As a leading laparoscopic gynecologist and endometriosis surgeon in Mumbai, India, I understand that living with endometriosis is often a constant, severe pain.

Endometriosis is a painful chronic disease where tissue similar to the lining of the uterus (endometrium) grows outside the uterus, causing inflammation, pain, and, in severe cases, fertility problems. 

But with early diagnosis and specialized treatment, it’s entirely possible to manage symptoms and restore fertility.

The good news is that with expertise in advanced laparoscopic and robotic surgery, our team at Shree IVF and Endometriosis Clinic can help. Through early diagnosis and specialized treatment, we provide effective, personalized care to manage your symptoms, restore fertility, and help you achieve permanent relief and your dreams of parenthood.

While this misplaced tissue acts just like the uterine lining—it thickens and bleeds during your menstrual cycle—the crucial difference is that the blood has no way to exit your body.

Where Can Endometriosis Develop?

Since the blood and tissue get trapped, they can develop in several places, most commonly:

• Ovaries
• Fallopian tubes
• The Pelvic lining

In severe cases, it can even spread to other organs in the pelvic region or beyond, though this is less common.

Why Does Endometriosis Cause Pain and Infertility?

The trapped blood and resulting inflammation are what cause the major symptoms:

• Severe Menstrual Pain: The constant inflammation irritates all the surrounding tissues, leading to intense cramping and discomfort.

• Scar Tissue Formation: This is where chronic pain comes from. The inflammation creates adhesions (scar tissue) that can literally bind your organs together, causing chronic pain and complications.

• Infertility Issues: Endometriosis can unfortunately, interfere with key steps of conception, including ovulation, egg quality, and proper implantation, making it more challenging to conceive.

Consult Dr. Jay Mehta at Shree IVF and Endometriosis Clinic, Mumbai, for expert laparoscopic treatment of endometriosis, providing effective relief from pain and infertility.

Dr. Mehta and his specialized team have vast expertise, operating on more than 2500 cases of endometriosis across India every year at multiple locations, confirming their status as a high-volume center for complex endometriosis care. To book a priority appointment for advanced endometriosis care, call  1800-268-4000

At our clinic in Mumbai, we specialize in the comprehensive management of all forms of endometriosis—from the mildest to the most complex, deep-infiltrating forms. Endometriosis can occur in various, sometimes unexpected, locations throughout the body, with each presenting unique symptoms and surgical challenges

Deep Endometriosis: This is the most severe form, where endometrial tissue penetrates more than 5 mm into affected tissues. It frequently involves crucial areas like the uterosacral ligaments, rectum, and vagina.

Ovarian Endometriosis: One of the most common types, where tissue grows on or in the ovaries, often causing endometriomas (chocolate cysts).

Bladder Endometriosis: Endometrial tissue growing in or on the bladder, leading to symptoms like frequent urination and potential blood in the urine.

Bowel Endometriosis: Involves tissue growing on or in the bowel wall, causing painful bowel movements, cramping, and sometimes rectal bleeding.

Endometriosis of the Ureter: Tissue growth on or in the ureters (tubes from the kidneys to the bladder), which can lead to urinary problems or kidney damage if left untreated.

Scar Endometriosis: Development of the tissue within a surgical scar (e.g., after a C-section), causing pain and swelling in the scar area.

• Rare/Atypical Locations:

Sciatic Nerve Endometriosis: A rare form causing severe leg and lower back pain.

Umbilical Endometriosis: Tissue growth in or around the belly button, forming a painful nodule.

Inguinal Endometriosis: Found in the inguinal canal, causing groin pain and a palpable mass.

Each case of endometriosis is truly unique, and we know that effective treatment needs more than just surgical skill; it requires a deep understanding of fertility preservation. That crucial combination of advanced surgical skill and fertility-focused care is precisely what we specialize in at Shree IVF Clinic.

• More Painful Menstrual Cramps (Dysmenorrhea): This is the main sign we look for. Pelvic pain may start several days before your period and continue after it ends. The pain during menstruation often gets progressively worse over time. You may also experience pain in the abdomen and lower back.

• Pain During Intercourse (Dyspareunia): Experiencing extreme pain during or immediately after sex.

• Pain During Excretion: Pain during bowel movements or urination, which is especially noticeable during your menstrual cycle.

