UNITTAS – meaning “United” in Spanish. Our hospital is conceived by the united efforts and collective participation of senior, well experienced medical professionals and professionals from other service sectors.

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Endometriosis Treatment in Chennai

Living with endometriosis can be overwhelming, but you don't have to navigate it on your own. At Unittas Hospital, we understand the impact this condition can have on your daily life. Our dedicated team of gynecological specialists provides compassionate, personalized care, offering accurate diagnosis and advanced endometriosis treatment in Chennai. Together, we'll work to ease your symptoms, restore your comfort, and help you move forward with confidence and renewed quality of life.

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What is Endometriosis?

Endometriosis is a chronic gynecological condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterine cavity. This tissue can develop on the ovaries, fallopian tubes, outer surface of the uterus, pelvic cavity lining, bowel, bladder, and in rare cases, other organs.

During each menstrual cycle, this misplaced tissue responds to hormonal changes just like the uterine lining does. It thickens, breaks down, and bleeds. However, unlike menstrual blood that exits through the vagina, this blood has no way to leave the body. This trapped blood and tissue leads to inflammation, scar tissue formation (adhesions), and the development of painful cysts, particularly on the ovaries. In many cases, relief can be achieved through endometriosis medication, which helps manage symptoms.

Signs and Symptoms of Endometriosis

Endometriosis symptoms vary significantly from woman to woman. Some experience severe symptoms, while others with extensive endometriosis may have minimal or no symptoms. The severity of symptoms doesn't always correlate with the extent of the condition.

Causes and Risk Factors of Endometriosis

The exact endometriosis causes are not yet clear, but researchers have suggested several possible reasons for why it develops. Knowing about these causes and the related risk factors can make it easier to understand who may be more likely to have the condition.

Possible Causes

Risk Factors

Diagnosis of Endometriosis

At Unittas Hospital, we use a thorough diagnostic approach that includes clinical evaluation, imaging tests, and, when required, endometriosis surgery to confirm the condition with accuracy.

1. Detailed Medical History

Our specialists begin with an in-depth discussion of your symptoms, menstrual history, pain patterns, family history, and impact on quality of life. This information helps guide further diagnostic testing.

2. Physical Examination

A pelvic examination allows your doctor to manually check for abnormalities such as cysts on reproductive organs or scarring behind the uterus. While a pelvic exam may detect larger endometriomas or nodules, small areas of endometriosis are often difficult to feel.

3. Ultrasound Imaging

We utilize transvaginal ultrasound and abdominal ultrasound to create detailed images of your reproductive organs. While ultrasound cannot definitively diagnose endometriosis, it can identify endometriomas (ovarian cysts caused by endometriosis) and other abnormalities.

4. MRI (Magnetic Resonance Imaging)

For complex cases, we may recommend an MRI scan, which provides detailed images of soft tissues and organs. MRI is particularly useful for surgical planning and detecting deep infiltrating endometriosis.

5. Blood Tests

We may check for elevated CA-125 levels, a protein sometimes elevated in women with endometriosis. However, this test is not definitive as CA-125 can be elevated in other conditions and may be normal despite having endometriosis.

6. Laparoscopy (Definitive Diagnosis)

The gold standard for diagnosing endometriosis is laparoscopy, a minimally invasive surgical procedure. During laparoscopy, a thin viewing instrument (laparoscope) is inserted through a small incision near your navel. This allows your surgeon to directly visualize endometrial implants and take tissue samples (biopsies) for laboratory confirmation.

Endometriosis Treatment Options at Unittas Hospital

Treatment for endometriosis at Unittas Hospital is personalized based on the severity of your symptoms, the extent of the condition, your age, overall health, and whether you wish to have children in the future. With a multidisciplinary team that includes some of the best endometriosis doctors in Chennai, we ensure comprehensive care.

Category Treatment Description
Conservative Medical Management Pain Medication For mild to moderate symptoms, over-the-counter pain relievers like ibuprofen or naproxen sodium can help manage menstrual cramps and pelvic pain. Our pain management specialists can also prescribe stronger pain medications when necessary.
Hormonal Therapy Hormonal treatments aim to reduce or eliminate menstruation, which can slow endometrial tissue growth and reduce inflammation. Options include:
  • Combined Hormonal Contraceptives
  • Progestin-Only Therapies
  • GnRH Agonists and Antagonists
  • Aromatase Inhibitors
  • Intrauterine Device (IUD)
Surgical Treatment Laparoscopy For women who wish to preserve fertility or have moderate to severe endometriosis, laparoscopic surgery is highly effective.
Hysterectomy In severe cases where other treatments have failed and fertility is not desired, hysterectomy (removal of the uterus) may be recommended. This may be combined with removal of the ovaries (oophorectomy) if they are severely affected.
Complementary Therapies Integrative approaches
  • Physical therapy for pelvic floor dysfunction.
  • Acupuncture for pain management.
  • Nutritional counseling and dietary modifications.
  • Mind-body techniques including yoga and meditation.
  • Psychological counseling and support groups.

Complications if Left Untreated

While endometriosis is not life-threatening, leaving it untreated can lead to significant complications that affect your health, fertility, and quality of life.

Infertility: One of the most serious complications of endometriosis is impaired fertility. The condition can affect fertility through multiple mechanisms including distorted pelvic anatomy from adhesions, damaged fallopian tubes preventing egg transport, inflammation affecting egg quality, ovarian cysts damaging healthy ovarian tissue, and altered immune function affecting implantation.

