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Endometriosis Treatment in New Delhi

Alleviate chronic pain and inflammation to improve fertility and daily comfort. Laparoscopic surgery clears implants for easier conception and healthier cycles.

Key Facts

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At Dr Mannan IVF Centre in New Delhi, one of the most common and challenging conditions I treat is endometriosis.

With over 10 years of experience in fertility care, I have seen firsthand how difficult this condition can be for women.

For too many, the journey to a diagnosis is long and frustrating. They suffer for years with debilitating period pain, chronic pelvic discomfort, and fertility struggles, often being told their symptoms are just “bad cramps” or “part of being a woman.”

I want to be very clear: severe pain is not normal. Endometriosis is a real, complex, and often painful disease, but it is treatable.

My mission is to validate your experience, provide an accurate diagnosis, and create a personalised treatment plan that aligns with your goals—whether that is living pain-free, restoring your quality of life, or achieving your dream of motherhood.

Key Takeaways
  • A Widespread Condition: Endometriosis affects roughly 1 in 10 women, but it is frequently underdiagnosed.
  • Beyond Bad Periods: It’s an inflammatory disease that can affect fertility and cause chronic pain.
  • Laparoscopy is Key: “Keyhole” surgery is the gold standard for both diagnosing and treating endometriosis.
  • Fertility-Focused Care: Our treatment approach prioritises preserving your ovarian reserve and enhancing your chances of conception.

What is Endometriosis?

To understand endometriosis, we first need to look at the endometrium—the tissue that lines the inside of your uterus.

Every month, this lining thickens and then sheds, causing your period.

In endometriosis, tissue similar to this lining grows outside the uterus. These rogue implants can be found on the ovaries, fallopian tubes, the outer surface of the uterus, and the lining of the pelvic cavity.

The problem is that this misplaced tissue still behaves like the uterine lining: it thickens and bleeds with your monthly cycle.

But unlike your period, this blood has no way to exit the body.

This internal bleeding leads to inflammation, intense pain, and the formation of scar tissue (adhesions) that can bind organs together.

When endometriosis forms on the ovaries, it can create cysts filled with old, dark blood, known as “chocolate cysts” or endometriomas.

Symptoms: More Than Just Pain

The symptoms of endometriosis can vary widely, but the most common signs include:

  • Painful Periods (Dysmenorrhoea): Pain so severe it interferes with your daily activities.
  • Chronic Pelvic Pain: Pain that occurs even when you are not on your period.
  • Painful Intercourse (Dyspareunia): Deep pain during or after sex.
  • Infertility: Endometriosis can distort pelvic anatomy, block fallopian tubes, and create an inflammatory environment that is hostile to sperm and embryos.
  • Painful Bowel Movements or Urination: Especially during your period, if implants are on the bowel or bladder.
  • Heavy Bleeding or Bleeding Between Periods.

The severity of your pain does not always correlate with the extent of the disease.

Some women with severe disease have little pain, while others with mild disease experience debilitating symptoms.

Diagnosis: The Importance of Seeing a Specialist

Diagnosing endometriosis requires a high index of suspicion and the right tools.

  1. Clinical Evaluation:
    It starts with me listening carefully to your story. The type of pain you describe often points us in the right direction.
  2. Transvaginal Ultrasound:
    A specialised ultrasound can often detect chocolate cysts on the ovaries. However, superficial implants on the pelvic lining are not visible on a scan.
  3. Laparoscopy (Gold Standard):
    The only way to definitively diagnose endometriosis is to look inside the pelvis.

    Laparoscopy is a minimally invasive “keyhole” surgery. Through a tiny incision near the belly button, I insert a camera to directly visualise the pelvic organs, identify the implants, and assess the extent of the disease.
    The huge advantage is that we can treat what we find in the same procedure.

Personalised Treatment Options

Treatment is tailored to your symptoms, the severity of the disease, and your desire for children.

1. Medical Management

For managing pain, hormonal medications can be effective.

  • Hormonal Contraceptives: Birth control pills can suppress the growth of implants and reduce pain.
  • Progestins: These can be given as pills or through a hormonal IUD (like Mirena), which helps to control pain and bleeding.
  • GnRH Agonists: These medications induce a temporary, reversible menopause, “starving” the endometriosis implants of the oestrogen they need to grow.

