Archives

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3 days ago

Sehrish Ali, PhD,LPC-S,CEDS-C

Sehrish Ali—Endometriosis Mental Health Therapist

Summary: Sehrish Ali, PhD, LPC-S, CEDS-C, is an endometriosis mental health therapist and founder of Guided Growth Therapy in Houston, Texas. Licensed in Texas, California, Colorado, North Carolina, and Ohio, she provides therapy in English and Urdu for adults navigating the emotional and psychological impact of endometriosis, chronic illness, trauma, and body image concerns. Dr. Ali specializes in working with high-functioning individuals who may appear successful externally while managing significant internal distress, chronic pain, medical challenges, or changes in their relationship with their body.

Her approach is integrative, trauma-informed, and evidence-based, drawing from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and IFS-informed interventions. She recognizes the complex connection between chronic pain, medical experiences, identity, relationships, fertility, intimacy, and emotional well-being. Treatment is tailored to each client’s unique needs and may focus on coping with chronic pain and uncertainty, processing medical trauma, strengthening self-advocacy, improving psychological flexibility, and addressing anxiety, depression, and body image concerns.

In addition to her expertise in endometriosis care, Dr. Ali has specialized training as a Certified Eating Disorders Specialist Consultant (CEDS-C), bringing valuable insight into how chronic illness can affect food, movement, self-image, and trust in the body. She values a collaborative, whole-person approach and, with client consent, works closely with physicians, dietitians, and other healthcare providers to ensure mental health care is integrated with broader medical treatment. Her goal is to help clients feel understood, supported, and empowered without reducing their experiences to a diagnosis.

City: Houston, TX

Visit types: Virtual 

Spoken languages:  English and Urdu 

Interpreting services for other languages: No

Philosophy of Endometriosis Care: My approach is integrative and evidence-based, drawing primarily from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and IFS-informed interventions. When working with individuals with endometriosis, I take a trauma-informed, person-centered approach that recognizes the complex relationship between chronic pain, medical experiences, identity, relationships, body image, and emotional well-being. Treatment is individualized based on each client’s needs and may include developing skills for coping with chronic pain and uncertainty, increasing psychological flexibility, addressing anxiety or depressive symptoms, processing medical trauma, strengthening self-advocacy, and exploring changes in body image, intimacy, relationships, fertility, or identity. I also help clients distinguish between what can be changed and what may require acceptance without minimizing the very real physical and emotional impact of endometriosis. When appropriate and with client consent, I value collaboration with medical and other healthcare providers to support integrated, whole-person care.

What else should be known about your practice: I work primarily with high-functioning adults who may appear to be doing well externally while managing significant distress, chronic illness, trauma, perfectionism, or changes in their relationship with their body. I also have specialized training and experience in eating disorders and body image, which often allows me to bring an additional lens to the ways chronic illness can affect identity, food, movement, self-image, and a person’s sense of trust in their body. My practice is intentionally individualized and collaborative. I value helping clients feel understood without reducing their experience to a diagnosis, and I am particularly mindful of the impact that repeated medical appointments, uncertainty, and experiences of not being believed can have over time. When appropriate, I also value collaboration with physicians, dietitians, and other members of a client’s treatment team so that mental health care is integrated with their broader medical care.

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2 weeks ago

Samina Qureshi, RDN, LD, CSDH

Samina Qureshi, RDN, LD, CSDH

Endometriosis Dietitian

Summary:

Samina Qureshi, RDN, LD, CSDH, is an endometriosis dietitian specializing in nutrition care for individuals with endometriosis and gastrointestinal conditions. As the founder of Wholesome Start, LLC, she provides 100% virtual, evidence-based nutrition counseling to clients across Texas, helping patients manage complex digestive symptoms that often accompany endometriosis, including bloating, constipation, diarrhea, abdominal pain, reflux, and food intolerances.

Her approach is trauma-informed, weight-inclusive, and patient-centered, recognizing the unique challenges many people with endometriosis face, including delayed diagnosis, chronic pain, restrictive eating patterns, and food-related anxiety. Samina develops individualized nutrition plans that support symptom management, optimize gut health, address nutrient needs, and foster a positive, sustainable relationship with food while honoring each patient’s goals, culture, and lifestyle.

Samina believes nutrition is an important part of comprehensive endometriosis care. Rather than promoting restrictive diets, she focuses on practical, personalized strategies that improve quality of life and work alongside medical treatment. She collaborates closely with gynecologists, gastroenterologists, pelvic floor physical therapists, mental health professionals, and other healthcare providers to deliver coordinated, multidisciplinary care.

She is a Board Certified Specialist in Digestive Health (CSDH) and a co-authored in Comprehensive Nutrition Therapy for Co-Occurring Gastrointestinal & Eating Disorders and provides education and case consultations to dietitians nationwide on digestive health and disordered eating.

