Endometriosis Treatment in Hyderabad
Written & medically reviewed by Dr. Shaivalini Kamarapu
MBBS · MS (Obstetrics & Gynaecology) · Fellowship in Reproductive Medicine · 20+ years of clinical experience
20+
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Branches in Hyderabad
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Care at both branches
What is endometriosis?
Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus — most often on the ovaries, fallopian tubes, or the tissue lining the pelvis. Like the uterine lining, this tissue thickens and breaks down with each menstrual cycle, but unlike a normal period, it has no way to leave the body, leading to inflammation, scarring, and pain.
It affects women through their reproductive years and can range from mild discomfort to severe, cycle-disrupting pain. Endometriosis is also one of the leading causes of infertility, though many women with the condition do go on to conceive with the right diagnosis and treatment plan in place.
What causes endometriosis?
Retrograde menstruation
Menstrual blood containing endometrial cells flows backward through the fallopian tubes into the pelvis instead of leaving the body, where the cells implant and grow.
Genetic factors
Endometriosis tends to run in families, and having a mother or sister with the condition raises the likelihood of developing it.
Immune system dysfunction
An immune system that struggles to identify and clear misplaced endometrial-like tissue may allow it to survive and grow outside the uterus.
Hormonal influence
Oestrogen encourages endometrial tissue growth, which is part of why symptoms often ease after menopause, when oestrogen levels naturally fall.
Surgical scar implantation
Following procedures such as a C-section, endometrial cells can occasionally attach to a surgical incision.
Cellular transformation
Some researchers believe hormones or immune factors may transform cells outside the uterus into endometrial-like cells.
Symptoms of endometriosis
Pelvic pain that's often worse during menstrual periods, sometimes starting before and extending several days into the cycle.
Pain during or after sexual intercourse.
Pain with bowel movements or urination, particularly during a period.
Heavy menstrual bleeding, or bleeding between periods.
Difficulty conceiving — endometriosis is sometimes first discovered during fertility evaluation.
Fatigue, bloating, nausea, or constipation, especially around menstruation.
Lower back and abdominal pain that can persist beyond the menstrual window in more severe cases.
Complications of endometriosis
Infertility
Endometriosis is found in a significant share of women being evaluated for difficulty conceiving.
Ovarian cysts (endometriomas)
Endometrial-like tissue on the ovaries can form dark, fluid-filled cysts that may affect ovarian function.
Pelvic adhesions
Chronic inflammation can cause organs and tissues in the pelvis to stick together, sometimes complicating future surgery.
Chronic pelvic pain
Ongoing inflammation and scarring can lead to persistent pain that extends beyond the menstrual period.
Bowel or bladder involvement
In more advanced cases, endometrial tissue can affect the bowel or bladder, causing digestive or urinary symptoms.
Emotional impact
Living with chronic pain and fertility uncertainty can contribute to anxiety, low mood, and stress.
When to see a doctor?
See a doctor if you have pelvic pain that disrupts your daily life, pain during intercourse, unusually heavy periods, or if you've been trying to conceive for a while without success. Endometriosis is often under-diagnosed because period pain is normalised — but persistent or worsening pain is worth a proper evaluation rather than being managed with painkillers alone.
Diagnosis of endometriosis
Medical History Evaluation
Your doctor will ask about your pain pattern, menstrual history, sexual health, bowel and bladder symptoms, and any family history of endometriosis.
Pelvic Examination
A physical exam can sometimes detect cysts or scarring behind the uterus, though many cases show no findings on exam alone.
Transvaginal Ultrasound
This imaging test can identify ovarian endometriomas and give a general picture of pelvic anatomy, though it can't detect all endometriosis.
MRI Scan
An MRI offers more detailed imaging and is sometimes used to map the extent of disease before planning surgery.
Diagnostic Laparoscopy
A minimally invasive surgical procedure remains the only way to definitively confirm endometriosis, allowing direct visualisation and biopsy of suspicious tissue.
Ruling Out Other Conditions
Conditions like pelvic inflammatory disease, ovarian cysts, or irritable bowel syndrome are considered and ruled out, since symptoms can overlap.
Treatment of endometriosis
Pain management
Anti-inflammatory painkillers are often the first step for managing period-related pelvic pain.
Hormonal therapy
Birth control pills, progestins, or GnRH agonists can suppress the menstrual cycle and slow the growth of endometrial tissue.