2. Laparoscopic Surgical Treatment

For women with significant pain, large cysts, or infertility, surgery is often the best option.

  • Laparoscopic Excision/Ablation: During laparoscopy, I use specialised instruments to either destroy (ablate) or, preferably, cut out (excise) the endometriosis implants and remove scar tissue.
  • Cystectomy: If you have chocolate cysts, the goal is to carefully shell out the cyst lining while preserving as much healthy ovarian tissue as possible. This is crucial for protecting your future fertility.

The goal of surgery is to remove the disease, restore normal anatomy, and reduce pain.

For women trying to conceive, surgery can significantly improve the chances of a natural pregnancy.

Dr Mannan IVF Centre

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Cost of Endometriosis Treatment in Delhi

The cost of treatment depends heavily on whether it is medical or surgical. We are committed to providing you with clear and transparent financial guidance.

Procedure

Approximate Cost in Delhi

Diagnostic & Operative Laparoscopy

₹60,000 – ₹1,20,000

Medical Management (Monthly)

₹1,000 – ₹5,000

IVF Cycle (if required post-surgery)

₹1,25,000 – ₹1,75,000

Understanding the Cost Variation:
Surgical costs vary based on the severity of the disease.

A simple procedure for mild endometriosis will cost less than complex, multi-hour surgery for severe, deep-infiltrating cases involving multiple organs.

To understand your specific needs and receive a detailed, personalized cost estimate, please book your evaluation here or contact us today.

Parenthood Starts with One Brave Conversation

Schedule a consultation with Dr. Mannan Gupta for honest answers and personalized fertility care.

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Why Choose Dr Mannan Gupta for Endometriosis Surgery?

Endometriosis surgery, especially when fertility is a concern, is one of the most delicate procedures in gynaecology. The surgeon’s skill directly impacts your outcome.

  • Advanced Laparoscopic Skills:
    I specialise in minimally invasive surgery. My focus is on meticulous and complete excision of the disease while protecting healthy tissue.
  • Ovarian Reserve Preservation:
    When removing chocolate cysts, my technique is focused on preserving every last bit of healthy ovarian tissue.This is vital for your egg count and future fertility.
  • Fertility-First Approach:
    As an IVF specialist, I perform every surgery with a deep understanding of how it will impact your future reproductive potential.
  • Holistic Care Plan:
    We don’t just perform the surgery. We create a long-term plan to manage the condition and prevent recurrence, which may include post-operative medical therapy or moving towards pregnancy.

Emotional Support and Wellness

Living with a chronic pain condition like endometriosis is physically and emotionally draining.

Your pain is real, and you deserve to be heard. We create a safe, empathetic space where you can share your struggles without judgement.

We provide counselling and support to help you cope with the mental health challenges that often accompany chronic illness.

Conclusion

Endometriosis is a complex disease, but you do not have to let it control your life.

From advanced hormonal therapies to meticulous laparoscopic surgery, effective treatments are available.

The first and most important step is getting an accurate diagnosis from a specialist who understands the nuances of this condition.

At Dr Mannan IVF Centre, we combine surgical excellence with a profound commitment to your overall well-being and fertility future.

It’s time to take back control. Find relief and restore your hope.
If you have been struggling with pelvic pain or unexplained infertility, you deserve answers. Book a consultation with Dr Mannan Gupta today to discuss your path to wellness.

Frequently Asked Questions (FAQs)

No. Endometriosis is a benign (non-cancerous) condition. However, it can be very invasive and cause significant damage to pelvic organs.

Laparoscopic surgery can remove the existing disease, but as long as you are menstruating, there is a risk it can recur. The only definitive cure is a hysterectomy with removal of the ovaries, which is a last resort for women who have completed their families and have severe, unresponsive disease.

For many women, yes. Surgery can improve fertility by removing scar tissue, unblocking tubes, and reducing inflammation. We often recommend trying to conceive naturally for 6-12 months after surgery, as this is the window of highest fertility.

Recovery is quite fast. You can typically go home the same day or the next day. Most women are back to their normal routine within 1-2 weeks.

Absolutely. This is a very common scenario. Superficial endometriosis implants are not visible on ultrasound. If your symptoms are classic for the disease, a diagnostic laparoscopy is the next logical step to get a definitive answer.

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