Samina earned her Bachelor of Science in Nutrition and completed the Coordinated Program in Dietetics at The University of Texas at Austin. She also holds a Certificate of Business Foundations from UT Austin’s Halliburton Summer Business Institute.

Visit Type:  Virtual

City: Austin, Texas

Spoken languages: English, Urdu/Hindi

Interpreting services for other languages: No

Philosophy of Endometriosis Care:
My philosophy of care for individuals with endometriosis is grounded in trauma-informed, weight-inclusive, and patient-centered nutrition care. I recognize that many individuals with endometriosis experience years of delayed diagnosis, medical invalidation, chronic pain, and challenging relationships with food due to restrictive diets or symptom-driven avoidance. My role as a dietitian is to provide compassionate, evidence-based nutrition support while honoring each patient’s lived experience, goals, cultural foods, and individual needs. My treatment approach focuses on improving quality of life by addressing nutrition-related symptoms associated with endometriosis, including bloating, constipation, diarrhea, abdominal pain, and food-related anxiety. I use individualized strategies to optimize nourishment, support gut health, identify food and lifestyle triggers, and incorporate sustainable meal & snack patterns that support long-term health. I believe nutrition care should be integrated within a multidisciplinary model that includes gynecologists, pelvic floor physical therapists, GI doctors, mental health professionals, and other healthcare providers. My goal is to help individuals with endometriosis feel empowered, supported, and confident in their relationship with food while managing symptoms and improving their overall well-being.
 
How can the right diet help an endometriosis patient?
The individualized nutrition support can help individuals with endometriosis by supporting symptom management, filing in nutritional gaps, improving quality of life, and promoting long-term health. While diet does not cure endometriosis or eliminate lesions, personalized nutrition care may help address common symptoms associated with the condition, including bloating, constipation, diarrhea, abdominal discomfort, fatigue, and food-related anxiety. A dietitian can help patients identify personalized strategies that support adequate nourishment, gut health, and symptom relief while avoiding unnecessary dietary restriction. This may include optimizing fiber intake and bowel regularity, ensuring adequate intake of key nutrients that support health, incorporating a variety of anti-inflammatory and antioxidant-rich foods, and using evidence-based approaches such as the low FODMAP trial for individuals with significant gastrointestinal symptoms when appropriate. Nutrition care should also consider the patient’s relationship with food, cultural preferences, lifestyle, and history of restrictive eating patterns. A trauma-informed, weight-inclusive approach empowers individuals to feel confident with food choices while supporting their goals, minimizing fear around eating, and improving overall quality of life as part of a multidisciplinary endometriosis care team.
 
What should be known about you and your practice?
Wholesome Start is a 100% telehealth-based nutrition practice serving clients throughout the state of Texas. I specialize in gastrointestinal nutrition and provide individualized, evidence-based care for individuals managing complex digestive symptoms that commonly overlap with endometriosis, including bloating, constipation, diarrhea, abdominal pain, reflux, and food intolerances. My approach is trauma-informed, weight-inclusive, and rooted in helping clients build a supportive relationship with food while managing symptoms. I recognize that many individuals with endometriosis have experienced years of pain, delayed diagnosis, restrictive diets, and feeling unheard within the healthcare system. My goal is to provide compassionate nutrition care that validates their experiences while offering practical, sustainable strategies to improve their quality of life. I also have specialized training and experience in digestive health (CSDH) and disordered eating, allowing me to support individuals who may have developed fear around food, extensive dietary restrictions, or anxiety related to symptom management. I co-authored the text book, “Comprehensive Nutrition Therapy for Co-Occurring Gastrointestinal & Eating Disorders” and provide case consultations and education on the topic to dietitians across the nation. I believe nutrition care for endometriosis should be individualized and collaborative, and I frequently work alongside healthcare providers, including gynecologists, gastroenterologists, pelvic floor physical therapists, and mental health professionals, to provide comprehensive support.

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1 month ago

Lillian Medhus

Lillian Medhus, DNP, WHNP-BC, CNM, MSCP

Endometriosis Long Term Care Provider

Summary: Lillian Medhus, DNP, a Women’s Health Nurse Practitioner and skilled Long-Term Endometriosis Care Provider at Aspire Women’s Wellness. She specializes in comprehensive management of endometriosis, viewing it as a chronic, systemic neuroinflammatory condition and providing individualized, evidence-based care that addresses the whole person rather than focusing solely on gynecologic symptoms

Her comprehensive approach combines hormonal and non-opioid pain management, lifestyle and dietary interventions, metabolic health optimization, and treatment of coexisting conditions such as pelvic floor dysfunction, adenomyosis, migraines, IBS/IBD, hypermobility, MCAS, and mood disorders. She collaborates closely with surgeons, pelvic floor therapists, mental health providers, dietitians, and other specialists to support patients before and after surgery.

