Treatment of endometriosis by gynecologist Alina Alexandrovna Vasilyeva in Dnipro.

When consulting about endometriosis, patients often report lower abdominal pain, menstrual cycle irregularities, difficulties with pregnancy planning, or recurring symptoms despite treatment.

The doctor conducts a thorough clinical assessment, analyzes the complaints and medical history, and, if necessary, orders additional examinations to obtain an accurate understanding of the condition.

The patient receives a clear and structured action plan — from current recommendations to necessary tests and subsequent monitoring of progress.

A key feature of the doctor's approach is careful differential diagnosis of symptom causes and attentive management of patients over time, which helps to promptly adjust treatment and prevent exacerbations.

When to Consult a Doctor

If you notice discomfort or changes in your condition that interfere with your daily life, it is important to consult a doctor. Endometriosis can cause various symptoms and situations that require professional attention. Sometimes symptoms may recur or worsen, and sometimes self-care measures do not provide relief. You should make an appointment with a gynecologist if, in the case of endometriosis, you experience:

• Constant or intermittent pulling pains in the lower abdomen
• Increased pain before or during menstruation
• Menstrual cycle irregularities: delays, heavy or irregular bleeding
• Pain during intercourse
• A feeling of heaviness or discomfort in the pelvic area
• Difficulties or delays in becoming pregnant
• Symptoms that repeat or become more pronounced over time
• Pain that interferes with work, sleep, or daily activities
• No relief after previously prescribed treatments or self-care measures
• The need for a follow-up consultation in chronic cases
• Worsening of symptoms after stress or lifestyle changes

If you notice several of these signs, seeing a gynecologist will help properly assess the situation and select the most appropriate plan for examination and treatment. It is important not to ignore symptoms, especially when they affect your quality of life and overall well-being.

Emergency Conditions or When to See a Doctor Immediately

• Sudden and severe lower abdominal pain that rapidly increases
• Combination of severe pain with high fever and chills
• Sudden deterioration of overall condition, weakness, and dizziness
• Bleeding between periods or heavy bleeding unrelated to menstruation

If you experience these symptoms, do not wait for a scheduled appointment—seek emergency medical help. Our clinic offers a doctor home visit service for quick consultation and initial examination.

Causes and Risk Factors of Endometriosis

Understanding the causes and risk factors helps to better comprehend where endometriosis may originate and which aspects are important to consider during examination. This approach allows identifying possible directions for evaluation and monitoring of the condition.

Main Causes / Mechanisms (Briefly)

• May be associated with impaired menstrual blood outflow
• Often linked to changes in the immune system and inflammatory processes
• Possible hereditary predisposition to developing the disease
• Hormonal imbalances may contribute to the progression of endometriosis

Risk Factors

• Age from reproductive to perimenopausal period
• Late onset of menstruation and long menstrual cycles
• Irregular or heavy menstrual bleeding
• Absence of pregnancy or late pregnancy
• Chronic inflammatory diseases of the pelvic organs
• Frequent stressful situations and general health disorders
• Concomitant hormonal disorders
• Family history of endometriosis or other gynecological diseases

Reversible Causes to Be Excluded

• Inflammatory processes and infections of the reproductive system
• Hormonal imbalances amenable to correction
• Consequences of past surgical interventions on pelvic organs

Endometriosis can develop under the influence of various factors, and accurate assessment requires consultation with a doctor and conducting examinations.

Diagnosis

To accurately understand the cause of symptoms in endometriosis, the doctor conducts a step-by-step examination to develop a preliminary plan and determine the next steps. This approach helps avoid unnecessary anxiety and effectively identify the relevant information.

