The Critical Role of Timely Surgical Excision

Adolescent endometriosis can severely impact school, sports, and future fertility. Studies suggest up to 70% of women with endometriosis developed symptoms as teenagers—yet diagnosis and treatment are often delayed, allowing the disease to spread and attack vital organs.

At Nalini Speciality Center of Excellence, Dr. Vivek Salunke and team prioritize timely surgical excision as the definitive treatment—preserving fertility, protecting organ function, and giving young patients the best long-term outcomes.

Recognizing Adolescent Endometriosis

Symptoms often mistaken for “normal period pain” include:

• Severe period pain causing school absences
• Chronic pelvic pain outside of menses
• GI symptoms (bloating, diarrhea, nausea) linked to cycles
• Ongoing fatigue and reduced academic/sports performance
• Pain unresponsive to standard painkillers

Key point: In adolescents, abdominal ultrasound is often inadequate—endometriosis usually lies deep in the pelvis. Pelvic MRI, interpreted by an expert trained to identify endometriosis, is essential for accurate evaluation.

Why Surgery Is Essential

• Pelvic MRI, interpreted by a specialized radiologist, provides clear mapping of disease in adolescents.
• Surgical excision is the only curative option. Endometriosis is progressive—it spreads and can damage vital organs if left untreated.
• Post-excision benefits: Disease control and improved fertility outcomes are best achieved through complete surgical excision by an experienced surgeon.
• Hormonal or allopathic therapies may be considered only after complete excision—to help maintain control and prevent recurrence.
• Incomplete or delayed surgery risks progression. “First surgery, best surgery” ensures thorough removal and reduces recurrence.

Family-Centered, Surgical-First Approach

• Pre-surgical evaluation: Comprehensive history, expert-reviewed MRI, and clear communication with parents and adolescents.
• Surgery by an expert team: Only highly trained endometriosis surgeons should operate on adolescents, ensuring maximum disease clearance with minimal risk to fertility.
• Planned aftercare: Post-operative care includes recovery guidance, fertility discussions, and support for teens to resume academics and activities confidently.

Standards & Best Practice

At Nalini Speciality Center, our philosophy is clear:

• First surgery, best surgery.
• MRI pelvis, not abdominal ultrasound, for diagnosis in adolescents.
• Surgical excision is the cornerstone of treatment.

Book A Consultation

Consult Dr. Vivek Salunke, one of India’s leading endometriosis surgeons, for expert evaluation and treatment.

Author Bio:
Dr. Vivek Salunke is a leading Endometriosis Excision Surgeon in India. With extensive training and a practice dedicated exclusively to advanced laparoscopic and robotic excision surgery, he is committed to providing women with a definitive, long-term solution to endometriosis. His multidisciplinary approach ensures comprehensive care for even the most complex cases, including deep infiltrating and bowel endometriosis.