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Gynaecology Article

Understanding Endometriosis & Pelvic Pain Relief

Recognizing pelvic adhesions, chocolate cysts, hormonal pain suppression, and fertility preservation strategies by Dr. Aparna Kalekar.

Call: +91 80733 11622

Location

Wakad, Pune

Clinic Hours

Mon-Sat: 11:00 AM – 1:00 PM & 5:00 PM – 9:00 PM | Sun: Closed

Contact

+91 80733 11622

Booking

Available Online

Endometriosis is a chronic inflammatory disorder where tissue resembling the lining of the uterus (endometrium) grows outside the uterine cavity — most commonly on the ovaries, fallopian tubes, pelvic peritoneum, and pouch of Douglas. This mislocated tissue bleeds during each menstrual cycle, leading to internal pelvic inflammation, fibrous adhesions, and deep chronic pain.

Common Symptoms & Diagnostic Challenges

Endometriosis is frequently misdiagnosed as simple menstrual cramps. Key symptoms include:

  • Severe Dysmenorrhea: Painful menstrual cramps that begin days before bleeding and do not respond well to standard painkillers.
  • Deep Dyspareunia: Sharp pelvic pain during or after sexual intercourse.
  • Chronic Pelvic Pain: Persistent lower belly aching throughout the month, non-cyclical in nature.
  • Subfertility: Difficulty conceiving due to tubal scarring or altered pelvic environment.

Medical Suppression vs. Laparoscopic Surgery

Treatment is customized according to pain severity and reproductive goals: 1) Progestin therapy and combined oral contraceptives suppress ovulation and shrink implants. 2) Minimally Invasive Laparoscopic Surgery removes endometriotic lesions and chocolate cysts while preserving healthy ovarian tissue.

Fertility Preservation in Endometriosis

For young women with ovarian endometriomas, monitoring AMH (Anti-Müllerian Hormone) levels protects ovarian reserve during treatment planning.

Why Choose Kalekar's Star Clinic in Wakad?

Written by Dr. Aparna Kalekar (MBBS, MS OBGY), Specialist Gynaecologist in Wakad
Empathetic, confidential evaluation for chronic pelvic pain
Comprehensive medical management & fertility preservation advice
Evening clinic hours (5–9 PM daily) in Wakad, Pune

Qualified Specialists

Board certified doctors

Evidence-Based Care

Latest medical protocols

Patient-Centred

Personalised treatment plans

Wakad, Pune

Serving nearby communities

Book a Consultation with Dr. Aparna Kalekar

Kalekar's Star Ortho & Women Care Clinic — Sanskruti Arcade, Wakad, Pune – 411057

8073311622