Endometriosis is a disorder in which tissue similar to the tissue that forms the lining of your uterus grows outside of your uterine cavity. The lining of your uterus is called the endometrium.
Endometriosis occurs when endometrial tissue grows on your ovaries, bowel, and tissues lining your pelvis. It’s unusual for endometrial tissue to spread beyond your pelvic region, but it’s not impossible. Endometrial tissue growing outside of your uterus is known as an endometrial implant.
The hormonal changes of your menstrual cycle affect the misplaced endometrial tissue, causing the area to become inflamed and painful. This means the tissue will grow, thicken, and break down. Over time, the tissue that has broken down has nowhere to go and becomes trapped in your pelvis.
This tissue trapped in your pelvis can cause:
  • irritation
  • scar formation
  • adhesion, in which tissue binds your pelvic organs together
  • severe pain during your periods
  • fertility problems
Endometriosis is a common gynecological condition, affecting up to 40 percent of women. You’re not alone if you have this disorder.
The symptoms of endometriosis vary. Some women experience mild symptoms but others can have moderate to severe symptoms. The severity of your pain doesn’t indicate the degree or stage of the condition. You may have a mild form of the disease yet experience agonizing pain. It’s also possible to have a severe form and have very little discomfort.
Pelvic pain is the most common symptom of endometriosis. You may also have the following symptoms:
The primary symptom of endometriosis is pelvic pain, often associated with menstrual periods. Although many experience cramping during their menstrual periods, those with endometriosis typically describe menstrual pain that's far worse than usual. Pain also may increase over time.
Common signs and symptoms of endometriosis include:
·         Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into a menstrual period. You may also have lower back and abdominal pain.
·         Pain with intercourse. Pain during or after sex is common with endometriosis.
·         Pain with bowel movements or urination. You're most likely to experience these symptoms during a menstrual period.
·         Excessive bleeding. You may experience occasional heavy menstrual periods or bleeding between periods (intermenstrual bleeding).
·         Infertility. Sometimes, endometriosis is first diagnosed in those seeking treatment for infertility.
·         Other signs and symptoms. You may experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.
You may also have no symptoms. It’s important that you get regular gynecological  exams, which will allow your best gynecologist in near you to monitor any changes. This is particularly important if you have two or more symptoms.
Endometriosis has four stages or types. It can be any of the following:
  • minimal
  • mild
  • moderate
  • severe
Different factors determine the stage of the disorder. These factors can include the location, number, size, and depth of endometrial implants.

Stage 1: Minimal

In minimal endometriosis, there are small lesions or wounds and shallow endometrial implants on your ovary. There may also be inflammation in or around your pelvic cavity.

Stage 2: Mild

Mild endometriosis involves light lesions and shallow implants on an ovary and the pelvic lining.

Stage 3: Moderate

Moderate endometriosis involves deep implants on your ovary and pelvic lining. There can also be more lesions.

Stage 4: Severe

The most severe stage of endometriosis involves deep implants on your pelvic lining and ovaries. There may also be lesions on your fallopian tubes and bowels.

The symptoms of endometriosis can be similar to the symptoms of other conditions, such as ovarian cysts and pelvic inflammatory disease. Treating your pain requires an accurate diagnosis.
Your best gynecologist in greater noida west will perform one or more of the following tests:

Detailed history

Your doctor will note your symptoms and personal or family history of endometriosis. A general health assessment may also be performed to determine if there are any other signs of a long-term disorder.

Physical exam

During a pelvic exam, your best Gynaecologist doctor will manually feel your abdomen for cysts or scars behind the uterus.


Your doctor may use a transvaginal ultrasound or an abdominal ultrasound. In a transvaginal ultrasound, a transducer is inserted into your vagina.
Both types of ultrasound provide images of your reproductive organs. They can help your doctor identify cysts associated with endometriosis, but they aren’t effective in ruling out the disease.


The only certain method for identifying endometriosis is by viewing it directly. This is done by a minor surgical procedure known as a laparoscopy. Once diagnosed, the tissue can be removed in the same procedure.


The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant.
For pregnancy to occur, an egg must be released from an ovary, travel through the neighboring fallopian tube, become fertilized by a sperm cell and attach itself to the uterine wall to begin development. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as by damaging the sperm or egg.
Even so, many with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Best Doctors sometimes advise those with endometriosis not to delay having children because the condition may worsen with time.
Ovarian cancer does occur at higher than expected rates in those with endometriosis. But the overall lifetime risk of ovarian cancer is low to begin with. Some studies suggest that endometriosis increases that risk, but it's still relatively low. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in those who have had endometriosis.
Several factors place you at greater risk of developing endometriosis, such as:
·         Never giving birth
·         Starting your period at an early age
·         Going through menopause at an older age
·         Short menstrual cycles — for instance, less than 27 days
·         Heavy menstrual periods that last longer than seven days
·         Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces
·         Low body mass index
·         One or more relatives (mother, aunt or sister) with endometriosis
·         Any medical condition that prevents the normal passage of menstrual flow out of the body
·         Reproductive tract abnormalities
Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis may temporarily improve with pregnancy and may go away completely with menopause, unless you're taking estrogens.

Dr Aditi Ghai (Best Gynecologist in Gaur City 2, Gynaecologist in Gaur City, Gynae Clinic in Gaur City 2)

shop no 140, Mahagun Mywoods Mart First Floor Sector - 16 C, Gaur City 2, NoidaExtension, Greater Noida, Uttar Pradesh 201318


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