At Dr. Richa Gangwar’s gynaecology clinic in Lucknow, we often see women who have lived with this pain silently for years, unsure if what they’re feeling is “normal” or if help is available. The truth is — chronic pain is not something you need to endure.
📖 Table of Contents
- Understanding the Pain of Endometriosis and Fibroids
- Why Chronic Pain Needs a Different Approach
- Medical Pain Management Options
- Hormonal Treatments for Pain Relief
- Integrative & Lifestyle-Based Support
- When to Consider Surgery
- Emotional and Mental Well-Being
- Final Thoughts: You Deserve Relief, Not Just Resilience
Understanding the Pain of Endometriosis and Fibroids
For many women, the pain caused by endometriosis or uterine fibroids isn’t just limited to periods — it’s ongoing, intrusive, and affects daily life. It may come in the form of:
- Persistent lower abdominal pain
- Pelvic heaviness or cramping
- Painful intercourse
- Lower back discomfort
- Pain during bowel movements or urination
At Dr. Richa Gangwar’s gynaecology clinic in Lucknow, we often see women who have lived with this pain silently for years, unsure if what they’re feeling is “normal” or if help is available. The truth is — chronic pain is not something you need to endure.
Why Chronic Pain Needs a Different Approach
Unlike short-term discomfort, chronic pain from endometriosis or fibroids tends to become cyclical — not just physically, but emotionally too. The pain interferes with:
- Sleep quality
- Work and concentration
- Intimacy and relationships
- Mood and self-esteem
That’s why pain management needs to address not just the symptom, but the whole experience of living with pain.
Our goal is to create a sustainable, personalized treatment plan that brings consistent relief while preserving your overall quality of life.
Medical Pain Management Options
Pain relief begins with understanding your pain pattern. Based on this, we may begin with:
- Anti-inflammatory medications (NSAIDs like ibuprofen) to reduce inflammation
- Antispasmodics to ease uterine contractions
- Neuromodulators in some chronic cases for nerve-based pain
These medications provide short-term comfort but are most effective when paired with long-term strategies like hormone therapy or integrative care.
Hormonal Treatments for Pain Relief
Since both fibroids and endometriosis are hormonally responsive conditions, hormonal therapy plays a major role in pain reduction.
We may recommend:
- Oral contraceptives to regulate or suppress menstruation
- Progesterone therapy to reduce endometrial tissue growth
- GnRH agonists in select cases to temporarily reduce estrogen production
- IUS (hormonal intrauterine system) for targeted endometrial thinning
Hormonal therapy must be carefully monitored — and personalized based on your age, fertility plans, and symptom severity.
Integrative & Lifestyle-Based Support
At Dr. Richa Gangwar’s clinic, we believe in supporting the body’s natural healing mechanisms as part of chronic pain management. This may include:
- Dietary modifications to reduce inflammation (e.g., more omega-3s, less red meat)
- Physical therapy and pelvic floor exercises to release tension and improve blood flow
- Ayurvedic therapies like Abhyanga (oil massage) and Basti (medicated enemas) for detox and pain relief
- Yoga and gentle stretching, especially poses like Supta Baddha Konasana, which support the pelvic area
- Heat therapy and castor oil packs for comfort at home
These methods don’t replace medical treatment — they enhance it and help restore a sense of control over your body.
When to Consider Surgery
If pain persists despite all measures — and especially if your daily life is affected — surgical options may be considered:
- Laparoscopy for endometriosis excision or ablation
- Myomectomy to remove fibroids while preserving the uterus
- Hysterectomy in severe, unmanageable cases (usually after fertility is complete)
At our clinic, surgery is always a last, well-discussed resort, chosen only when other methods haven’t worked and the pain is interfering with your health and happiness.
Emotional and Mental Well-Being
Living with chronic pain is emotionally exhausting. You may feel:
- Frustrated or misunderstood
- Anxious about your body and future
- Isolated or withdrawn
This is not uncommon — and you are not alone. That’s why we also offer:
- Counselling referrals
- Supportive lifestyle coaching
- Fertility guidance if family planning is affected
You deserve care that acknowledges your emotional strength, while still helping you feel seen, heard, and supported.
Final Thoughts: You Deserve Relief, Not Just Resilience
If you’ve been told to “just manage the pain” — it’s time for a different kind of care. Chronic pain is not a weakness or exaggeration, and it should never be ignored or normalised.
At Dr. Richa Gangwar’s gynaecology clinic in Lucknow, we offer:
- Thoughtful diagnosis
- Ethical, evidence-based pain management
- Non-surgical and surgical options
- A listening ear, every step of the way
Your body deserves relief. And you deserve care that treats your pain with compassion — not dismissal.
