Endometriosis Treatment in Mumbai

Endometriosis is a painful disorder in women especially associated with menstruation. It is a medical condition wherein the tissue that lines the inside of the uterus (the endometrial lining) grows outside and causes pelvic pain. overly-grown tissues are typically found on the ovaries, fallopian tubes, or the tissue lining the female pelvis.

Occasionally, they may be present above the area where pelvic organs are located. Hence, the common areas of endometriosis consist of the ovaries, fallopian tubes, ligaments that support the uterus, the space between the uterus and rectum, the space between the uterus and bladder, the outer surface of the uterus, and the lining of the pelvic cavity.

In such a case, the endometrial-like tissue functions the same as endometrial tissue within the uterus would do. This means with every menstrual cycle, it thickens, breaks down, and bleeds. Since this tissue has no way to exit the body, it becomes trapped within the body. It may develop into endometriomas that involve the ovaries and cysts. The endometrial growth can irritate the adjacent tissues and eventually lead to the formation of scar tissue and adhesion bands of fibrous tissue that may cause pelvic tissues and organs to attach. It can also lead to problems with female fertility.

The best Endometriosis treatment in Mumbai, Juhu is available at Nanavati Superspeciality Hospital which is provided by Dr. Chaitali Mahajan Trivedi.

What are the symptoms of endometriosis?

  • Painful periods
    The main symptom of endometriosis is pelvic pain, generally interconnected with menstrual periods. Though many women experience cramping during their menstrual periods, women with endometriosis typically describe menstrual pain that is far worse than usual. The pelvic pain and cramping may begin before and extend several days into a menstrual period. Pain also may increase with time. Lower back and abdominal pain are also common in most women.
  • Pain with intercourse
    Pain during or after sex is commonly seen with endometriosis.
  • Painful bowel movement or urination
    Women are most likely to experience these symptoms during a menstrual period.
  • Excessive bleeding
    Women may experience infrequent heavy menstrual periods or bleeding between periods.
  • Infertility
    At times, endometriosis is first diagnosed in those looking for infertility treatment.
  • Some other signs and symptoms
    The patient may encounter fatigue, diarrhea, constipation, bloating, or nausea, especially during menstrual periods.

Anyone experiencing these symptoms can consult Dr. Chaitali Mahajan Trivedi, the best endometriosis treatment doctor in Mumbai at Nanavati Superspeciality Hospital.

What causes endometriosis?

  1. Retrograde menstruation
    In this, rather than flowing out of the body, menstrual blood carrying endometrial cells flows back through the fallopian tubes into the pelvic cavity. As the endometrial cells reach there, it attaches to the pelvic walls and surfaces of pelvic organs where they grow and proceed to stiffen to form tissues that bleed throughout each menstrual cycle.
  2. Transformation of peritoneal cells
    Peritoneal cells line the innermost side of the abdomen. These can change into endometrial-like cells by contributing factors like certain hormones and immune systems.
  3. Embryonic cell transformation
    Embryonic cells are found in the earliest stages of development. When there is more estrogen hormone released at the time of puberty, these cells may turn into endometrial-like cell implants.
  4. Surgical scar implantation
    After a hysterectomy or C-section surgery, endometrial cells may attach to a surgical incision, thereby causing endometriosis.
  5. Endometrial cell transport
    The blood vessels or tissue fluid (lymphatic) system may transfer endometrial cells to other parts of the body.
  6. Immune system disorder
    A complication with the immune system may make the body incapable of recognizing and destroying endometrial-like tissue that is growing outside the uterus.

How is endometriosis diagnosed?

Dr. Chaitali, the best endometriosis doctor in Mumbai, Juhu at Nanavati Superspeciality Hospital performs the best diagnosis and treatment for this concern.To diagnose this condition, the patient is generally asked to describe her symptoms including the location of the pain and when it occurs. The final diagnoses is based on:

  • Pelvic exam
    This is done by manually palpating the areas in the pelvis to check for any deformities such as cysts forming on the reproductive organs or scars behind the uterus. Usually, it is not possible to feel small areas of endometriosis except if they have caused a cyst to form.
  • Ultrasound
    This test makes use of high-frequency sound waves to generate internal images of the body. For diagnosing endometriosis, a transducer is either pressed against the abdomen or inserted into the vagina to capture the images. To get the best view of the reproductive organs, both types of ultrasound may be done. A standard ultrasound imaging test won't definitively tell a doctor whether a patient has endometriosis, but it can identify cysts associated with endometriosis.
  • Magnetic resonance imaging (MRI)
    In this diagnostic test, a magnetic field and radio waves are used to create detailed images of the organs and tissues within the body. For some of the patients, an MRI assists with surgical planning, giving a surgeon detailed information about the location and size of endometrial implants.
  • Laparoscopy
    This is a procedure that allows the surgeon to have a detailed inside view of the abdomen. While a patient is under general anesthesia, the surgeon makes a minute incision near the navel and introduces a laparoscope, looking for signs of endometrial tissue outside the uterus. A laparoscopy can bring forth information about the location, extent, and size of the endometrial implants. A surgeon may take a tissue sample (biopsy) for further testing.

