Chronic Pelvic Pain Treatment in Mumbai | Expert Care

If you are struggling with Chronic Pelvic Pain (CPP), you aren’t just dealing with “bad cramps”—you are dealing with a complex medical condition where your pelvic nerves are likely in a state of constant irritation.

At Shree IVF & Endometriosis Clinic in Mumbai, we specialize in moving beyond temporary “band-aid” fixes to identify the structural, vascular, or neurological root causes of your pain, providing you with a definitive path to relief.

Chronic pelvic pain (CPP) is a complex situation where a patient experiences debilitating pain weekly in the abdomen or lower pelvis for more than six months.

Because the pelvis is home to a dense network of nerves, this pain is notoriously difficult to handle without a specialized, holistic approach. 

This condition affects millions of women worldwide and represents one of the most challenging conditions we treat in gynecology.

Finding Relief for Chronic Pelvic Pain in Mumbai

As a specialist with over 12 years of experience, I have seen that the biggest hurdle for women in India is the “diagnostic delay.”

On average, it takes 7 to 10 years to reach an accurate diagnosis for CPP. This happens because the pelvis is a dense “nerve hub,” and even microscopic amounts of endometriosis or adenomyosis can cause life-altering agony that standard ultrasounds cannot see.

When you visit us, we don’t just tell you “everything looks normal.” We use advanced diagnostic tools like SonoPODgraphy—a specialized water-contrast ultrasound—to find subtle peritoneal lesions that others miss.

Whether your pain is caused by peritoneal fibrosis (scar tissue pinching your nerves), pelvic congestion syndrome (vascular pressure), or nerve sensitization due to chronic stress, our approach is always holistic.

We combine precision-based operative laparoscopy to physically free trapped nerves with nerve-calming therapies and sleep management.

At Shree IVF Clinic, our goal is to ensure you don’t undergo repeat “diagnostic” surgeries that only look at the problem without fixing it. At our Mumbai center, we focus on nerve decompression and holistic recovery to help you reclaim your quality of life.

• What is the main cause of CPP?

While there are many “mimics,” endometriosis pelvic pain is the most frequent diagnosis. In my practice, we find that almost all women with persistent CPP are ultimately diagnosed with endometriosis or adenomyosis upon specialist evaluation.

• Why does my pain feel so deep and constant?

This is often due to peritoneal fibrosis—scar tissue that “puckers” the pelvic lining and pinches the millions of nerves passing through the area.

• Can I have pain if my scans are “normal”?

Absolutely. Standard ultrasounds often miss “subtle” peritoneal endometriosis. Specialized techniques like SonoPODgraphy are required to see these lesions.

• Is the pain “in my head”?

No, the physical pain is real. However, chronic stress and “hidden drama” can cause nerve sensitization, where your brain and pelvic nerves stay in a permanent state of “high alert.”

• What is the best treatment?

Effective chronic pelvic pain management requires a combination of specialized excision surgery, hormonal therapy, and holistic nerve-calming techniques.

Key Fact: On average, it takes a woman 7 to 10 years to reach an accurate diagnosis for chronic pelvic pain. The pelvis is often described as having “few organs placed between millions of nerves”—meaning even a microscopic amount of fibrosis is enough to cause life-altering agony.

One of the biggest frustrations for patients is that CPP isn’t a single disease—it’s a symptom that can arise from numerous conditions.

It is a shocking reality that most women suffer for 4 to 5 years before they ever sit in front of a chronic pelvic pain specialist. During this time, they are often treated only symptomatically

When you come to our chronic pelvic pain clinic, we evaluate you for several potential causes. 

What are the Common Causes of Chronic Pelvic Pain?

• Endometriosis Pelvic Pain: This is the most frequent culprit. It occurs when tissue similar to the uterine lining grows outside the uterus, causing inflammation and scarring.

• Adenomyosis Pelvic Pain: Often called the “sister” of endometriosis, this happens when endometrial tissue grows into the muscular wall of your uterus, making it heavy and painful.

• Pelvic Congestion Syndrome: Think of these as “varicose veins” in the pelvis. These swollen veins put constant, heavy pressure on your pelvic nerves.

