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Unlike most OBGYNs, our endometriosis doctor regularly see and operate on endometriosis patients. You can find video-vetted specialists whose surgical skills have been reviewed by their peer surgeons.

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Our endometriosis specialists offer a full spectrum of care for endometriosis and pelvic pain, including diagnosis, surgery, and post-surgical care.

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Our endometriosis specialist offer a full spectrum of care for endometriosis and pelvic pain, including diagnosis, surgery, and post-surgical care.

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Actual Reviews from Patients

I can’t thank you enough for the wonderful job you did excising my extremely complex endometriosis in May. I haven’t felt this good in years!

Dr Vasilev, is the best surgeon I had stage 4 endometriosis, chocolate cyst, block tube and one other thing. He was able to do it all.His Endometriosis savy!

I highly recommend Dr. Moawad. He literally saved my life and offered me hope for a more comfortable and functional future!

Suzanne Quast Burke

Ashlyn Bans Fernandez


Frequently Asked and Questions

What Do They Do at Endometriosis Appointment?

At an endometriosis appointment, your doctor will likely perform a physical exam and take a detailed medical history to assess your symptoms and risk factors. They may ask about your menstrual cycle, any pain or discomfort you experience, and any other related symptoms.

During the physical exam, your healthcare provider may perform a pelvic exam to check for any abnormalities, tenderness, or masses in the pelvic area. They may also review your previous test results and images or recommend new imaging tests, such as an ultrasound or MRI, to better view your internal organs.

Suppose endometriosis is highly suspected but not diagnosed. In that case, your doctor may recommend a minimally invasive procedure called a laparoscopy to confirm the diagnosis and assess the extent of the endometriosis tissue growth. During a laparoscopy, a small camera is inserted into the abdomen through a tiny incision, allowing the surgeon to view and biopsy any abnormal tissue.

Based on the results of these tests, your healthcare provider may recommend treatment options such as excision surgery to remove endometriosis tissues, hormonal therapies, and pain management strategies. They may also guide lifestyle changes or alternative therapies to help manage your symptoms and improve your quality of life.

If your endometriosis is previously diagnosed and your past treatments have failed, the doctor will probably suggest an excision of endometriosis.

How Do I Prepare for an Endometriosis Consultation?

Preparing for an endometriosis consultation can help you make the most of your time with your doctor and ensure you get the care you need. Here are some tips for preparing for your appointment:


Write down your symptoms: Before your appointment, list any symptoms you have been experiencing, including pain, discomfort, and irregular periods. Note when these symptoms started and how often they occur.


Keep track of your menstrual cycle: If you have irregular periods or heavy bleeding, keep track of it by marking it on a calendar. This information can help your healthcare provider better understand your symptoms.


Gather your medical history: Make a list of any medications you are currently taking and any medical conditions you have or have had in the past. This can include surgeries, previous diagnoses, and a family history of endometriosis or other gynecologic conditions.


Prepare questions: Write down any questions you have about endometriosis, including possible causes, treatment options, and long-term effects. This can help ensure you get the information you need and feel more confident about your treatment options.

Bring a support person: Consider bringing a trusted friend or family member to your appointment for support and to help you remember important information.


By following these tips, you can feel more prepared for your endometriosis consultation and better understand your condition and treatment options.


How Long Does it Take to Confirm Endometriosis?

The confirmation of endometriosis can vary depending on several factors, including the severity of the symptoms and the diagnostic methods used. Typically, a person with endometriosis can take several years to receive a proper diagnosis.


To diagnose endometriosis, a doctor may perform a pelvic exam, an ultrasound, or an MRI. However, the only definitive way to diagnose endometriosis is through laparoscopic surgery, which involves inserting a tiny camera through a small incision in the abdomen to examine the pelvic area and take a tissue sample for analysis.


The time it takes to confirm endometriosis can also depend on the healthcare system in your country, the availability of diagnostic resources, and the experience of the healthcare professionals you see. Speaking with a healthcare professional if you suspect you have endometriosis is essential, as early diagnosis and treatment can help manage symptoms and prevent complications.

What is the Best Doctor to See for Endometriosis?

The best doctor to see for endometriosis is typically a specialist who has vast experience in diagnosing and treating the condition. There are several types of doctors who may specialize in endometriosis, including:

  • Gynecologists: Gynecologists are doctors who specialize in women’s reproductive health. They are often the first point of contact for patients who experience symptoms of endometriosis, such as pelvic pain or abnormal periods.

