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Endometriosis Treatment

Evidence-led pain relief, fertility-sparing laparoscopy and long-term relapse prevention

Book Endometriosis Consultation
70–80%
Pain reduction at 3–6 months
With guideline-based medical therapy and counselling
24–48 hrs
Typical hospital stay
After laparoscopic excision under ERAS
15–30%
5-year recurrence risk
Varies by stage; reduced with suppression therapy

When to Consult

  • •Severe period cramps not relieved by usual painkillers
  • •Chronic pelvic pain or pain during/after intercourse
  • •Heavy or irregular periods; clots impacting daily routine
  • •Trouble conceiving for 6–12 months
  • •Cyclical bowel/bladder pain, painful motions or bleeding
  • •Pelvic mass/endometrioma noted on ultrasound

Understanding Endometriosis in the Indian Context

In Hyderabad and across Telangana, many women delay seeking care despite severe cramps and heavy periods, leading to anaemia and reduced quality of life. Endometriosis also impacts fertility timelines. Ajuda’s protocol-led approach blends medical therapy, precise laparoscopy and long-term prevention tailored to local diets, routines and work patterns.

When to Consult Our Endometriosis Specialists

  • ✓ Severe period pain not relieved by OTC medicines
  • ✓ Pain during/after intercourse or chronic pelvic pain
  • ✓ Heavy/irregular bleeding with clots
  • ✓ Trouble conceiving for 6–12 months
  • ✓ Painful motions or cyclical bowel/bladder symptoms
  • ✓ Cyst/endometrioma seen on ultrasound

Our Diagnostic Approach

Clinical Evaluation and Baseline Tests

Pain diary, exam, CBC/TSH and anaemia screen; pregnancy and infection rule-out.

Imaging

Transvaginal/abdominal ultrasound; MRI for deep disease mapping.

Laparoscopy (When Indicated)

Definitive visual diagnosis plus excision/ablation and staging with adhesiolysis.

Personalised Pathway

Document fertility goals and pick medical vs surgical-first plan; add suppression to prevent relapse.

Treatment Pathways

Lifestyle and pain education start early. Medical therapy (OCP/progestin; GnRH with add-back) controls symptoms for many. Laparoscopic excision is offered for severe pain, deep disease or fertility indications, with multidisciplinary care for bowel/bladder involvement. Post-op suppression and tele follow-ups reduce recurrence. Fertility pathways (natural/IUI/IVF) are time-bound and transparent.

What to Expect: Your Care Journey

First visit: tests, imaging plan and counselling. If surgery is needed, ERAS protocols reduce stay and speed recovery. Follow-ups track pain scores, cycles and fertility milestones. WhatsApp check-ins support daily questions and medication adherence.

Technology & Innovation

3D TVS/MRI guide precise mapping; HD laparoscopy and modern energy devices enable careful excision with smaller scars, lower blood loss and quicker discharge. EMR reminders keep suppression and reviews on schedule.

Preventing Complications

We prevent anaemia, manage pain safely and protect fertility. Early detection of bowel/urinary involvement and coordinated multidisciplinary care reduce surgical risks and readmissions.

Why Ajuda for Endometriosis Care?

🩺 Protocol-led pain & fertility focus
🔬 HD laparoscopy with ERAS recovery
💬 Multilingual counselling & WhatsApp support

Take the First Step

Don’t ignore severe cramps or infertility concerns. Call 9010550550 or message on WhatsApp to plan your endometriosis care today.

Diagnosis Approach

1

Clinical evaluation and baseline workup

History (pain diary), exam, CBC/TSH; rule out pregnancy and infections; anaemia assessment.

2

Ultrasound + targeted imaging

Transvaginal/abdominal USG for endometriomas; MRI pelvis for suspected deep infiltrating disease.

3

Diagnostic/therapeutic laparoscopy (when indicated)

Gold standard for visual confirmation and excision/ablation with staging and adhesiolysis.

4

Fertility & pain scoring with pathway selection

Document goals (pain vs pregnancy) to personalise medical vs surgical plan and suppression strategy.

Treatment Options

Lifestyle & Pain Education

Anti-inflammatory diet patterns, heat therapy, physiotherapy and pain toolkit; work/school accommodations.

Improves daily function and medication response.
2–12 weeks with reviews

Medical Therapy

NSAIDs, OCPs or progestins (e.g., dienogest); GnRH analogues with add-back for refractory cases.

Meaningful pain reduction and cycle control.
3–6 months then reassess

Fertility-Sparing Laparoscopy

Excision/ablation of lesions, adhesiolysis and endometrioma cystectomy with ovarian tissue preservation.

Improves pain and natural/IUI outcomes in select profiles.
OT 60–120 mins; ERAS discharge 24–48 hrs

Deep Endometriosis (Multidisciplinary)

Colorectal/urology collaboration for bowel, bladder or ureteric nodules; staged procedures when needed.

Better symptom control with lower complications.
Planned pathway with stepwise recovery

Fertility Pathway (TTC)

Timed intercourse or OI/IUI after surgery in select cases; IVF/ICSI when reserve/tubes/male factor dictate.

Shortens time-to-pregnancy when criteria met.
Cycle-specific with milestones

Recurrence Prevention & Tele Follow-up

Post-op hormonal suppression where suitable, relapse education and WhatsApp check-ins.

Reduces recurrence and improves adherence.
6–12 months then annual review

Expected Outcomes

Treatment Timeline

2–4 Weeks

Pain toolkit, medication plan and nutrition started.

6–8 Weeks

Symptom scores trending down; cycles more predictable.

3–6 Months

Sustained relief; fertility plan (natural/IUI/IVF) clarified.

1 Year+

Recurrence surveillance and long-term suppression as needed.

Success Metrics

  • ≥2-point reduction in pain score
  • Fewer missed work/school days
  • Clinical pregnancy rate in eligible cohorts

Take Control of Endometriosis Today

Emergency
9010550550
Email
contact@ajudahospitals.in

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