Endometriosis is a condition that affects millions of women worldwide, yet it often goes undiagnosed for years. The pain and discomfort associated with endometriosis can interfere with daily life, relationships, and even fertility. Early diagnosis and proper management are key to improving quality of life.

As a Consultant Obstetrician and Gynecologist based in Hadapsar, Pune, Dr. Ankita Ingle is dedicated to helping women understand this condition and explore effective treatment options.

 

Managing Endometriosis | Dr. Ankita Ingle


What is Endometriosis?

Endometriosis is a gynecological condition where tissue similar to the inner lining of the uterus (endometrium) starts growing outside the uterus. This abnormal tissue can be found on the ovaries, fallopian tubes, outer surfaces of the uterus, and other pelvic organs.

During a woman’s monthly cycle, this tissue behaves like normal endometrial tissue—thickening, breaking down, and bleeding. However, since it is located outside the uterus, the blood has nowhere to go, leading to inflammation, pain, scarring, and sometimes fertility issues.


Common Symptoms of Endometriosis

Endometriosis symptoms can vary, but the most common include:

  • Painful periods (dysmenorrhea)
    Severe cramping that begins before menstruation and may continue several days after.

  • Pelvic pain between periods
    Persistent or chronic pelvic pain is a key symptom.

  • Pain during intercourse
    Discomfort during or after sex is often reported.

  • Pain during bowel movements or urination
    Especially noticeable during menstrual periods.

  • Heavy or irregular menstrual bleeding

  • Infertility or difficulty conceiving

If you’re experiencing any of these symptoms, it’s important to consult a gynecologist for a thorough evaluation.


What Causes Endometriosis?

The exact cause is still unknown, but several theories exist:

  • Retrograde menstruation – where menstrual blood flows backward into the pelvic cavity

  • Genetic factors – family history increases risk

  • Hormonal imbalances

  • Immune system disorders

Endometriosis tends to be influenced by estrogen, which is why symptoms often improve after menopause or during pregnancy.


How is Endometriosis Diagnosed?

Dr. Ankita Ingle emphasizes that diagnosis begins with a detailed medical history and physical examination. Diagnostic tools may include:

  • Pelvic examination – to feel for cysts or scarring

  • Ultrasound – helps detect endometriotic cysts (endometriomas)

  • MRI – in complex cases

  • Laparoscopy – a minimally invasive surgical procedure that provides a definitive diagnosis by directly visualizing and possibly removing endometrial tissue


Managing Endometriosis

While there is no permanent cure, endometriosis can be effectively managed through a combination of treatments. The choice depends on the severity of symptoms, age, and whether the woman is planning to conceive.

1. Medications

  • Pain relief – NSAIDs like ibuprofen help reduce pain and inflammation

  • Hormonal therapies – to reduce or stop menstruation, such as:

    • Birth control pills

    • Gonadotropin-releasing hormone (GnRH) agonists

    • Progesterone therapy
      These therapies aim to slow endometrial growth and reduce bleeding.

2. Surgical Options

For severe cases or when medication fails, surgery may be necessary:

  • Laparoscopic excision or ablation of endometrial tissue

  • Removal of cysts (endometriomas)

  • Hysterectomy in extreme, non-responsive cases (usually a last resort)

Dr. Ankita Ingle performs advanced laparoscopic procedures to ensure precise removal with minimal scarring and quicker recovery.

3. Fertility Management

Endometriosis can impact fertility, but many women with the condition can conceive with the right support. Options may include:

  • Ovulation-inducing medications

  • Intrauterine insemination (IUI)

  • In-vitro fertilization (IVF)

Dr. Ingle works closely with couples to tailor fertility treatment based on individual needs.


Lifestyle and Self-Care Tips

In addition to medical management, these lifestyle changes can help reduce symptoms:

  • Regular exercise – helps reduce estrogen and relieve pain

  • Balanced diet – anti-inflammatory foods can be beneficial

  • Stress management – yoga, meditation, and counseling can improve well-being

  • Warm compresses or heat therapy – for temporary pain relief


When to Consult a Gynecologist?

If you're experiencing chronic pelvic pain, painful periods, or difficulty getting pregnant, don’t ignore the symptoms. Early diagnosis and timely intervention can prevent complications and improve your quality of life.


Dr. Ankita Ingle is a trusted name in women's health and offers compassionate, evidence-based care for women struggling with endometriosis. With expertise in both medical and surgical management, she helps women regain control of their health and live pain-free lives.


Read More:
Early Pregnancy Signs and Obstetrician Visit Guide by Dr. Ankita Ingle

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Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.