Balaji Horizon Women’s Hospital · Ahmedabad
Endometriosis Treatment in Ahmedabad
Expert Diagnosis & Individualized Care
Endometriosis affects 1 in 10 women and remains one of the most delayed diagnoses in gynaecology — an average of 7–10 years from symptom onset. Dr. Priyadatt Patel offers expert endometriosis assessment, individualized treatment planning, and advanced laparoscopic surgery when indicated.
What Is Endometriosis?
Endometriosis is a chronic inflammatory disease in which tissue resembling the endometrium (uterine lining) grows outside the uterus — most commonly on the ovaries, fallopian tubes, peritoneum, and bowel. This tissue responds to hormonal cycles, causing inflammation, adhesions, and progressive scarring.
It affects approximately 10% of women of reproductive age globally — roughly 190 million women. Despite its prevalence, the average diagnostic delay remains 7–10 years from symptom onset, often because symptoms are normalised or misattributed.
Endometriosis is classified by stage (I–IV per the revised ASRM classification) and by type: superficial peritoneal disease, ovarian endometriomas (chocolate cysts), and deep infiltrating endometriosis (DIE) — each requiring different management approaches.
Symptoms of Endometriosis
Symptoms vary widely — some women have severe pain with minimal disease; others have extensive disease with few symptoms.
Dysmenorrhoea
Severe, progressive period pain that does not respond to standard analgesics. Often described as debilitating.
Chronic Pelvic Pain
Persistent pain unrelated to the menstrual cycle, often from adhesions and nerve involvement.
Deep Dyspareunia
Pain during or after intercourse, particularly with deep penetration — a key symptom of posterior compartment disease.
Subfertility
Endometriosis accounts for 30–50% of female infertility. It affects egg quality, tubal function, and the uterine environment.
Bowel & Bladder Symptoms
Dyschezia (painful defecation), rectal bleeding at menstruation, urinary frequency, and dysuria may indicate bowel or bladder involvement.
Fatigue
Chronic inflammatory burden contributes to persistent fatigue, which is often underestimated as a symptom of endometriosis.
How Is Endometriosis Diagnosed?
Definitive diagnosis of endometriosis is laparoscopic and histological — but this does not mean every patient requires immediate surgery for diagnosis. Clinical diagnosis, guided by careful history and expert ultrasound, is increasingly accepted in clinical practice (ESHRE 2022).
Our diagnostic approach includes:
- Detailed symptom history — pain mapping, menstrual pattern, bowel and bladder symptoms, fertility goals
- Advanced gynaecological ultrasound — systematic mapping of endometriomas, deep infiltrating lesions (rectovaginal, bladder, ureteric), and uterine pathology
- MRI pelvis — for suspected deep infiltrating endometriosis or complex anatomy
- Ovarian reserve assessment — AMH and AFC in all patients with fertility concerns
- Diagnostic and operative laparoscopy — when clinical assessment, ultrasound, and MRI support surgical intervention, or when conservative management has failed
Our Treatment Philosophy
Endometriosis is a lifelong disease with no cure. Treatment is about controlling the disease, preserving fertility, relieving pain, and maintaining quality of life — with the least invasive intervention needed at each stage.
Medical Management First
Hormonal therapy (combined OCP, progestogens, GnRH analogues) remains the first-line approach for pain in patients not trying to conceive. Appropriate selection and duration matter significantly.
Surgery When Indicated
Advanced laparoscopic excision of endometriosis — not ablation — is the gold standard surgical approach. Indications include failed medical therapy, endometriomas >4 cm, deep infiltrating disease, and bowel/ureteric involvement.
Fertility Preservation at the Core
Every surgical decision in endometriosis must account for ovarian reserve impact. We avoid unnecessary ovarian surgery and integrate IVF planning where appropriate.
Long-Term Disease Control
Post-surgical suppression therapy is recommended to delay recurrence. Disease mapping and longitudinal follow-up are essential components of care.
Endometriosis & Fertility
Endometriosis is one of the leading causes of infertility in women. It can impair fertility through multiple mechanisms: destruction of ovarian tissue, tubal adhesions, distortion of pelvic anatomy, and creation of a hostile peritoneal environment that impairs fertilisation.
The key decision in fertility-associated endometriosis is whether to pursue surgery first or proceed directly to IVF — and this requires careful individualization based on age, AMH, symptom burden, and previous surgical history. There is no universal answer.
Dr. Priyadatt Patel offers an integrated perspective across both surgical and reproductive medicine, enabling this decision to be made with full clinical context rather than by a single-specialty lens.
Your Specialist
Dr. Priyadatt D. Patel
Senior Gynecologist · Endometriosis Specialist · Advanced Laparoscopic Surgeon · IVF Specialist
Balaji Horizon Women’s Hospital, Ahmedabad
Frequently Asked Questions
Can endometriosis be cured?
Endometriosis has no definitive cure. However, it is a manageable disease with appropriate long-term treatment. Surgical excision, followed by suppression therapy, significantly improves quality of life and can be repeated as needed. Menopause typically resolves symptoms in most cases.
Does endometriosis always cause infertility?
No. Many women with endometriosis conceive naturally, particularly those with early-stage disease. However, endometriosis is a significant contributing factor in infertility and warrants early evaluation of fertility when planning a pregnancy.
Is surgery always necessary?
No. Many patients are managed effectively with hormonal therapy, particularly those not trying to conceive. Surgery is indicated when medical management fails, when endometriomas are large, when deep infiltrating disease involves the bowel or urinary tract, or when fertility-related anatomy is compromised.
What is deep infiltrating endometriosis (DIE)?
DIE is the most severe form of endometriosis, in which lesions penetrate 5 mm or more below the peritoneal surface, commonly involving the rectovaginal septum, bowel, bladder, and ureters. It requires specialist surgical expertise and careful preoperative planning including MRI and multidisciplinary assessment.
How soon should I seek evaluation?
If you have progressive period pain, pelvic pain, pain with intercourse, bowel or bladder symptoms, or have been trying to conceive without success for 6–12 months, an endometriosis evaluation is appropriate. Earlier diagnosis consistently leads to better long-term outcomes.
Suspect Endometriosis? Don’t Wait.
Every year of delayed diagnosis is a year of unnecessary pain and potential fertility loss. Speak with Dr. Priyadatt Patel for a thorough, compassionate evaluation and an honest, individualized plan.
Book Endometriosis Consultation →
Balaji Horizon Women’s Hospital · Science City Road, Ahmedabad 380060 · +91 9723431544