Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Pelvic Pain
Endometriosis Treatment in Hyderabad: Laparoscopic Excision at Lux Hospitals
Endometriosis is tissue resembling the uterine lining growing outside the uterus: on the ovaries, the pelvic lining, the bowel or the bladder. It bleeds with every cycle, with nowhere for the blood to go, and the result is inflammation, scarring and pain.
Women wait an average of seven to ten years for this diagnosis, most of them told repeatedly that severe period pain is normal. It is not. Our gynaecologists at Lux Hospitals, HITEC CITY investigate it properly and treat it by excision rather than by burning the surface.
- Excision Surgery
- Fertility Preserved
- Women Gynaecologists
What is Endometriosis?
Endometriosis is the presence of tissue similar to the endometrium, the lining of the uterus, in places outside it. The commonest sites are the ovaries, the pelvic peritoneum, the ligaments supporting the uterus, and the space between uterus and rectum. It can also involve the bowel, bladder, ureters and, rarely, the diaphragm.
This tissue responds to the hormonal cycle exactly as the uterine lining does: it thickens and bleeds each month. But unlike menstrual blood, it has no route out. The trapped blood irritates surrounding tissue, provoking chronic inflammation, adhesions that stick organs together, and scar tissue that distorts pelvic anatomy. On the ovary it forms an endometrioma: a cyst of old altered blood, often called a chocolate cyst.
The condition is staged one to four by how extensive it is, but stage correlates poorly with pain. Minimal disease can be agonising and extensive disease can be almost silent. What stage does predict reasonably well is the effect on fertility, and roughly a third to a half of women with unexplained infertility turn out to have endometriosis.
Causes of Endometriosis
No single theory explains every case, and the condition probably arises through more than one mechanism.
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Retrograde menstruation
Menstrual blood flowing backwards through the tubes into the pelvis, depositing endometrial cells. The oldest theory, though most women have some retrograde flow and only some develop endometriosis.
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Immune dysfunction
A failure to clear displaced endometrial cells that would normally be removed. This helps explain why only some women are affected.
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Coelomic metaplasia
Cells lining the pelvis transforming into endometrial-like tissue. This accounts for endometriosis in women who have never menstruated.
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Genetic predisposition
A first-degree relative with endometriosis raises risk several-fold. It clusters strongly in families.
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Hormonal environment
Endometriosis is oestrogen-dependent, and the lesions themselves produce oestrogen locally, which is why hormonal suppression works.
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Lymphatic and vascular spread
Endometrial cells travelling through blood or lymph, explaining rare deposits in distant sites such as the lung or diaphragm.
Endometriosis is not caused by stress, by using tampons, or by anything within your control. It is not an infection and it is not psychological: a point worth stating plainly given how often women are told otherwise.
Symptoms of Endometriosis
Pain that is cyclical and disabling is the hallmark, though the condition reaches well beyond the pelvis.
Pain symptoms
- Severe period pain that stops you functioning normally
- Pelvic pain that begins days before the period
- Deep pain during or after intercourse
- Pain on opening the bowels, particularly around periods
- Pain on passing urine during periods
- Chronic pelvic pain between periods
Other symptoms
- Difficulty conceiving
- Heavy or irregular bleeding
- Bleeding from the rectum during periods
- Bloating, often described as endo belly
- Profound fatigue
- Diarrhoea or constipation that worsens cyclically
Period pain that keeps you off work or school, or that painkillers do not touch, is not normal and should not be normalised. That message is the single most useful thing this page can convey.
How Endometriosis is Diagnosed
Imaging finds the larger disease; the smaller superficial disease is often only seen at laparoscopy.
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History and pain mapping
The relationship of pain to the cycle, to intercourse and to bowel and bladder function. A careful history raises the suspicion long before any scan.
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Pelvic examination
Tenderness in the pouch of Douglas, nodules on the uterosacral ligaments, or a fixed retroverted uterus all point strongly toward it.
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Transvaginal ultrasound
Detects endometriomas reliably and, in experienced hands, deep infiltrating disease. It cannot see superficial peritoneal disease.
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MRI pelvis
Maps deep infiltrating endometriosis involving bowel, bladder or ureters. Essential for planning surgery in advanced disease.
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Diagnostic laparoscopy
Direct inspection of the pelvis, historically the definitive test. Where disease is found it is treated in the same operation rather than in a second one.
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Histological confirmation
Tissue excised at surgery is examined to confirm the diagnosis, which matters for long-term management decisions.
A normal ultrasound does not exclude endometriosis. Superficial peritoneal disease is invisible on every scan, and a great many women are wrongly reassured on the strength of one.
Treatment Options
Treatment depends on your pain, your fertility plans and the extent of disease, and often combines medical and surgical approaches.
Non-surgical
Pain relief and hormonal suppression
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Anti-inflammatory painkillers
NSAIDs taken before pain begins rather than after, which is considerably more effective than waiting for it to establish.
