Endometriosis
Dr. Ria Katwala Solanki is a gynaecologist and gynaecological oncosurgeon consulting in Andheri East and Vile Parle West, Mumbai, who diagnoses and treats endometriosis — a common health condition in which tissue similar to the lining of the uterus grows outside the uterus. Like the uterine lining, this tissue thickens and bleeds during each menstrual cycle. However, because it is located outside the uterus, the blood has no way to exit the body. This can lead to pain, swelling, and sometimes the development of scar tissue.
Common Symptoms :
Severe period pain,
lower abdominal pain, backpain, leg pain, painful sex
Ovaries / Uterus
Heavy or
irregular periods
Bladder / Urinary Tract
Scarring and tubal blockage causing infertility
Fallopians Tubes
Pain or burning while urinating
Intestines / Rectum
Constipation or diarrhoea (worse during periods), and bloating
Uterus & Pelvic Ligaments
shoulder, chest, or upper belly pain that worsens during periods
Diaphragm / Sciatic Nerve
Why Does It Happen?
The exact cause isn’t fully known. It may be linked to genetics, hormonal factors, or immune system changes. You are not alone—endometriosis is common and affects many women in their reproductive years.
Frequently Asked Questions
Q: Can endometriosis be completely cured?
Not yet, but treatment can effectively manage pain and improve quality of life.
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Q: Will it affect my chances of getting pregnant?
For many women it can, but laparoscopic surgery and fertility-focused care often improve the chances of conceiving.
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Q: Is surgery always necessary?
No. Milder cases are often managed well with medication first; surgery is considered when pain persists or fertility is affected.
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Q: Is robotic surgery an option for endometriosis?
Yes. Robotic surgery offers the same minimally invasive benefits as laparoscopy with added precision, and is especially helpful for complex or deep endometriosis.
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Q: How is it diagnosed?
Ultrasound and MRI can suggest it, but laparoscopy remains the most definitive way to diagnose it.
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Q: Can it come back after treatment?
It can in some cases, which is why regular follow-up with your gynaecologist is important.
Treatment Options :
Conservative
Controls the pain with medicines/hormonal therapy — does not make the endometriosis disappear.
Radical
Surgically removes the endometriotic tissue wherever it is present, relieving pain and improving fertility and quality of life. Done via laparoscopy or robotic surgery — both minimally invasive.
Types of Surgery :
01
02
03
Laparoscopy (Keyhole Surgery)
•A thin camera is inserted through small cuts in the tummy.
•Endometriotic tissue is removed or destroyed using laser/energy.
•Minimally invasive → faster recovery, less pain, tiny scars.
Robotic Surgery
•Similar to laparoscopy but done with robotic precision.
•Helpful for complex or deep endometriosis.
Hysterectomy (removal of the uterus)
•Considered only in severe cases where other treatments have failed and if a woman has completed her family.
Benefits :
Relieves pain from endometriosis.
Restores normal pelvic anatomy.
Improves chances of pregnancy in many women.
Helps with better quality of life.
Don't suffer in silence. Seek help from an endometriosis expert today!
