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Ovarian Endometriosis Treatment for Pain & Infertility
Ovarian endometriosis, often referred to as a “chocolate cyst,” is the most common form of endometriosis.
This condition can occur in isolation or be associated with deep endometriosis and endometriosis in various extra pelvic locations.
Ovarian endometriosis is known to play a significant role in causing infertility, affecting approximately 20-40% of patients with endometriosis.
Ovarian endometriosis is also associated with severe pain, regardless of the cyst’s size. However, it’s not uncommon to see large endometriomas causing no pain.
However, the relationship between ovarian endometriosis and pain is not always straightforward. It’s possible for severe pain to accompany even small-sized cysts, while large endometriomas may exist without any pain.
Typically, ovarian endometriosis is bilateral, leading to what’s commonly referred to as “kissing ovaries.”
These can occur in various sizes and often associate with deep endometriosis. However, isolated and unilateral cases of ovarian endometriosis may also occur.
What are the symptoms of ovarian endometriosis and how do we diagnose it accurately?
Ovarian endometriosis usually presents with chronic pelvic pain, dysmenorrhea, and dyspareunia. Some women may experience irregular menstrual cycles, heavy bleeding, or even infertility.
It’s important to note that the severity of symptoms doesn’t always correlate with the extent of the disease; some women with extensive endometriosis may remain asymptomatic.
For diagnosis of ovarian endometriosis, it involves a combination of clinical examination, imaging techniques, and, at times, surgical intervention.
Transvaginal ultrasound is typically the first-line imaging modality due to its wide availability and excellent sensitivity.
Magnetic Resonance Imaging (MRI) serves as a more precise tool for detecting deep infiltrating endometriosis. Ultimately, a definitive diagnosis can only be established through laparoscopic surgery and histological examination of the excised tissue.
Dr. Jay Mehta and his colleagues follow a stepwise protocol resulting in 85-90% accuracy in endometriosis mapping, which requires a high level of expertise.
Dr. Jay Mehta is a renowned fertility specialist with extensive experience, expertise in endometriosis treatment, & the results he has shown. He is considered one of the top endometriosis doctors in Mumbai.
When is surgery needed for ovarian endometriosis (endometrioma)?
For small ovarian endometriomas, especially those smaller than 3 cm, medical management in the form of continuous oral contraceptive pills or dienogest is typically recommended.
Patients are kept on a 6-month follow-up to monitor the disease progression.
Surgery is typically indicated for ovarian endometriosis larger than 5 cm, or if the endometrioma is multiloculated or multicystic. Severe pain associated with ovarian endometrioma is another indication for surgical management.
The ideal surgical approach for treating ovarian endometrioma is laparoscopic surgery, considered the gold standard for diagnosing and treating endometriosis.
A well-performed laparoscopic surgery, especially in 3D, gives the doctor an excellent depth perception of the disease in the pelvis, ensuring complete disease clearance and minimal recurrence post-surgery.
One of the most common mistakes patients make is opting for a non-specialized surgeon for their first endometriosis operation. Unfortunately, this can lead to the need for a second surgery performed by an expert.
By this time, fertility may already be compromised due to poor surgical technique in the initial procedure. It’s important to choose a surgeon with expertise to ensure the best possible outcome.
It’s absolutely crucial to never underestimate the impact of choosing the right doctor for endometriosis treatment. It can make a huge difference.
Dr. Jay Mehta and his team operate on more than 500 cases of endometriosis across India annually. Dr. Jay is a very experienced fertility & endometriosis specialist in Mumbai.
Book Your Consultation Today With an Ovarian Endometriosis Specialist in India – Dr Jay Mehta
What happens after ovarian endometriosis surgery, and how does it affect recurrence and fertility?
Post-surgical medication is often necessary, especially in cases where patients are young and marriage plans do not exist.
To prevent recurrence, especially in cases of multilocular ovarian endometriomas, long-term oral contraceptive pills may be considered.
About fertility after surgery,
An AMH test is strongly recommended before surgery. Post-excision, the AMH level typically drops for the initial 6 months after surgery but usually recovers after that period.
To avoid permanent ovary damage, it’s crucial that an expert performs the surgery, especially when preserving fertility.
Why?
Surgery for ovarian endometrioma can affect future fertility.
Incorrect surgery for ovarian endometrioma can compromise fertility in young girls. Therefore, it’s wise that a specialist treats ovarian endometriosis to conserve fertility, especially in young women.
While many women choose to delay fertility and marriage, it’s important to counsel them about the temporary reduction in AMH following endometriosis surgery.
Early marriage and not postponing fertility is often advised because pregnancy provides the best medical management for endometriosis.
However, it’s vital to note that pregnancy does not cure endometriosis.