Lillian is a Menopause Society Certified Practitioner and holds certifications as a Certified Nurse Midwife, Women’s Health Nurse Practitioner, Certified Nurse Practitioner, and Registered Nurse. She earned her Doctor of Nursing Practice from Frontier Nursing University and her Master’s degree in Nurse Midwifery and Women’s Health Nurse Practitioner from Georgetown University, complemented by advanced training in trauma counseling.

City:  Northfield, Minnesotta, USA

Visit types: In-Person (MN only) and Telehealth (throughout MN, TX, OK, and KS)

Spoken languages: English

Interpreting services for other languages: No

Philosophy of Endometriosis Care: Endometriosis is a chronic, neuroinflammatory condition that affects the entire body. The origin is likely genetic and pathophysiologic in nature, with an increased risk of symptoms in patients with other neuroimmune conditions. Treatment must look at the entire body, not isolated treatment of the gynecologic organs. Interventions to reduce inflammation and improve long-term health, include treatment of insulin resistance, nutrient deficiencies, consideration of the increased cardiovascular risks of endometriosis, and treatment of chronic overlapping pain conditions and central sensitization. Patients achieve the best outcomes with interdisciplinary care among surgeons, pelvic floor therapists, mental health providers, dieticians, long-term care providers, and other complementary therapies.

MedicationProgestogens: Progesterone, Drosperinone, Norethindrone acetate, Medroxyprogesterone. Progestogens are utilized for dysmenorrhea, menorrhagia, or chronic pelvic pain. Type of progestogen is based on patient preference, medication history, and pregnancy plans. I currently practice through telehealth only, however I may encourage a patient with suspected adenomyosis to pursue levonorgestrel IUD with their local GYN provider. Low dose naltrexone is utilized as an off-label option for chronic pain & inflammation. Vaginal suppositories (typically baclofen, with or without diazepam & gabapentin) are utilized for pain flares, sciatic pain, and hypertonic pelvic floor. Tirzepatide is used on-label for patients with insulin resistance, obesity, or metabolic disease. It is used off-label in small doses for inflammation. NSAIDs are utilized for pain. GnRH analogs are only used if the patient comes to our practice stable on them or as a bridge to surgery in very rare cases, and only as a final resort. Duavee/bazedoxifene may be an emerging option for endometriosis and menopause.

Pre-surgical care plan: Patients who are awaiting surgery, or who decline surgery, receive a holistic plan of care. New intake visits include a comprehensive lab panel, looking for any other causes of inflammation, fatigue, bloating, or other chronic symptoms which can be improved. Patients are referred to pelvic floor therapy in most cases, especially if there is evidence of pelvic floor dysfunction. Patients are also offered referral to mental health providers skilled in treatment of chronic disease. Patients are offered treatments including dietary interventions (ie- anti-inflammatory diet patterns & blood sugar management), evidence based supplement regimens, and non-opioid pain relief (including vaginal suppositories & NSAIDS). Collaborative care with the surgeon is utilized to make the decision whether to employ hormonal treatment options, or to defer until after surgery.

All the above is also utilized if a patient comes to me after surgery. Additionally, we will consider the use of hormonal options, most often progestogens. We will tailor treatment to any persistent symptoms, or other chronic overlapping conditions (MCAS, hypermobility, mood disorders, migraines, pelvic floor dysfunction, IBS/IBD, etc).

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5 months ago

Celine Loiselle, OTR

Celine Loiselle, OTR

Celine Loiselle—Endometriosis Physical Therapist

Summary: Celine Loiselle, OTR, is a skilled endometriosis occupational therapist at Pelvic Health and Rehabilitation Center in Lexington, Massachusetts. Celine Loiselle specializes in a whole-person approach to endometriosis care, recognizing the condition’s impact on both physical and mental well-being. Her treatment philosophy integrates evidence-based techniques such as myofascial release, trigger point therapy, visceral mobilization, and soft tissue desensitization to address pain and dysfunction at their source.

Celine Loiselle also incorporates mindfulness education, nutrition and hydration guidance, and Pilates-based therapeutic exercises to support functional recovery and improve daily participation. With a strong foundation in exercise physiology and occupational therapy, she designs individualized care plans that empower patients to better understand their bodies and actively manage their symptoms.

Committed to long-term healing, Celine Loiselle fosters confidence and self-efficacy in her patients, helping them build sustainable strategies for symptom relief and improved quality of life. Her compassionate, patient-centered care ensures a supportive environment where individuals with endometriosis can regain control and thrive.

