Experts Speak – Dr. Neeta Warty - FAQs on Endometriosis

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• Endometriosis is one of the most common
  conditions gynecologists encounter during their
  practice. Classic studies indicate that 25-50
  of infertile women have endometriosis and 30-50
  of women with endometriosis are infertile. This
  disease affects all aspects of a womans
  reproductive system and can even cause
  spontaneous miscarriages.
• Below are some of the questions about
  endometriosis I come across the most in my
  practice
• What is Endometriosis and What are its Symptoms?
• The endometrium is a tissue lining the cavity of
  the uterus as it prepares to receive a baby every
  month. It is shed along with blood in absence of
  conception. Presence of this endometrium-like
  tissue outside the uterine cavity is called
  endometriosis.
• Endometriosis symptoms include dysmenorrhea or
  painful menstruation, pain during intercourse,
  and passing motion. It is one of the major
  causes of inability to conceive.
• Who is at Risk of Developing Endometriosis?
• This condition affects women in their
  reproductive years and is sustained by female
  hormones. 1 in 10 women could develop
  endometriosis between the onset of menstruation
  to menopause.
• How is Endometriosis Managed?
• Endometriosis will need treatment for
• Improving fertility
• Management of pain

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• Conservative endometriosis treatment may be used
  in the form of hormones given orally or as in
  injectable depot preparations but has a
  temporary effect.
• Surgical removal, on the other hand, is more
  comprehensive and can be aided by medical therapy
  post surgery to decrease recurrence.
• What are the Chocolate Cysts and How are They
  Removed?
• Chocolate cysts or ovarian endometriomas are
  collections of thick brown fluid inside the
  ovary. This is a mixture of blood and
  endometrial debris shed every month over
  sometime.
• This blood causes scarring and adhesions which
  cause the ovaries and eventually the fallopian
  tube to stick to adjacent organs like uterus,
  bladder, and intestine. This causes pain and
  interferes with tubal function leading to
  infertility.
• Laparoscopic removal of the cysts is the gold
  standard. Through very tiny abdominal cuts,
  sophisticated instruments are used with the
  patient under general anesthesia. The cysts are
  opened, drained and the wall is excised with
  precision using a high definition telescope and
  state-of-the-art camera. This allows minimal
  handling of the abdominal organs and expedites
  healing while preserving healthy ovarian tissue.
• Return to the activity with minimal pain allows
  our patient to start fertility treatment early.
• Is Laparoscopy to be Preferred Over Conventional
  Surgery?
• Laparoscopic surgery provides
• Better visualization and precise surgery
• Lesser scarring and adhesions
• Better fertility outcomes

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Having completed childbirth a woman could undergo
a laparoscopic hysterectomy to relieve constant
and sometimes severe intermittent attacks of
pelvic pain. How can Pain be Treated? Pain can
be treated by surgically excising the
endometriotic implants and releasing the scar
tissue. Surgeons can also block the pain by
sectioning certain neural pathways. This
procedure is technically demanding and is
possible laparoscopically with better
visualization and access to challenging
sites. Is Laparoscopic Hysterectomy Possible in
Recurrent Endometriosis? Recurrent endometriosis
with multiple interventions poses a challenge.
Laparoscopic hysterectomy or removal of the
uterus is the gold standard in such patients. The
magnification and advanced surgical instruments
with a skilled team can assure feasibility of
such a complex procedure. Pain, a major concern
due to disease and scarring of multiple
procedures is best tackled laparoscopically. --- S
urya group of hospitals are a pioneer in modern
healthcare services for women and children since
1985. We offer cutting-edge facilities along
with a staff thats highly acclaimed in their
field including endometriosis specialists.
Surya Eva is our special division managed by Dr.
Neeta Warty. To book an appointment for
endometriosis treatment in Mumbai with Dr. Neeta
Warty, please call 97696 78989 / 022 61538989.
Dr. Neeta Warty Dr. Neeta Warty is a
world-renowned Gynecologist, Laparoscopic
Surgeon, and an Infertility Specialist. She is
the head of Surya Evas Laparoscopic Division and
is known for her precise and immaculate
surgeries. Her name finds mention in the Guinness
and Limca Book of World Records with the team
that laparoscopically removed the
heaviest uterine fibroid ever reported in the
world. She also devised the technique for genital
prolapse, which finds a special mention in
Shaws textbook of Gynecology, which is the
international curriculum textbook for postgrad
gynecology students.