Endometriosis – Medical and Surgical Management
Understanding Endometriosis
Endometriosis is a chronic gynaecological condition in which tissue similar to the lining of the uterus grows outside the uterus, often affecting the ovaries, fallopian tubes, and pelvic lining. It can cause painful periods, chronic pelvic pain, and fertility issues.
At our clinic, Dr. Padma Bharathi Pathi, with over 30 years of international experience, provides comprehensive medical and surgical management of endometriosis, focusing on both symptom relief and long-term reproductive health.
Symptoms of Endometriosis
Women with endometriosis may experience:
- Severe menstrual cramps
- Chronic pelvic or lower back pain
- Pain during intercourse
- Infertility or difficulty conceiving
- Painful bowel movements or urination during periods
- Fatigue, bloating, or gastrointestinal discomfort
Recognizing symptoms early is crucial for effective management and preserving fertility.
Causes and Risk Factors
The exact cause of endometriosis is not fully understood, but factors may include:
- Retrograde menstruation
- Genetic predisposition
- Immune system disorders
- Hormonal imbalances
Women with a family history of endometriosis or prolonged menstrual cycles may be at higher risk.
Medical Management
- Hormonal therapies such as birth control pills, progestins, and gonadotropin-releasing hormone (GnRH) analogues
- Pain relief medications including NSAIDs
- Lifestyle and dietary modifications to manage inflammation and symptoms
Surgical Management
Surgery is considered when medical management is insufficient or in cases of infertility. Dr. Padma Bharathi Pathi offers:
- Laparoscopic excision of endometrial implants
- Removal of ovarian cysts (endometriomas)
- Adhesiolysis to remove scar tissue
- Fertility-preserving procedures for women planning pregnancy
- Comprehensive laparoscopic surgery for severe endometriosis affecting multiple pelvic organs
Minimally invasive surgery ensures faster recovery, reduced complications, and improved outcomes.
Over 30 years of global experience in gynaecology and advanced laparoscopic surgery
Expertise in personalized, patient-centered treatment plans
Focus on fertility preservation, pain relief, and quality of life
Compassionate care throughout diagnosis, treatment, and follow-up