Chronic Pelvic Pain: Untreated endometriosis often leads to worsening chronic pain that can become constant rather than cyclical. This persistent pain significantly impacts work productivity, social activities, intimate relationships, and mental health.

Ovarian Cysts (Endometriomas): Endometriomas, also called "chocolate cysts" due to their dark, thick fluid content, can grow large and cause severe pain. These cysts can rupture, leading to acute pain and potential infection.

Adhesions and Scarring: Repeated inflammation from endometriosis causes scar tissue and adhesions that can bind organs together. This can lead to bowel obstruction if adhesions affect the intestines, urinary problems if the bladder is involved, and chronic pelvic pain from organs stuck together.

Additional Complications: Anemia from excessive bleeding, psychological impact including depression and anxiety, and bowel and bladder complications when endometriosis involves these organs.

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Why Choose Unittas Hospital for Endometriosis Treatment?

Expert Specialists: Our team includes board-certified gynecologists with specialized training and extensive experience in diagnosing and treating endometriosis. Recognized among the best doctors for endometriosis treatment in Chennai, our surgeons are highly skilled in advanced laparoscopic and minimally invasive techniques.

Advanced Facilities: We utilize the latest diagnostic and surgical technologies, including high-definition laparoscopy, advanced imaging systems, and modern operating theaters equipped for complex procedures.

Multidisciplinary Approach: Our integrated team includes gynecologists, pain specialists, fertility experts, nutritionists, physiotherapists, and mental health professionals working together to address all aspects of your condition.

Personalized Care Plans: We recognize that every woman's experience with endometriosis is unique. We create individualized treatment strategies tailored to your symptoms, goals, lifestyle, and preferences.

Fertility Preservation Focus: For women who wish to have children, we prioritize fertility-preserving treatments and offer comprehensive reproductive services, including advanced fertility treatments and IVF.

Minimally Invasive Surgery: Our surgeons excel in advanced laparoscopic techniques, offering faster recovery, less pain, minimal scarring, and better outcomes compared to traditional open surgery.

Comprehensive Diagnostics: We offer complete diagnostic services including ultrasound, MRI, blood tests, and diagnostic laparoscopy to ensure accurate diagnosis and treatment planning.

Ongoing Support: Our care doesn't end after treatment. We provide long-term follow-up, symptom monitoring, treatment adjustments, and continuous support throughout your journey.

Patient-Centered Philosophy: We listen to your concerns, respect your decisions, involve you in treatment planning, and empower you with knowledge about your condition and treatment options.

Frequently Asked Questions About Endometriosis

Can endometriosis be cured completely?

Currently, there is no permanent cure for endometriosis. However, symptoms can be effectively managed through medical treatments, surgery, and lifestyle modifications. For women who have completed childbearing, hysterectomy with removal of ovaries may provide definitive treatment, though this is considered only after other options have been exhausted.

Will I be able to have children if I have endometriosis?

Many women with endometriosis can conceive naturally, especially those with mild disease. For those facing fertility challenges, treatments like surgery to remove endometriosis, ovulation induction, IUI, and IVF can significantly improve pregnancy chances.

Is endometriosis a type of cancer?

No, endometriosis is not cancer. It is a benign (non-cancerous) condition. While endometrial tissue grows outside the uterus, it does not spread like cancer cells. However, women with endometriosis may have a slightly increased risk of certain types of ovarian cancer, though this risk remains very low.

How long is recovery after endometriosis surgery?

Recovery time depends on the extent of surgery. For laparoscopic procedures, most women can return to light activities within 1-2 weeks and resume normal activities within 2-4 weeks. More extensive procedures may require longer recovery.

Does birth control help with endometriosis?

Yes, hormonal birth control can be very effective in managing endometriosis symptoms. Birth control pills, patches, rings, hormonal IUDs, and injections work by suppressing ovulation and menstruation, reducing hormonal fluctuations that trigger endometrial tissue growth.

Can endometriosis come back after surgery?

Endometriosis can recur after surgery. Studies show recurrence rates of approximately 20-40% within five years after surgery. However, combining surgery with post-operative medical therapy (such as hormonal treatments) can significantly reduce recurrence risk.

What is the difference between endometriosis and adenomyosis?

While both involve endometrial-like tissue in abnormal locations, they are different conditions. Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus on other pelvic organs. Adenomyosis occurs when endometrial tissue grows into the muscular wall of the uterus itself.

Is endometriosis genetic? Will my daughter get it?

Endometriosis has a genetic component. Women with a first-degree relative (mother, sister, daughter) with endometriosis have a 7-10 times higher risk of developing the condition. However, having endometriosis doesn't guarantee your daughter will develop it.

Can lifestyle changes alone manage endometriosis?

While lifestyle modifications like anti-inflammatory diet, regular exercise, stress management, and adequate sleep can help manage symptoms and improve quality of life, they are typically not sufficient as standalone treatment for moderate to severe endometriosis. Lifestyle changes work best as complementary strategies alongside medical or surgical treatment.

How often should I have follow-up appointments?

Follow-up frequency depends on your treatment plan and symptom severity. Generally, appointments are scheduled every 3-6 months initially to monitor treatment effectiveness and adjust as needed. After symptoms stabilize, annual check-ups may be sufficient.

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