Endometriosis Treatment in Nagpur

Tissue similar to the lining of the uterus grows outside it — on the ovaries, the ligaments behind the uterus, the pelvic lining, sometimes the bowel or bladder. It responds to the same monthly hormones as the lining does, so it bleeds a little each cycle with nowhere for that blood to go. That causes inflammation, scarring and pain.

Far too long — studies across several countries put the average delay between first symptoms and diagnosis at several years. The main reason is that severe period pain is dismissed as normal, by families and sometimes by doctors. If your pain stops you working, studying or sleeping, that is not something to keep tolerating.

No, and this has changed. Current guidance accepts a clinical diagnosis from symptoms and examination, supported by ultrasound or MRI, so treatment can start without surgery first. Laparoscopy remains the definitive test and is still needed where the diagnosis is uncertain, where treatment has not worked, or where surgery is the treatment.

Sometimes. Ovarian endometriomas and deep deposits are often visible. Superficial disease usually is not, so a normal scan does not rule endometriosis out. That is an important point, because many women are told their scan is normal and conclude that nothing is wrong.

Yes. Dr. Kunda performs both diagnostic and therapeutic laparoscopy and removes endometriosis deposits and endometriomas herself. This is done at a hospital in Dhantoli where she is attached, not at Mayflower Clinic, because it requires an operating theatre and general anaesthesia. Your consultations, scans and follow-up happen at the clinic.

The combined oral contraceptive pill, taken continuously or cyclically, and progestins are the mainstays, and a hormonal intrauterine system is used where it is indicated. They work by suppressing the monthly hormonal cycle that drives the deposits. Choosing between them depends on your symptoms, whether you are trying to conceive, and what you have already tried.

It can, but many women with endometriosis conceive without help. Where it is contributing, ovulation induction and follicular tracking are done here, and surgery sometimes improves the chance of conceiving. IVF and other ART treatments are not offered at this clinic and are referred to a registered ART centre. If you are trying to conceive, say so early — it changes which treatment is appropriate, because hormonal suppression and pregnancy are opposite goals.

It can, and you should be told that plainly before an operation rather than after one. Recurrence rates vary with how extensive the disease was and what is done afterwards. Hormonal treatment after surgery reduces the chance of it returning, which is why surgery is usually part of a plan rather than the whole of it.

No. Symptoms often improve during pregnancy and breastfeeding because the monthly cycle stops, but they commonly return afterwards. Being advised to have a baby as a treatment for endometriosis is outdated advice and it puts an unfair decision on a woman.

Related but not the same. In adenomyosis the tissue grows into the muscular wall of the uterus itself rather than outside it, which typically causes heavy periods and a generalised dragging pain rather than sharp localised pain. The two often occur together. It is diagnosed on ultrasound or MRI and treated medically along similar lines.

This happens, and it does not mean the treatment failed or that the pain is imagined. Pain that has been present for years can persist after the deposits are treated, because the nerves and pelvic floor muscles have adapted. Pain relief is prescribed and referral to a physiotherapist is arranged where the pelvic floor is involved.

The consultation is ₹500 and a follow-up visit is ₹500. Scans, medicines and any surgery are charged separately, and surgery is billed by the hospital rather than by the clinic. Charges can change at any time without prior notice — please confirm with clinic reception on 0712 6692706.