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.