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Endometriosis Centre Jaslok provides multidisciplinary expert care by experience, dedicated consultants committed to give you the best available management.
Our Expert panel
Gynaecologists with special training and expertise in endometriosis management
Laparoscopic surgeons trained and experienced in endometriosis surgery in the pelvis and outside the pelvis
Imaging consultants for accurate and specific detection of endometriosis
Pain management with specialised Pain consultants and nurses
Pelvic floor and pain physiotherapists
Physical consultation with thorough evaluation through objective questionnaire/ detailed history/ examination and counselling. A typical consultation time is about 30-45 minutes
Online/ Virtual consultations with reports/questionnaire and counselling.
Laparoscopic surgery for deep infiltrating endometriosis (DIE) by experts with specialised training in endometriosis surgery
Laparoscopic surgery for fertility enhancement/ pain relief
Conservative management wherever possible with evidenced based approach
Multidisciplinary input whenever needed from experts in fertility/pain management/physiotherapists/psychologists/nutritionist
Follow up schedule and planning in liaison with other consultants
Call: 9594992354 or email us on firstname.lastname@example.org
Endometriosis is the presence of tissue resembling the inner lining of the uterus (endometrium) outside the uterus causing a chronic inflammatory reaction. Endometriosis may grow anywhere in the body but is most commonly seen around the ovaries, peritoneum, ligaments of the uterus and gastrointestinal system.
It is a multisystemic disease and is not just limited to the genito-urinary system. Estrogen hormones which are secreted when a woman starts menstruating cause the endometriosis to grow and invade body tissues resulting in painful adhesions, scarification and disruption of other organ systems. Tissue growing into the rectum and bowel produces constipation or diarrhoea, if it grows into the ovary or tubes it causes infertility, if it grows within the vagina and the back of the uterus it causes painful sexual intercourse and also produces inflammatory processes causing generalised abdominal pain and bloating. The disease grows locally and infiltrates deeper into the tissues and pulls everything toward it causing entrapment of nerves and produces new blood vessels. This causes sequelae depending what nerves and vessels are impacted ranging anywhere from sexual function to altered urinary function and/or bowel functions.
a) dysmenorrhoea limiting daily activities and quality of life (painful periods)
b) cyclical or non-cyclical pelvic pain
c) dyspareunia (deep pain during or after sexual intercourse)
d) abdominal bloating
e) unexplained gastrointestinal symptoms, particularly when cyclical in nature and pain related to bowel movements including dyschezia
f) unexplained urinary symptoms, particularly when cyclical in nature
g) sub-fertility that is otherwise unexplained.
The Gold Standard of diagnosis is excision of endometriosis tissue vialaparoscopy. But laparoscopy requires anesthesia and is an expensive procedure therefore a diagnosis must be established before laparoscopy is implemented as a one-stop see and treat measure. Therefore it must be done by people who specialise in endometriosis excision.
Clinical History :
Endometriosis is highly suspected if the patient complains of dysmenorrhoea (Painful periods), dyspareunia (Painful sexual intercourse), abnormal bleeding and subfertility.
Special attention must be paid to symptoms like nosebleeds, hematochezia (blood in stools) and blood in urine among others which would lead one to a suspicion of extra-genital endometriosis.
A vaginal and rectal exam is ideally performed to feel for nodularity and mobility of the uterus. If any nodularity is noted then one will suspect deep endometriosis.
Adnexal masses on palapation may be suggestive of endometriomas.
In young girls a vaginal exam may not be possible, so a rectal exam may be performed in select cases.
Transvaginal ultrasound is the best non invasive method to diagnose endometriosis. It may reveal cysts, rectovaginal nodules and adherent ovaries. It may not reveal much peritoneal disease. In younger girls who are not sexually active a transrectal approach is much better for diagnosing endometriosis than a transabdominal one.
Useful in detecting rectovaginal disease but not much better than a well performed ultrasound.
Gynecologists should ideally perform their own ultrasound rather than relying on a sonologist who doesn’t focus solely on endometriosis.
As mentioned before laparoscopy is the gold standard for diagnosis of endometriosis. The advanced optics and modern imaging modalities with HD, 4K, 3D and Near-Infra Red Imaging systems improve visual acuity in identifying lesions as never before. The corollary to this is that the surgeon should know what to look for. Subtle endometriosis lesions may be missed if he/she hasn’t seen them before.
Area of expertise
Gynaec services offered:
Puberty health issues
Management of abnormal uterine bleeding
Minimally Invasive Surgeries (Key Hole surgeries)
Robotic surgeries ( precise and advanced form of key hole surgery)
Urogynaecology such as Prolapse, urinary incontinence & sexual dysfunction
Repair of Pelvic floor laxation
Obstetric services offered
Pre conceptional counselling
Management of Normal pregnancies & pregnancies complicated with Diabetes, High blood pressure, heart disease, thyroid, Kidney & other problems, infections, etc.
Management of premature pregnancies/labour
Management of pregnancies with small and sick babies
Management of multiple pregnancies such as Twins & triplets
Management of pregnancies with abnormalities in unborn foetuses
Management of repeated miscarriages
Management of ectopic pregnancies
Brief write up
"Dr. Sudeshna Ray holds a respectable reputation amongst her patients both as an Obstetrician & Gynaecologist.
Apart from imparting her expert advice, she believes in empowering women with the knowledge to decide and accept her treatment. To her every woman coming to her is important and she gives sufficient time to each one of them to decide the treatment which is best suited for her. Besides guiding the pregnant women with her expert advice, she offers a full range of gynaecological services. This includes preventive care for a healthy women & treatment of various gynaecological concerns such as fibroids, endometriosis, abnormal bleeding, PCOS, etc. She enjoys bringing healthy babies to the world and to her the smile in the eyes of the parents and the gratitude of a treated women is what keeps her going through the odd hours of continuous work.
She is also passionate about giving her women the best & the most advanced form of treatment available in the form of non-surgical options, scarless, robotic, keyhole procedures and multidisciplinary management when required."
She is the head of the team of LIGHTHOUSE – the 360 degree care program for adolescents and young adults.
Pelvic Endoscopy from BEAMS, Mumbai.
Diploma in Obst & Gyn Ultrasound (FDGSI).
Invited faculty for training, lectures and presentations in various conferences, workshops and academic meetings
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