  • Reproductive endocrinologists: Reproductive endocrinologists are specialists who focus on hormonal imbalances that affect reproductive health. They may be particularly helpful for women who are planning to build a family.

  • Minimally invasive gynecologic surgeons: Minimally invasive gynecologic surgeons are specialists who perform surgery using small incisions and specialized instruments. They may be particularly helpful for women who require surgery to remove endometriosis tissue.


When choosing an endometriosis specialist, looking for someone with great experience in diagnosing and treating the condition is important. Consider factors such as their team, location, insurance coverage, and patient reviews. It’s important to feel comfortable with your endometriosis specialist and to be able to ask questions and communicate openly about your symptoms and treatment options.

Not all gynecologists can treat endometriosis. You need to find a gynecologist who has vast expertise in endometriosis. Gynecologists are doctors who specialize in women’s reproductive health, and they are often the first doctors to diagnose and treat endometriosis. Gynecologists can perform pelvic exams, ultrasounds, and other diagnostic tests to evaluate the extent of the endometriosis tissue growth. They may recommend treatment options such as hormonal therapies or surgery to remove the endometriosis tissue.

Doctors can assess for endometriosis through a combination of patient history, physical exam, and imaging tests. The definitive diagnosis of endometriosis is usually made through a surgical procedure called laparoscopy. Here are the steps involved in diagnosing endometriosis:


  • Patient history: The doctor will ask the patients about their symptoms, including pelvic pain or discomfort, painful periods, and abnormal bleeding. They will also ask about the menstrual cycle and any family history of endometriosis or other gynecologic conditions.
  • Physical exam: The doctor will perform a pelvic exam to check for any abnormalities, such as cysts or nodules, and evaluate the pain’s extent.
  • Imaging tests: The doctor may recommend imaging tests, such as ultrasound or magnetic resonance imaging (MRI), to better look at the internal organs and check for any abnormalities.
  • Laparoscopy: If endometriosis is suspected, the doctor may recommend a laparoscopy, which is a surgical procedure performed under general anesthesia. During the procedure, the doctor will make a small incision in the abdomen and insert a thin, lighted tube called a laparoscope to examine the pelvic area. The doctor will look for signs of endometriosis tissue growth, such as lesions, adhesions, or cysts.


If endometriosis is confirmed through laparoscopy, the doctor may recommend treatment options such as surgical removal of the lesions or palliative care such as hormonal therapies and pain management.

Yes, it is possible to get pregnant with endometriosis, but the condition can sometimes make it more difficult to conceive. Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of the uterus, often on the ovaries, fallopian tubes, or other pelvic organs. This can cause inflammation, scarring, and adhesions that can interfere with the normal functioning of the reproductive system.


Endometriosis can affect fertility in several ways. For example, it can cause the ovaries to produce fewer eggs or cause the fallopian tubes to become blocked, making it difficult for the sperm to reach the egg. Endometriosis can also interfere with implantation, which is the process by which a fertilized egg attaches to the uterus.


However, many women with endometriosis can conceive and carry a healthy pregnancy to term. Treatment options such as surgery to remove the endometriosis tissue can sometimes improve fertility. In some cases, fertility treatments such as in vitro fertilization (IVF) may be recommended.

Currently, there is no known cure for endometriosis. However, treatments available can help manage the symptoms and improve the quality of life for women with the condition.


The goal of endometriosis treatment is to reduce pain and inflammation, control the growth of endometriosis tissue, and preserve organs. Treatment options include palliative therapy such as medications and hormone therapy, and surgery.


Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and pain relievers can help relieve pain and discomfort. Hormone therapy, such as birth control pills or progestin therapy, can help regulate the menstrual cycle and reduce pain. Excision surgery to remove endometriosis tissue or other affected organs may be recommended by your doctor.


While these treatments can be effective in managing symptoms, they do not cure endometriosis. In some cases, the condition can recur even after treatment. Patients with endometriosis need to work closely with their doctor to find the best treatment plan for their needs and seek follow-up care to manage the condition over time.

