Treatment of Endometriosis
Endometriosis usually requires surgical removal after proper mapping. Medicines can control the symptoms, but no medicine makes endometriosis disappear. Dr. Ria Katwala Solanki, endometriosis specialist in Mumbai, plans your treatment around your pain, your scan findings and your age, and gives you a detailed rundown of all your options before deciding.
When is surgery needed?
Surgery is advised when:
• Pain continues despite medicines
• A chocolate cyst is large or growing
• You have difficulty getting pregnant
• Endometriosis is on the bowel, bladder or ureter
How is the surgery performed?
Laparoscopic and robotic surgery use keyhole cuts, so there is no large incision. You get 3D magnified vision, fine precise movements around delicate structures and a speedy recovery, with less pain and a shorter hospital stay. Laparoscopic surgery is the gold standard for treating endometriosis. Tap through the diagrams below to see what is removed and how it is done.
Watch Dr. Ria operate on YouTube
Treatment with medicines and the hormone coil
Medicines control symptoms while you take them. They do not remove cysts or scar tissue, and most are not used while trying to get pregnant.
If you want to get pregnant
Hormone medicines stop ovulation, so they are paused when you are trying to conceive. Surgery, fertility treatment or both may be advised depending on your age and egg reserve. Read more on the Endometriosis and Pregnancy page.
Long-term care: stopping it coming back
Endometriosis can come back, even after successful treatment. Dr. Ria will give you a tailored protocol for your case, and long-term follow-up with regular check-ups and scans is needed to keep it under control.
Endometriosis FAQs
Q: Can endometriosis be treated without surgery?
Yes. Many women do well on medicines or a hormone coil. Surgery is for those it doesn't help, or when there is a cyst, a fertility problem or another organ involved.
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Q: How long do I need to take medicines?
Often for months to years, until you plan a pregnancy or reach menopause. Dr. Ria reviews this at each visit.
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Q: Do endometriosis medicines have side effects?
Some women get spotting, mood changes or bloating, which often settle. Dr. Ria chooses the medicine that suits you best.
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Q: Does diet help endometriosis?
A balanced diet and regular exercise can help with pain and bloating, but they don't treat the endometriosis itself.
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Q: Is the hormone coil safe?
Yes, for most women. It acts mainly inside the womb, so side effects elsewhere in the body are fewer than with tablets.
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Q: Will a hysterectomy cure endometriosis?
Not on its own. The endometriosis outside the womb must also be removed. Hysterectomy is considered only when the family is complete and other treatment has not helped.