• Neuropelvic Pain: This is direct nerve involvement. Endometriosis or fibrosis can “pucker” the ligaments, trapping or irritating major nerves like the sciatic or obturator nerves.

• Pelvic Inflammatory Disease (PID): Persistent pain resulting from past or current infections that leave the pelvic environment inflamed.

• Adhesions from Previous Surgeries: If you’ve had surgery before, scar tissue can cause your internal organs to “stick” together, pulling on sensitive tissues.

• Interstitial Cystitis: This is a chronic bladder condition that mimics reproductive pain, causing a frequent, urgent, and painful need to urinate.

Why Standard Ultrasounds Often Miss the Diagnosis

Many women tell me they’ve had “normal” ultrasounds despite ongoing pain. Here’s what happens: subtle peritoneal endometriosis—small implants on the lining of your pelvis—often doesn’t show up on routine imaging.

These tiny lesions cause significant fibrosis (scarring) that traps and irritates surrounding nerves, leading to severe pain despite their small size.

At our center, we use advanced techniques like SonoPODography, where we inject sterile water into the pouch of Douglas and perform specialized ultrasound imaging.

This technique has dramatically improved our diagnostic accuracy over the past 4-5 years, helping us identify lesions that would otherwise remain hidden.

The challenge with endometriosis is that the size of the growth does not always correlate with the level of pain. Many times, the endometriosis is microscopic or extremely small, meaning it often goes undetected by standard imaging.

However, even these tiny “peritoneal” implants trigger a reaction in your body called fibrosis—a form of internal scarring in the pelvic lining.

This fibrosis causes a physical impingement (compression) of the local nerves. Because these nerves are trapped within the scar tissue, the patient experiences constant, debilitating chronic pelvic pain.

The Difficulty of Traditional Diagnosis

Unfortunately, many patients spend 7 to 10 years on generic medical management because standard facilities lack the precision to diagnose this subtle, peritoneal variety.

When the disease is missed, patients are often told their scans are “normal,” yet the pain persists.

Once fibrosis has set in, medical management alone rarely provides relief; the only way to achieve a pain-free life is through the surgical release and excision of the affected peritoneum.

Advanced Diagnostic Precision: SonoPODgraphy

At Shree IVF & Endometriosis Clinic, we have moved beyond standard diagnostic limitations. For the last five years, Dr. Jay Mehta has utilized a specialized technique called SonoPODgraphy.

• How it works: We carefully inject sterile water into the Pouch of Douglas (the area behind the uterus) during an ultrasound.

• The Result: This “water contrast” allows us to pick up tiny peritoneal implants that would otherwise be invisible.

By achieving this level of diagnostic accuracy, we can move directly to operative laparoscopy to remove the diseased tissue, allowing our patients to return home, finally relieved of nerve-induced pain.

Yes, endometriosis has a notorious ability to affect the millions of nerves that exit through the pelvis. In fact, the concentration of nerves in the pelvic region is so high that we often joke that the pelvis is simply a collection of nerves with a few organs placed in between them.

When endometriosis is present, it triggers fibrosis (thick scarring), which can irritate or physically encase these delicate nerve pathways.

It is not always a direct infiltration; often, the pain is caused by the “neighborhood” effect:

• Ligament Involvement: We frequently see endometriosis involving the uterosacral ligaments. This causes “puckering” and scarring that pulls on the inferior hypogastric nerves, which supply the uterus, vagina, bladder, and rectum.

• Nerve Irritation: Even a small amount of fibrosis is enough to irritate these nerves, leading to deep pelvic pain and referred pain that can be felt in other parts of the body.

Infiltration of Major Nerve Roots (Sciatic & Obturator)

In more advanced cases, lateral pelvic wall endometriosis can go further:

• Sciatic Nerve & Nerve Roots: Endometriosis can encase or infiltrate the roots of the sciatic nerve.

• Obturator Nerve: This often leads to severe pain associated with the muscles of the lower limb, which typically aggravates significantly during menstruation.

Because these symptoms are so severe, they are often easier to identify. At Shree IVF & Endometriosis Clinic, as a referral unit for advanced cases in India, we perform systematic neurological evaluations of the lower limbs to map out exactly how the nerves are being affected.