The Best Treatment for Endometriosis in Mumbai

Treatment for endometriosis generally includes medication or surgery. The approach a patient and a doctor mutually choose depends on how severe the signs and symptoms are and whether a woman hopes to become pregnant. Doctors typically suggest trying conservative treatment approaches first, then opting for surgery if initial treatment fails. Following are some of the best treatment options offered at Nanavati Superspeciality Hospital:

  1. Pain medication
    A doctor may recommend taking an over-the-counter pain reliever such as non-steroidal anti-inflammatory drugs to help ease painful menstrual cramps.
  2. Hormone Therapy
    The hormonal imbalance during the menstrual cycle causes endometrial implants to thicken, break down, and bleed. Providing supplementary hormones can slow endometrial tissue growth, stop the formation of new implants, and help reduce or eliminate the associated pain. It is not a permanent treatment for endometriosis.
  3. Hormonal Contraceptives
    Birth control pills, patches, and vaginal rings assist in controlling the hormones responsible for the build-up of endometrial tissue every month. The use of a hormonal contraceptive can cause lighter and shorter menstrual flow. In some endometriosis patients, continuous-cycle regimens with hormonal contraceptives may reduce or eliminate pain.
  4. Gonadotropin-releasing Hormone Agonists & Antagonists
    These drugs block the production of ovarian-stimulating hormones by lowering estrogen levels and preventing menstruation. This causes a reduction in the growth of endometrial tissues. Taking a low dose of estrogen or progestin along with gonadotropin-releasing hormone agonists and antagonists may decrease menopausal side effects such as hot flashes, vaginal dryness, and bone loss because these drugs create artificial menopause. When a patient stops taking the medication, menstrual periods and the capability to get pregnant may return.
  5. Progestin Therapy
    A variety of progestin therapies, including an intrauterine device with levonorgestrel, contraceptive implant, contraceptive injection, or progestin pill can halt menstrual periods and the growth of endometrial implants, hence relieving the endometriosis signs and symptoms.
  6. Aromatase Inhibitors
    This helps reduce the amount of estrogen in the body. A doctor may recommend an aromatase inhibitor along with a progestin or combination hormonal contraceptive to treat endometriosis.
  7. Conservative Surgery
    For those endometriosis patients wishing to get pregnant, surgery may increase their likelihood of bearing a child by removing the endometriosis implants while conserving the uterus and ovaries. If women have severe pain from endometriosis, they may also benefit from surgery, however, endometriosis and pain may return. A doctor may perform this procedure laparoscopically or through traditional abdominal surgery in more severe cases. Most of the patients can be treated with laparoscopic surgery, even in severe cases of endometriosis.
  8. Fertility Treatment
    Endometriosis can contribute to difficulty in conceiving a child. In such a case, a doctor may recommend fertility treatment supervised by a fertility specialist. Fertility treatment varies from stimulating the ovaries to make more eggs to in-vitro fertilization.
  9. Hysterectomy with Removal of the Ovaries
    Surgery to remove the uterus (hysterectomy) and ovaries (oophorectomy) was considered one of the most effective treatments for endometriosis. However, endometrial specialists do not prefer this operation. Detachment of ovaries can lead to menopause. This can result in insufficiency of hormones produced by the ovaries which in turn may better endometriosis pain for some of the patients. But for others, after surgery, the remaining endometrial-like cells continue to cause symptoms. Early menopause also brings a risk of heart and blood vessel (cardiovascular) diseases, definite metabolic conditions, and early death. To treat signs and symptoms associated with endometriosis, like heavy menstrual bleeding and painful menses due to uterine cramping, removal of the uterus (hysterectomy) can sometimes be used, especially in those who do not want to become pregnant. Even if the ovaries remain intact, a hysterectomy may still have a long-term impact on health.

Risk Factors

  • Not being able to become pregnant.
  • Starting menstrual period at an early age.
  • Experiencing menopause at an older age.
  • Short menstrual cycles.
  • Heavy menstrual periods that last longer than seven days.
  • Higher levels of estrogen in the body and major lifetime exposure to it.
  • Low body mass index.
  • Any medical condition that stops the blood flow from the body during menstrual periods.
  • Reproductive tract disorders.

To know about Endometriosis treatment cost in Mumbai, Juhu, schedule an appointment with Dr. Chaitali Mahajan Trivedi, Gynaecologist in Mumbai, Juhu at Nanavati Superspeciality Hospital.

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