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Scar Endometriosis

scar endometriosis treatment in Mumbai

Endometriosis, a condition where tissue similar to the lining of the uterus grows in other parts of the body, has various subtypes.

One such subtype is Scar Endometriosis, which falls under the umbrella of Deep Endometriosis and is commonly seen at extrapelvic locations, particularly at the site of a previous cesarean scar.

While Scar Endometriosis may be associated with pelvic endometriosis, it can also be a completely different disease.

Scar Endometriosis is an extrapelvic type of endometriosis that occurs at the site of a previous surgical scar, most commonly a cesarean section scar.

Despite being less than 2.5 cm in size, even the smallest lesions can cause extreme pain, typically aggravating during or just prior to the menstrual cycle.

Symptoms & Diagnosis of Scar Endometriosis

The most common symptom of Scar Endometriosis is cyclic pain, usually located at the surgical site. Other symptoms may include:

  • Pelvic or abdominal tenderness
  • Dysmenorrhea (painful periods)
  • Chronic pelvic pain
  • Fertility issues
  • Menstrual irregularities
  • Pain during or after intercourse

The commonest complaint of patients with Cesarean Scar Endometriosis is severe pain at the scar site. This pain often worsens during or just before the menstrual cycle, leading women to resort to taking painkillers for relief.

Scar endometriosis does invade the Rectus Muscle and the muscle sheath is extremely common in patients with Cesarean Scar Endometriosis.

When the rectus muscle is invaded, patients can experience continuous pain even outside the menstrual cycle, necessitating a surgical approach that often involves the excision of a large part of the muscle.

Diagnosing Scar Endometriosis can be a challenge due to its non-specific symptoms. Typically, a detailed medical history combined with a thorough physical examination is the first step.

A healthcare professional may palpate the area of concern, looking for any hard lumps or nodules. Imaging techniques such as ultrasound, MRI, or CT scans are often utilised for more precise identification of lesions.

In some cases, a definitive diagnosis is made through a biopsy, where a small tissue sample is examined under a microscope. Hence, a comprehensive multidisciplinary approach is imperative for accurate diagnosis.

Treatment Options for Scar Endometriosis

Treatment for Ureteral Endometriosis will generally depend on the severity of the condition. The primary aim is to relieve any pain and discomfort, as well as preserve fertility if possible.

The treatment of choice for Cesarean Scar Endometriosis is surgical management with wide excision of the disease with clear margins.

With adequate expertise, Scar Endometriosis can be completely removed via surgery.

This procedure may require a large excision of the muscle, repair using a permanent mesh to replace the abdominal muscle, and a special drain with a vacuum.

Despite common practice, medical management of Cesarean Scar Endometriosis, including the use of Dienogest or depot medroxyprogesterone acetate (DMPA), only provides temporary symptomatic relief and does not reduce the size of the lesion.

The use of injections of GnRH Agonist (Leupride/ Zoladex) also only offers temporary benefits, as it does not affect the fibrosis and the size of the lesion will return to its original state once the effect of the injection wears off.

Dr Jay Mehta have a large series of these cases and a popular patient educational Masterclass on YouTube, strongly advocates for this approach.

Dr. Jay Mehta and his team operates more than 500 cases of Endometriosis across India annually. Dr. Jay is very experienced fertility & one of the best endometriosis doctor in Mumbai.

Book Your Consultation Today With an Scar Endometriosis Specialist in India – Dr Jay Mehta

Post-Surgery

Not all patients require post-surgery physiotherapy, but in cases where the replacement of the abdominal muscle is extensive, it may be recommended.

After a complete surgery, patients usually don’t need any medications to prevent recurrence. Typically, patients are discharged within 24-48 hours of the procedure.

In conclusion, though Scar Endometriosis can be extremely painful and invasive, it is treatable with expert surgical intervention.

Understanding the condition and seeking appropriate treatment can help patients manage their symptoms and live a healthy life after diagnosis and surgery.

For any endometriosis treatment, consider seeking a consultation with Dr. Jay Mehta. He is a highly experienced endometriosis doctor in Mumbai & can provide the necessary expertise to address your specific concerns.

Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

Dr. Jay Mehta

MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)

4.9

Verified & Most Trusted One

Dr. Jay Mehta is a renowned IVF specialist and fertility-preserving surgeon in Mumbai, India. He is the Director of Shree IVF and Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. He is a leading laparoscopic gynecologist in India for endometriosis and adenomyosis..

He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc.

To book an appointment, call: 1800-268-4000 or fill out our contact form

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Ankita Katyal

I am incredibly grateful for Dr. Jay's exceptional support throughout my IVF journey. Dr Jay has been like God sent an Angel for us. From our very first meeting, it was clear that Dr. Jay was not only a highly skilled and knowledgeable professional but also someone who genuinely cared about my well-being.

From my first meeting, he was very clear transparent, and straightforward about my protocol, treatment line, and success rate. After two difficult IVF cycles that failed, I was beginning to lose hope.

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Krish A

Dr Jay Mehta is the best Fertility doctor. I am glad to have IVF done with Jay sir.

This unit is very ethical and very honest at work. In my previous IVF cycle, I did not have embryos in Chennai. I was here and Dr and team had told me not to worry. I was given end to end transparency about my embryos and I was lucky to become pregnant in the 1st cycle here, though I was told that the success rate will be about 25 to 30%.

IVF space is competitive, but these guys don't do any Ads on Google. And still if you search, Dr Jay is ranked no.1. I was extremely impressed with that and I am happy that I took a call to travel to Mumbai from Chennai.

I am thankful to the entire team for handling my case nicely. And May God shower the team with his choicest blessings.

Forum Shah

I visited 3 years back for my IVF treatment at that time and also got good treatment with Dr. Jay Mehta … the best part is he would tell me straight away whatever the cause and outcome would be.

This time also I came for Endometriosis treatment n within 3-4 days decided to get operated as there was no looking back as I trust him for his treatment. Thank you Dr once again for the right advice 😊

Deepak Jagadale

Dr Jay Mehta and team are simply excellent people and brilliant outcomes in Fertility services. Very very honest and humble doctor.

Thank you for the valuable guidance during the IVF process and the excellent and no hidden costs during IVF procedure. For middle class people it's a big relief.

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Dr. Jay Mehta is a result-oriented specialist in his field and the best we could ask for, in a Metro city. His line of treatment for IVF is different from other IVF clinics.

The support provided by doctors and staff as well as all other attending doctors is phenomenal. We are very satisfied and will also highly recommend to others the IVF treatment at Shree IVF Clinic Mumbai.

Vijaya Garg

Dr. Jay Mehta is one of the best gynaecologist doctor of our India. I trust him faithfully and would like to recommend each and every one that don't waste time moving here and there to another doctorand .

I m sharing my experience I wasted my time mand oney by moving from one doctor to other and my problem was unsolved I'm thankful to Dr. Priyanka Shukla mam of trident hospital for suggesting Dr. Jay Mehta sir for my treatment . Now I'm pain-free...Thank you Dr. Jay Mehta sir... you are really my Boley baba shiv shsmbu. I m thankful to all the staff members of Shree IVF hospital

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