AMV Hospitals

Endometriosis Treatment in Hyderabad

Years of Experience
0 +
Successful Surgeries
0 +
Happy Families
0 +

What is Endometriosis?

Endometriosis, commonly called “endo,” is a common health condition in women. The term comes from endometrium, which is the tissue that normally lines the womb. Endometriosis occurs when tissue similar to the lining of the womb grows outside the uterus, in areas where it does not belong.

Most commonly, endometriosis is found on the ovaries, fallopian tubes, tissues that support the uterus, and the outer surface of the uterus. It may also affect areas such as the vagina, cervix, vulva, bowel, bladder, or rectum. In rare cases, endometriosis can occur in distant organs like the lungs, brain, or skin.

Symptoms of endometriosis

Endometriosis can present with a wide range of symptoms that may worsen over time if left untreated. Below are the six most common symptoms of endometriosis, explained clearly for patient understanding:

In Vitro Fertilization in Hyderabad

Painful periods (Dysmenorrhoea)

Severe menstrual pain that interferes with daily activities is a hallmark symptom of endometriosis. The pain often increases over time and may not respond well to regular pain medication.

Pain during or after sexual intercourse (Dyspareunia)

Deep pelvic pain during or following intercourse is commonly reported and may be due to endometriotic lesions behind the uterus or in the pelvic region.

Difficulty in conceiving (Infertility)

Endometriosis is a significant cause of female infertility. The condition can disrupt normal ovulation, fertilisation, and implantation.

Chronic pelvic pain

Persistent pain in the lower abdomen or pelvic area, even outside the menstrual cycle, is a frequent symptom and can affect quality of life.

Adhesions affecting ovaries and fallopian tubes

Endometriosis can cause adhesions where the ovaries and fallopian tubes become stuck together. This can interfere with the egg being picked up by the fallopian tube, reducing fertility.

Progressive worsening of symptoms

Endometriosis is a progressive condition. Without treatment, endometriotic lesions may grow in size, leading to increased pain, more severe symptoms, and greater reproductive complications over time.

Causes of endometriosis

  • Retrograde flow of menstrual blood
  • Hormonal imbalance (high oestrogen levels)
  • Family history or genetic factors
  • Weak or altered immune response
  • Abnormal cell changes in the pelvic lining
  • Previous pelvic or uterine surgery
  • Chronic pelvic inflammation
  • Early start of menstruation
  • Heavy or prolonged periods
  • Spread of cells through blood or lymphatic system

Why endometriosis occurs?

The exact reason why endometriosis occurs is not fully understood. It is believed to develop due to a combination of factors, including retrograde menstruation, where menstrual blood flows backwards into the pelvic cavity, allowing endometrial-like tissue to grow outside the uterus. An altered immune or autoimmune response may also play a role by failing to eliminate this misplaced tissue. In addition, a familial or genetic tendency increases the risk, as endometriosis is more common in women with a family history of the condition.

Diagnosis of endometriosis

Accurate diagnosis of endometriosis is essential for effective treatment and long-term symptom relief. At AMVI Hospital, advanced imaging and minimally invasive techniques are used to identify the condition and assess its severity.

In Vitro Fertilization in Hyderabad

Sonography (Ultrasound)

Pelvic ultrasound helps detect certain forms of endometriosis, especially ovarian endometriomas (chocolate cysts). It may also show reduced mobility of the uterus and ovaries, suggesting adhesions. An experienced doctor can identify the disease early and assess its extent.

Laparoscopy

Laparoscopy is the gold standard for diagnosing endometriosis. A small camera is inserted through a tiny incision near the navel to directly view pelvic organs. It allows confirmation by biopsy and staging of the disease as minimal, mild, moderate, or severe, while also enabling treatment during the same procedure.

Other imaging tests

Investigations such as MRI or CT scans are used in selected cases to evaluate deep or complex endometriosis, especially when organs like the bowel or bladder may be involved.

Treatment of endometriosis at AMVI hospital

The treatment of endometriosis is individualized and depends on several factors, including the severity of symptoms, extent of disease, ovarian reserve (egg count), and the woman’s desire to conceive. At AMVI Hospital, treatment is planned with a strong focus on pain relief, fertility preservation, and long-term disease control.

Endometriosis can temporarily be suppressed during pregnancy and breastfeeding, as these phases stop regular menstrual cycles. However, women wishing to conceive are advised to plan pregnancy early, as endometriosis is a progressive condition.

Endometriosis usually has minimal impact on pregnancy and child development. Surgical removal of endometriotic lesions is recommended only if natural conception is difficult or when pain and disease severity interfere with fertility.

