Endometriosis & Chronic Pelvic Pain

Severe Period Pain is Not "Normal"

Many women are mistakenly told that incapacitating menstrual pain is simply part of womanhood. In reality, persistent, worsening pelvic pain is frequently caused by Endometriosis—a chronic condition where tissue similar to the uterine lining grows outside the uterus on the ovaries, fallopian tubes, intestines, or pelvic sidewalls.

Common Symptoms of Endometriosis

• Severe Dysmenorrhea: Cramps that do not respond to ordinary painkillers, forcing bed rest or time off work.
• Deep Dyspareunia: Pain during or after sexual intercourse.
• Ovarian Chocolate Cysts (Endometriomas): Cysts formed when old menstrual blood accumulates inside the ovary over successive cycles.
• Subfertility / Difficulty Conceiving: Distortion of pelvic anatomy or egg quality reduction due to chronic local inflammation.
• Bowel & Bladder Pain: Painful bowel movements or urination, particularly during menstruation.

Dr. Honey Gemavat’s Clinical Approach

Management of endometriosis requires individualized planning balancing pain control, stage of disease, and future pregnancy desires:

• Medical Management: Targeted progestin therapy (Dienogest), combined oral contraceptives, or GnRH analogs to quiet active lesions and relieve pain.
• Laparoscopic Excision Surgery: High-definition laparoscopic surgery to physically excise endometriotic implants, drain and strip cyst walls (cystectomy) while protecting healthy ovarian tissue, and release pelvic adhesions.
• Fertility Preservation & Optimization: Coordinating surgery with timely ovulation induction, IUI, or IVF protocols.

Read our clinical article: Endometriosis & Chronic Pelvic Pain: Early Symptoms, Staging & Advanced Treatments →