Diagnostic Approach

• Taking a detailed medical history, including complaints, menstrual history, and possible circumstances of symptom onset
• Examination and palpation of the pelvic organs to assess their condition and identify painful areas
• Ordering basic laboratory tests as indicated to rule out other diseases
• Performing ultrasound examination of the pelvic organs if necessary
• If the diagnosis remains unclear, additional examinations are prescribed based on individual indications
• Analyzing the results and forming a plan for further monitoring or treatment

Typical Tests As Indicated

• Ultrasound examination (US) of the pelvic organs
• Blood and hormone laboratory tests
• MRI of the pelvic organs in complex cases
• Diagnostic laparoscopy under strict indications
• Additional specialist consultations if needed

What to Bring to the Appointment

• Previous examination and test results, if available
• A list of medications and vitamins currently being taken
• A symptom diary or description of complaints including timing and specifics
• Details about the menstrual cycle and any changes

Diagnosing endometriosis requires a stepwise approach and careful evaluation, so it is important to entrust this process to an experienced specialist and provide complete information about your condition.

Treatment

The treatment of endometriosis aims to relieve symptoms and maintain quality of life. The therapy plan is tailored individually, taking into account the specifics of the condition and examination results, and requires a physician’s assessment.

Therapy Goals

• Reduction of pain and other unpleasant symptoms
• Slowing the progression of endometriosis and correcting associated changes
• Restoration and support of reproductive function if necessary
• Prevention of complications and disease exacerbations

Main Treatment Approaches

• May include medication therapy to control inflammation and pain
• Primary focus on hormonal regulation as indicated
• Use of non-drug methods such as physiotherapy and rehabilitation
• Possible use of minimally invasive procedures in certain cases
• Therapy is individualized and adjusted according to patient response and comorbidities

What the Doctor Does

• Selects and adjusts the treatment plan considering the patient’s current condition
• Takes comorbidities into account when choosing therapy methods
• Monitors for possible side effects and changes strategy if necessary
• Explains effectiveness criteria and plans for dynamic monitoring
• Coordinates treatment with other specialists as needed

What to Expect: Plan and Monitoring

• Assessment of results and condition is conducted regularly, with timing depending on the individual situation
• If there is no improvement or side effects develop, the therapy plan is adjusted
• Maintaining regular visits for monitoring progress is important
• The plan may include sequential stages with varying intensity of therapy

To receive an individualized treatment plan, schedule a consultation with Dr. Alina Alexandrovna Vasilyeva.

Prevention

Prevention is important to reduce the risk of developing and progressing endometriosis. The plan of measures is selected individually, taking into account health characteristics and the doctor’s recommendations.

Main Primary Prevention Measures

• Monitoring the menstrual cycle and timely consultation in case of irregularities
• Maintaining hormonal balance under the supervision of a specialist
• Avoiding chronic inflammatory processes and timely treatment of infections
• Leading a healthy lifestyle with moderate physical activity
• Managing stress and adhering to a regular rest schedule

Screening and Secondary Prevention / Regular Monitoring

• Regular gynecological examinations as recommended by a doctor
• Ultrasound examination of the pelvic organs as indicated
• Monitoring hormonal status in case of concurrent disorders
• Discussing pregnancy planning with a doctor if necessary

Practical Tips

• Discuss lifestyle modifications and preventive measures with your doctor
• Avoid hypothermia and injuries to the pelvic area
• Keep track of the regularity of your menstrual cycle and note any changes
• Maintain an optimal weight and follow nutrition advice recommended by a specialist
• Adjust treatment of chronic diseases as necessary under medical supervision

Prevention of endometriosis helps reduce the risk of complications and supports overall health, so it is important to consult your doctor regularly and follow the recommended measures.

Important to Know

The treatment of endometriosis requires a comprehensive approach that begins with a thorough assessment of the condition and the factors influencing symptoms. It is important not just to reduce discomfort but to understand what causes changes and how they can be controlled. Early consultation helps determine the optimal strategy and reduce the risk of complications. Often, the condition needs to be monitored over time to adjust the treatment plan promptly. Factors such as physical workload, stress, quality of sleep, and comorbidities can affect the course of endometriosis, so overall health care is essential.

• Identifying the cause and triggering factors is even more important than just reducing symptoms
• Early evaluation helps choose the appropriate treatment strategy
• Monitoring and adjusting the plan is carried out as changes in the condition occur
• Stress factors and chronic diseases can influence the progression of endometriosis
• Self-medication can mask symptoms and delay timely diagnosis
• In our clinic, the doctor explains the treatment plan in detail using simple language
• Patients receive ongoing monitoring that takes all individual characteristics into account

It is important to remember that endometriosis is a chronic condition requiring attention and control. Timely consultations and a personalized approach help determine the optimal treatment path. For more detailed information on causes, diagnosis, and treatment options, we recommend reviewing our general page on gynecological issues.

