Written and Medically Reviewed by: Dr. Tanu Soni (MBBS, MS, DNB) — Gynaecologist, Obstetrician, Fertility Specialist & Laparoscopic Surgeon, Indore
If you have been dealing with heavy periods, constant pelvic pain, or trouble getting pregnant, you are not alone. Every week, women walk into gynaecology clinics across Indore with the same complaints, and in a large number of cases, the reason turns out to be fibroids or endometriosis.
Both these conditions are far more common than most people realise, and both can be treated well once they are diagnosed properly. The problem is not the disease. The problem is that most women wait too long before getting checked, simply because they were told period pain is “normal.”
This blog will explain fibroids and endometriosis in plain language, help you recognise the warning signs, and walk you through the treatment options available today, including advanced laparoscopic surgery.
What Are Fibroids?
Fibroids are muscular growths that form in or around the uterus. They are almost always non-cancerous.
Some women carry a small fibroid for years without ever feeling it. Others develop fibroids large enough to cause heavy bleeding, constant pain, or pressure on the bladder. Size and location decide how much trouble a fibroid actually causes, not just its presence.
Common signs of fibroids:
- Heavy or long periods, sometimes with clots
- Pain or heaviness in the lower belly
- Needing to urinate frequently
- Pain during intercourse
- Bloating that does not go away
- Lower back pain
- Difficulty conceiving
If two or more of these sound familiar, an ultrasound is worth getting done. It takes a few minutes and gives a clear answer.
What Is Endometriosis?
Endometriosis happens when tissue similar to the uterus lining grows outside the uterus, usually on the ovaries or nearby organs. This tissue still behaves like the uterus lining. It thickens and bleeds every month, but since it has nowhere to go, it causes inflammation, scarring, and pain.
This condition is one of the most common yet most under-diagnosed reasons behind period pain and infertility in Indian women. Many patients live with severe pain for years before someone finally connects the dots.
Common signs of endometriosis:
- Period pain that is far worse than normal cramps
- Pain during or after sex
- Pain while urinating or passing stool, especially during periods
- Heavy bleeding or spotting between cycles
- Constant tiredness and bloating
- Trouble getting pregnant
Endometriosis is closely linked to infertility. A large share of women who struggle to conceive without any obvious reason turn out to have this condition. If pregnancy is not happening despite trying for a while, this is one of the first things worth ruling out.
Why Women Ignore These Symptoms for Years
Most of us grow up hearing that period pain is just something to tolerate. This one belief has delayed diagnosis for millions of women.
Here is a simple rule to remember: pain that stops you from going to work, college, or doing your daily routine is never normal. It is your body asking for attention, not something to push through with a painkiller every month.
How Are Fibroids and Endometriosis Diagnosed?
The diagnosis process is simple and mostly painless.
- A detailed conversation about your symptoms and cycle
- A basic pelvic examination
- An ultrasound to look at the uterus and ovaries
- MRI, if a clearer picture is needed
- Diagnostic laparoscopy, in cases where endometriosis does not show up clearly on scans
Dr. Tanu Soni spends time understanding each patient’s full history before deciding the next step. Surgery is never the first suggestion unless it is genuinely needed.
Treatment Options for Fibroids
Not every fibroid requires surgery. The right treatment depends on size, location, symptoms, and whether the woman still wants to have children.
When surgery is not needed:
- Regular monitoring for small, symptom-free fibroids
- Medicines to control heavy bleeding
- Hormonal treatment to shrink fibroids or ease symptoms
When surgery is needed:
- Myomectomy – removes the fibroids while keeping the uterus intact. This is the preferred option for women planning a future pregnancy.
- Hysterectomy – removal of the uterus, generally recommended only when fibroids are severe and childbearing is not a future concern.
Most of these procedures today are done laparoscopically, meaning smaller cuts, less pain, and a much quicker recovery than traditional open surgery.
Treatment Options for Endometriosis
Endometriosis treatment has two main goals: reducing pain and protecting fertility.
Non-surgical care:
- Pain relief medication
- Hormonal treatment to slow tissue growth
- Diet and lifestyle changes to reduce inflammation
Surgical care:
- Laparoscopic excision surgery removes the endometriosis tissue from wherever it has grown. This is currently one of the most effective ways to cut down pain and improve the chances of a natural pregnancy.
Why Advanced Laparoscopy Works Better Than Open Surgery
Advanced laparoscopic surgery has completely changed how fibroids and endometriosis are treated. Instead of one large cut, the surgery is done through a few small incisions using a camera and fine instruments.
What this means for the patient:
- Tiny scars that fade over time
- Much less pain after surgery
- Shorter hospital stay, often just one to two days
- Faster return to normal routine and work
- Lower risk of infection
- Better precision, so healthy tissue stays untouched
This is exactly why Dr. Tanu Soni recommends laparoscopic treatment wherever it is medically suitable, especially for women who want to protect their fertility.
About Dr. Tanu Soni
Dr. Tanu Soni (MBBS, MS, DNB) is a well-known Obstetrician, Gynaecologist, Fertility Specialist, and Laparoscopic Surgeon practising in Indore. She has over 9 years of clinical experience and has performed more than 100 successful laparoscopic surgeries.
Areas of expertise:
- Advanced laparoscopic surgery for fibroids and endometriosis
- Fertility evaluation and IVF counselling
- High-risk pregnancy care
- PCOS and hormonal disorder management
- Ovarian cyst treatment
- Menstrual disorder care
What patients appreciate most is her approach. She does not push every case towards surgery. Each patient’s condition is studied individually before deciding what treatment actually helps.
Why Patients Choose Dr. Tanu Soni in Indore
- One-on-one consultation, not a rushed five-minute visit
- Advanced, minimally invasive treatment options
- Strong focus on preserving fertility wherever possible
- Clear explanation of the diagnosis, without confusing medical terms
- A comfortable space to discuss personal health concerns openly
Frequently Asked Questions
Can fibroids go away without treatment?
Small fibroids with no symptoms can often just be monitored. They rarely disappear on their own, but many never need active treatment unless they start causing problems.
Does endometriosis mean I cannot get pregnant?
No. Many women with endometriosis do conceive, especially after proper treatment such as laparoscopic excision. Early diagnosis makes a real difference to the outcome.
Is laparoscopic surgery safe?
Yes. It is a well-established technique with a strong safety record, faster recovery, and far less scarring compared to open surgery.
How do I know if my period pain is serious?
If the pain disrupts your daily activities or keeps getting worse each month, it needs to be checked by a gynaecologist rather than managed with painkillers alone.
How soon can I return to work after laparoscopic surgery?
Most patients resume light routine work within a week to ten days, depending on the type of procedure performed.
Book a Consultation with Dr. Tanu Soni
If heavy periods, pelvic pain, or fertility concerns have been part of your life for a while, getting checked early makes treatment simpler and recovery faster.
Dr. Tanu Soni Obstetrician, Gynaecologist, Fertility Specialist and Laparoscopic Surgeon, Indore
- Phone: 70897 09554
- Email: tanusoni.gynae@gmail.com
- Clinic Address: OPD no 38, Bombay Hospital Service Rd, Scheme No 94, Sector WA, Indore, Madhya Pradesh 452010
