Best Endometriosis Specialists in Chembur, Mumbai: Dr. Sudha Tandon Hospital

Endometriosis Isn’t “Just Period Pain”

If you’re struggling with severe period pain, fatigue, bloating, or fertility issues—there’s a chance it’s not “normal.”

It could be endometriosis.

So, What Really is Endometriosis?

Endometriosis happens when tissue that behaves like the lining of your uterus starts growing in places outside of your uterus—like your ovaries, fallopian tubes, or even on your bladder or bowel.

This tissue bleeds just like the uterine lining during your period, but since it has nowhere to go, it leads to inflammation, scarring, and severe pain.

Where Can Endometriosis Grow?

Endometriosis will most commonly have an effect on your pelvic area:

  • Ovaries
  • Fallopian tubes
  • Outside of the uterus
  • The pelvic lining
  • Rectum or ureters (can even impact kidney function)

In some rare cases, it can reach as far as the lungs—or even the brain.

The 4 Stages of Endometriosis

Endometriosis is medically classified into four stages:

  • Minimal – Small, shallow lesions, little to no scarring
  • Mild – More lesions and light scar tissue
  • Moderate – Deep lesions and cysts on the ovaries
  • Severe – Widespread lesions and thick scarring across organs

But remember that stage doesn’t equal pain. Even stage 1 can cause severe symptoms.

What Causes It?

We don’t still know the exact cause for why endometriosis happens, but there are a few theories and possible explanations:

  • Retrograde menstruation – When period blood flows backward into the pelvis
  • Hormonal changes – Turning ordinary cells into endometrial-like ones
  • Surgical scars – Past surgeries like C-sections may leave behind cells that grow abnormally
  • Immune dysfunction – The body may fail to clear these abnormal cells

Are you at Risk?

You may be more likely to develop endometriosis if:

  • Your mother or sister has it
  • You started your periods before age 11
  • You have short cycles and heavy, long periods
  • You’ve never had a baby

Can Endometriosis Make you Infertile?

Endometriosis is one of the leading causes of infertility. So yes, it can impact conception, here’s how:

  • Blocked fallopian tubes
  • Egg quality decline due to ovarian cysts (endometriomas)
  • Hormonal imbalances and inflammation interfering with embryo implantation
  • Painful intercourse
  • Adenomyosis (when endometriosis affects the uterine muscle wall)

Related Conditions

Endometriosis often co-exists with other health concerns like:

  • Autoimmune disorders (like lupus or MS)
  • Irritable Bowel Syndrome (IBS)
  • Chronic fatigue syndrome

What Are the Symptoms?

Every woman’s experience is different, but common signs include:

  • Severe cramps that don’t respond to regular painkillers
  • Pelvic pain that lasts beyond your period
  • Pain during sex
  • Pain when passing urine or stools (especially during periods)
  • Nausea, bloating, constipation
  • Fatigue, mood swings

Some women don’t even realise they have it until they try to have a baby.

How Do We Diagnose It?

Diagnosis starts with a thorough investigation, including:

  • Detailed medical history and physical examination
  • Ultrasound or MRI by a specialist trained to detect endometriosis
  • Laparoscopy: A minor surgery using tiny incisions to look inside your abdomen. This is the gold standard—it helps confirm the diagnosis and treat the condition in the same sitting.

What Are the Treatment Options?

It’s different for everyone. Your treatment will depend on how severe your symptoms are, your fertility goals, and your personal comfort.

Non-Surgical Options:

  • Pain relief meds: For mild cases
  • Hormonal therapies: Contraceptive pills or hormonal IUDs to suppress the growth
  • GnRH therapy: Reduces estrogen, shrinking lesions (not suitable if you’re trying to conceive)
  • Lifestyle changes: Anti-inflammatory diets, stress reduction, and regular exercise can help too

Surgical Options:

  • Laparoscopic excision surgery: Removes the endometriosis with precision—especially helpful in infertility cases
  • Hysterectomy: A last resort for severe, unresponsive cases

You don’t have to live with unexplained pain or infertility anymore, thanks to modern medicine.