Laparoscopic surgery is the preferred and most effective surgical approach for endometriosis. It allows clear visualisation of the uterus, ovaries, fallopian tubes, and surrounding structures. Advanced endometriosis surgery requires a high level of surgical expertise to safely remove lesions, chocolate cysts, and adhesions while preserving ovarian function.

There is a risk of recurrence after surgery; therefore, women are advised to plan pregnancy as soon as possible for optimal fertility outcomes.

Any pelvic surgery carries a risk of reducing ovarian reserve due to removal of normal ovarian tissue or the use of cautery. Hence, evaluation of egg count (AMH) is essential before surgery. If ovarian reserve is low, IVF may be a better treatment option. In most cases, removal of endometriosis before IVF is not mandatory, as it does not significantly affect IVF success rates.

For women who are not planning pregnancy or have completed their family, treatment depends on symptom severity and disease extent and may include medical therapy, surgery, or a combination of both.

Medical Treatment

  • Pain Relievers: Mild endometriosis-related pain can be managed with simple analgesics such as ibuprofen, mefenamic acid, or other anti-inflammatory medications.

  • GnRH Analogues: These medications suppress ovarian osteogeny production, creating a temporary menopausal state that reduces endometriotic activity. Side effects may include hot flushes, vaginal dryness, and bone thinning, which are reversible after stopping treatment. Calcium and add-back therapy may be advised to protect bone health.

Dienogest: A synthetic progesterone with a better safety profile, shown to be equally effective to GnRH analogues in controlling pain and disease progression.

Surgical treatment is similar to that for women planning pregnancy. In severe or recurrent cases, hysterectomy with or without removal of ovaries may be recommended after careful counselling.

Adenomyosis is a condition closely related to endometriosis, where endometrial tissue grows within the muscular wall of the uterus. As menstrual blood cannot escape from this muscle layer, it causes uterine thickening, painful periods, and heavy menstrual bleeding.

Adenomyosis can significantly affect embryo implantation, leading to infertility and recurrent miscarriages. It may be diffuse, involving the entire uterus, or localised, forming an adenoma.

Treatment options include medical therapy similar to endometriosis. In selected cases, adenomas can be surgically removed, although uterus-preserving surgeries often have limited success. In severe cases, hysterectomy may be required.

At AMVI Hospital, specialised IVF protocols for adenomyosis have been developed to improve implantation rates and achieve better reproductive outcomes.

About doctor

Dr. Shaivalini Kamarapu

Gynecologist, Fertility Specialist, Robotics & Laparoscopy Surgeon

About Dr Shaivalini Kamarapu (IVF Specialist)
  • Dr. Shaivalini Kamarapu is a highly experienced endometriosis and infertility specialist at AMVI Hospital, Hyderabad, with over 20 years of expertise in women’s reproductive health and advanced gynaecological care.
  • She specialises in the diagnosis and treatment of endometriosis, providing personalised, evidence-based care for women with chronic pelvic pain, painful menstruation, painful intercourse, and endometriosis-related infertility.
  • Her clinical expertise includes early detection of endometriosis, detailed pelvic ultrasound assessment, accurate staging of the disease, and comprehensive fertility evaluation to determine the impact on reproductive potential.
  • Dr. Kamarapu is highly skilled in laparoscopic surgery for endometriosis, including excision of endometriotic lesions, removal of ovarian chocolate cysts, and release of pelvic adhesions to restore normal pelvic anatomy.
  • She has extensive experience managing complex and recurrent endometriosis cases, including deep infiltrating endometriosis, infertility associated with endometriosis, and patients with previous surgical or IVF failures.
  • Known for her ethical, patient-centred approach, she offers transparent counselling, realistic expectations, and customised treatment plans that may include medical therapy, laparoscopic surgery, or assisted reproductive techniques such as IVF.
  • In addition to her role at AMVI Hospital, Dr. Shaivalini Kamarapu is also a Consultant at Rainbow Hospitals, Apollo Hospitals, and Ankura Hospitals, making her a trusted specialist for endometriosis treatment in Hyderabad.

How to prevent endometriosis

While endometriosis cannot always be completely prevented, certain lifestyle measures may help reduce the risk and manage symptoms:

  • Consult your doctor regularly for early evaluation and timely management of menstrual pain or pelvic discomfort.
  • Engage in regular exercise, which helps balance hormones and reduce inflammation.
  • Limit alcohol intake, as excessive alcohol can increase oestrogen levels in the body.
  • Reduce consumption of caffeinated drinks, as high caffeine intake may aggravate hormonal imbalance.

Early awareness and healthy lifestyle choices, along with expert guidance at AMVI Hospital, can help in better long-term management of endometriosis.