• Excessive Bleeding: Blood flow may significantly increase during your periods. In rare cases, there may be blood in your stool or urine.

• Infertility: You may be facing challenges related to infertility. Approximately one-fourth of women with unexplained infertility have endometriosis.

• Other Symptoms: Feeling unusual tiredness, chronic fatigue, constipation, diarrhea, or nausea.

If you have any of these symptoms, do not ignore them. Remember: painful periods are not normal—they are your body telling you it needs help

It is crucial to understand that the intensity of your pain does not determine the severity of the problem. It is possible to have mild pain but extensive, deep endometriosis, or vice versa. Do not ignore your symptoms. A consultation with a specialist is the only way to accurately diagnose and prevent a potentially serious issue.

 ⚠️ Crucial Note: Don’t Mistake Endometriosis for Other Problems

Be aware that endometriosis symptoms often look like other conditions, such as Irritable Bowel Syndrome (IBS), an ovarian cyst, or Pelvic Inflammatory Disease (PID), because they share common signs like diarrhea, abdominal pain, and constipation. Because of this overlap, only a doctor’s consultation and proper imaging (scans) can accurately identify the issue.

• Retrograde Menstruation: This is the most widely accepted theory. Instead of flowing only out of the body, period blood flows backward through the fallopian tubes into the pelvic region. The endometrial cells in this blood stick to the walls of the pelvic organs and grow and thicken with every subsequent cycle.

• Peritoneal Cell Lining (Induction Theory): Peritoneal cells (lining the abdomen) may transform and begin to act like endometrial-like cells, lining up on the inner walls of the abdomen.

• Embryonic Cells: Estrogens may transform embryonic cells into endometrial-like cells, which then develop a lining.

• Weak Immune System: If you have a weak immune system, it may not be able to effectively prevent the lining up of these errant endometrial-like tissues.

• Transportation of Endometrial Cells: The lymphatic system or blood vessels may transport blood containing endometrial cells to other, distant body parts.

• Pelvic Exam: We perform an internal exam to feel for any obvious signs, such as cysts, scarring, or masses inside your pelvis.

• Imaging (Ultrasound/CT Scan): We use a specialized ultrasound or CT scan. These tools provide images that can suggest if you have endometriosis or fluid-filled cysts (endometriomas).

• Laparoscopy (The Gold Standard): This is often considered the definitive gold standard for diagnosis.

• • Diagnostic laparoscopy is a minimally invasive procedure where we make a small cut to insert a thin tube with a camera. This allows us to directly see lesions and scar tissue and map the exact location of the disease.

• Biopsy: During laparoscopy, we may take a small piece of the suspicious tissue (a biopsy) to examine it under the microscope for final confirmation.

Learn more about diagnostic laparoscopy in endometriosis—read our detailed guide for more information.

If you are struggling with endometriosis, you deserve the highest level of specialized care to achieve permanent relief and your fertility goals. 

Do not delay your path to healing.  Book a consultation with Dr. Jay Mehta, the leading Gynecologist and Endometriosis Excision Specialist in Mumbai, India.

Endometriomas can cause serious problems, including:

• Can cause difficulty in infertility treatments.
• Often reduces the chance of pregnancy.
• Results in severe pelvic pain.
• Disrupt the normal workings of the ovary.
• May lead to a minor, though real, risk of developing ovarian cancer.

• Stage 1 (Minimal): You have fewer lesions and no scar tissue.

• Stage 2 (Mild): You have a few more lesions, still typically with no significant scar tissue. The lesions usually develop in a small area (about a two-inch area) of the abdomen.

• Stage 3 (Moderate): The lesions have grown deep, containing scar tissue, and may have developed in the fallopian tubes and the ovaries.

• Stage 4 (Severe): Here, lesions are present in large quantities, the ovary may contain many large cysts (endometriomas), and there is extensive scar tissue in the fallopian tubes, ovaries, uterus, and bladder.

It is always a good idea to consult the best endometriosis doctor in Mumbai, as they will accurately guide you about your stage and the optimal treatment.

While there is no single, proven “cure” for endometriosis, the good news is that we have highly effective treatments to manage your symptoms, slow the disease, and enhance your ability to get pregnant.

