Navigating Two Common Women’s Health Concerns
Pelvic pain, heavy periods, fatigue, and fertility challenges — symptoms like these can sometimes be dismissed or misdiagnosed for years. But behind them often lie two of the most common gynaecological conditions: fibroids and endometriosis. While both are treatable, finding the right approach — surgical or non-surgical — depends on your individual symptoms, age, fertility goals, and medical history.
At Dr. Richa Gangwar’s gynaecology clinic in Lucknow, we specialize in personalized diagnosis and treatment planning for women of all ages. Whether you’re hoping to manage symptoms conservatively or explore minimally invasive surgery, we help you choose the safest and most effective path forward.
Understanding Fibroids
Uterine fibroids are non-cancerous growths that develop in or on the uterus. They vary in size and number, and while some women may never experience symptoms, others face heavy periods, pelvic pain, frequent urination, or fertility complications.
Fibroids can be managed through watchful monitoring, medications, or surgical intervention — depending on how severe the symptoms are and how much they interfere with your daily life or reproductive plans.
Understanding Endometriosis
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus — often on the ovaries, fallopian tubes, or pelvic walls. This causes chronic inflammation, pain during menstruation or intercourse, fatigue, and in many cases, difficulty conceiving.
Because symptoms can be subtle and mimic other conditions, endometriosis is often diagnosed later than it should be. At Dr. Richa’s clinic, we offer early, empathetic evaluation — allowing for timely treatment that reduces pain, protects fertility, and restores comfort.
Non-Surgical Management Options
For both fibroids and endometriosis, surgery isn’t always the first line of treatment. Many women benefit greatly from conservative methods, especially when symptoms are mild or fertility preservation is a top priority.
Medication
Hormonal therapies such as birth control pills, progesterone, or GnRH analogs can help manage bleeding, regulate cycles, and ease pain. Pain relievers and anti-inflammatory medications also play a role in symptom relief.
Lifestyle Support
We provide nutritional counselling and stress-reduction strategies that complement medical treatment. Dietary changes, regular exercise, and sleep improvement can reduce inflammation and improve hormone balance.
Monitoring and Regular Check-Ups
In cases where fibroids or endometriosis are present but not causing significant discomfort, regular ultrasound and symptom tracking can help monitor progression while avoiding unnecessary intervention.
At our clinic, this conservative approach is carefully guided — forming part of the best gynaecology care in Lucknow, tailored to each woman’s stage of life and health goals.
When Surgery Becomes the Right Option
While medications and lifestyle changes are effective for many women, surgery becomes necessary when symptoms are severe or persistent, or when fertility is at risk.
For Fibroids:
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Laparoscopic Myomectomy allows removal of fibroids while preserving the uterus, ideal for women planning to conceive.
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Hysterectomy, or uterus removal, may be considered in cases of large, recurring fibroids in women past childbearing age.
For Endometriosis:
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Laparoscopic Excision is a gold-standard technique where endometrial tissue is removed with precision, reducing pain and improving fertility outcomes.
Both procedures are available at Dr. Richa Gangwar’s best gynaecology clinic in Lucknow, performed with modern equipment and compassionate pre- and post-operative care.
We always recommend surgical options only when they offer a clear benefit, and patients are emotionally and physically ready for the journey.
Individualized Treatment Planning
Every woman’s experience with fibroids or endometriosis is different. Age, symptom severity, desire for future pregnancies, and tolerance to medications all play a role in choosing the right treatment.
That’s why Dr. Richa Gangwar and her team provide comprehensive consultations, supported by high-quality ultrasound, hormonal evaluation, and counselling. You’ll never be rushed or pushed toward unnecessary procedures — instead, you’ll be heard, informed, and supported.
Empowering Women With the Right Information
Living with fibroids or endometriosis doesn’t mean living in pain. At Dr. Richa’s clinic, we believe in helping women reclaim their comfort and fertility, whether through conservative care or minimally invasive surgery.
Our goal is to restore not just your health, but your confidence and quality of life — with one-on-one support, clear communication, and thoughtful follow-ups. Because the best care isn’t just medical — it’s personal.
