Posted By: Dr. Usha M Kumar on 26 Nov 2025
Painful periods aren’t always “normal.” If your menstrual cramps keep you from work, sleep, or daily activities, endometriosis might be the reason.
Dr Usha M Kumar, leading gynecologist and laparoscopic surgeon in Delhi, explains that endometriosis occurs when tissue similar to the uterine lining grows outside the uterus — on ovaries, fallopian tubes, or pelvic walls. These tissues respond to hormones each month, bleeding internally and causing inflammation and scarring.
Common Symptoms
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Severe period pain not relieved by medication
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Pelvic pain during ovulation or intercourse
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Heavy bleeding or spotting between cycles
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Bloating, fatigue, digestive discomfort
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Difficulty conceiving
Many women struggle for years before diagnosis because symptoms overlap with other conditions.
Diagnosis
A gynecological examination, pelvic ultrasound, or laparoscopy (a keyhole camera procedure) confirms endometriosis. Early detection is crucial to prevent infertility and organ damage.
Treatment Options
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Medication Therapy
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Pain relievers and anti-inflammatory drugs.
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Hormonal therapy (birth control pills, GnRH analogs) to suppress growth.
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Laparoscopic Surgery
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Minimally invasive removal of endometrial tissue.
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Dr Usha M Kumar specializes in fertility-sparing laparoscopic excision.
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Lifestyle & Diet
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Regular exercise, stress management, anti-inflammatory diet rich in omega-3s.
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Fertility Planning
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For women struggling to conceive, fertility treatments such as IVF can help after surgical management.
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Living with Endometriosis
Endometriosis is chronic but manageable. With early diagnosis and the right specialist, women can live pain-free, productive lives and even achieve pregnancy.
“Endometriosis doesn’t define you,” says Dr Usha M Kumar. “The sooner we act, the better we protect your fertility and quality of life.”