City:  Lexington, Massachusetts, USA

Visit types: Office, Hospital

Spoken languages: English

Interpreting services for other languages: No

Philosophy of Endometriosis Care: I believe endometriosis is a whole-person diagnosis that impacts not only the body, but also the mind. My treatment approach to endometriosis is desensitization of soft tissues, myofascial release, trigger point release, visceral mobilization, mindfulness education, nutrition and hyradation education, and pilates-based therapeutic exercises to reduce the impact of symptoms on participation with daily activities. I want people with endometriosis to feel empowered regarding their diagnosis and confidence with implementation of various strategies for long-term healing and self-management.

What should be known about you and your practice: I have a special interest in trauma-informed and gender-affirming care, and work regularly with trans clients, including those with endometriosis.

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6 months ago

Melissa McCormick, LMFT

Melissa McCormick—Endometriosis Mental Health Therapist

Summary: Melissa McCormick, MA, LMFT, is a licensed marriage and family therapist and owner of Alignment Mental Health, based in San Diego, specializing in endometriosis, chronic pelvic pain, and trauma-informed mental health care. Melissa McCormick provides compassionate, evidence-based therapy grounded in somatic and nervous system–focused approaches, helping individuals with endometriosis regulate chronic hypervigilance, reduce anxiety and depression, and reconnect with a sense of safety in their bodies. Her clinical philosophy integrates Somatic Experiencing, EMDR, and Internal Family Systems (IFS), with advanced training through organizations including EMDRIA and The Embody Lab. Melissa McCormick earned her Master of Arts in Marriage and Family Therapy from Bethel Seminary San Diego and her Bachelor of Arts in Psychology from San Diego State University. Licensed in California, Colorado, and Indiana, she offers therapy that honors the mind-body connection and supports clients in reducing trauma-related symptoms, improving emotional resilience, and enhancing overall quality of life. Her person-centered, trauma-informed approach empowers individuals with endometriosis to move from survival mode toward greater regulation, healing, and long-term well-being through virtual care.

City: San Diego, CA

Visit types: Virtual 

Spoken languages:  English  

Interpreting services for other languages: No

Philosophy of Endometriosis Care: I use a somatic and trauma informed approach to care. I lean on somatic experiencing, EMDR, and IFS as my theoretical orientation. With clients with endometriosis, a significant aspect of our work is nervous system regulation. Through somatic and other body based interventions, we work to decrease the pattern of chronic hyper vigilance and flight or flight responses. Through this, the client is able to access more safety in their body which creates a feedback loop to help decrease symptoms such as anxiety and depression.

What else should be known about your practice: I also have specialized training and a decade of experience in disordered eating. Adding this speciality can be of benefit to chronic illness clients because the connection between disordered eating and illness is often missed. Offering grounded support for managing endo while keeping in mind the increased risk of body dysmorphia and other anxiety related coping strategies related to food can help clients avoid additional struggles and diagnoses.

 

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6 months ago

Melissa Goode, MPH, RDN

Melissa Goode, MPH, RDN

Melissa Goode—Endometriosis Dietitian

Summary: Melissa Goode is a compassionate endometriosis dietitian and Registered Dietitian Nutritionist (RDN) practicing at Goode Nutrition LLC in Sacramento, California. Melissa Goode provides client-centered, non-diet nutrition care for people living with endometriosis, grounded in both evidence-based practice and lived experience — as she also lives with endometriosis herself. Her approach prioritizes individualized strategies over one-size-fits-all diets, focusing on inflammation support, blood sugar regulation, gastrointestinal health, eating enough across all food groups, and sustainable symptom management. Melissa Goode works collaboratively with patients and other healthcare providers to advocate for comprehensive, whole-person care. She helps clients improve quality of life, build body trust, and feel more connected to their bodies through flexible nutrition approaches that honor each person’s unique experience. Licensed in CA, AZ, CO, TX, NY, NJ, MI, CT, VA, and AK, Melissa Goode offers supportive endometriosis nutrition care designed to empower patients and integrate seamlessly into a broader endometriosis treatment plan.

Visit Type:  Office

City: Sacramento, CA

Spoken languages: English

Interpreting services for other languages: No

Philosophy of Endometriosis Care: My philosophy of care for patients with endometriosis is rooted in compassionate, client-centered, and non-diet nutrition support that honors both lived experience and evidence-based care. As a dietitian who also lives with endometriosis, I bring a deep understanding of the physical and emotional impact of this condition and prioritize individualized strategies over one-size-fits-all diets. Treatment typically focuses on supporting inflammation, blood sugar regulation, eating enough of each food group, GI health, and symptom management through flexible, sustainable nutrition approaches. Work also includes collaborating with other disciplines to advocate and support the patient from all angles. I work collaboratively with patients to improve quality of life, support body trust, and integrate nutrition as one part of a comprehensive endometriosis care plan.
 
