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.