Endometriosis

Endometriosis is a chronic, often painful condition where tissue similar to the lining of the uterus grows outside the uterus.

It commonly affects the ovaries, fallopian tubes, and pelvic lining, but can also involve the bowel, bladder, or other organs. This misplaced tissue responds to hormonal changes, causing inflammation, pain, and sometimes scarring.

It affects approximately 1 in 9 women of reproductive age and is often underdiagnosed due to overlapping symptoms with other conditions. (Endometriosis photo 1 – please blend in with background a bit with blurred edges).

Common Symptoms:

Why Timely Diagnosis and Treatment Matter:
Endometriosis can significantly impact quality of life and fertility. Delayed diagnosis may lead to disease progression, chronic pain, reduced ovarian reserve, and anatomical distortion. Early, tailored intervention can reduce symptoms and preserve fertility.

Diagnosis:
Diagnosing endometriosis involves careful consideration of symptoms, pelvic examination, imaging (ultrasound or MRI), and sometimes laparoscopy (keyhole surgery) to confirm the diagnosis. Dr. Dahiya brings deep expertise in interpreting these findings and guiding patients through their options.

Dr. Dahiya’s Approach to Management:
Every patient is different, and so is every treatment plan. Dr. Dahiya takes a holistic, compassionate approach—tailoring management to your symptoms, fertility goals, and preferences. He works closely with a multidisciplinary team including Colorectal (bowel), Urology (bladder or ureter), and Fertility specialists to ensure comprehensive care.

1. Lifestyle and Supportive Therapies:

• Dietary adjustments (anti-inflammatory and low-FODMAP diets)
• Curcumin (turmeric) supplements
• Regular exercise and good sleep hygiene
• Acupuncture and mindfulness techniques

2. Medical (Hormonal) Management:

• Combined oral contraceptive pill (continuous or cyclical use)
• Progesterone-only pills or Visanne (Dienogest)
• Mirena® IUD (local hormonal option with fewer systemic side effects)
• Implanon® (a small rod placed under the skin)
• GnRH agonists/antagonists eg. Ryeqo or Zoladex

3. Surgical Management:
When symptoms are not relieved by medical therapies—or when fertility or organ function is affected—surgery may be the best option. Dr. Dahiya is highly skilled in minimally invasive laparoscopic and robotic-assisted procedures.

These techniques offer:

• Precise excision of endometriotic lesions including subtle lesions not frequently seen
• Faster recovery
• Minimal scarring
• Reduced postoperative pain

Dr. Dahiya performs robotic gynaecological surgery at all of his affiliated hospitals and is a nationally recognised proctor in robotic surgery. This expertise is particularly valuable in complex cases requiring involvement of the bowel, bladder, ureters or diaphragm. 

For Advanced Endometriosis (Stage IV)

• May involve bowel or bladder surgery
• Managed in collaboration with colorectal and urological surgeons and every case is planned with precision and patient safety at the forefront

Fertility and Endometriosis

Endometriosis can impact fertility due to inflammation, scarring, egg quality and reduced ovarian reserve.

Dr. Dahiya offers fertility-preserving surgical options and works closely with fertility specialists to optimise outcomes.

Surgical excision has been shown to improve natural conception rates and IVF success.

• Individualised, compassionate care
• Detailed discussions about your options
• Access to the latest medical and surgical treatments
• A multidisciplinary, team-based approach
• A commitment to long-term support and follow-up

If you’re experiencing symptoms of endometriosis or struggling with chronic pelvic pain, know that help is available.

Dr. Dahiya is here to listen, diagnose, and guide you through your journey to better health and wellbeing.