Self-care Before the Appointment: What You Can and Cannot Do

Before seeing a doctor for symptoms related to endometriosis, it is important to follow safe recommendations and avoid self-actions that may distort the picture of the condition. If your condition worsens, urgently seek help from Dr. Alina Aleksandrovna Vasileva.

What You Can Do Before the Appointment

• Note when and how the symptoms started, recording the time and circumstances
• Keep a symptom diary: intensity, possible triggers, time of day
• Bring a list of current medications to the appointment, including their names and dosages if known
• Measure and record your body temperature and other available parameters if necessary
• Reduce physical activity and ensure rest before consulting the doctor
• Drink enough water to avoid dehydration
• Ensure comfortable conditions for rest and sleep
• Gather documents from previous examinations, if any

What You Should Not Do Before the Appointment

• Do not stop or change chronic medications without consulting your doctor
• Do not start new medications or combine treatments without specialist approval
• Do not use unproven folk remedies promising quick improvement
• Do not attempt to diagnose yourself based on symptoms or tests
• Do not delay seeing a doctor if symptoms worsen or increase
• Do not neglect the need to follow recommended examinations
• Do not increase painkiller doses without consulting your doctor
• Do not ignore changes in your overall condition or new symptoms before the appointment

If signs of an emergency appear, immediately seek help from Dr. Alina Aleksandrovna Vasileva.

How I Can Help as a Doctor with Endometriosis

During a consultation for endometriosis, I can assist you in the following ways: understanding the causes of your symptoms, assessing your current condition, and selecting an appropriate treatment strategy. Together, we will develop a plan for examination, treatment, and follow-up that takes into account all aspects of your health.

• Analyze symptoms and medical history to identify possible causes of your complaints
• Evaluate the severity of symptoms and risk factors affecting your health
• Review the effectiveness of current treatments and tolerance of prescribed medications
• Develop a plan for the next steps: examinations, therapy, and condition monitoring
• Consider comorbidities and the impact of ongoing medications
• Provide lifestyle and regimen recommendations tailored to your individual needs
• Explain treatment effectiveness criteria and establish timelines for monitoring progress
• Conduct primary diagnosis of causes and differential assessment of the condition
• Adjust the treatment plan if effects are insufficient or side effects occur

The medical approach to endometriosis is always comprehensive and phased, enabling careful monitoring of your condition and timely adjustments to therapy. The consultation helps you better understand your health specifics and choose the most suitable solutions in each particular case.

What Questions Can You Ask a Doctor About Endometriosis

During a consultation about endometriosis, you can discuss the following situations and symptoms with Alina Aleksandrovna Vasilyeva: painful sensations in the lower abdomen, menstrual cycle irregularities, difficulties with pregnancy planning, worsening symptoms after treatment, and questions about monitoring your condition.

If you experience sudden and severe pain, high fever, heavy bleeding, or a sharp deterioration in your well-being, you need urgent care — do not wait for a scheduled appointment.

• What is happening to me, and what could this be?
• Why might this have started right now?
• How can I tell if the symptoms are related to endometriosis rather than another condition?
• What examinations are necessary in my specific case?
• Which tests or investigations are truly essential?
• How should I properly prepare for examinations and the consultation?
• What treatment or management options are available, and what are their features?
• Is this condition curable, or does it require ongoing monitoring?
• Why isn’t the prescribed treatment helping, and what should I do in that case?
• Is it possible to avoid surgery or other invasive procedures?
• How long does treatment usually last, and how often should I have follow-up check-ups?
• What signs indicate that my condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

This doctor addresses a wide range of issues, from initial symptom assessment to creating a comprehensive treatment and follow-up plan. If needed, examinations will be prescribed based on indications, and in urgent cases, patients are advised to contact specialized services for prompt response. The consultation helps to address your concerns and find suitable solutions.

