Laurence Orbuch, M.D., FABOG
Dr Laurence Orbuch – Endometriosis Specialist, Gynecologist
Summary: Dr Laurence Orbuch is a highly respected endometriosis specialist in Los Angeles, known for his comprehensive and compassionate approach to care. Patients seeking expert treatment often turn to Dr Orbuch for his deep understanding of the complex, multifactorial nature of endometriosis. As Dr Laurence Orbuch explains, the condition is influenced by genetic, environmental, and autoimmune factors, requiring a personalized, whole-body approach to healing.
At his Los Angeles practice, Dr Orbuch specializes in excision surgery and works closely with pain management specialists to develop tailored treatment plans. These may include anti-inflammatory medications, neuromodulators, vaginal suppositories, and trigger point injections. His approach extends beyond surgery, addressing coexisting conditions like pelvic floor dysfunction, GI issues, and mental health. With years of experience, Dr Laurence Orbuch offers thoughtful, evidence-based care that empowers patients to improve their quality of life with confidence and clarity.
City: Los Angeles, California
Philosophy: I believe that the origins of endometriosis lie in the metaplasia theory and can also be influenced by genetic predisposition and environmental factors, and toxins, which can promote its evolution. Endometriosis is also an inflammatory condition, with autoimmune elements as well, which predisposes these patients to sensitivity to other inflammatory triggers. It is therefore important to counsel these patients on how to improve their environment in regards to the foods they eat, products they use, and habits that can better serve them. My approach to treating these individuals encompasses a holistic evaluation and streamlining of all aspects of their health and daily life.
What type of surgery do you perform for endometriosis?:
Excision
Medication: I utilize anti-inflammatory medications such as ibuprofen and Celebrex, as well as neuromodulators, pregabalin, and gabapentin. I also recommend compounded vaginal suppositories containing Valium, Baclofen, and Lidocaine. In addition, some patients also benefit from trigger point nerve injections. The use of any and all medications is carefully tailored and managed by the pain management physicians I work closely with.
Approach to Persistent Pain After Surgery: Treatment of all co-existing pain generators must be focused both pre- and post-surgery. Treating the chronic centralized pain, tight pelvic floor muscles, GI and Urologic issues, coexisting autoimmune and other conditions, nutrition, mental health conditions, counseling, etc.