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Combined oral contraceptives
Taken continuously to suppress periods altogether. Simple, inexpensive and effective first-line treatment for pain.
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Progestogens
Dienogest and similar drugs suppress the lesions directly and are well tolerated long term.
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Hormonal intrauterine system
A levonorgestrel IUD delivering progestogen locally, reducing pain and bleeding with minimal systemic effect.
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GnRH analogues
Induce a temporary menopausal state to shrink lesions. Used short term, with add-back hormone therapy to protect bone.
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Pelvic floor physiotherapy
Addresses the secondary muscle spasm that develops from chronic pain and often persists after the disease is treated.
Surgical
Laparoscopic surgery
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Laparoscopic excision
Cutting the disease out completely, including what lies beneath the surface. The gold standard, with lower recurrence than ablation.
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Ovarian cystectomy
Removing an endometrioma while preserving healthy ovarian tissue: technique matters here, since careless stripping reduces ovarian reserve.
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Adhesiolysis
Dividing adhesions to restore normal pelvic anatomy, which relieves pain and improves the chance of conception.
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Deep infiltrating disease surgery
Excision from bowel, bladder or ureter, requiring a multidisciplinary team and careful planning.
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Hysterectomy with ovarian conservation
Considered for severe disease where family is complete. It is not a guaranteed cure, since disease outside the uterus remains.
Excision and ablation are not equivalent. Ablation burns the visible surface while excision removes the lesion in full, and recurrence rates after excision are meaningfully lower, which is why the technique is worth asking about.
The Laparoscopic Excision Procedure
Surgery takes anywhere from an hour to several, depending on how extensive the disease proves to be.
Keyhole surgery under general anaesthesia
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Pre-operative planning
Imaging reviewed to anticipate bowel or ureteric involvement, with bowel preparation and colorectal input arranged where deep disease is expected.
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Anaesthesia and access
General anaesthesia, with a camera port at the umbilicus and two or three further small ports low on the abdomen.
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Systematic inspection
The entire pelvis examined in sequence: ovaries, tubes, peritoneum, uterosacral ligaments, pouch of Douglas, bowel, bladder and diaphragm.
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Mapping and staging
Disease documented and staged, with photographs taken so you can see afterwards exactly what was found and treated.
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Excising the disease
Lesions cut out at their base rather than burned, including the portion extending beneath the peritoneal surface.
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Treating endometriomas
The cyst wall carefully stripped from the ovary preserving healthy tissue, since aggressive technique here costs ovarian reserve permanently.
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Restoring anatomy
Adhesions divided, organs separated, and an anti-adhesion barrier placed where appropriate before closing.
Where an endometrioma is removed, the surgeon is trading disease clearance against ovarian reserve with every movement. If you hope to conceive, say so before surgery: it genuinely changes how the operation is done.
Why Choose Lux Hospitals for Endometriosis Treatment?
Endometriosis takes years to diagnose and is frequently under-treated when it is. Here is why patients trust us:
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Excision rather than ablation
Disease cut out in full rather than burned at the surface, which is what keeps recurrence rates lower.
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Fertility taken into account
Ovarian reserve protected during cystectomy, and the post-surgical fertility window planned for rather than missed.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Recovery from keyhole surgery is quick. Managing the condition afterwards is what determines whether the pain stays away.
- Days 1–3
Home the same day or after one night. Shoulder-tip pain from the gas is common and settles. Walking encouraged from the first evening.
- Days 4–14
Port-site soreness settles. Most women return to desk work at one to two weeks depending on how extensive the surgery was.
- Weeks 2–6
Light exercise resumes. Intercourse after clearance at four to six weeks. Findings and histology discussed at follow-up.
- Months 2–6
Hormonal suppression usually started to prevent recurrence, unless you are trying to conceive: in which case this window is the most fertile.
- Long term
Ongoing management of pain and cycles, with review if symptoms return. Recurrence is possible and is not a treatment failure.
Aftercare
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Use the post-surgical fertility window
If you are trying to conceive, the months immediately after excision are the most fertile. Discuss timing before surgery rather than after.
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Consider suppression to prevent recurrence
Without hormonal suppression after surgery, recurrence is considerably commoner. Where pregnancy is not the immediate goal, it is worth taking.
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Treat the pelvic floor as well
Years of pain create secondary muscle spasm that persists after the disease is removed. Physiotherapy addresses the pain that surgery cannot.
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Take painkillers pre-emptively
NSAIDs started a day before the period is due work far better than the same drug taken once pain has established.
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Get your operative findings
Ask for the stage, the sites involved and the photographs. This record matters enormously for any future treatment decision.
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Seek support for the chronic pain
Endometriosis affects mood, work and relationships. Psychological support is a legitimate part of treatment, not an admission the pain is imagined.
Endometriosis cannot be cured permanently, and recurrence after surgery is common. What can be achieved (reliably) is long stretches of good pain control and successful pregnancy, and that is a realistic goal rather than a consolation.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- Period pain severe enough to keep you from work, school or normal activity.