The Specialist Approach to Treatment

Once we accurately diagnose nerve involvement, the treatment involves minimally invasive surgery (laparoscopy). The goal is twofold:

1. Decompression: Relieving the physical pressure on the nerve.
2. Neurolysis: Carefully removing the fibrosis from the nerve itself.

This precision-based approach offers almost immediate pain relief. While it is normal to experience some tingling or numbness for 6 to 8 weeks following the procedure as the nerves heal, most patients achieve a complete recovery through a combination of surgery and specialized physiotherapy.

It can be incredibly frustrating to experience severe pain only to be told that your scans or laparoscopy show a “clean pelvis.”

At Shree IVF & Endometriosis Clinic, we understand that a lack of visible disease does not mean the pain isn’t real.

Because the pelvis is a massive hub for the nervous system, pain can often be referred or caused by issues that don’t show up as typical “masses” or “lesions.”

1. Nerve Hyper-Activation and Referred Pain

The nerves in your pelvis are interconnected with the rest of your body. If you have a severe injury or chronic pain in your spinal cord, upper abdomen, or lower limbs, the nerve roots inside the pelvis can become hyperactivated.

This creates a “short circuit” where your brain perceives pain in the pelvis, even though the original injury is elsewhere. Before suggesting surgery, we thoroughly investigate these pathways to ensure we aren’t treating the wrong area.

2. Pelvic Congestion Syndrome (Vascular Pain)

Sometimes the issue isn’t the organs but the blood flow. Pelvic congestion occurs when the veins in the pelvis become enlarged (hypervascularity). These swollen veins put constant pressure on the tiny, sensitive nerves nearby.

• How we find it: A standard ultrasound might miss this, but an ultrasound with Doppler allows us to see the blood flow and identify congestion.

• Treatment: Many patients find relief through specific pelvic exercises or hormonal therapy (like progesterone) to reduce vascular swelling.

3. Chronic Pelvic Infections

Hidden or low-grade infections can cause significant inflammation. While there may be no visible “growth,” the inflammation causes hypervascularity that irritates pelvic nerves.

A clinical examination and specific testing allow us to identify and treat these with targeted antibiotics, often resolving the pain without the need for surgery.

When Is a Diagnostic Laparoscopy Still Necessary?

If hormonal therapy, antibiotics, and exercises provide no relief, we may still consider a diagnostic laparoscopy.

Our goal here is to look for “Subtle Peritoneal Endometriosis”—tiny implants that are invisible to even the best imaging but are enough to cause central pain sensitization.

If you are suffering from chronic pelvic pain, understanding the link between your mind and your body is essential. While “stress” is a word we all use, its biological impact on your pelvic nerves is profound.

At Shree IVF & Endometriosis Clinic, we often see patients with a “clean pelvis”—where all scans and tests come back normal—yet the patient is in genuine, debilitating pain. This is frequently due to how the brain processes hidden emotions and stress.

The Science of “Hidden Drama” and Nerve Endings

Stress isn’t just a feeling; it is a physiological signal. Whether it is a missed promotion, an unhappy childhood, or a difficult relationship, these “hidden dramas” pile up in the brain.

When the mind cannot process these emotions, it often lets them out through the nervous system.

Because the pelvis contains a vast majority of the body’s nerve endings, it becomes a primary “exit point” for this internal frustration. This triggers a reverse reaction where the nerves become hypersensitive, leading to:

• Vague, localized pelvic pain
• Bloating and digestive discomfort
• Secondary symptoms like headaches and backaches
• Normal test results despite intense physical suffering

A Holistic Path to Pain Relief

When a diagnosis reveals a “clean pelvis,” we pivot toward holistic management to desensitize the overactive nerves. This process takes patience, often requiring 3 to 6 months before you feel a tangible difference.

• Sleep Management: Quality sleep is the foundation of nerve recovery. We often prescribe melatonin agonists (like Eunyckta) to help patients achieve deep, restorative sleep, which naturally lowers pain sensitivity.

• Anger and Stress Management: Addressing the root emotional triggers is vital to stopping the “reverse reaction” in the nerves.