Also,
Egg freezing is a valuable option for women undergoing surgery to ensure sufficient frozen egg reservoirs.
Women are typically advised to freeze 12 to 16 eggs post-surgery to maintain their fertility potential.
The procedure usually begins 1-2 months after the surgery, and patients should be thoroughly counseled about this option prior to the surgery.
In conclusion, managing ovarian endometriosis requires meticulous planning and expert intervention, particularly when preserving fertility is a concern.
Decision-making should be individualised, taking into consideration the woman’s age, severity of the disease, and desire for future fertility.
Pre-surgical counseling about potential AMH reduction and the benefits of egg freezing is essential.
Despite the challenges, with the right approach, women with ovarian endometriosis can maintain their fertility and improve their quality of life.
For any endometriosis treatment in Mumbai, consider seeking a consultation with Dr. Jay Mehta. He is highly experienced and can provide the necessary expertise to address your specific concerns.
Dr. Jay Mehta is a highly renowned IVF specialist and fertility-preserving surgeon based in Mumbai, India. As the director of the Shree IVF and Endometriosis Clinic in Mumbai, he is recognized as one of India's leading laparoscopic gynecologists for advanced treatment of complex conditions such as endometriosis and adenomyosis. Dr. Mehta and his team have extensive expertise, performing more than 2500 endometriosis cases across India every year at multiple locations. Under his leadership, the Shree IVF and Endometriosis Clinic has consequently become the highest-volume endometriosis and adenomyosis treatment unit in India. Dr. Mehta conducts operations and consultations across India's major cities, including Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, and Delhi. To book an appointment, call: 1800-268-4000
Dr. Jay Mehta
MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)
4.9
Verified & Most Trusted One
Many Treatments. One Goal.
Caring for Every Patient, Every Day.
ALPA AINCHWAR
Thank you to the best endometriosis surgeon in our India.
Honest and very ethical person.
I want to add one thing, very respectful behavior towards all the patients here.
The only thing is doctor jay is very straight forward.
If he is getting so much work being so straight forward. I can only imagine what will happen if he becomes little sweet and sugary sugary to everyone. But whatever I know him he won’t become like that, kyunki iss Bande ko bhagwaan ka kuch alag aashirvaad hai
Vidhi Mehta
Dr Jay Mehta is a genius at treating endometriosis patients. To the point, no bakwaas. For 13 years I was made to believe I could never conceive naturally, from the age of 19 when I went to a hospital for the first time as an emergency endo patient.
After 2 endo surgeries, 1 failed IVF and a miscarriage here I meet the first doctor who said you will conceive naturally. (Hope). , This was God’s plan, Lord Shiva!!
Thank you Dr. Jay, Dr. Vismay, and the entire team for the hope, treatment, hospitality, and the quickest discharge.
RENUKA RAUT
Great Experience. I have been operated for grade 4 endometriosis. I have never seen a doctor like Jay Sir in my entire life..he is very concerned about his patients..going out of the way to make things possible
Finally, I found an endometriosis specialist after struggling a lot. I am In a safe hand. Each and every staff of this hospital is well-trained and well-managed..highly recommended
Sunitha Suni
He is the god me because im suffering from since 4year pain full period of endometriosis problem im going to so many hospitals any one not identify the problem he is identify and clear endometriosis problem, thanq Dr jay metha sir, Dr Chaitali Rao and ur team Good receiving thanq so much sir ur save my life
md Sohail
Dr. Jay Mehta, what a doctor he is ..hats off.
I really wanted to thank from the bottom of my heart to Dr. Jay Mehta and his dedicated and caring team.
We came from Hyderabad and undergone a major surgery. What a guts he has. I highly recommend Dr Jay Mehta for women who needs a cure for Endometriosis.
Huge thanks to Dr. Chaitali, Dr. Vismai sir and all the supporting staff, nurses and mausis. He is the great doctor and do the best treatment.
Overall very rare kind of personality is Dr.Jay Mehta among the present generation of doctors.
Ankit Jain
I wanted to thank Dr. Jay and his dedicated and caring team at Shree IVF & Endometriosis Hospital at Ghatkopar, Mumbai for the Endometriosis surgery performed. His knowledge of this dreadful disease and its treatment to help thousands of endometriotic women is truly amazing.
He is a gem of a person, explains the problem to patients and their families nicely, and proposes surgical treatment. His caring team also makes the stay in the hospital post-op help to recover quickly.
I highly recommend Dr Jay Mehta for women who need a cure for Endometriosis. He also works brilliantly for IVF and other gynac issues. Kindly check with the clinic and hospital and plan your visit accordingly. They also help with nearby stays for outstation patients. God bless you and give you the strength to continue to work in the noble field.
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