Endometriosis Treatment in Delhi NCR

Endometriosis is an irrecoverable, but a manageable gynaecological medical condition. It happens when endometrial implants, comprising of a tissue found in the uterus, build up in different body parts. It further prepares the womb lining for ovulation, growing in areas outside the uterus.

When they grow outside the uterus, this condition is known as endometriosis. They can also develop in any body part but usually occur in the pelvic region. Endometriosis affects around 6% to 10% of women worldwide.

They may affect:

  • Ovaries
  • Peritoneum
  • Fallopian Tubes
  • Lymph Nodes

These tissues usually expel during menstruation; however, the displaced tissue can’t do it. The growing lesions can grow larger and lead to physical symptoms, such as pain, and affects bodily functions like the ability to work, etc.

Stages of Endometriosis

This condition has four stages:

Stage 1 (minimal): There are small implants, lesions or wounds. They are found in tissues or organs lining abdomen or pelvis. There is little to no scar tissue.

Stage 2 (mild): There are more implants compared to stage 1. These are also deeper within the tissue and also form scarring.

Stage 3 (moderate): There are deep implants with small cysts on one or both ovaries. There are thick scar tissues called adhesions.

Stage 4 (severe): It is the widespread stage of deep implants and thicker adhesions. There is the formation of large cysts on one or both ovaries.

Signs and Symptoms

The major symptom of endometriosis is severe pelvic pain that’s usually related to menstrual periods. This pain also increases over time.

General signs and symptoms of endometriosis are:

  • Painful periods (also called dysmenorrhoea): The cramping and pelvic pain may start early and remain even after the menstrual cycle. You may even feel abdominal and lower back pain.
  • Pain with intercourse: One feels pain during or after the intercourse.
  • Pain with urination or bowel movements: One experiences these symptoms at the time of the menstrual cycle.
  • Excessive bleeding: One may experience inter-menstrual bleeding or heavy menstrual periods.
  • Infertility: Sometimes, this condition can also be observed in women seeking infertility treatment.
  • Other symptoms include fatigue, constipation, diarrhoea, nausea or bloating especially during menstrual periods.

The severity of pain is not a reliable indicator of this condition. You may experience mild endometriosis with severe pain or you could experience advanced endometriosis with minimal or no pain.

Causes of Endometriosis

What exactly causes endometriosis is not known. However, there are various theories associated with the causes of this medical condition.

The oldest theory states that it occurs because of the retrograde menstruation. It happens when the menstrual blood begins to flow back through fallopian tubes into the pelvic cavity rather than leaving the body through the vagina.

Another theory states that hormones turn the cells outside the uterus into the cells equivalent to the lining within the uterus called endometrial cells.

Some also believe that this condition occurs in some areas of the abdomen and is converted into endometrial tissue. It happens when the abdominal cells start growing from embryonic cells that change their shape and start acting like endometrial cells.

Some also believe that endometriosis begins in the foetal period when misplaced cell tissues respond to puberty hormones. This is also known as the Mullerian theory. Endometriosis development is also linked to genetics or environmental toxins.

Risk Factors

There are several risk factors associated with the development of endometriosis, such as:

  • Starting periods at an early age
  • Not giving birth at all
  • Getting menopause at an older age
  • Having short menstrual cycles — for example, less than 26 or 27 days
  • Having heavy menstrual periods, which last more than seven days
  • Having higher oestrogen levels within the body or higher lifetime exposure to oestrogen
  • Having lower body mass index
  • Any medical condition that may prevent normal menstrual flow through your body
  • Any family member (mother, sister or aunt) with the history of endometriosis
  • Having one or more reproductive tract abnormalities

Treatment Options

For treating endometriosis, surgery is possible. However, it is considered only when other treatment options don’t work or are not effective. Other treatment options are:

Pain medications: The specialists may prescribe either nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Motrin IB, Advil, others) and over-the-counter (OTC) drugs or other prescription drugs for treating the painful menses.

Hormones: Endometriosis can also be treated with hormonal therapies, which include Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists, hormonal birth control, Danazol and Medroxyprogesterone (Depo-Provera). Besides, the placement of the intrauterine device (IUD) could be suggested by the specialist for the treatment.

Surgery: The initial surgery may seek the removal of the areas of endometriosis. However, hysterectomy may be necessary with the removal of both ovaries.

Fertility treatment: In this case, the pregnancy is recommended through in-vitro fertilization (IVF).

Best Endometriosis Treatment Hospital in Delhi

SCI Hospital provides the best medical care and hospital facilities to patients with endometriosis. We aim to offer high-quality and advanced treatment to patients with the help of experienced surgeons and medical specialists.

We offer the best treatment facilities for curing endometriosis through surgery, fertility treatment, hormonal treatment and pain medications.

SCI Healthcare also offers multi-disciplinary facilities for different health requirements of women in a comprehensive, advanced, compassionate and dedicated manner with the emphasis on patient safety and care.