• Meditation and Yoga: These techniques are scientifically proven to calm the nervous system and retrain how the brain perceives pain signals.

Why Long-Term Specialist Care is Essential?

Chronic pelvic pain is rarely a “one-fix” situation. It requires chronic management and a doctor who understands the complexity of neuropelvic health.

Many of our patients at Shree IVF & Endometriosis Clinic remain on a follow-up plan for 7 to 10 years. Seeing a specialist like Dr. Jay Mehta ensures that you receive a sensible diagnosis that looks beyond just the physical organs to the health of your entire nervous system.

In modern gynecology, the role of a “diagnostic” laparoscopy has evolved significantly.

At Shree IVF & Endometriosis Clinic, we believe that surgery should move straight from diagnosis to treatment in a single step.

We only consider laparoscopy after we have ruled out every other possible cause of pain. When we do go in, the goal is usually operative laparoscopy—to find and remove the source of the pain immediately.

The main reason we perform surgery when other tests are normal is to identify microscopic or peritoneal endometriosis.

Even if the affected tissue appears extremely tiny on the surface, it can exert significant pressure on the surrounding pelvic nerves.

• The Technique: Instead of just looking, we perform a wide local excision of the affected peritoneum.

• The Result: By removing the tissue with wide margins, we relieve the nerve impingement, offering the patient excellent and often immediate pain relief.

When to Avoid Surgery

Not everyone needs surgery. If you have pelvic congestion responding to hormones, an infection responding to antibiotics, or stress-related pain improving with holistic measures, surgery isn’t necessary.

This is why consulting a chronic pelvic pain specialist like Dr. Jay Mehta of Mumbai, India, matters—we determine the most appropriate treatment path for your specific situation.

The Importance of a Specialist Consultation

If you have been suffering from chronic pelvic pain for a long time, the most important step is to consult a specialist who understands the complexity of the disease.

A specialized approach leads to an accurate diagnosis, which makes the subsequent management much simpler.

Our extensive experience shows that holistic management—combining surgical precision with long-term follow-up—is what truly benefits the patient.

As a referral unit for advanced endometriosis and chronic pelvic pain treatment in Mumbai and across India, we see patterns that general practitioners might miss. Our systematic approach includes:

• Comprehensive evaluation—advanced imaging, clinical examination, and pain assessment

• Multidisciplinary care—collaboration between gynecologists, pain specialists, and physical therapists

• Advanced surgical techniques—minimally invasive nerve-sparing procedures

• Long-term follow-up—Many patients require 7-10 years of ongoing management

Unfortunately, I frequently see young women who’ve undergone one or two “diagnostic” laparoscopies elsewhere without resolution.

They come to us having lost years to ineffective treatments. This is precisely why early consultation with a specialist matters.

What Can I Expect from Treatment?

• The Reality of Chronic Management

I want to be honest with you: chronic pelvic pain often requires chronic management. This isn’t a condition where you take a pill for two weeks and forget about it. Depending on your underlying cause, you might need:

• Ongoing hormonal therapy
• Regular follow-up appointments
• Physical therapy sessions
• Stress management techniques
• Possible surgical intervention

Success Stories and Realistic Expectations

That said, with proper diagnosis and treatment, most of my patients experience significant improvement.

Women who’ve suffered for 7-10 years on ineffective medical management often achieve near-complete pain relief after appropriate surgical intervention.

Others find that a combination of hormonal therapy, lifestyle modifications, and stress management dramatically improves their quality of life.

Taking the Next Step

If you’ve been suffering from chronic pelvic pain for months or years, seeing multiple doctors without improvement, I encourage you to consult a specialist.

The difference between symptomatic treatment and addressing the root cause can be life-changing.

Remember: your pain is real, your experience is valid, and effective treatment is available. The key is finding the right chronic pelvic pain treatment in India or at a center equipped to provide comprehensive, evidence-based care.

The bottom line: Chronic pelvic pain requires a holistic, specialized approach. Don’t settle for years of suffering when expert help is available. Put your head down, find a specialist, and take that crucial step toward diagnosis and relief. Your quality of life is worth it.