The most common treatments for endometriosis include medications, surgery, and lifestyle changes. The choice of treatment depends on the severity of the symptoms, the extent of the endometriosis tissue growth, and the desire to preserve fertility. Here are the most common treatments for endometriosis:


  • Pain medication: Over-the-counter pain relievers such as ibuprofen or naproxen can help relieve mild to moderate pain associated with endometriosis.
  • Hormone therapy: Hormone therapy, such as birth control pills and progestin therapy, can help regulate the menstrual cycle and reduce pain.
  • Surgery: In most patients, especially in more severe cases, excision surgery may be recommended to remove endometriosis tissue or other affected organs. Laparoscopic surgery is a minimally invasive procedure that can be used to remove endometriosis tissue, while more extensive surgery may be necessary in more severe cases.
  • Complementary therapies: Some patients find relief from endometriosis symptoms through complementary therapies such as acupuncture, massage therapy, or dietary changes.


It’s important to talk to your endometriosis specialist about the best treatment options for your needs, as each individual’s experience with endometriosis is unique.

Yes, many people are able to live with endometriosis and manage their symptoms through a combination of treatments and lifestyle changes. While endometriosis can cause pain, discomfort, and other symptoms that can be disruptive to daily life, some strategies can help minimize the condition’s impact.


Lifestyle changes such as regular exercise, a healthy diet, and stress reduction techniques can help manage symptoms and improve overall well-being. Medical treatments such as surgical removal of the disease, pain medication, and hormone therapy may also be recommended to manage symptoms and prevent complications.


While endometriosis is a chronic condition that cannot be cured, with the proper treatment and management strategies, many people are able to live full and active lives. Individuals with endometriosis need to work closely with their doctors to find the best treatment plan for their needs and seek follow-up care as needed to manage the condition over time.

Endometriosis is generally not considered a life-threatening condition but can be associated with certain risks and complications. These may include:

  • Chronic pain: Endometriosis can cause chronic pelvic pain, interfering with daily activities and quality of life.
  • Infertility: Endometriosis can affect fertility, particularly if the endometriosis tissue affects the ovaries or fallopian tubes.
  • Ovarian cysts: Endometriosis can cause the formation of ovarian cysts, which may require treatment.
  • Adhesions: Endometriosis can cause scar tissue formation, known as adhesions, which can cause organs to stick together.
  • Bowel or bladder problems: Endometriosis can affect the bowel or bladder, causing pain, bloating, obstruction, or other symptoms.
  • Increased risk of ovarian cancer: There is a slightly increased risk of ovarian cancer in women with endometriosis, although the overall risk is still relatively low.

There is no “golden treatment” for endometriosis. The best approach to managing the condition depends on various factors, including the severity of the symptoms, the extent of the endometriosis tissue growth, and the person’s desire. Treatment for endometriosis usually involves a combination of surgery, medications, and lifestyle changes, depending on the individual case.


Medications such as painkillers and hormones can temporarily manage pain associated with endometriosis. Surgery may be recommended in persistent pain patients, severe cases, or patients who want to regain their fertility to remove endometriosis tissue or other affected organs.


Complementary therapies such as acupuncture, massage therapy, or dietary changes may also help manage symptoms.

No, there is no specific blood test that can definitively diagnose endometriosis. However, blood tests may be used to help rule out other conditions that can cause similar symptoms, such as ovarian cysts or pelvic inflammatory disease.


In some cases, a blood test may be used to measure the level of a protein called CA-125, produced by some ovarian cancer types. While elevated levels of CA-125 can be a sign of ovarian cancer, they can also be present in women with endometriosis or other conditions. Therefore, this test is not specific to endometriosis and is not used alone to diagnose the condition.


The most definitive way to diagnose endometriosis is through a surgical procedure called laparoscopy, in which small incisions are made in the abdomen, and a camera is inserted to visualize the pelvic organs and identify any endometriosis tissue growth. A tissue biopsy should be taken during this procedure for further investigation.

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Since my sister is living in San Francisco and has been suffering from endometriosis for the past seven years without finding a verified doctor for treatment, I heard that iCareBetter has endometriosis specialists. Could you please provide information on specialists in San Francisco who specialize in endometriosis treatment?

Saeid Gholami

Hi Grace, thank you for reaching out. I hope your sister can find some help with the doctors. It is extremely importnant to have someone with great experience to assess and treat her. Here are some options for you:
Endometriosis specialist (surgeons):

Dr. Ocampo in Daly City, CA

Dr. Vasilev in SLO, CA

Endometriosis Physical Therapist (they can be extremely helpful in managing spasms and pelvic floor dysfunction which are very common with endometriosis):
Dr. Bachmann in San Francisco, CA

Dr. Fantin in San Francisco, CA

also please feel free to have a look at the website for more doctors and educational materials.

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