Meet our Endometriosis Specialist

Dr.ShivaniSachdevGour

M.D. DNB M.R.C.O.G. (UK)
Obs&Gynae and IVF Specialist

Dr.MamtaGoel

MBBS, DGO, DNB
Gynaecology & Obstetrics

Dr.DhwaniMago

MBBS, DGO
Gynaecology & Obstetrics

Dr Rahul Popli

Anaesthesia
MBBS,MD, DNB, MNAMS

Dr FarahanKhatoon

MBBD, MD
Gynaecology & Obstetrics

Dr. BS Rekhi

MBBS, MS
Gynaecology & Obstetrics

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Advanced Laparoscopic & General Surgery

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Advanced Laparoscopic & General Surgery

Our Doctors

Dr.Shivani Sachdev Gour

MBBS,MS,M.Ch (Urology)

Dr. Vishal Dutt Gour, is the Consultant Urologist and Male Fertility Specialist at SCI Healthcare for the past 14 years.

Dr. Shivani Sachdev Gour

M.D. DNB M.R.C.O.G. (UK)

Dr. Shivani Sachdev Gour is the founder and director of SCI Healthcare and Multispecialty Centre and consultant fertility specialist.

Dr. Arvind Kumar

MBBS, MS - General Surgery

With an overall experience of more than 14 years in the field of surgery which includes 14 years in Advanced Laparoscopic surgery.

FAQS

Who cannot get a Kidney Transplant?

Several patients have an assumption that if they are old they cannot get a kidney transplant, but if you are otherwise healthy, age is not a factor in determining your transplant eligibility. However, there can be other factors that may prevent patients from getting a kidney transplant if:

  • Current life expectancy is less than 5 years
  • Recent cancer (other than most skin cancers)
  • Untreatable heart disease/ psychiatric illness
  • Missing dialysis appointments or signing off the machine early
  • Active substance abuse (alcohol or drugs)
  • Lack of health insurance or Medicare/ Medicaid coverage

What are the benefits of living donor transplant?

Kidney for a transplant may come from a person who has died (a deceased donor) or from a healthy living person who can be a family member, a friend who donates a kidney (a living donor). The benefit of living donor transplant is that the recipient will have a kidney immediately available to them. There is no waiting list. The surgery can take place while the recipient is relatively stable and is done as an elective procedure. This allows for surgery to occur in a healthier recipient who is expected to have better surgical outcomes.

Who can be a living donor?

According to Indian transplant act, a living donor can only be the recipient’s first degree blood relative, i.e. mother, father, brother, sister or spouse on emotional ground. All kidney transplant patients personally arrange their legal donor.

Which kind of transplant happens faster?

A living donor transplant happens faster if the living donor is available within one year; however, with a deceased donor transplant several patients have to wait for 3-5 years until a kidney is available is from a deceased donor.

"Is there a difference between having a living or deceased donor transplant?

Yes. Living donor transplants last longer than deceased donor transplants because a living donor kidney is removed from a healthy donor and transplanted.

How is a possible living donor evaluated?

Many variables are considered when evaluating a possible living donor. Living donors must be over 18 years of age, healthy, free of kidney disease and have normal blood pressure. The best matches come from full siblings (brothers or sisters). Areas of evaluation include the following.

  • Blood group (A, B, O) compatibility of donor and recipient.
  • Tissue typing: Once the donor’s blood group matches with the patient’s blood group, tissue typing is advised. Both the recipient and donors blood is tested HLA – A, B, & DR. Generally, 50% match is accepted. For spouse donor, even lower match is acceptable.
  • We have got an experience of performing ABO incompatible kidney transplant. Even if blood group of donor & recipients are not matching, then also transplant can be done. In modern era with the availability of plasmapheresis, adsorption filters and few special drugs, it can be made possible with comparable results.

"What would happen if Kidney Transplant does not work? Would the patient die?"

No. In case the transplant does not work the recipient can start or resume dialysis or pursue another transplant.

"Can a person live longer with a transplant as compared to dialysis?"

Yes. Patients who have a transplant done live longer than the patients who stay on dialysis. The transplanted kidney works whole day to remove total waste from the body. Dialysis removes little amount of waste only when the dialysis machine works.

What are the risks of having a kidney transplant?

It is true that getting a kidney transplant is better than having dialysis as there are chances of a higher survival. You can experience:

  • Excessive bleeding
  • Clotting of blood
  • Rejection/failure of donor kidney
  • Risk of severe infections from the donated kidney

What should be the diet post-transplant?

Excessive weight gain immediately after a transplant can be dangerous. It can lead to problems like high cholesterol, high blood pressure, diabetes. You need to be careful in choosing your diet and consume:

  • High-fiber foods rather than fried foods
  • Initially, you must consume rich sources of protein like eggs (avoid raw or uncooked eggs), chicken, and low fat dairy products.
  • At least 8 to 10 glasses of water. Refrain from having any calorie drinks, beverages or canned soups.
  • You should try to use olive oil instead of saturated fats like butter.