Endometriosis Surgery in Delhi: Laparoscopy, Recovery and What to Expect

saurabhthedoc

1 day ago

3 min read

Endometriosis surgery is usually a laparoscopy (keyhole surgery) to find and remove endometriosis patches, cysts on the ovary (endometriomas) and scar tissue. It is considered when pain or infertility continues despite medicines, or when a scan shows an endometrioma. At THE CLINICS, Dr Niti Vijay, gynaecologist and Director, sees patients at Green Park, and surgery is done at THE CLINICS MISC, Hauz Khas.

Who needs surgery for endometriosis?

Surgery is considered when period pain, pelvic pain or pain during intercourse continues despite hormone tablets and pain relief, when an ovarian endometrioma is growing or large, when endometriosis affects the bowel or bladder, or as part of a fertility plan. Many women manage well with medicines alone, so the decision is made after examination and scans.

How is laparoscopic endometriosis surgery done?

Under general anaesthesia, small cuts are made on the abdomen for a camera and fine instruments. Endometriosis patches are cut out (excision) or destroyed, endometrioma cysts are removed while keeping as much healthy ovary as possible, and adhesions are released. The surgery takes about one to three hours depending on how widespread the disease is.

Does surgery confirm the diagnosis?

Yes. Ultrasound and MRI can suggest endometriosis, but laparoscopy lets the surgeon see it directly, and tissue sent for histopathology confirms it.

How long is the hospital stay and recovery?

Most patients go home the same day or the next day. Light desk work is often possible after about one week, and normal activity in about two to four weeks. Recovery is longer after extensive surgery involving the bowel or bladder.

Can endometriosis come back after surgery?

It can. Endometriosis is a long-term condition, and symptoms may return over the years. Hormone treatment after surgery is often advised to lower that chance, unless you are trying to conceive.

Will surgery help me get pregnant?

For some women, removing endometriosis and adhesions and treating endometriomas improves the chance of natural conception. Others may still need IUI or IVF. The plan depends on age, ovarian reserve (AMH), tubes and the partner's semen report.

Does removing an endometrioma affect the ovaries?

Removing a cyst can lower ovarian reserve, especially if both ovaries are involved or surgery is repeated. This is why AMH is checked before surgery and why fertility plans are discussed first.

Is hysterectomy needed for endometriosis?

Usually not. Hysterectomy is considered only for women who have completed their family, have severe symptoms and have not improved with other treatment. It is a separate decision discussed in detail.

What tests are done before surgery?

Usually a pelvic ultrasound and sometimes an MRI, blood tests including haemoglobin and CA-125 where useful, AMH if fertility matters, and fitness tests for anaesthesia.

What affects the cost of endometriosis surgery?

The estimate is given after examination and depends on how widespread the disease is, whether cysts or the bowel are involved, the length of stay, the room category and histopathology. A written estimate is shared before you decide.

Book a consultation

To book, call the desk on +91 92173 81353 or +91 83683 75734. Consultation fee: ₹1,500 + ₹100 registration. Clinics: THE CLINICS MISC, H2, Hauz Khas Main Road, opposite Neeli Masjid, New Delhi 110016, and THE CLINICS Green Park, G-32, Green Park Main Market Road. All surgery is done at THE CLINICS MISC, Hauz Khas.

THE CLINICS has no emergency department. In an emergency, go to the nearest hospital or call 112.

This article was prepared with AI assistance and is for review by Dr Niti Vijay (DMC Reg. No. 6333). It is general information and not a substitute for medical advice.