Endometriosis – Dr. Sachin Dalal – Causes, Symptoms, Diagnosis, and Treatment Options
Introduction
Endometriosis is a common yet often misunderstood gynecological condition that affects millions of women worldwide. At Madhu Hospital, we believe that early awareness and expert care can significantly improve a woman’s quality of life. This blog explains everything you need to know about endometriosis, including its causes, symptoms, diagnosis, and treatment options.
What Is Endometriosis?
Endometriosis is a medical condition in which tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These growths can occur on the ovaries, fallopian tubes, pelvic lining, and sometimes even beyond the pelvic region.
Unlike normal uterine tissue, this misplaced tissue has no way to exit the body during menstruation, leading to inflammation, pain, and scarring.
Common Causes :
The exact cause of endometriosis is not fully known, but several factors may contribute:
- Retrograde menstruation: Menstrual blood flows backward through the fallopian tubes into the pelvic cavity, allowing endometrial cells to implant and grow outside the uterus. This can trigger inflammation and pain over time.
- Hormonal imbalance: Excess estrogen stimulates the growth of endometrial tissue, worsening symptoms and progression of endometriosis. Hormonal imbalance also affects normal menstrual regulation.
- Genetic predisposition: Women with a family history of endometriosis are at a higher risk of developing the condition. Certain genes may influence how endometrial tissue grows and spreads.
- Immune system disorders: A weakened or abnormal immune response may fail to eliminate misplaced endometrial cells. This allows them to survive, grow, and cause inflammation.
- Previous pelvic surgeries: Surgical procedures like C-sections or hysterectomy can transfer endometrial cells to other pelvic areas. These cells may then implant and develop into endometriosis.
Symptoms :
Symptoms vary from woman to woman. Some experience severe discomfort, while others may have no symptoms at all.
Most Common Symptoms Include:
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Severe pelvic pain, especially during periods
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Pain during or after intercourse
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Heavy or irregular menstrual bleeding
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Chronic lower back or abdominal pain
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Pain during urination or bowel movements
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Fatigue, bloating, nausea
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Difficulty getting pregnant (infertility)
If these symptoms persist, it is important to seek medical attention.
Can Women with Endometriosis Get Pregnant?
Yes, many women with endometriosis can conceive naturally, especially with early diagnosis and treatment. However, some may require medical assistance depending on the severity of the condition.
Stages of Endometriosis
It is classified into four stages:
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Minimal
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Mild
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Moderate
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Severe
Higher stages are more likely to impact fertility, but pregnancy is still possible with proper care.
Diagnosis of Endometriosis in Infertility Cases
At Madhu Hospital, fertility evaluation may include:
- Pelvic ultrasound: This imaging test helps detect ovarian cysts and abnormalities associated with endometriosis. It provides a non-invasive way to assess pelvic organs and guide further evaluation.
- Hormonal blood tests: These tests evaluate hormone levels that influence ovulation and menstrual cycles. They help identify imbalances that may affect fertility.
- Laparoscopy for confirmation: A minimally invasive surgical procedure that allows direct visualization of endometrial tissue. It is the most accurate method for confirming endometriosis.
- Fertility assessment for both partners: Comprehensive evaluation of both female and male factors affecting conception. This ensures accurate diagnosis and an effective, personalized fertility treatment plan.
Fertility Treatment Options :
Medical Management
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Hormonal therapy to reduce inflammation
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Pain management before fertility treatment
Surgical Management
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Laparoscopic surgery to remove endometrial implants
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Restoration of normal pelvic anatomy
Assisted Reproductive Techniques (ART)
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Ovulation induction
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Intrauterine insemination (IUI)
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In vitro fertilization (IVF)
Our fertility specialists work closely with gynecologists to ensure comprehensive care.
Lifestyle Tips to Support Fertility
Maintaining a healthy weight helps regulate hormone levels and reduces excess estrogen, which can worsen endometriosis symptoms. Following an anti-inflammatory diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids can help lower inflammation and support overall reproductive health. Moderate exercise improves blood circulation, reduces pelvic pain, and helps manage stress, while effective stress management techniques such as yoga, meditation, or adequate sleep can positively influence hormonal balance. Avoiding smoking and limiting excessive caffeine intake further supports fertility, improves overall health, and may reduce the severity of endometriosis-related symptoms.
When to Seek Fertility Help
Consult a specialist if:
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You’ve been trying to conceive for over a year
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You have painful periods with infertility
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You have a known diagnosis of endometriosis
Why Madhu Hospital Is the Right Choice
An expert fertility and gynecology team ensures accurate diagnosis, personalized treatment, and compassionate care at every stage of a woman’s health journey. Advanced reproductive technology enables precise evaluation and effective treatment of complex fertility and gynecological conditions. A holistic, patient-centered approach focuses not only on medical treatment but also on emotional well-being and lifestyle support. As a trusted provider of women’s healthcare services, the hospital is committed to safety, transparency, and long-term health outcomes for every patient.
Conclusion
Endometriosis is manageable with the right medical guidance and care. If you or a loved one experiences symptoms, do not ignore them. Madhu Hospital is committed to providing comprehensive women’s health care with expertise and empathy.