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.
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.
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