Endometriosis

Endometriosis Treatment in Hyderabad

Advanced Laparoscopic Care for Lasting Relief and Fertility Preservation
At Sree Nandaka Advanced Surgery Hospital, Kompally, Hyderabad, our specialists offer accurate diagnosis and advanced laparoscopic Endometriosis treatment, helping women manage pain effectively and protect their fertility.

What is Endometriosis?

Endometriosis is a condition in which tissue similar to the lining of the uterus (endometrium) grows outside the uterus — commonly on the ovaries, fallopian tubes, or pelvic lining. This misplaced tissue continues to thicken, break down, and bleed with each menstrual cycle, but has no way to exit the body. Over time, this leads to inflammation, scar tissue (adhesions), and chronic pain.

Endometriosis affects women of reproductive age and, if untreated, can also affect fertility.

Common Symptoms of Endometriosis

  • Painful periods (dysmenorrhea) that worsen over time
  • Chronic pelvic pain, not limited to menstruation
  • Pain during or after intercourse
  • Pain with bowel movements or urination, especially during periods
  • Heavy menstrual bleeding or bleeding between periods
  • Difficulty conceiving (infertility)
  • Fatigue, bloating, and nausea, particularly around menstruation

If you experience persistent pelvic pain or difficulty conceiving, an early evaluation can help prevent the condition from progressing.

Causes and Risk Factors

The exact cause of Endometriosis is not fully understood, but several factors are known to increase risk:

  • Family history of Endometriosis
  • Early onset of menstruation or late menopause
  • Short menstrual cycles or heavy periods lasting more than seven days
  • Never having given birth
  • Conditions that block normal menstrual flow

Diagnosis at Sree Nandaka Hospital

Our specialists follow a structured diagnostic approach to confirm Endometriosis and assess its severity:

  1. Detailed Clinical History & Pelvic Examination — to identify symptom patterns and tender areas
  2. Ultrasound (TVS/TAS) — to detect ovarian cysts (endometriomas) or deep infiltrating lesions
  3. MRI Pelvis (when required) — for detailed mapping of deep Endometriosis before surgery
  4. Diagnostic Laparoscopy — the gold-standard method, allowing direct visualization and, when needed, simultaneous treatment of Endometriosis lesions

Laparoscopic Treatment for Endometriosis

Sree Nandaka Hospital specializes in minimally invasive laparoscopic surgery for Endometriosis, offering several advantages over open surgery:

  • Small incisions with faster recovery
  • Precise removal of endometriotic tissue and adhesions while preserving healthy ovarian tissue
  • Reduced pain, minimal scarring, and shorter hospital stay
  • Fertility-preserving surgical techniques for women planning pregnancy

Treatment options offered include:

  • Laparoscopic Excision of Endometriosis — removal of endometriotic implants and adhesions
  • Laparoscopic Cystectomy — for ovarian endometriomas (chocolate cysts)
  • Adhesiolysis — to restore normal pelvic anatomy and improve fertility outcomes
  • Combined Medical & Surgical Management — hormonal therapy alongside surgery for long-term symptom control, tailored to each patient's fertility goals

Why Choose Sree Nandaka Hospital for Endometriosis Treatment?

At Sree Nandaka Hospital, our approach combines experienced laparoscopic care, advanced technology, and fertility-conscious treatment planning:

  • Experienced laparoscopic surgical team with a strong track record in gynaecological procedures
  • Fertility-focused approach — treatment plans designed with a patient's future pregnancy goals in mind
  • Advanced laparoscopic and laser technology for precise, minimally invasive care
  • Comprehensive care — from diagnosis to surgery to post-operative fertility guidance, all under one roof
  • Compassionate, patient-first approach with clear communication at every step

Explore Hospital Details

Dr. Praveen Koduru - Advanced Laparoscopic Surgeon Hyderabad
Medically Reviewed By

Dr. Praveen Koduru

MBBS, MS General Surgery, FIAGES, FIACP

Advanced Laparoscopic & Laser Surgeon

Specialist in minimally invasive surgical care

Sree Nandaka Advanced Surgery Hospital, Hyderabad

Last Updated: May 2026

Diagnosis

✓ Detailed clinical history
✓ Pelvic examination
✓ Ultrasound (TVS/TAS)
✓ MRI pelvis when required
✓ Diagnostic laparoscopy when indicated
✓ Assessment of disease severity

The diagnostic approach is tailored to symptoms, fertility goals, imaging findings, and the suspected extent of Endometriosis.

