What is Endometriosis?
Endometriosis is a condition where tissue similar to the lining of the uterus begins to grow outside it - on the ovaries, fallopian tubes, bowel, bladder, or even the ureter. Every month, this tissue responds to your hormonal cycle just like the uterine lining does. It swells. It bleeds. But because it has nowhere to go, it causes inflammation, scarring, and, over time, severe pain.
The condition is chronic. In some women it can affect fertility and daily life. Treatment options include medical management and surgery, and the right option depends on individual clinical assessment.
Do You Recognise These Symptoms?
Endometriosis does not look the same in every woman. Some have agonising pain. Others have almost none, yet still have severe disease internally. Watch for:
- Painful, heavy, or irregular periods that disrupt your daily life
- Pelvic pain that does not go away even outside your cycle
- Pain during or after sex
- Difficulty getting pregnant or unexplained infertility
- Painful bowel movements or urination around your period
- Chronic fatigue, bloating, or lower back pain
- Symptoms that worsen over time despite medication
If you have been experiencing any of these, especially for more than six months, consider seeking a medical evaluation.
Endometriosis Care at Mayflower
Mayflower Women's Hospital has a dedicated endometriosis clinic. Our endometriosis surgeons treat deep infiltrating endometriosis and other forms of the condition using the techniques described below, and work with our fertility team where needed.
At a glance:
- Specialists trained in deep infiltrating endometriosis, fertility preservation, and complex pelvic surgery
- International patient services for patients travelling from other countries
Our Surgical Techniques
Butterfly Peritonectomy
The Butterfly Peritonectomy is a surgical technique developed at Mayflower for severe or recurrent endometriosis. It involves removal of the diseased peritoneal tissue in a targeted, butterfly-shaped area of the pelvis.
Whether the technique is suitable depends on the extent of disease and each patient's clinical assessment.
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Laparoscopic Excision Surgery
Laparoscopic excision is a minimally invasive approach used for endometriosis. Our surgeons excise endometriotic lesions from the ovaries, uterus, bowel and surrounding structures through small incisions. Suitability and recovery depend on individual clinical assessment.
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Adenomyomectomy
When endometriosis co-exists with adenomyosis - where the uterine lining grows into the muscle wall - adenomyomectomy allows our surgeons to remove the abnormal growths while preserving the uterus wherever possible. This is especially important for women who wish to conceive after surgery.
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Ureteric Dissection for Endometriosis
In advanced cases, endometriosis can grow around the ureters - the tubes connecting the kidneys to the bladder. Mayflower's endometriosis surgeons perform ureteric dissection in such cases, with the aim of removing disease while preserving urinary function. Outcomes depend on individual factors.
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The Rule of M
The Rule of M is a structured surgical protocol developed at Mayflower that maps pelvic sites where endometriosis can occur. Surgeons follow a systematic M-shaped pathway through the pelvis to assess these sites, including areas near the large intestine.
Book NowEndometriosis & Fertility
One of the most common fears women bring to us is this, "Has endometriosis taken away my chance to have a child?"
Endometriosis can affect fertility in some women, and the effect varies from person to person.
At Mayflower, our endometriosis surgeons work with our fertility team. Depending on the case, treatment may include surgery, IVF, or both. Whether surgery is advisable before fertility treatment is decided after clinical assessment.
We will discuss your fertility goals at your first consultation and plan your care accordingly.
Meet Our Endometriosis Specialists
Dr. Smeet Patel
Dr. Sanjay Patel
Dr. Lakshman Khiria
What to Expect at Your Consultation
We believe the consultation is where healing begins. Here is what happens when you come to Mayflower:
Your Story First
We listen to your symptoms, your history, your fertility goals and your concerns.
Targeted Diagnosis
Depending on your symptoms, we recommend the most appropriate imaging ; ultrasound, MRI, or diagnostic laparoscopy ; to understand the extent of your condition before any decision is made.
A Plan Built for You
No two women are the same. Your treatment plan ; whether medical management, surgery, fertility-focused care, or a combination ; is designed specifically for your situation.
Surgery & Recovery
If surgery is the right path, our team prepares you for it, performs the surgery and supports your recovery.
Long-Term Follow-Up
We monitor your progress and follow up after treatment.
For International Patients
Women have travelled from over 26 countries, including Canada, the UK, USA, Australia, UAE, Singapore, Bangladesh, etc. for endometriosis treatment. Our international patient services include:
- Pre-arrival video consultation with your specialist
- Personalised treatment plan and cost estimate before you travel
- Visa guidance and documentation support
- Airport transfers, interpreter services, and accommodation guidance
- Post-surgery remote monitoring via telehealth and WhatsApp
International patients can contact our international patient desk for information about endometriosis surgery in India.
Frequently Asked Questions
Treatment depends on the stage of disease, symptoms and fertility goals. Hormonal therapy, including birth control pills, GnRH agonists or progesterone, can be used to manage symptoms. Laparoscopic excision surgery may be recommended for moderate to severe disease or when fertility is affected. At Mayflower, we assess each case individually and recommend the most appropriate treatment. Surgery may be guided by the Butterfly Peritonectomy and Rule of M protocols.
The Butterfly Peritonectomy is a surgical technique developed at Mayflower. It involves removal of diseased peritoneal tissue in a targeted area of the pelvis. Whether it is suitable depends on the extent of disease and the patient's clinical assessment.
Endometriosis is a chronic condition and there is no single treatment that suits every patient. Medical management and surgery can reduce symptoms, and the condition can recur after treatment. Your doctor will discuss the options and likely outcomes for your case after assessment.
The cost of endometriosis surgery at Mayflower depends on the stage of the disease, the specific surgical technique required, and whether additional procedures such as fertility treatment are needed. We provide an itemised cost estimate after your initial consultation.
Recovery time depends on the type and complexity of surgery and on the individual patient. Your surgeon will give you a personalised recovery plan at your pre-operative consultation.
Women conceive after endometriosis surgery, and outcomes vary with the extent of disease, age and other fertility factors. For some patients, surgery is combined with IVF, and we work with our IVF team to plan care.
Yes - we treat patients from other countries, including Canada, the UK, USA, Australia, UAE, Singapore, etc. Our international patient desk supports your journey from the first online consultation to post-surgery follow-up from home. Write to us at care@mayflowerhospital.com or call +91 6352 800 850.
Ready to take the first step?
Whether you are in Ahmedabad, elsewhere in India, or reaching out from abroad ; our endometriosis specialists are here to listen, assess, and guide you.