- Pain that painkillers do not adequately control.
- Deep pain during or after intercourse.
- Pain on opening the bowels or passing urine during periods.
- Difficulty conceiving after twelve months of trying.
- Pelvic pain between periods, or bleeding from the rectum during them.
Cost of Endometriosis Treatment in Hyderabad
Medical management is inexpensive. Surgical cost varies widely, because the extent of disease is often only known once inside.
| Procedure | Estimated Cost |
|---|---|
| Consultation Per visit | ₹800 – ₹1,500 |
| Transvaginal ultrasound Detects endometriomas | ₹1,500 – ₹3,500 |
| MRI pelvis For deep infiltrating disease | ₹8,000 – ₹18,000 |
| Monthly hormonal treatment Pill, progestogen or GnRH analogue | ₹400 – ₹3,500 |
| Hormonal IUD insertion Includes the device; lasts five years | ₹12,000 – ₹25,000 |
| Diagnostic laparoscopy Day care or one night | ₹65,000 – ₹1,10,000 |
| Laparoscopic excision surgery One to two nights; varies with extent | ₹1,30,000 – ₹2,60,000 |
| Deep infiltrating disease surgery Multidisciplinary; longer stay | ₹2,60,000 – ₹4,50,000 |
What changes the estimate
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Extent found at surgery
Superficial disease is quickly excised. Disease involving bowel, bladder or ureter needs a longer operation and a wider team.
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Whether an endometrioma is present
Ovarian cystectomy adds time and requires meticulous technique to preserve ovarian reserve.
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Medical or surgical route
Hormonal suppression at a few hundred rupees monthly controls pain for many women without any operation.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Endometriosis Specialists at Lux Hospitals
The gynaecologists who treat endometriosis at our HITEC CITY hospital.
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Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
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Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
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Got Questions?
Frequently Asked Questions
Common questions about endometriosis, excision surgery, fertility and costs at Lux Hospitals.
What is the treatment for endometriosis?
Treatment combines pain relief, hormonal suppression and surgery according to your symptoms and fertility plans. Continuous oral contraceptives or progestogens suppress the disease and control pain effectively. Laparoscopic excision removes the disease surgically and is the gold standard where medical treatment is insufficient or fertility is affected.
Can endometriosis be cured permanently?
No. Endometriosis is a chronic condition and recurrence after surgery is common, even a hysterectomy is not a guaranteed cure, since disease outside the uterus remains. What is achievable is sustained control: long periods free of significant pain, and successful pregnancy where that is the goal.
How can I stop endometriosis from growing?
Endometriosis is oestrogen-dependent, so suppressing the hormonal cycle is what slows it. Continuous combined pills, progestogens such as dienogest, a hormonal IUD, or GnRH analogues all achieve this. After excision surgery, hormonal suppression substantially reduces the chance of the disease returning.
Can I get pregnant with endometriosis?
Yes, many women do, including without any treatment. Endometriosis reduces fertility rather than eliminating it, and it is found in around a third to a half of women investigated for infertility. Laparoscopic excision improves conception rates, and the months immediately after surgery are the most fertile window.
Does endometriosis affect fertility?
It can, through several mechanisms: adhesions distorting pelvic anatomy, inflammation affecting egg and sperm function, and endometriomas reducing ovarian reserve. The effect varies enormously between women, and many with significant disease conceive without difficulty.
Can endometriosis cause weight gain and bloating?
Bloating (often called endo belly) is very common and results from inflammation and bowel involvement rather than fat gain. It can be dramatic and fluctuate through the cycle. Some hormonal treatments cause modest weight gain, but endometriosis itself does not directly cause it.
Why did it take so long to get diagnosed?
The average delay is seven to ten years. Severe period pain is widely normalised, symptoms overlap with bowel conditions, and superficial disease is invisible on every scan, so a normal ultrasound wrongly reassures many women. Only direct inspection at laparoscopy reliably finds it.
What is the difference between excision and ablation?
Ablation burns the visible surface of a lesion; excision cuts the whole lesion out, including the portion extending beneath the peritoneum. Because endometriosis frequently extends deeper than it appears, excision achieves more complete removal and meaningfully lower recurrence. It is worth asking which technique your surgeon uses.
How much does endometriosis treatment cost in Hyderabad?
Hormonal management is ₹400–₹3,500 monthly, and a hormonal IUD ₹12,000–₹25,000 lasting five years. Diagnostic laparoscopy is ₹65,000–₹1,10,000, laparoscopic excision ₹1,30,000–₹2,60,000, and surgery for deep infiltrating disease ₹2,60,000–₹4,50,000.
How can I book an appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. A pain diary noting when pain occurs relative to your cycle is genuinely useful: the pattern often tells us more than any single scan.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book an Endometriosis Consultation in Hyderabad
Proper investigation of pelvic pain and laparoscopic excision surgery, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032