If you suspect you have endometriosis—or you’re already diagnosed but unsure what to do next—speak to a trained endometriosis specialist.

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Our Services

Fertility Treatment / IUI

We are happy to have treated more than 20,000 couples with fertility issues. IUI is simple treatment for couples with unexplained Infertility, PCOS, early endometriosis Know More

IVF Treatment

Indicated in couples with tubal blockage, repeated failed IUI and endometriosis. Results range across 40 -50% at our centre Know More

ICSI Treatment

Treatment of choice for male infertility with very low sperm count, obstructive azoospermia and for coupes requiring donor eggs. Know More

Fertility Preservation

Many young men and women have utilized our fertility preservation services in the form of sperm, egg and embryo freezing either for medical or social reasons Know More

Maternity Care

More than 3000 women have delivered at our centre. They have had an exceptional experience in antenatal care, delivery and postnatal care. Know More

Laparoscopy

We have been performing all Gynaec surgeries through Laparoscopy for the past 25 years. Advantages are it is safe, less painful Know More

Hysteroscopy

Hysteroscopy has many advantages over traditional D & C. We are equipped with small telescope to diagnose and treat pathologies inside the uterine cavity Know More

Fibroids

Fibroid causes infertility, pain and excessive menstrual blood loss. They can be operated through Laparoscopy or Hysteroscopy Know More

Endometriosis

Endometriosis causes infertility and painful periods. Best treatment is initiated by Laparoscopy surgery and drugs Know More

Hysterectomy

We have been performing laparoscopic hysterectomy for the past 25 years. It is a definitive treatment for heavy menstrual bleeding, fibroids, cancer Know More

Ectopic

Ectopic is a condition where the pregnancy gets implanted in the fallopian tube instead of the uterine cavity. We have operated many cases laparoscopically Know More

Post-menopausal Bleeding

Hysteroscopy helps in evaluating the cause of Postmenopausal bleeding Know More

Our Doctors

Dr. Sudha Tandon

MD. DGO.,

Gynaec Endoscopy Surgeon Fertility and IVF Consultant

Dr. Aditi Tandon

M.S. Obgy,

Fellowship in Reproductive Medicine and IVF (London), Minimal Access Surgery and Ultrasound

Dr. Amrita Tandon

MS, DNB Obgy,

Fellowship in Reproductive Medicine and IVF (London), Minimal Access Surgery and Ultrasound

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Any Queries?

What is infertility ?

If the couple has regular intercourse, does not use any contraception and still does not conceive within one year, they are said to be infertile. 80-85% of the couples conceive within one year of unprotected intercourse i.e. without the use of any contraceptive. However, the rest 15-20 % who are unable to conceive naturally are said to be infertile and these would require proper evaluation and help for getting pregnant.

Does fertility depend on age?

Yes, in a woman fertility does depend on her age. A young woman is naturally more fertile as she has more number of good quality eggs than a woman who is 35 +. Hence a woman who is 35 + should not wait for a long period for a natural conception and should seek help from a proper fertility expert. Also the chance of genetic abnormalities and medical complications like Hypertension and Diabetes increases with age.

When should a couple seek medical help for infertility?

If the woman is below 35 years and has normal menstrual periods, and the couple has tried for a conception for a year with a frequency of sexual intercourse 3-4 times a week during the fertile period and has yet not conceive, then they need to consult an Infertility expert.

How does body weight, diet & exercise affect fertility?

For increasing the chance of pregnancy, balanced body weight of the woman would be beneficial. Being obese or grossly underweight affects the maturation of eggs in the woman and hence may affect her fertility. Also, a grossly obese woman would have mechanical difficulty in having normal sexual relations. Regular, moderate exercise especially in the form of yogasanas, walking, swimming, or jogging prove beneficial for fertility. It has been observed that strenuous form of exercises for example jogging over 3 miles a day can hamper ovulation and hence may lead to decrease in fertility in the woman. Balanced and nutritious diet help increase the chances of conception and ensure proper growth of the fetus.

