Specialist Endometriosis care
Endo Care
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Specialist Care
Cutting-edge modern medicine solutions: Medicines, Surgeries and more
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Multi Disciplinary Specialities
A multi-speciality team for your support as necessary: Urologist, Colorectal surgeon
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Holistic Blend
Dr Joshi supports Yoga, Breath-work and anti-inflammatory diet like holistic practices, if you believe in these.
Frequently Asked Questions
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Endometriosis is a condition where tissue similar to the uterine lining – endometrium – grows outside the uterus. It is most commonly found on the peritoneum, ovaries, uterus, fallopian tubes, bladder, pouch of Douglas.They are changes in the skin or tissue of the vulva or labia, including lumps, ulcers, discolouration, or texture changes. Causes range from benign skin conditions to infections or pre-cancerous changes.
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Symptoms vary from patient to patient.
Symptoms may include – pain during periods, chronic pelvic pain or higher pain during intercourse. Endometriosis may cause difficulty in becoming pregnant.
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Dr Joshi will take a thorough medical history, as a starting point.
Endometriosis can be reliably diagnosed only by diagnostic laparoscopy.
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If endometriosis is found on organs like bowel, ureters or bladder, Dr Joshi may involve other Specialists in your care.
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Surgical treatments available for endometriosis include
Operative Laparoscopy – A laparoscope is inserted through a small incision near the Naval area and abdomen is gently inflated with carbon dioxide gas to improve the visibility and access for the surgeon.
Different techniques used to remove the endometriosis include
Excision surgery – removal of small patches by cutting
Cautery – cutting and burning the affected tissue using an electrical probe
The choice of technique depends on the surgeon as well as location of endometriosis and reasons for surgery.
Sometimes, the laparoscopy may result in a laparotomy – which is making a larger cut to gain better access for the removal of endometriosis. Conversion from laparoscopy to laparotomy may not be a pleasant outcome for the woman; however, this is done in the best interest of the patient and improve the chances of success of the treatment. It is not a complication of the laparoscopic procedure.
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Medical (non-surgical) management of endometriosis focuses on reducing pain, controlling disease activity, and improving quality of life. Treatment is tailored to each woman’s symptoms, lifestyle, and fertility goals.
Hormonal therapies — including the combined oral contraceptive pill, progesterone-only treatments, and hormonal IUDs — work by suppressing ovulation and reducing oestrogen stimulation of endometriosis tissue. These options can significantly improve period pain, pelvic pain, and heavy bleeding.
For women with more complex symptoms, second-line hormonal treatments or pain-modifying medications may be recommended. A multidisciplinary approach, including pelvic physiotherapy and targeted pain strategies, can also be beneficial.
At Adv Gynae, care is individualised, evidence-based, and focused on long-term wellbeing and fertility preservation where desired.
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Every surgical procedure comes with its own risks and some risks could be life-threatening. Please refer to the risks outlined under advanced laparoscopic surgery for details.
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