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Endometriosis surgery

What is Endometriosis Surgery?

Endometriosis surgery is a medical procedure that aims to treat a condition called endometriosis. Endometriosis is a condition in which the tissue that normally lines the inside of the uterus (called the endometrium) grows outside the uterus, usually in the pelvic area.

During endometriosis surgery, a surgeon makes small incisions in the abdomen and inserts a thin, lighted tube called a laparoscope. The laparoscope allows the surgeon to see inside the abdomen and locate the areas where the endometrial tissue has grown.

The surgeon then uses special tools to remove or destroy the abnormal tissue. This can be done in different ways, depending on the extent of the endometriosis and the patient's individual situation. The surgeon may use techniques such as cutting, burning, or laser treatment to remove the tissue.

In some cases, the surgeon may need to remove other structures or organs that have been affected by the endometriosis, such as the ovaries or fallopian tubes. However, the goal of the surgery is usually to preserve the reproductive organs and improve symptoms rather than remove them entirely.

Endometriosis surgery can help alleviate the symptoms of the condition, such as pelvic pain, heavy menstrual bleeding, and fertility problems. It is typically performed under general anesthesia, meaning the patient is asleep during the procedure.

After the surgery, the patient may experience some pain and discomfort, but this can usually be managed with pain medications. Recovery time varies depending on the extent of the surgery, but most people can return to their normal activities within a few days.

Why and when Endometriosis Surgery is recommended for fertility management?

Endometriosis surgery may be recommended for infertility associated with endometriosis for several reasons:

Removal of endometrial implants: Endometriosis can cause the growth of endometrial implants outside the uterus, such as on the ovaries, fallopian tubes, or pelvic organs. These implants can interfere with fertility by affecting the function of the ovaries or blocking the fallopian tubes. Surgery aims to remove these implants, thereby improving the chances of natural conception.

Treatment of ovarian cysts: Endometriosis can lead to the development of ovarian cysts called endometriomas. These cysts can affect ovarian function and reduce fertility. Surgical removal of the endometriomas can restore normal ovarian function and enhance fertility.

Repair of anatomical abnormalities: In some cases, endometriosis can cause anatomical abnormalities such as adhesions (scar tissue) or distortions in the pelvic region. These abnormalities can impact fertility by affecting the movement of the egg and sperm or hindering the implantation of a fertilized egg. Surgery can help correct these abnormalities, improving the chances of successful conception.

Enhanced response to fertility treatments: For individuals undergoing assisted reproductive technologies (ART) such as in vitro fertilization (IVF), surgery may be recommended before or in conjunction with the fertility treatment. Removing endometrial implants or correcting anatomical abnormalities through surgery can optimize the response to fertility treatments and increase the chances of a successful outcome.

The decision to recommend endometriosis surgery for infertility is made on a case-by-case basis, considering factors such as the severity of endometriosis, the age of the individual, the duration of infertility, and other individual circumstances. It's important to consult with a reproductive specialist or fertility expert who can evaluate your specific situation and recommend the most appropriate treatment approach.

How is life after Endometriosis Surgery for Infertility?

Life after endometriosis surgery for infertility can vary from person to person, and the outcome depends on various factors. Here are some aspects to consider:

Improved fertility potential: Endometriosis surgery aims to address the factors that contribute to infertility, such as removing endometrial implants, treating ovarian cysts, and correcting anatomical abnormalities. In many cases, this can enhance fertility potential and increase the chances of natural conception or successful assisted reproductive technologies (ART) such as in vitro fertilization (IVF).

Increased chances of pregnancy: By removing or reducing endometriosis-related barriers to fertility, the chances of becoming pregnant may be improved after surgery. This can bring hope and optimism for individuals who have been struggling with infertility due to endometriosis.

Post-surgical recovery: Like any surgical procedure, there will be a recovery period following endometriosis surgery. This can take a few days, depending on the extent of the surgery. It's important to follow post-operative care instructions provided by your healthcare provider to ensure proper healing and minimize complications.

Remember that every individual's experience is unique, and the success of endometriosis surgery for infertility can vary. It's important to have realistic expectations, maintain open communication with your healthcare provider, and explore all available options to optimize your chances of achieving your fertility goals.


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What is endometriosis surgery?

Endometriosis surgery is a surgical procedure performed to diagnose and treat endometriosis. It involves the removal or destruction of endometrial tissue that has grown outside the uterus, typically in the pelvic region.

What are the different types of endometriosis surgery?

There are different types of endometriosis surgery, including laparoscopy and laparotomy. Laparoscopy is a minimally invasive procedure that uses small incisions and a camera to visualize and remove endometriosis tissue. Laparotomy is a more invasive procedure that involves a larger abdominal incision and is usually reserved for severe cases or when extensive surgical intervention is required.

What is the recovery time after endometriosis surgery?

The recovery time after endometriosis surgery depends on the type of surgery performed and the individual patient. In general, recovery from laparoscopic surgery is faster compared to laparotomy. Most patients can expect to resume normal activities within a few days to a couple of weeks, although it may take longer for more extensive surgeries.

What are the potential risks or complications of endometriosis surgery?

Like any surgical procedure, endometriosis surgery carries certain risks and potential complications. These may include bleeding, infection, damage to surrounding organs, scarring, and anesthesia-related risks. Your surgeon will discuss these risks with you prior to the surgery.

When is endometriosis surgery recommended?

Endometriosis surgery is recommended when conservative treatments such as medication and hormonal therapy have not effectively managed the symptoms of endometriosis. It is also performed to improve fertility outcomes or when there are specific complications associated with endometriosis, such as ovarian cysts or severe pain.

Can endometriosis surgery improve fertility?

Endometriosis surgery can improve fertility outcomes in certain cases. Removing endometriosis lesions, cysts, or scar tissue can potentially enhance the chances of natural conception or improve the success rates of assisted reproductive technologies (ART) such as in vitro fertilization (IVF).

Does endometriosis surgery cure endometriosis?

While endometriosis surgery can remove or reduce endometrial tissue and alleviate symptoms, it does not guarantee a cure. Endometriosis is a chronic condition, and the disease may recur after surgery. However, surgery can provide relief from pain, improve fertility outcomes, and help manage the condition.

Will endometriosis recur after surgery?

Endometriosis can recur after surgery, particularly if the underlying causes or risk factors are not addressed. However, the severity and duration of symptom relief can vary. Following surgery, a comprehensive management plan that may include hormonal therapy, pain management, or lifestyle modifications is often recommended to manage the condition long-term.


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