What are the treatment options for endometriosis?

Endometriosis treatment usually falls into two main lanes: symptom suppression with medication and definitive diagnosis/treatment with surgery. Hormonal therapies (like birth control, progestins, or estrogen-suppressing medications) can lessen pain and bleeding for some people, but they generally don’t remove endometriosis tissue—so symptoms often return when medication is stopped, and side effects can be a real limiting factor.

For long-term relief, the cornerstone approach is expert excision surgery—physically removing endometriosis, adhesions, and fibrosis—because it addresses disease at its roots and allows confirmation of the diagnosis. In our practice, we focus on meticulous robotic excision for precision and safety, including complex cases where endometriosis may involve the ovaries, bladder, bowel, diaphragm, nerves, or coexist with adenomyosis. Many patients also benefit from a coordinated plan after surgery to support recovery and help maintain results; if you’d like, reach out to our team to talk through what treatment pathway fits your symptoms, anatomy, and fertility goals.