How the Consultation Proceeds

The consultation is a detailed review of your complaints and current condition, as well as the development of a plan for further action. The extent of examinations and tests is determined individually, depending on the indications of your case. A precise diagnosis is not always established immediately during the appointment; the primary goal is to understand what is bothering you and what steps are needed next.

1. Clarifying complaints and the purpose of the visit: tell us what is bothering you, how long the symptoms have been present, and what affects them
2. Gathering medical history and risk factors related to your condition and overall health
3. Discussing previous treatments and examinations, with a recommendation to bring any existing documents and a list of medications
4. Conducting an examination and, if necessary, simple specialized tests to assess your condition
5. Forming preliminary conclusions: what might be causing the symptoms and what is important to rule out
6. Developing an examination plan, which may include ultrasound studies, laboratory tests, and other procedures as indicated
7. Discussing general principles of treatment and management, tailored to your individual characteristics
8. Establishing follow-up timing and recommendations on when to come for a repeat appointment or seek help if your condition changes

If this is your first visit, the consultation will focus more on clarifying symptoms and identifying possible causes. If previous treatment was ineffective, we will pay special attention to analyzing the reasons for the lack of effect and, if necessary, adjust the therapy plan.

Preparation for the Appointment

To ensure that your consultation with the obstetrician-gynecologist is effective and helps to quickly determine the diagnosis and treatment plan, it is important to prepare properly for the appointment.

• Bring a list of all current medications (names, dosages, how you take them).
• Bring the results of previous examinations, pelvic ultrasound scans, and laboratory tests.
• Write down your main complaints: when the symptoms started, what worsens and what relieves your condition.
• Do not stop taking prescribed medications without consulting your doctor.
• Arrive 10–15 minutes before your appointment for registration.
• If required, come on an empty stomach: do not eat or drink for 8–12 hours before the appointment (unless otherwise instructed, confirm this when booking).
• Avoid applying cosmetics and creams in the examination area.
• Prepare a list of questions or concerns you want to discuss with the doctor.
• Gather all medical documentation, including previous discharge summaries and images.

If you have any doubts about the preparation, it is best to clarify the details by phone when making the appointment and do not change your medication regimen without consulting a specialist.

About the Doctor

Alina Alexandrovna Vasilyeva is an obstetrician-gynecologist, reproductive specialist, and ultrasound physician with over 10 years of clinical experience. She regularly works with patients dealing with endometriosis, including cases of initial diagnosis, recurring symptoms, and chronic progression of the disease. The doctor pays close attention to differential diagnosis of causes and dynamic monitoring in order to promptly adjust therapy and minimize the risk of exacerbations.

Patients receive a comprehensive approach that includes reviewing complaints, assessing their condition, and providing recommendations for further action. During the consultation, you will receive a clear analysis of the situation and a plan based on your individual needs and indications.

Why Patients Choose Dr. Alina Alexandrovna Vasilyeva

When treating endometriosis, it is important not just to prescribe treatment but to develop a clear strategy that takes into account the specifics of each case and any accompanying conditions. Dr. Alina Alexandrovna Vasilyeva is distinguished by a comprehensive approach that helps patients understand the causes of their symptoms, properly adjust therapy, and avoid unwanted consequences. Through attention to detail and review of previous prescriptions, she helps find individualized solutions. Patients appreciate clear explanations and transparent monitoring of their condition’s progress.

• A clear treatment plan for the next steps with explanations of goals and effectiveness criteria
• Tests are prescribed only when indicated, without unnecessary procedures or expenses
• Consideration of comorbidities and current medications for safe therapy
• Monitoring of treatment response with the possibility of timely adjustment of the strategy
• Review and interpretation of previously performed tests to clarify the overall picture
• Emphasis on identifying causes and conducting differential diagnosis
• Management of patients with chronic and recurrent symptoms over time
• Explanation of all treatment details in simple and understandable language

This approach not only addresses current issues but also builds a long-term strategy for maintaining health. Dr. Alina Alexandrovna Vasilyeva helps patients feel more confident and receive the necessary support at every stage of endometriosis treatment.