Laparoscopic surgery
Minimally invasive surgery to remove or destroy visible endometrial implants can relieve pain and improve fertility outcomes.
Fertility-focused treatment
For those trying to conceive, treatment is tailored to protect and support fertility, sometimes alongside assisted reproduction.
Ongoing monitoring
Regular follow-up and imaging help track the condition over time, since endometriosis can recur even after treatment.
Supportive care
Pelvic physiotherapy and dietary adjustments are sometimes used alongside medical treatment to help manage symptoms.
Lifestyle support for endometriosis
While lifestyle changes don't cure endometriosis, regular low-impact exercise, an anti-inflammatory diet, stress management, and adequate sleep can help take the edge off symptoms for many women. Heat therapy and pelvic floor physiotherapy are also commonly used alongside medical treatment to manage pain day to day.
Where endometriosis is found
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.
More about the symptoms
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.
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.
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.
How endometriosis is diagnosed at AMVI Hospital
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.
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.
Diagnostic 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 pathways 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.
If you are planning pregnancy
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
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.
If you are not planning pregnancy
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.
- 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 oestrogen 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
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 and its treatment
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.
How to reduce the risk of 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.
Your specialist: Dr. Shaivalini Kamarapu
- Dr. Shaivalini Kamarapu is an 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 performs 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.
FAQs related to endometriosis
Ordinary period pain is usually manageable with over-the-counter medication and doesn't significantly disrupt daily life. Endometriosis pain tends to be more severe, can last beyond the period itself, and often comes with other symptoms like pain during intercourse or bowel movements.
There's currently no permanent cure, but it can be effectively managed with hormonal therapy, surgery, or a combination of both, and many women achieve significant symptom relief.
No — many women with endometriosis conceive naturally. It does raise the risk of fertility difficulty, so it's worth discussing your specific case with a fertility specialist if you're trying to conceive.
Not always. Many women manage symptoms with hormonal therapy alone. Surgery is typically considered when pain is severe, fertility is a concern, or medication hasn't provided enough relief.
Imaging like ultrasound or MRI can suggest endometriosis, but diagnostic laparoscopy — a minimally invasive surgical procedure — is the only way to confirm it with certainty.
Yes, it's possible for endometriosis to recur even after surgical removal, which is why ongoing follow-up care is an important part of long-term management.
You can schedule a consultation at either the Attapur or Puppalaguda branch by contacting the hospital directly, and it helps to bring any previous scans or test results with you.
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.
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 Dienogest 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.
The most common symptoms of endometriosis are: severe period pain that gets worse over time, chronic pelvic pain (not just during periods), pain during or after sexual intercourse, heavy or irregular menstrual bleeding, pain when passing urine or stools (especially during periods), bloating and digestive discomfort, and difficulty conceiving. Importantly, some women have no symptoms at all and are only diagnosed when they investigate fertility problems. If you experience any of these symptoms regularly, consult Dr. Shaivalini at AMVI Hospitals for a proper evaluation.
Yes, endometriosis is one of the leading causes of infertility in women. It can affect fertility by causing inflammation around the ovaries and fallopian tubes, forming adhesions (scar tissue) that block the tubes, impairing egg quality, and creating a hostile environment for fertilization and implantation. However, many women with endometriosis do conceive — either naturally after treatment, or with the help of IUI or IVF. At AMVI, we assess each case individually to recommend the best fertility approach.
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 Hospitals offers endometriosis care at its Attapur and Puppalaguda branches, including laparoscopic surgery, fertility-focused treatment planning and long-term follow-up under one roof.
No — treatment depends on severity, age, and whether fertility is a priority. Mild to moderate endometriosis can be managed with hormonal medication (birth control pills, GnRH analogues, progestins) to suppress the growth of endometrial tissue and relieve pain. Laparoscopic surgery is recommended when medication doesn't provide enough relief, when there are large cysts (endometriomas), or when endometriosis is significantly affecting fertility. Dr. Shaivalini will recommend the most suitable approach based on your specific situation.
Recovery after laparoscopic endometriosis surgery at AMVI Hospitals is typically: Day 1–2: Rest at home, mild bloating or shoulder discomfort (normal). Days 3–5: Light activities, short walks. Week 1–2: Return to desk work and daily activities. Week 2–4: Full recovery. The procedure is done under general anaesthesia, and most patients go home within 24 hours. Post-operative follow-up is scheduled at 1 week and 6 weeks.