The ultimate guide to Endometriosis diagnosis & treatment

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, often causing pelvic pain, heavy periods, and fertility challenges. For many patients, understanding endometriosis and diagnosis can feel overwhelming, which is why Dr. Meera B focuses on clear explanation, step-by-step evaluation, and personalised care.

In her clinic, diagnosis usually begins with a detailed medical history and symptom assessment, followed by a pelvic examination and targeted imaging such as transvaginal or pelvic ultrasound. While ultrasound can suggest endometriosis, it may not detect small or deeply infiltrating lesions.

When symptoms are strong but imaging is inconclusive, Dr. Meera may recommend a minimally invasive visual assessment of the pelvis, which is still considered the gold standard for confirming the condition. Alongside tests, she also evaluates the impact of symptoms on your daily life and fertility plans, so that treatment decisions go beyond just the scan reports.

Every step of the way, her goal is to ensure that you fully understand your diagnosis, your options, and what each next step means for your health and future.

A laparoscopy procedure endometriosis is recommended when your symptoms are significant, medical treatment has not worked as expected, fertility is affected, or imaging suggests deep or complex disease. It is a minimally invasive surgery where a small camera is inserted through tiny cuts in the abdomen to look directly at the pelvic organs.

During this procedure, Dr. Meera B not only confirms the diagnosis but can also treat visible endometriotic lesions in the same sitting. She may remove or destroy endometriosis implants, free trapped organs from scar tissue, and treat ovarian cysts (endometriomas), all with the goal of reducing pain and preserving fertility.

Because laparoscopy uses small incisions, recovery is usually quicker, with less scarring and shorter hospital stay compared to open surgery. After a thorough discussion of risks, benefits, and alternatives, Dr. Meera will help you decide if laparoscopy is the right step for you at this stage of your treatment journey.

Many patients experience significant relief in laparoscopy endometriosis pain after expert surgical treatment, especially when lesions and adhesions are carefully removed. However, endometriosis is a chronic condition and no treatment can guarantee a permanent “cure” in every case.

After laparoscopy, it is normal to have some temporary abdominal discomfort, shoulder-tip pain from the gas used during surgery, and mild spotting. Dr. Meera B provides a structured recovery plan that usually includes:

• Short-term pain relief medication and wound care guidance
• Advice on gradually resuming daily activities and exercise
• Hormonal treatment when appropriate, to reduce the chance of recurrence
• Follow-up visits to track healing, pain levels, and menstrual changes

Long-term outcomes depend on the stage of disease, your hormones, and lifestyle factors. This is why Dr. Meera combines surgery, medication, and supportive lifestyle guidance to give you the best chance of sustained pain control and improved quality of life.

At present, medical science does not have a proven way to completely stop endometriosis from ever developing. So when patients ask how to prevent endometriosis, the most honest answer is that there is no guaranteed method.

However, there are several ways to potentially reduce risk, slow progression, or manage symptoms early. When you ask, “ how can you prevent endometriosis in everyday life?”, Dr. Meera focuses on what you can control, such as:

• Managing periods early when they are very painful or irregular instead of ignoring them
• Seeking timely evaluation if there is a family history of endometriosis or early severe pain
• Using appropriate hormonal treatments (when medically suitable) to suppress ovulation and heavy bleeding
• Maintaining a healthy body weight and an anti-inflammatory lifestyle, which may support overall hormonal balance

While these steps do not guarantee prevention, they can help in early detection, better symptom control, and reducing the overall impact of the disease on your daily life.

Medications and surgery are only one part of the journey. Many women want to know how to prevent endometriosis pain during their routine day-to-day life. Small, consistent changes can make a meaningful difference.

Dr. Meera B often recommends a combination of:

• Diet and gut health: An anti-inflammatory diet rich in fruits, vegetables, whole grains, and good fats, while reducing processed foods and excess sugar, may help calm inflammation.
• Gentle movement: Regular low-impact exercise such as walking, yoga, or stretching can improve blood flow, reduce stiffness, and support mood.
• Heat and relaxation: Warm compresses, hot-water bags, breathing exercises, and mindfulness practices can ease cramps and reduce the emotional load that pain brings.
• Sleep and stress care: Prioritising good sleep and stress management can help stabilise hormones and pain perception.

These daily habits, combined with medical treatment, create a more holistic and sustainable approach to living well with endometriosis.

Many patients are curious about how to treat endometriosis naturally while still following medical advice. Dr. Meera B supports an integrated approach, where evidence-based treatments are complemented by safe, holistic practices that focus on nutrition, movement, stress, and emotional wellbeing.

When discussing alternative healing endometriosis options, she emphasises choosing approaches that are safe, non-invasive, and do not interfere with prescribed medicines. These may include:

• Anti-inflammatory nutrition plans tailored to your body and lifestyle
• Physiotherapy or pelvic floor therapy to manage muscle tension and pelvic pain
• Yoga, stretching, and breathing exercises to improve flexibility and reduce stress
• Evidence-informed supplements when appropriate, after reviewing your medical history

It is important not to replace medical care with home remedies alone. Instead, Dr. Meera helps you build a personalised plan where natural and medical approaches work together safely, giving you more control and confidence in your healing journey.

Endometriosis looks different in every woman, so treatment must never be “one-size-fits-all”. Dr. Meera B combines clinical experience, advanced diagnostics, and a compassionate understanding of your life goals to design a tailored plan.

Her care typically includes:

• Thorough assessment of pain, cycle patterns, and fertility plans
• Stepwise use of medicines, hormonal therapy, and when needed, laparoscopy
• Fertility-focused planning for those who wish to conceive now or in the future
• Guidance on lifestyle, nutrition, movement, and mental health support

Follow-up visits are used to adjust treatment based on how you respond, review any new symptoms, and re-evaluate your goals. This ongoing partnership ensures that your treatment for endometriosis remains effective, realistic, and aligned with the way you want to live your life.