Advanced Laparoscopic Treatment for Endometriosis

Minimally invasive surgery can be used to remove endometriotic implants, treat adhesions, and manage ovarian endometriomas when surgery is appropriate.

Treatment planning is individualized according to symptoms, disease extent, previous treatment, and pregnancy plans.

Small incisions
Minimally invasive approach
Precise lesion removal
Adhesiolysis when needed
Ovarian tissue preservation focus
Fertility-conscious planning

Recovery After Laparoscopic Treatment

Pre-operative assessment
Laparoscopic procedure
Early mobilization
Home recovery
Follow-up care

Recovery varies according to the extent of Endometriosis and the type of procedure performed. Follow the surgical team's advice for activity, medicines, wound care, and follow-up.

Possible Complications if Left Untreated

Persistent pelvic pain
Adhesions and scar tissue
Ovarian endometriomas
Pain during intercourse
Bowel or urinary symptoms
Difficulty conceiving

Supportive & Prevention Tips

Track period and pain patterns
Seek evaluation for persistent severe pain
Discuss fertility plans early
Follow prescribed medical treatment
Attend recommended follow-ups
Maintain regular physical activity as tolerated

Frequently Asked Questions About Endometriosis

Can Endometriosis be cured completely?
Endometriosis is a chronic condition, but symptoms can be effectively managed and significantly reduced with the right combination of surgical and medical treatment. Many women experience long-term relief after laparoscopic surgery.
Does Endometriosis affect fertility?
Endometriosis can affect fertility in some women by causing scarring or blocking the fallopian tubes. However, many women with Endometriosis conceive naturally or with fertility-preserving surgical treatment, especially when diagnosed early.
Is laparoscopic surgery safe for Endometriosis?
Laparoscopic surgery is a minimally invasive surgical approach commonly used for Endometriosis. Suitability, risks, and expected benefits depend on the extent and location of disease and the patient's overall health.
When should I see a doctor about my period pain?
If your period pain is severe enough to interfere with daily activities, does not improve with regular pain relief, or is accompanied by heavy bleeding or difficulty conceiving, it is advisable to consult a specialist promptly.
How long is the recovery after laparoscopic Endometriosis surgery?
Recovery varies depending on the extent of the surgery. Your surgeon will advise when you can return to work, exercise, and other normal activities based on the procedure performed and your recovery.
What tests are used to diagnose Endometriosis?
Evaluation may include a detailed clinical history and examination, ultrasound such as TVS/TAS, MRI pelvis when required, and diagnostic laparoscopy when clinically indicated.
What is an endometrioma or chocolate cyst?
An endometrioma is an ovarian cyst associated with Endometriosis. It contains old blood and is sometimes referred to as a chocolate cyst. Treatment depends on symptoms, size, fertility plans, and other clinical findings.
Can Endometriosis come back after surgery?
Endometriosis can recur after treatment. Follow-up care and medical management may be recommended depending on symptoms, disease extent, and fertility goals.
Can Endometriosis cause bowel or urinary pain?
Yes. Some women experience pain with bowel movements or urination, particularly during menstruation. These symptoms should be discussed with a specialist because they can help guide further evaluation.
Does every woman with Endometriosis need surgery?
No. Treatment is individualized. Medical management, symptom control, fertility treatment, surgery, or a combination may be considered depending on symptoms, disease severity, previous treatment, and pregnancy plans.

Endometriosis, Pain & Fertility: Why Early Evaluation Matters

Persistent pelvic pain is not something women should simply learn to live with. Endometriosis can affect daily comfort and, in some women, fertility. A structured evaluation helps identify the likely cause of symptoms and guides treatment around the patient's priorities.

Understanding Fertility-Preserving Treatment

When surgery is recommended, the goal is to treat visible disease and adhesions while taking the patient's ovarian reserve and future pregnancy plans into account. The appropriate procedure depends on the location and extent of Endometriosis.

  • Evaluate symptoms and disease extent before choosing treatment.
  • Discuss fertility goals before surgery whenever pregnancy is planned.
  • Use minimally invasive techniques when clinically appropriate.

Ready to Discuss Your Symptoms?

At Sree Nandaka Advanced Surgery Hospital, Kompally, our specialists can evaluate persistent pelvic pain, suspected Endometriosis, and fertility concerns and explain the available treatment options.

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Address:
Plot no 770, Jayabheri Park,
Behind BigBazar, Kompally,
Hyderabad, Telangana 500014, India.