Endometriosis

Endometriosis symptoms may include pelvic pain, painful menstruation, pain during or after intercourse, and heavy or irregular periods. Some women may experience gastrointestinal symptoms like diarrhoea, bloating, or constipation. The symptoms do not reflect the severity of the condition, making clinical evaluation necessary.

Endometriosis diagnosis starts with a careful review of symptoms, menstrual history, and a physical examination. A transvaginal ultrasound helps detect ovarian cysts associated with endometriosis. Sometimes, an MRI is used for comprehensive evaluation. In certain cases, a minor surgery called laparoscopy is performed to confirm endometrial lesions. This helps create a treatment plan tailored to each patient’s needs.

Endometriosis treatment depends on symptoms, severity, age, and reproductive goals. Options include medications for pain management and hormonal regulation, along with lifestyle modifications. In selected cases, minimally invasive surgery may be performed to remove endometrial tissue.

Patients undergoing endometriosis management at Manipal Hospitals receive comprehensive, multidisciplinary care that aims for long-term wellness. The doctor reviews symptoms, menstrual history, fertility goals, and previous treatments. A pelvic examination and imaging tests help assess the extent of the condition. Once an endometriosis diagnosis is confirmed, a personalised treatment plan is created. The approach focuses on pain relief, controlling disease progression, and preserving fertility when needed.

Medical management may include hormonal therapy to regulate the menstrual cycle and reduce endometrial tissue growth. Pain-relieving medications may also be prescribed based on symptom severity. For women experiencing moderate to severe symptoms or fertility concerns, minimally invasive surgery may be recommended to remove endometriotic lesions. The procedure aims to preserve reproductive organs whenever possible. Surgical interventions are considered with an emphasis on the patient's long-term health and reproductive objectives.

Regular follow-up visits are important to monitor response to endometriosis treatment and adjust therapy if required. Counselling is provided to patients regarding lifestyle modifications, symptom monitoring, and disease management. A coordinated care team assists the patient in achieving sustained symptom relief, optimising fertility, and improving overall quality of life.