Dr. Paulami Guha

Paulami Guha MD – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist

Summary: Dr Paulami Guha MD is a compassionate endometriosis specialist offering advanced care in Jacksonville, FL. Patients searching for expert support from Dr Guha Jacksonville FL can trust her thorough and personalized approach. With a strong belief in multimodal treatment, Dr Guha combines surgical excision—both robotic and laparoscopic—with medical management to address the full spectrum of endometriosis symptoms. She treats each patient holistically, considering physical, emotional, and reproductive needs. After excision, she commonly prescribes continuous hormonal therapies and offers guidance for those trying to conceive. When pain persists, Dr Paulami Guha MD integrates pelvic floor physical therapy, acupuncture, and menstrual suppression strategies to improve quality of life. Her balanced approach is rooted in coelomic metaplasia and Sampson’s theory, with a deep understanding of the disease’s complexity. Patients across Jacksonville and beyond seek Dr Guha for her expertise, empathy, and dedication to long-term healing.

City: Jacksonville, FL

Philosophy of Endometriosis Care: Coelomic Metaplasia; blockage in the reproductive tract, treating pain symptoms; multimodal management – surgical and medical, also addressing the mental component; surgical excision of endometriosis; medical management by suppression of menstruation and Sampson’s theory.

What type of surgery do you perform for endometriosis?: Robotic and Laparoscopic Excision

Medication: Surgical excision followed by continuous norethindrone vs. progestin-only pills vs OCPs. If the patient is waiting for surgery and is in pain or heavy bleeding, I do recommend GnRH antagonists or agonists. In infertility patients, I recommend trying for pregnancy right away. Have used letrozole in adenomyosis patients who are going to try for pregnancy.