Key Symptoms of Endometriosis
Endometriosis symptoms can significantly impact quality of life and fertility:
- Severe, debilitating menstrual cramps (dysmenorrhea) that worsen over time
- Chronic lower back and pelvic pain throughout the menstrual cycle
- Pain during or after sexual intercourse (dyspareunia)
- Painful bowel movements or urination during menstrual periods
- Heavy or irregular menstrual bleeding and spot bleeding
- Difficulty conceiving or unexplained female subfertility
Diagnostic Approach & Ultrasound
Endometriosis diagnosis involves detailed symptom mapping, pelvic clinical examination, and high-resolution Transvaginal Ultrasound (TVS) to detect endometriomas ('chocolate cysts') on the ovaries or pelvic deep infiltrating lesions.
Treatment & Fertility Preservation
Treatment options depend on age, pain severity, and pregnancy goals. Dr. Aparna Kalekar utilizes hormonal suppression (progestins, oral contraceptives, GnRH analogues) for pain control and offers referral/guidance for laparoscopic excision of endometriotic implants while protecting ovarian reserve.