At Shree IVF Clinic, our goal is always personalized care designed to achieve three things for you: relieve pain, restore fertility, and significantly improve your quality of life.

1. Medications and Hormonal Therapy

• Pain Medicine: We often start with painkillers like non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. If these are not fully effective, personal measures like warm showers, using a hot water bottle (hot fomentation), and regular exercise can also help with pain.

• Hormonal Therapy: This aims to reduce the amount of estrogen released by the body, which starves the endometrial lesions. Reduced estrogen means less lesion formation, preventing inflammation and scarring. This therapy includes birth control pills, progestin, gonadotropin-releasing hormone (GnRH) analogs, or Danazol.

2. Surgery: The Definitive Solution (Laparoscopic Excision Surgery)

Some women require surgery, as it is the most effective solution for achieving permanent relief and restoring function. Our goal is always to cut out the affected tissue (excision) completely, rather than just burning it (ablation).

When Is Excisional Surgery Needed for Endometriosis?

• Fertility Issues: If you are trying to conceive and have been unsuccessful, surgery is often recommended, as the removal of endometriosis tissue can significantly increase your chance of pregnancy.

• Failed Conservative Therapy: Surgery is an option if no amount of medicine or hormonal therapy has helped manage your pain.

• Complex or Deep Disease: For deep endometriosis, surgery is often mandatory to prevent organ damage.

At our clinic, Dr. Jay Mehta and his specialized team demonstrate vast experience, operating on more than 2500 cases of endometriosis across India every year at multiple locations.

Under his leadership, our center has become India’s highest-volume center for the treatment and excision of endometriosis and adenomyosis.

⚠️ Crucial Warning on Fertility

If you are considering a hysterectomy (removing the uterus or ovaries), you must understand that you cannot get pregnant afterward. If you wish to preserve your fertility, the surgery must strictly focus on the meticulous excision of the disease while carefully protecting your reproductive organs.

The key difference is location:

• Adenomyosis is when the endometrial tissue grows into the muscle wall of the uterus itself.
• Endometriosis is when the tissue grows outside the uterus (on the ovaries, pelvis, etc.).

Here is a quick summary of their key differences:

To ensure our expert care is accessible, we have launched a dedicated low-cost unit for endometriosis and adenomyosis surgery in India. This initiative is designed to be affordable for every patient, helping remove financial stress so you can focus on getting the treatment you need.

For an accurate estimate tailored to your specific case or to register for low-cost surgery, please consult Dr. Jay Mehta or call us:  1800-268-4000

• Infertility: About one-fourth of women with infertility have endometriosis. The inflammation can damage the egg or sperm or weaken their ability to fertilize.

• Physical Damage: Scar tissue (adhesions) can cause a blockage in the fallopian tube.

• Mental Health: Some women experience depression and anxiety due to chronic pain.

• Cancer Risk: In rare cases, the inflammation can lead to ovarian cancer or a cancer called endometriosis-associated adenocarcinoma.

• Existing Infertility Problems.

• Heavy or Long Periods: Having a very heavy flow during your period that lasts longer than normal.

• Frequent Periods: Your menstrual cycle occurs very often.

• Reproductive Issues: Having unusual development or problems with your reproductive organs.

• Timing of Menstruation: Starting your period very early or going through menopause late.

• Endometriosis is a disease where uterine-like tissue grows outside the uterus, causing pain and potential infertility.

• Endometriosis is treatable with early diagnosis and expert care.

• Pain intensity does not equal disease severity; severe disease can be asymptomatic

• Laparoscopy is the best method for definitive diagnosis and mapping of the disease.

• Excisional surgery (cutting out the tissue) via advanced laparoscopic or robotic techniques offers the best chance for permanent relief and restored fertility.

• Dr. Jay Mehta specializes in fertility-preserving endometriosis surgery in India.

• Shree IVF Clinic Mumbai offers both standard and low-cost treatment options for patients across the country.

• Our multidisciplinary team includes gynecologists, fertility specialists, and laparoscopic surgeons — all dedicated to giving women a pain-free, fertile future.

• Always seek help early—painful periods are not normal.

Understand endometriosis better with Dr. Jay Mehta, Scientific Director & Fertility Specialist at Shree IVF and Endometriosis Clinic India. Watch the informative video on endometriosis. ↓