How can the right diet help an endometriosis patient? Nutrition and diet can support an endometriosis patient by improving their quality of life, helping them feel more connected to their body, and empowering them to make choices that align with what their body is communicating to them.
 
What should be known about you and your practice? I also have a background in eating disorder care, which greatly informs my work and approach to working with clients. I am very empathetic, compassionate, and gentle. I honor folks preferences and aim to preserve the enjoyment and pleasure of food, while supporting them to feel better in their body. My patients are often seeking anything they can do for relief and sometimes that leads them down the path of disordered eating and restrictive patterns, and/or finding ways to punish their body. I feel very comfortable supporting patients in building a healthy relationship to food and navigating body image concerns.

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6 months ago

Dr. Aaron Parry, II, MD, FACOG

Dr. Aaron Parry, II, MD, FACOG 

Dr. Aaron Parry, II, MD, FACOG, Endometriosis Specialist

Summary:

Dr. Aaron R. Parry, II, MD, FACOG is an experienced endometriosis and minimally invasive gynecologic surgery specialist based in Summerville, South Carolina, USA. His philosophy of endometriosis care is grounded in the coelomic metaplasia theory, recognizing endometriosis as a complex, multifactorial disease rather than one solely explained by retrograde menstruation. This perspective guides his diagnostic evaluation and long-term, individualized treatment planning.

Dr. Parry performs excision surgery for endometriosis, the gold standard for surgical management, with extensive expertise in laparoscopic and robotic-assisted techniques. He holds an ABOG Focused Practice Designation in Minimally Invasive Gynecologic Surgery (MIGS) and has completed advanced robotic training, with over 800 minimally invasive and robotic gynecologic procedures performed. His approach emphasizes meticulous surgical excision combined with thoughtful postoperative management to reduce recurrence and address coexisting gynecologic conditions.

Dr. Parry recommends a broad, individualized medication strategy for the treatment and management of endometriosis. First-line therapies include non-steroidal anti-inflammatory drugs (NSAIDs), progestins, and oral contraceptives, with strong preference for oral progestins and progestin-containing IUDs for both medical management and postoperative suppressive therapy. GnRH antagonists are used selectively, primarily for patients who have not responded to other medical treatments, and gabapentin is incorporated infrequently for neuropathic pain. His care is evidence-based, patient-centered, and focused on improving long-term symptom control and quality of life.

City: Summerville, South Carolina,  USA
 

Philosophy of Endometriosis Care: Coelomic metaplasia theory of endometriosis

What type of surgery do you perform for endometriosis: Excision

Medication: I recommend a wide of medications in the treatment and management of endometriosis. First line therapies are non-steroidal anti-inflammatory drugs, progestins, and oral contraceptives. I strongly encourage oral progestins and progestin containing IUDs for medical treatment and post operative suppressive therapy. GnRH antagonists are used in my practice as well although not as commonly. I will use these medications when a patient did not respond to other medical therapies in the past. Further, I will incorporate gabapentin for neuropathic pain infrequently as well.

Approach to Persistent Pain After Surgery: Once a physician-patient relationship is made, I continue to follow my patients throughout their life, navigating this chronic disease. I strongly recommend post operative suppressive therapy with either OCPs, progestins (of various forms) and GnRH antagonists. I commonly will use what a patient has tolerated in the past to guide my therapy. Although I strongly recommend post operative therapy, I do respect the decision of the patient if she does not want post operative therapy. If symptoms recur post operatively, I will continue to evaluate for other causes of pelvic pain as well as make the appropriate referrals to urology, gastroenterology or pain management as needed. I commonly recommend post operative pelvic floor physical therapy before and after excision surgery, along with dietary counseling to avoid triggers of symptoms.

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7 months ago

Dr. Madhu Bagaria, MD, FACOG

Dr. Madhu Bagaria, MD, FACOG

Dr. Madhu Bagaria, MD, Double-Fellowship Trained Endometriosis Specialist

Summary: Dr. Madhu Bagaria is a board-certified, double-fellowship trained endometriosis specialist providing comprehensive, evidence-based care for patients with complex and persistent endometriosis. As a core surgeon at Endometriosis Surgical Specialists International (ESSI) and affiliated with Hoboken University Hospital and The Jersey City Medical Center, Dr. Bagaria offers a unique combination of elite surgical training and accessible care, with new patient consultation wait times averaging just 1-2 weeks.

