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Endometriosis Management and Treatment

The management and treatment of endometriosis varies basis the grade of endometriosis, patient’s age, and the desire for further childbirth. Some of the treatment options include:
  • Grade I Endometriosis: Symptoms of Grade I endometriosis can be managed through pain killers and oral contraceptives

  • Grade II Endometriosis: The minuscule blood deposits can be excised through LAPEX, that is, laparoscopy and excision.

  • Grade III endometriosis: The slightly larger blood deposits can be burned through ablation via laparoscopy.

  • Grade IV or Endometrioma (Chocolate Cyst): The endometrioma ovarian cyst can be removed through laparoscopic ovarian cystectomy and blood deposits in the abdomen can be removed through ablation.

  • LAPEX and Hysterectomy: As a final solution, hysterectomy may be performed along with LAPEX. While hysterectomy removes the uterus, LAPEX is performed to excise every minor/ major endometrial tissue in the abdomen. It is the last and permanent course of treatment for endometriosis for patients who do not desire further childbirth.
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Know More About Endometriosis And It's Treatment

Endometriosis
Grades of Endometriosis
    • Grade I
    • Grade II
    • Grade III
    • Grade IV
Diagnostic Tests for Endometriosis
    • Laproscopy (Grade I, II, III endometriosis)
    • Ultrasound (Grade IV endometriosis, or Endometrioma Cyst)
Fertility Treatments for Endometriosis
    • Recanalization of fallopian tubes
    • IVF
    • ICSI
Why choose Pristyn Care for endometriosis treatment?
    • All laparoscopic treatments and fertility support available
    • 24 hour patient support
    • Free pick up and drop
    • All insurances accepted
    • Multiple payment options
    • No cost EMI option
    • Free follow-up
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Endometriosis Surgery

While there are different diagnostic and surgical treatments for endometriosis, all are laparoscopy-based and are performed under anesthesia (hence completely painless).

As the name suggests, laparoscopy is performed using a laparoscope that is, a tiny catheter-like instrument with a camera and lens on its end.

Once you are under the influence of anesthesia, the doctor makes a minor keyhole in the abdominal areas and injects carbon dioxide gas to lift it above the small intestines and create space for the procedure. Then, the laparoscope is inserted to provide a high-definition view of the internal organs on a digital monitor. This imaging helps provide the exact status of endometriosis, its severity, and grade.

    • For grade II endometriosis the doctor excises the minuscule blood deposits through specialized medical equipments. (LAPEX- laparoscopy, and excision)
    • For grade III, the doctor burns the larger blood deposits through ablation. (Laparoscopy and ablation)
    • For grade IV or endometrioma cyst, the doctor removes the cyst on the ovaries through specialized medical equipment (laparoscopic cystectomy) and ablates the other blood deposits in the abdomen.
    • If the woman is past 40, or is certain of no further childbirth, the uterus may be removed (hysterectomy) while excising or ablating all the other blood deposits in the abdomen.

Frequently Asked Questions

What is the cost of endometriosis treatment in Mumbai?

Laparoscopy and excision, or laparoscopy and ablation, both cost almost the same and range between Rs. 60, 000 to Rs 80,000 in Mumbai.

Whereas, laparoscopic ovarian cystectomy and ablation costs around Rs 75,000 to Rs. 1,00,000 in Mumbai.

Endometrial excision and laparoscopic hysterectomy, too, costs around Rs. 75, 000 to Rs. 1,00,000 in Mumbai.

How to get pregnant naturally with endometriosis?

The most common problem in natural conception with endometriosis is blocked fallopian tubes. This can be treated through recanalization of fallopian tubes. If you are struggling with fertility issues, ask your doctor to perform the chromopertubation test along with your laparoscopy diagnosis/ treatment. If needed, recanalization can be performed simultaneously. This treatment helps increase the chance of natural conception.

What are my fertility options for endometriosis?

For blocked fallopian tubes because of endometriosis, the doctor can perform recanalization of fallopian tubes. As for assisted reproductive technology, you have the option of IVF and ICSI.

Can I eat anything before endometriosis surgery?

No. Endometriosis is an anesthesia-based procedure. Therefore, fasting is required for at least 4-6 hours before the surgery.

Does endometriosis treatment require a hospital stay?

Yes, 1-2 day hospitalization is advised basis your type of treatment.

Does insurance cover the endometriosis treatment cost?

Yes, insurance covers the surgical treatment cost for endometriosis. However, fertility treatments are an exception. That is, all surgical options such as LAPEX, laparoscopy and ablation, ovarian cystectomy, or LAPEX and hysterectomy are covered under insurance as they fall under the ‘medically necessary’ list of treatments. However, fertility treatments such as recanalization, IVF, and ICSI are voted out because of their classification under treatments taken out of voluntary choice.

