Endometriosis Treatment in Cuttack

Endometriosis is a condition wherein tissue resembling the uterine lining (endometrium) grows outside of the uterus. This is an abnormal growth of tissue and may grow on the ovaries, fallopian tubes, and on the lining of the pelvis and occasionally outside the pelvis. These implants respond to hormonal changes during the menstrual cycle, causing inflammation, pain, and sometimes the formation of scar tissue.

Stage I – Minimal

In this early stage, small and superficial lesions are found, usually limited to the pelvic lining. There is little to no scar tissue, and symptoms may be mild or even absent. Many women in this stage may not realise they have endometriosis until undergoing an evaluation for other reasons, like infertility.

Stage II – Mild

Lesions are slightly deeper and may appear on the ovaries and pelvic lining. There may be light scar tissue formation. While some discomfort may be experienced during periods, this stage can still be overlooked without proper diagnosis. Early treatment at this stage can prevent progression and future fertility issues.

Stage III – Moderate

In this stage, patients usually have multiple deep implants, small endometriomas (ovarian cysts filled with old blood) and notable scar tissue that may distort pelvic organs. Pain becomes more pronounced, especially during menstruation, intercourse or bowel movements. Fertility may also begin to decline due to the involvement of the ovaries and fallopian tubes.

Stage IV – Severe

This is the most advanced form of endometriosis. Lesions are widespread and deep with large ovarian endometriomas and dense adhesions affecting major pelvic organs like the uterus, bladder, or bowels. Chronic pain is common and fertility challenges are more likely due to anatomical distortions and inflammation. Surgery is often required to relieve symptoms and improve reproductive outcomes.

The exact reason behind endometriosis is not known yet, but the following are some of the conditions that may lead to the development of endometriosis.

• Retrograde menstruation: Menstrual blood flows backwards into the pelvic cavity instead of leaving the body.
• Hormonal imbalance: Oestrogen dominance may stimulate the growth of endometrial-like tissue.
• Immune system issues: A weakened immune response may fail to eliminate misplaced endometrial tissue.
• Genetics: Women with a family history of endometriosis are more likely to develop it.
• Surgical history: Previous pelvic surgeries may cause endometrial cells to implant outside the uterus.

The initial step in managing endometriosis is the right diagnosis. Our fertility doctors at Birla Fertility & IVF, Cuttack, use their expertise and advanced technology to help you manage this condition.

• Medical History & Physical Examination: Your treatment will begin with a thorough consultation. Our endometriosis experts will ask you some questions regarding your medical history and symptoms that you are facing.
• Ultrasound: You might be recommended a transvaginal ultrasound that will help in identifying ovarian endometriomas (chocolate cysts).
• MRI: MRI can be suggested in complicated cases for locating endometrial lesions accurately.
• Diagnostic Laparoscopy: This minimally invasive procedure remains the key diagnostic tool to confirm endometriosis and determine its extent.

At Birla Fertility & IVF, Cuttack, our team follows a holistic approach for treating endometriosis. Your treatment plan will be curated after analysing your symptoms, severity and fertility goals.

• Medical Management: Hormonal therapies such as oral contraceptives, GnRH agonists, or progestins can help reduce pain and suppress lesion growth.
• Minimally Invasive Surgery: Laparoscopic excision of endometrial implants, cysts, and adhesions helps restore pelvic anatomy and relieve symptoms.
• Fertility Treatment: For women facing infertility, our specialists may recommend ovulation induction, IUI, or IVF depending on the severity and reproductive history.
• Pain Management & Supportive Care: We combine medical treatment with nutritional counselling, physiotherapy, and psychological support for comprehensive care.

If you are searching for an endometriosis specialist near you, our experts at Birla Fertility & IVF are here to provide the best care you need.