Dr. Bagaria is one of the few specialists in the region to have completed two prestigious fellowships in advanced gynecologic surgery: a fellowship in Advanced Pelvic Surgery at Emory University (2014-2015) and a second specialized fellowship in Minimally Invasive Gynecology at the Mayo Clinic (2021-2023). This rigorous training under world-renowned mentors allows her to perform high-precision Robotic Excision (LAPEX), focusing on the complete removal of disease while strictly preserving ovarian function and fertility.

Her care philosophy is grounded in the understanding that endometriosis is a heterogeneous, multi-origin disease. She treats patients based on advanced scientific models including neuroimmunological dysfunction, genetic predisposition, embryonic rest theory, and immune-mediated inflammation. Beyond the operating room, she is known for her compassionate, “patient-first” approach—listening to those who have been dismissed by other providers. Treatment emphasizes a multimodal, non-opioid approach, integrating pelvic floor therapy and neuro-modulation for complex pain.

Dr. Bagaria completed her medical training at Lady Hardinge Medical College in New Delhi, followed by residency training at University College of Medical Sciences (India) and Henry Ford Hospital & Wayne State University in Detroit, Michigan (2010-2014). With over 15 years of experience and extensive international training, she serves patients in the New York Tri-State area seeking expert excision surgery and long-term management.

City: New York, New York, USA (Also serving Hoboken & Jersey City, NJ)

Philosophy of Endometriosis Care: My approach to the treatment of endometriosis is grounded in the understanding that endometriosis is a multi-origin, heterogeneous disease, rather than a condition explained by a single theory. While retrograde menstruation may contribute in some patients, it clearly has significant limitations and does not explain endometriosis in premenarchal girls, cisgender men, or patients who develop disease after hysterectomy. My care philosophy is informed by multiple scientific theories of origin, including neuroimmunological dysfunction, coelomic metaplasia, embryonic rest theory, hematogenous and lymphatic spread, stem cell involvement, and genetic predisposition. I also recognize that endometriosis may, in part, be immune-mediated, with abnormal inflammatory and pain-processing pathways contributing to disease persistence and symptom severity. Because of this complexity, I believe that pain in endometriosis is often multifactorial. It may arise not only from active lesions, but also from central sensitization, pelvic floor dysfunction, neuropathic pain, adenomyosis, and overlapping pain syndromes. As a result, listening carefully to the patient’s experience and performing a thoughtful, detailed examination are just as important as imaging or surgical findings.

What type of surgery do you perform for endometriosis: When surgery is indicated, my goal is complete excision of endometriosis rather than ablation, with careful attention to fertility preservation and long-term symptom reduction. I perform robotic-assisted excision (LAPEX), fertility-sparing surgery, and complex adhesiolysis, tailoring the surgical plan to disease extent and patient goals.

Medication: I incorporate medications as part of a multimodal, patient-centered treatment strategy, using them to support symptom control rather than as curative therapy. For hormonal management, I primarily use combined oral contraceptive pills (OCPs) and the levonorgestrel (Mirena) IUD, most often after excision surgery to reduce recurrence and manage coexisting adenomyosis. Therapy is individualized based on patient goals, fertility plans, and prior response. I generally avoid routine use of GnRH agonists or antagonists, reserving them for select cases.

Approach to Persistent Pain After Surgery: Pain management follows a non-opioid–first approach, including NSAIDs, acetaminophen, neuropathic agents, and low-dose naltrexone (LDN) when appropriate. Opioids are limited to short-term postoperative use only. For pelvic floor–related pain, I collaborate with pelvic floor physical therapy and use pelvic floor botulinum toxin (Botox) injections in refractory cases to treat hypertonic muscles. Medication use is regularly reassessed, with treatment adjusted based on response and evolving patient needs.

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8 months ago

Dr. Salman Okour

Dr. Salman Okour, MD

Dr. Salman Okour, MD, Endometriosis Specialist

Summary:

Dr. Salman Okour, is a trusted endometriosis specialist in Newport Beach, California, affiliated with the Southern California Center for Advanced Gynecology / Coast OBGYN. He provides comprehensive, patient-centered care for individuals with complex pelvic pain and endometriosis, combining advanced diagnostics with individualized treatment plans focused on long-term symptom relief, quality of life, and reproductive goals.

Dr. Okour’s philosophy of endometriosis care recognizes the multifactorial nature of the disease, including retrograde menstruation, coelomic metaplasia, and metastatic theories. He specializes in excision surgery for endometriosis, emphasizing precise and complete removal of disease. For patients who prefer non-surgical options or require adjunctive therapy, he utilizes progesterone, combined oral contraceptives, oral GnRH antagonists, and selective use of Lupron, particularly after endometrioma surgery, in adenomyosis prior to embryo transfer, and in select postoperative cases.