How long does the recovery take after endometriosis surgery?

An average recovery period after either of the endometriosis treatment surgeries is 3-5 days.

Can endometriosis happen again after the laparoscopy surgery?

Yes, recurrence of pain and symptoms is common after laparoscopy and ablation surgery for endometriosis. This is because there is currently no permanent treatment, but only long-term management of symptoms possible through medical sciences. However, if you do not desire childbirth, you can consider hysterectomy. It is a commonly accepted final treatment to permanently end pain and symptoms of endometriosis.

How to treat endometriosis permanently?

While currently, there is no permanent treatment for endometriosis, you can end the pain associated with endometriosis through hysterectomy procedure combined with LAPEX surgery, that is- laparoscopy and excision. Here, the hysterectomy procedure removes the uterus while LAPEX helps excise the other deposited blood tissues in the abdomen. With no uterus in body (and hence, no endometrial lining)and earlier blood deposits surgically excised, the chances of endometriosis appearing again reduce drastically.

How is Endometriosis diagnosed?

  • Grade I, II and III of Endometriosis: Laparoscopy

Endometrial blood deposits on various organs in the abdomen are extremely minuscule and microscopic at grades I, II, and III of Endometriosis.

This is why, if the symptoms persist, laparoscopy is suggested immediately after the ultrasound. As the name suggests, it is performed using a laparoscope that is, a tiny catheter-like instrument with a camera and lens on its end.

Once you are under the influence of anesthesia, the doctor makes a minor keyhole in the abdominal areas and injects carbon dioxide gas to lift it above the small intestines and create space for the procedure. Then, the laparoscope is inserted to provide a high-definition view of the internal organs on a digital monitor. This imaging helps provide the exact status of endometriosis, its severity, and grade.

If needed, the laparoscopy test may be combined with the corresponding treatment.

  • Grade IV Endometriosis or Endometrioma Cyst: Ultrasound

As the size of endometrial blood tissues enlarges by the grade IV, or in case an endometrioma cyst appears on the ovary, ultrasound can help diagnose the condition.

It is an imaging test that uses high-frequency sound waves to produce images of the internal body organs. For this, a trained technician or doctor presses a small handheld device against the area that needs to be examined. Before beginning the procedure, a water-soluble gel is applied to prevent the creation of any air pockets during the procedure. You may be required to fast or be on full bladder before the test. The specifics vary based on the area in which the test is performed. Therefore, please confirm the same directly from your operating doctor.

Why choose Pristyn Care for endometriosis treatment?

Pristyn Care brings the most advanced and holistic gyne treatments with its experienced doctors and latest laparoscopic and laser technology in 15+ cities in India. We are associated with multiple reputed gyne-clinics and super-specialty hospitals, giving you the option to choose amongst the best hospitals that suit your needs, be it the hospital distance, its infrastructure, or insurance panel.

As you choose Pristyn Care for your treatments, you get some of the added benefits. These include:

  • Free online/ in-clinic consultations: We offer free consultations. Also, you have the choice to speak with the doctor in-clinic or offline, sitting from the comfort of your home. You can ask as many questions, and we ensure we give you the right and detailed answers.
  • Both surgical and fertility treatments available: We perform both- surgical as well as fertility treatments for endometriosis. That is, we offer laparoscopy ablation, LAPEX, laparoscopic ovarian cystectomy, laparoscopic chromopertubation, and recanalization of the fallopian tube, IVF, ICSI, and LAPEX and hysterectomy.
  • Free transportation to and from the hospital: We provide free cab pick up and drop off from and to your residence on the day of surgery.
  • Minimal-no waiting time for hospital admission: We perform most of our admission formalities beforehand, so you do not have to wait for hospital admission at the site.
  • All paperwork done on your behalf: We do all your hospital admission and discharge paperwork ourselves on your behalf to reduce your hassles and provide a seamless patient experience.
  • Multiple payment options: We accepts all modes of payment including cash, credit, and debit card.
  • All insurances accepted: We accept all insurances and offer cash-less facilities at most of the hospitals.
  • No cost EMI option: You can also opt for the No cost EMI option while paying for your medical bills.

Free follow-up: We provide free follow-up post consultations to ensure a complete and smooth recovery.

How to book an appointment with a Pristyn Care Gynecologist for endometriosis treatment?

Booking an appointment with a Pristyn Care gynecologist is easy. Simply call us directly or fill out our ‘Book my Appointment’ form. It would ask you just four basic questions such as ‘Your name’, ‘Contact’, ‘Disease name’, and ‘City’. Just fill them and click ‘submit’. Our medical coordinators will call you shortly and help you speak to a doctor of your choice.

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