As part of the initiative, the hospital successfully performed two rare minimally invasive surgeries aimed at preserving fertility in women diagnosed with severe endometriosis and adenomyosis.

Medical experts note that Endometriosis and Adenomyosis are common but often underdiagnosed disorders affecting women of reproductive age. These conditions frequently lead to chronic pelvic pain, painful menstrual cycles, abnormal bleeding, and infertility, significantly impacting quality of life.

In the first case, a 36-year-old woman approached the hospital after suffering from severe pelvic pain, spotting between menstrual cycles, and intense menstrual cramps for nearly ten years. Despite undergoing several medical treatments earlier, she had not experienced long-term relief.

After a detailed evaluation by Dr Arthika Shetty, Consultant Obstetrician, Gynaecologist, and Minimally Invasive Surgeon at AJ Hospital, she was diagnosed with Stage IV endometriosis with deep infiltrating disease involving the ileocolic region and a large bowel nodule.

The patient underwent a complex laparoscopic endometriosis excision surgery with ileocolic nodule excision, in which the diseased tissue was carefully removed while preserving the reproductive organs. Doctors said the procedure was particularly challenging due to the advanced stage of the disease and involvement of intestinal structures.

The surgery was successfully completed, allowing the patient to retain the possibility of future fertility while relieving the severe symptoms associated with the condition.

In another case, a 34-year-old woman presented with severe menstrual pain and was diagnosed with diffuse posterior wall adenomyosis along with Stage IV endometriosis.

The patient underwent laparoscopic endometriosis excision surgery followed by microwave ablation for adenomyosis, a modern technique used to reduce pain and improve quality of life while preserving the uterus.

Doctors explained that this procedure helps women maintain the ability to conceive in the future without increasing the risk of uterine rupture during pregnancy, which is a concern in certain surgical treatments.

The surgeries were performed by a multidisciplinary medical team led by Dr Arthika Shetty.

The team included Dr T. V. Tantry from the Department of Anaesthesiology, Dr Bharath Shetty from the Department of Radiology, who assisted in early diagnosis through advanced imaging, and Dr Rohan Shetty, who performed the intestinal resection required in the first case.

Doctors emphasised that managing complex cases of advanced endometriosis often requires close collaboration between gynaecologists, radiologists, anaesthesiologists, and gastrointestinal surgeons.

Speaking on the occasion of Endometriosis Awareness Month, Dr Arthika Shetty highlighted the challenges in diagnosing the condition early.

She explained that many women suffer from endometriosis for years before receiving an accurate diagnosis because the symptoms often resemble other common gynaecological or digestive disorders.

'Excision surgery is considered the gold standard treatment for endometriosis because it removes the disease completely rather than merely destroying surface lesions,' she said.

Dr Shetty further noted that timely diagnosis combined with specialised minimally invasive surgery can significantly reduce pain and improve fertility outcomes for affected women.

Through these successful procedures, AJ Hospital and Research Centre continues to strengthen its capabilities in advanced minimally invasive gynaecological surgery and fertility-preserving treatments.

Hospital authorities emphasised that awareness programmes such as Endometriosis Awareness Month are essential in encouraging women to seek medical consultation early, thereby improving treatment outcomes and overall reproductive health.