For patients experiencing persistent pain after endometriosis surgery, Dr. Okour employs a multidisciplinary approach that may include pelvic floor physical therapy, pain management strategies, hormonal suppression, tricyclic antidepressants (TCAs), and gabapentin. His integrative, evidence-based approach makes him a leading provider of advanced endometriosis care in Southern California.

Dr. Salman Okour, MD is a trusted Endometriosis Specialist in Newport Beach, California, affiliated with the Southern California Center for Advanced Gynecology / Coast OBGYN. He provides comprehensive, patient-centered care for individuals with complex pelvic pain and endometriosis, combining advanced diagnostics with individualized treatment plans focused on long-term symptom relief, quality of life, and reproductive goals.

Dr. Okour’s philosophy of endometriosis care recognizes the multifactorial nature of the disease, including retrograde menstruation, coelomic metaplasia, and metastatic theories. He specializes in excision surgery for endometriosis, emphasizing precise and complete removal of disease. For patients who prefer non-surgical options or require adjunctive therapy, he utilizes progesterone, combined oral contraceptives, oral GnRH antagonists, and selective use of Lupron, particularly after endometrioma surgery, in adenomyosis prior to embryo transfer, and in select postoperative cases.

For patients experiencing persistent pain after endometriosis surgery, Dr. Okour employs a multidisciplinary approach that may include pelvic floor physical therapy, pain management strategies, hormonal suppression, tricyclic antidepressants (TCAs), and gabapentin. His integrative, evidence-based approach makes him a leading provider of advanced endometriosis care in Southern California.

City: Newport Beach, California, USA

Philosophy of Endometriosis Care: Possibly multiple etiologies, retrograde menstruation may play a role in addition to coelomic metaplasia ,metastatic theory also explains some lesions.

What type of surgery do you perform for endometriosis: Excision & Ablation. Excision is preferred standard approach, ablation may have a role in managing endometriomas in younger patients seeking fertility to minimize a significant drop in DOR,

Medication: I do use progesterone, combined Birth control pills, oral GnRH Antagonists, and rarely lupron. I use them in patients who decline or prefer to avoid surgery, also after endometrioma surgery, in adenomyosis preparing for embryo transfer, also in some postoperative patients.

Approach to Persistent Pain After Surgery: Pelvic floor therapy, pain management, hormonal suppressions, TCA, Gabapentin.

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8 months ago

Emily Klein, LAc

Emily Klein, LAc

Emily Klein—Endometriosis Acupuncturist

Summary: Emily Klein, LAc, is a skilled endometriosis acupuncturist offering care at Glow Natural Wellness  in Seattle, Washington. Emily Klein takes a compassionate, patient-centered approach to supporting individuals with endometriosis and pelvic pain. She offers flexible evaluation pathways: one focused on symptom management, and another providing a comprehensive review of health, lifestyle, and contributing factors within her scope of practice. With extensive training in integrative medicine and evidence-informed acupuncture, Emily tailors each treatment to the unique needs of the individual, aiming not only to relieve pain and inflammation but also to restore balance, resilience, and a sense of agency in the body. She empowers patients through thoughtful, personalized care plans that address both immediate symptoms and underlying imbalances, creating a safe, nurturing space where individuals feel heard, supported, and actively involved in their healing journey.

City: Seattle Washington, USA

Spoken languages: English and Spanish

Interpreting services for other languages: No

Philosophy of Endometriosis Care: As an acupuncturist specializing in endometriosis and pelvic pain, my philosophy is rooted in the belief that every person deserves to feel deeply supported, heard, and empowered in their healing. I combine evidence-informed acupuncture with a holistic understanding of the body. I approach each patient with compassion, curiosity, and respect for their unique experience. My goal is not only to reduce pain and inflammation, but to help restore harmony, resilience, and a sense of agency within the body. I am committed to creating a safe, nurturing space where individuals can reconnect with their bodies and move toward long-term relief and balance.

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9 months ago

Dr. Faraj Touchan, MD, FACOG, MIGS 

Dr. Faraj Touchan, MD, FACOG, MIGS

Dr. Faraj Touchan, Endometriosis Specialist

Summary: Dr. Faraj Touchan is a highly regarded, endometriosis specialist, Robotic and minimally invasive gynecologic surgeon based in New Jersey and New York in USA, With advanced laparoscopic, robotic, and ultrasound expertise, he brings extensive training from his long hard training. His evidence-based philosophy recognizes endometriosis as a multifactorial condition influenced by Müllerian metaplasia, retrograde menstruation with immune dysfunction, stem/progenitor cell activity, genetic and epigenetic factors, and potential autoimmune origins. This comprehensive understanding allows him to tailor precise, individualized treatment plans.

Patients searching for expert care from Faraj Touchan MD will benefit from his commitment to holistic, personalized treatment that goes beyond surgery.

