Endometriosis is a chronic gynecological condition that cannot be cured but is manageable. It occurs when endometrial tissue, similar to the lining of the uterus, grows in abnormal locations outside of the uterus. This misplaced tissue can cause various symptoms as it responds to hormonal changes throughout the menstrual cycle.
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. While it can develop in any part of the body, it most commonly affects the pelvic region. Endometriosis is estimated to affect between 6% and 10% of women worldwide.
Stage 1 (Minimal): Small implants, lesions, or wounds are present in the tissues or organs lining the abdomen or pelvis. Minimal or no scar tissue is present.
Stage 2 (Mild): More implants are present compared to Stage 1, and they are located deeper within the tissues. Scarring begins to form.
Stage 3 (Moderate): Deep implants are present. One or both ovaries may have ovarian cysts. Thick scar tissues, known as adhesions, are present.
Stage 4 (Severe): Widespread deep implants and thicker adhesions are present. Large cysts may form on one or both ovaries.
Painful Periods (Dysmenorrhea): Cramping and pelvic pain may begin early in the menstrual cycle and persist afterward. You might also experience abdominal and lower back discomfort.
Painful Intercourse: Pain can occur during or after sexual intercourse.
Painful Urination or Bowel Movements: These symptoms may arise during the menstrual cycle.
Excessive Bleeding: You may experience bleeding between periods or have heavy menstrual flow.
Infertility: PCOS can sometimes be a factor in women seeking infertility treatment.
Additional Symptoms: Other possible symptoms include fatigue, constipation, diarrhea, nausea, or bloating, particularly during menstrual periods.
Pain relief: Specialists may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin IB, Advil, etc.), or other over-the-counter (OTC) or prescription medications to manage painful menstrual symptoms.
Hormonal treatments: Endometriosis can also be addressed with hormone therapies, which may include Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists, hormonal birth control, Danazol, or Medroxyprogesterone (Depo-Provera). Additionally, an intrauterine device (IUD) might be suggested as part of the treatment.
Surgery: In some cases, surgery is performed to remove endometrial growths. However, if necessary, a hysterectomy with the removal of both ovaries may be recommended.
Fertility treatments: For those trying to conceive, in-vitro fertilization (IVF) may be recommended to increase the chances of pregnancy.
Deep infiltrating endometriosis (DIE) is a severe form of the condition where endometrial implants grow more than 5 mm beneath the surface of pelvic structures, including the bladder, bowel, ureters, and uterosacral ligaments. It is one of the most complex gynaecological conditions to manage and requires a specialist with advanced laparoscopic skills.
Our surgeons at Sumiran Women's Hospital are trained in 3D laparoscopy, enabling precise identification and excision of deep implants while protecting surrounding organs. We develop a personalised surgical plan for each patient to minimise recurrence and maximise long-term relief.
Yes — many women with endometriosis go on to have successful pregnancies. The key is timely, specialist-led management.
Endometriosis can affect fertility in several ways: by damaging eggs or disrupting ovulation, causing blocked or scarred fallopian tubes, or creating an inhospitable uterine environment through inflammation. However, with the right treatment, a significant number of patients achieve natural conception, while others benefit from IUI or IVF.
At Sumiran Women's Hospital, our endometriosis and fertility team works together from day one. We assess your ovarian reserve, map the extent of the condition, and recommend the most appropriate fertility pathway — whether that is surgical treatment first, IVF directly, or a combination of both.
| Our Advantage | Details |
|---|---|
| NABH-Accredited | Certified quality & patient safety standards. |
| 3D Laparoscopy | Precision surgery with minimal recovery time. |
| Expert Gynaecologists | Experienced specialists in complex endometriosis. |
| Integrated Fertility Team | Endometriosis + IVF care under one roof. |
| Free First Consultation | Speak to a specialist before committing to treatment. |
| Central Ahmedabad Location | Navrangpura — easily accessible from all city areas. |
We believe every woman deserves to be heard and taken seriously. Our goal is not just to treat endometriosis — it is to restore your quality of life, protect your fertility, and support you at every step of your journey.
These are two distinct conditions that are frequently confused because both can cause pelvic pain and fertility problems. Here is a clear comparison:
| Endometriosis | PCOS | |
|---|---|---|
| What it is | Tissue growing outside the uterus | Hormonal & ovarian disorder |
| Primary Symptom | Pelvic pain, painful periods | Irregular or absent periods |
| Ovaries Affected? | Sometimes (chocolate cysts) | Yes (multiple small follicles) |
| Fertility Impact | Tubal damage, adhesions | Irregular ovulation |
| Diagnosis | Laparoscopy (gold standard) | Blood tests + ultrasound |
| Can You Have Both? | Yes — co-occurrence is possible | Yes |
If you're experiencing symptoms such as irregular periods or hormonal imbalance, consulting a PCOS Doctor in Ahmedabad can help you get the right diagnosis and personalized treatment plan.
If you are unsure which condition you have, our specialists can guide you through a thorough assessment.