Why choose Amvi hospital For endometriosis treatment

Experienced & Trusted Medical Specialists

In Vitro Fertilization in Hyderabad

Advanced Multispecialty Healthcare Services

In Vitro Fertilization in Hyderabad

State-of-the-Art
Medical Technology

In Vitro Fertilization in Hyderabad

Comprehensive Care
Under One Roof

In Vitro Fertilization in Hyderabad

Personalised Treatment Plans for Every Patient

In Vitro Fertilization in Hyderabad

Patient-First Treatment Approach

In Vitro Fertilization in Hyderabad

Comfortable Hospital Infrastructure & Facilities

In Vitro Fertilization in Hyderabad

Dedicated Support Staff & Patient Care Team

Trusted Hospital for Quality Healthcare Services

Our endometriosis care centers in Hyderabad

Puppalaguda

Attapur

Testimonials

AMVI Hospital is truly one of the best hospitals in Hyderabad. The doctors and staff at AMVI Fertility and Maternity Center in Attapur were very supportive throughout my treatment. Everything was explained clearly, and I felt confident and comfortable at every step.

Thomas

We visited AMVI Fertility and Maternity Center, Puppalaguda for fertility consultation, and the experience was excellent. The doctors are knowledgeable and caring, and the hospital maintains high medical standards. Highly recommended AMVI Hospital in Hyderabad.

Suresh Kumar

AMVI Hospital provided us with outstanding care for Endometriosis Treatment. The fertility team was professional and patient-focused. In my opinion, it is one of the best fertility hospitals in Hyderabad, especially for personalized treatment and ethical guidance.

Pooja Sharma

Our journey with AMVI Fertility and Maternity Center in Attapur was smooth and reassuring. The doctors gave us realistic expectations and proper counselling. AMVI Hospital is definitely among the best hospitals in Hyderabad for fertility and maternity care.

Rahul Mehta

We chose AMVI Fertility and Maternity Center, Puppalaguda after a lot of research, and it was the right decision. The hospital is well-equipped, and the staff is very caring. I would strongly recommend AMVI Hospital to anyone looking for fertility treatment in Hyderabad.

Neha Patel

Our blogs related to endometriosis

FAQs related to endometriosis

Endometriosis is a chronic gynaecological condition where tissue similar to the uterine lining grows outside the uterus. It affects nearly 1 in 10 women of reproductive age. Early diagnosis and treatment at AMVI Hospital, Hyderabad can help prevent long-term complications.

Early symptoms include painful periods, pelvic pain before or after menstruation, pain during intercourse, heavy menstrual bleeding, and unexplained infertility. Women with such symptoms should consult specialists at AMVI Fertility and Maternity Center in Attapur or Puppalaguda.

Diagnosis involves clinical evaluation, pelvic ultrasound, and confirmation through laparoscopy. AMVI Hospital uses advanced imaging and minimally invasive techniques to accurately assess disease severity and stage.

Yes, endometriosis can impact fertility by affecting ovulation, tubal function, and embryo implantation. However, many women conceive successfully with proper treatment and guidance at AMVI Fertility and Maternity Center, one of the best hospitals in Hyderabad for fertility care.

Laparoscopic surgery is advised when symptoms are severe, fertility is affected, or medical treatment is ineffective. At AMVI Hospital, Hyderabad, surgery is planned carefully to relieve symptoms while preserving ovarian reserve.

Hormonal therapies such as Dialogist and GnRH analogues are effective in controlling symptoms. When monitored by specialists at AMVI Hospital, these treatments are safe, and most side effects are reversible.

Yes, endometriosis can recur, particularly if treatment is delayed or hormonal suppression is stopped. Regular follow-up and personalised care at AMVI Hospital help reduce recurrence and manage symptoms effectively.

AMVI Hospital tailors treatment based on disease stage, pain severity, ovarian reserve, age, and pregnancy plans. This personalized approach ensures optimal pain control and fertility outcomes.

IVF is recommended when natural conception is difficult or ovarian reserve is low. AMVI Fertility and Maternity Center in Attapur and Puppalaguda offers specialized IVF protocols for women with endometriosis and adenomyosis.

AMVI Hospital is considered one of the best hospitals in Hyderabad for endometriosis care due to its experienced specialists, advanced laparoscopy, fertility-focused treatment strategies, and comprehensive services at Attapur and Puppalaguda.

You can schedule an endometriosis consultation at AMVI Hospital at the Attapur or Puppalaguda location by contacting the hospital directly and sharing any previous fertility records.

Looking for Expert Medical Care? Book an Appointment Today!