As an endometriosis specialist, Dr. Touchan performs excision surgery—the gold standard for removing endometriosis—and balances surgical and medical therapies to optimize outcomes.
Dr. Touchan believes that Endometriosis is whole body disease and need to be treated as such, also believes that it is lifelong battle that he will be there for the patient needs. For persistent pain after surgery, he uses multimodal strategies and collaborates with GI, urology, pelvic floor physical therapy, counseling, exercise, and nutrition specialists to address all contributors to pelvic pain.

With his collaboration with Pelvic Rehabilitation Medicine, he believes that Nerve and pelvic floor muscles rehabilitation is key for success and longtime results. Dr. Touchan is dedicated to providing compassionate, comprehensive care that helps patients reclaim their health and quality of life.

City: New Jersey, New York USA

Philosophy of Endometriosis Care: My approach to treating endometriosis is grounded in a multifactorial understanding of its origin, rather than relying on a single historical theory. Current scientific evidence suggests that endometriosis likely develops through several overlapping mechanisms, and acknowledging this complexity allows me to offer more precise, individualized care. Specifically, I integrate the following theories into my clinical and surgical decision-making: 1. Müllerian (Embryonic) Rests / Metaplasia Theory. 2. Retrograde Menstruation with Immune Dysfunction. 3. Stem Cell / Progenitor Cell Theory 4. Genetic and Epigenetic Susceptibility 5. autoimmune origin.

What type of surgery do you perform for endometriosis: Excision

Medication: His approach to endometriosis has to be holistic and address not only the disease itself but also potentially associated conditions. At this time, since we do not have medical options for curing endometriosis, the first essential step in the treatment of endometriosis is excision surgery. Additionally, Dr. Touchan rely on Hormones, preferably progestins either orally or in the form of IUD to control bleeding or adenomyosis-related factors, if present. He does rely on GnRH agonists or antagonists in very selective cases. Depending on the patient’s pain generators, I may also recommend non-opioid pain medication, such as NSAIDs, gabapentin, SNRIs, and compounded suppositories.

Approach to Persistent Pain After Surgery: My approach to persistent symptoms after surgery is to reassess all potential pain generators—not only residual endometriosis but also pelvic floor dysfunction, adenomyosis, bladder/bowel disorders, and neuropathic pain. I set clear expectations about the normal 3–6 month healing window and use targeted therapies such as hormonal suppression, pelvic floor PT, neuromodulators, and anti-inflammatory strategies when appropriate. I focus on a multidisciplinary, individualized plan and reserve repeat surgery only for cases with clear evidence of residual or progressive disease. Using PRM post op injections to combine excision surgery and nerve and muscle relief is key in treatment.

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11 months ago

Dr. Caleb Huff

Dr. Caleb Huff

Dr. Caleb Huff, Endometriosis Specialist

Summary: Dr. Caleb Huff is a dedicated endometriosis specialist based in Huntington, West Virginia, USA. His care philosophy recognizes that while retrograde menstruation may contribute to endometriosis, it does not explain all cases. Dr. Huff considers a combination of factors—including vascular and lymphatic spread, coelomic metaplasia, and embryonal rest theories—to understand and address rarer manifestations of the disease.

Dr. Huff performs excision surgery, the gold standard for removing endometriosis lesions, and provides individualized care plans that balance surgical and medical management. He emphasizes that hormone therapies and medications are primarily palliative and tailors their use to reduce recurrence, manage coexisting conditions, or control residual disease.

Pain management is a key focus, using a multimodal, non-opioid-first approach and collaborating with other specialists when needed. Medications such as OCPs, progestin-only options, IUDs, NSAIDs, and, if necessary, GnRH agonists/antagonists are used strategically to control symptoms.

Dr. Huff provides evidence-based, compassionate care designed to help patients regain control over their health and quality of life.

City: Huntington, West Virginia, USA

Philosophy of Endometriosis Care: I think that most endometriosis results from retrograde menstruation, but this does not explain all of it. There must be a combination of causes to explain it all. Vascular and lymphatic spread, as well as coelomic metaplasia and embryonal rest theories, can help to explain some of the rarer locations.

What type of surgery do you perform for endometriosis: Excision

Medication: OCPs—both standard use and continuous use, progestin-only pills, Nexplanon, and Mirena IUD, all to help minimize symptoms. NSAIDs during painful days to reduce inflammation and menstrual bleeding. If these methods fail, or if the patient has pain after surgery, I will advance to the GnRH agonists/antagonists such as Lupron, Orilissa, and Myfembree.

Approach to Persistent Pain After Surgery: In these cases, I use the above-mentioned medications in different combinations to minimize pain. I also seek other specialties for possible cross-specialty causes, such as GI, urology, pelvic floor PT, counseling, exercise, and nutrition specialists.

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