Is stress a major factor in infertility?

Chronic stress may interfere with the ovulation, may decrease the sexual desire and hence affect the frequency of sexual intercourse in the couple.

How would one know the cause of infertility?

A detailed history of both partners is very helpful in giving a clue to the cause of infertility. For e.g. anovulation is the cause of infertility in a woman who has irregular periods and who is also obese, blocked fallopian tubes in a woman with previous history of pelvic infection, low sperm count in a man with past history of mumps. Examination of both the partners, and getting the required investigations would give a complete picture.

What are the most stressful stages of IVF?

A natural conception is obviously what all couples desire and wish when they plan a pregnancy but when it does not happen and the couple is counselled for an IVF treatment, it creates lots of stress for them.

The most stressful part is the acceptance of the fact that IVF is the only best option for their problem. A good discussion with the doctor to understand about Human Reproduction and why IVF is the best option for them to conceive will help the couple .They should take their time to understand about what the treatment involves and always ask questions to get their doubts cleared. A session with the counsellor would definitely help. Speaking to friends and family who are knowledgeable is a good way to reduce the stress but at times it could be counterproductive especially if they only talk of the problems and are themselves not positive.

In an IVF treatment, the woman’s eggs and her partner‘s sperms are fertilised in a laboratory. To get her eggs, she needs to take hormonal Injections on a daily basis and at the same time every day. This could create some stress especially if she is in a demanding job. It is best that she confides in someone who is reliable and understands the intricacies of an IVF treatment. The best part is that these Injections are not painful as very fine needles are used and she could also self-administer it.

She needs to see her fertility specialist for the follicular tracking for about 4-5 times in a cycle. This could also be demanding and stressful. She should just take all this in her stride and not get unduly stressed. The follicular response may not be satisfactory especially in a woman with poor ovarian reserve and she could become stressed.

She could have stress on the day of egg retrieval because of the fear of pain but this is a small procedure which is done under safe anaesthesia. The procedure is done through the vagina and there are no cuts on her abdomen. This is simple and safe procedure, not painful. At times the male partner gets stressed and is unable to give his semen sample on the day of egg pickup. To avoid this problem, almost all fertility centres will freeze the semen sample beforehand as a backup.

Of course the other stressful point is to worry about the numbers and quality of eggs got at the time of pickup, the fertilization of the eggs, and the numbers of good quality embryos. All these are important form success point of view. A communication with the couple before the procedure will allay all their fears and will go a long way in taking care of the stress.

The most important step in IVF Treatment

The most important step in IVF is Embryo transfer for which the woman should relax. Generally it is done without anaesthesia. The woman‘s cooperation is so very important for favourable results.

After the embryo transfer one has to wait for about 10 days to know the results. It could be very stressful at this stage. She should try to be calm and not just keep thinking of the results. After the embryo transfer the woman has to use either progesterone vaginal tablets or Injections and the stress of finances adds to the stress of procedure.

All in all we do understand the stress that the couple undergoes for an IVF treatment cycle. Have trust in your doctor and you would definitely become a successful.

At our IVF Clinic in Mumbai and IVF centre in Navi Mumbai, we spend quite a lot of time to make you feel comfortable. Our entire support staff and our embryologist are in constant touch with the couple. We try to see that you do not have to wait for too long to see the doctor. We have all facilities of Hysteroscopy/ Laparoscopy / IVF treatment and Maternity at Dr Sudha Tandon centre and we take utmost care of our patients.

Mumbai Centre
Dr. Sudha Tandon's Fertility & IVF Center

4th Floor, Gagangiri Complex 18th Road, Near Dr. Ambedkar Udyan Chembur (E). Mumbai 400 071.

+91 91676 80410 / 022 25260390 / 022 25260391

Navi Mumbai Centre
Dr. Sudha Tandon's Fertility & IVF Center

6, Archana CHS, Gr. Floor, Sector 17, Plot No. 18, Vashi, Navi Mumbai 400 703.

+91 98330 44930 / 022 27802188