Jon Einarsson, M.D.,

Dr Jon Einarsson MD – Endometriosis Specialist, Minimally Invasive Gynecologic Surgeon

Summary: Dr Jon Einarsson, MD, a leading endometriosis specialist in Boston, is dedicated to providing comprehensive care for women with pelvic health concerns. With expertise in minimally invasive gynecologic surgery, Dr. Einarsson focuses on the complete excision of endometriosis, recognizing that its origins are multifactorial, including genetic and environmental factors. While surgery is the primary treatment, he emphasizes the importance of a personalized, multidisciplinary approach to address persistent pain and recurrence. After surgery, Dr. Einarsson often recommends hormonal options like continuous birth control or a hormonal IUD to help reduce the risk of recurrence. He works closely with a team of specialists, including pain experts and pelvic floor physical therapists, to offer holistic care that promotes long-term relief and well-being for his patients. With Dr. Einarsson, you receive thoughtful, compassionate care tailored to your unique needs.

City: Boston, MA, USA

Philosophy: The origin of endometriosis is probably multifactorial and includes coelomic metaplasia, retrograde menstruation and genetic predisposition. Complete excision is the mainstay of the surgical approach, but since endometriosis can be found in lymph nodes and elsewhere, recurrences can occur even in the best of hands since microscopic implants may continue to evolve after surgery. This is correlated with age, with a higher risk of recurrence in younger patients.

Medication: In patients who are not contemplating pregnancy after surgery, I generally recommend either continuous birth control pills, hormonal IUD, or oral progestins. This has been shown to reduce the risk of recurrence and repeat surgery. These agents are also better tolerated and equally effective to medications such as Lupron, which we generally do not use.

Approach to Persistent Pain After Surgery: A multidisciplinary approach to pain is essential. We, therefore, work closely with other disciplines such as pain experts, gastroenterology, urology, pelvic floor physical therapy, etc. The goal is to alleviate the patient’s symptoms, and sometimes the main cause of symptoms may not be endometriosis, although this is the most common etiology.