Case Studies

Initial Consultation with Suspected Endometriosis

A middle-aged patient presented with complaints of persistent lower abdominal pain and menstrual irregularities. It was important to rule out other possible causes of the pain syndrome and determine whether the discomfort was related to endometriosis. The physician conducted a detailed medical history intake, physical examination, and recommended additional investigations, including pelvic ultrasound. Based on the results, a preliminary picture was formed, and a plan for further examination and follow-up was established. At subsequent check-ups, partial symptom reduction and stable condition were noted, which allowed for the development of an appropriate ongoing management strategy.

Treatment Adjustment Due to Lack of Effect

A young woman came for a follow-up consultation after a prolonged course of therapy that did not bring the expected relief. Previous prescriptions were reviewed, and treatment tolerance and possible side effects were assessed. The physician performed an additional examination, clarified the complaints, and revised the management plan by changing the treatment approach to emphasize non-pharmacological methods and monitoring. Over the following weeks, her condition stabilized, pain decreased, and she was given recommendations for further follow-up and prevention.

Chronic Course with Comorbid Condition

A patient with a long history of endometriosis presented with worsening symptoms against the background of a chronic inflammatory process. The physician paid special attention to the comorbid condition to avoid therapy interactions and complications. Recommendations were adjusted, including measures for controlling overall health and symptoms. At the next visit, improvements in quality of life and reduced pain severity were observed. Due to the chronic nature of the condition, a dynamic observation program was prescribed.

Symptom Exacerbation and Prevention Plan

A woman came with sudden worsening of pain and regular symptoms, requiring prompt assessment and exclusion of complications. The physician conducted an examination, recommended necessary additional tests, and developed a preventive plan to reduce the risk of recurrent exacerbations. During follow-up, the condition stabilized, and the patient received detailed advice on self-care and maintenance therapy.

Recurring Symptom Complex and Second Opinion

A patient with recurring periodic pain and menstrual changes sought a second opinion. The physician performed a thorough analysis of the medical history, evaluated previous examination results, and reassessed the diagnosis considering all data. Possible causes requiring further investigation were identified, which allowed for the creation of a plan for in-depth examination and subsequent management. The patient received detailed explanations and recommendations for continued monitoring.

How long does the consultation last?

The average duration of a consultation is 30–60 minutes; please confirm when booking.

How should I prepare for the appointment?

Write down your symptoms and questions, prepare a list of current medications, and bring any test results.

What should I bring to the consultation?

Bring your lab tests, imaging, medical reports, and a list of medications you are taking.

Do I need to come fasting?

Usually no, unless otherwise specified at the time of booking or advised by the doctor.

How many visits are usually required?

It depends on the individual situation; sometimes one visit is enough, but often several follow-ups are needed for monitoring and adjustment.

When will the first results of the treatment appear?

This varies individually and depends on the condition and chosen therapy.

What should I do if my condition worsens before the appointment?

Contact your doctor or emergency services if you experience severe pain, bleeding, or a sudden deterioration.

Is it possible to combine treatment with medications I am already taking?

This should be discussed during the consultation; do not change or stop your medications without consulting the doctor.

Can I have an online consultation?

Yes, online consultations are possible provided you supply the necessary data and medical history.

Can I come with test results I already have?

Yes, please bring all relevant and up-to-date results for analysis and assessment.

Do I need to come for follow-up visits, and how often?

Follow-up visits depend on your condition and treatment plan; they are usually scheduled for ongoing monitoring.

Can I get a second opinion?

Yes, the doctor is willing to discuss and review previous examinations and treatments.

What should I do if symptoms return after improvement?

It is important to inform your doctor to adjust the plan and possibly conduct additional testing.

What tests might be necessary?

The list of tests is determined individually based on indications during the consultation.

Can I ask questions about my current treatment?

Absolutely, please tell the doctor about all medications and any reactions to receive qualified advice.

What should I do if symptoms persist or recur?

Schedule a consultation to evaluate your condition and possibly adjust therapy.

Can I get a consultation without a referral?

Yes, you can come directly without a referral.

How often is condition monitoring conducted?

This depends on the specifics of your condition and response to treatment and is determined individually by the doctor.