birth control pills, GnRH agonists, etc.)
  • Laparoscopic surgery to remove endometrial tissue
  • Fertility treatments if conception is a goal
  • Lifestyle changes and dietary support