Endometriosis &
Pelvic Pain

Endometriosis is a disorder in which tissue similar to the lining of the uterus grows in places it doesn’t belong.

What We Treat

The endometriosis specialists at ESSE Care are exclusively trained in advanced excision techniques to effectively recognize and treat this often-misunderstood disease and its symptoms. We focus solely on excision; ablation is not performed at ESSE.

Our team provides expert diagnosis and comprehensive treatment for endometriosis, adenomyosis, and complex pelvic pain conditions. We are committed to taking your symptoms seriously, offering precise excision surgery and supportive lifelong care.

Endometriosis &
Adenomyosis

Endometriosis
(Multi-Organ & Complex Case)
Adenomyosis
Pelvic Adhesions
(Scar tissue)

Pelvic Pain
Conditions

Painful Periods
(Dysmenorrhea)
Chronic Pelvic Pain
(CPP)
Pain with Intercourse
(Dyspareunia) 

Related
Conditions

Bladder Pain/
Interstitial Cystitis
Irritable Bowel Disease
(GI Overlap)
Pelvic Floor Dysfunction

Symptoms You May Be Experiencing

Endometriosis affects 1 in 10 people with a uterus—yet it takes an average of 4-11 years to get a diagnosis. Your symptoms are real, and you deserve answers.

Pain with Intercourse
(Dyspareunia)

Deep pelvic pain during intercourse affects 10-20% of women and can indicate endometriosis, adhesions, or other structural issues that may be contributing to infertility. Learn more.

Painful Periods
(Dysmenorrhea)

Severe menstrual pain that interferes with daily life affects up to 30% of women and is often a sign of endometriosis or adenomyosis—conditions that significantly impact fertility. Learn more. 

Chronic Pelvic
Pain (CPP)

40-87% of women with chronic pelvic pain are found to have endo, and more than 60% of diagnosed endo patients have chronic pelvic or abdominal pain. Learn more.  

Bowel & Bladder
Symptoms

Painful bowel movements, bloating, constipation, diarrhea, or painful urination—especially around your period—can indicate bowel or bladder endometriosis. These symptoms affect up to 20-30% of endo patients.

Unexplained
Infertility

Up to 50% of “unexplained infertility” is actually endometriosis. If you’ve been told everything looks normal but you’re still not conceiving, surgical investigation may reveal answers. Learn more.

Chronic
Fatigue

Chronic fatigue affects up to 50% of women with endometriosis. Other symptoms include heavy bleeding, back pain, leg pain, and nausea—often dismissed or misdiagnosed. 

Frequent Ovarian
Cysts

Up to 44% of endo patients have endometriomas (chocolate cysts). Studies suggest that women with endometriosis also have a higher prevalence of ovarian dermoid cysts than the general population.

Unresolved Symptoms
Despite Treatment

Doctors without advanced endo training might just prescribe birth control—which is not a cure—or suggest IVF can “bypass” endometriosis. Without treating the root cause, endo symptoms linger.

What You Can Expect

We are here to provide a soothing sanctuary for healing, free from stress or manipulation. Our collaborative team takes a multi-pronged approach to treating and managing the many symptoms and systems endometriosis can impact. Rest assured, we will take the stress out of planning for you.

We take the time to listen to your complete history, perform an expert physical examination, and use advanced imaging (MRI, ultrasound) to map the extent of disease before surgery.

Thorough Evaluation
& Diagnosis

Expert Excision
Surgery

We specialize in complete excision (not ablation) of all endometriosis—including deep infiltrating disease involving the bowel, bladder, ureters, and diaphragm. Excision removes the root of the disease.

Multidisciplinary
Collaboration

We collaborate with colorectal surgeons, urologists, thoracic surgeons, and plastic surgeons to address all areas of disease in a single surgery when possible. Our primary aim is to offer you tranquility and peace of mind.

Whole-Person
Integrative Care

Whether you need nutrition support, hormone balancing, pelvic floor therapy, or other resources, you’re never left to figure it out alone. Let us provide the best in the field to help.

Where Are You in Your Journey?

Seeking
Answers

You’re experiencing symptoms and want to understand what’s causing them. You may have been told it’s normal but know something isn’t right.

Have a
Diagnosis

You’ve been diagnosed with endometriosis and are exploring treatment options—or seeking a second opinion after previous surgery didn’t provide relief.

Ready for
Excision

You understand that expert excision surgery is the gold standard and want a surgeon who specializes in complete removal of endometriosis.

Our Surgical Offerings

Advanced procedures tailored to your clinical needs and reproductive goals. 

​​Operative hysteroscopy
Dilation and curettage (D&C)
Exploratory hysteroscopy (advanced hysteroscopy)
Hysterectomy
Hysteropexy (uterine suspension)
Isthmoplasty (isthmocele repair)
Adhesiolysis
Metroplasty
Abdominal myomectomy
Laparoscopic myomectomy
Sonata (for fibroids)
Polypectomy
NAPRO surgery
Oophorectomy
Ovarian cystectomy
Salpingectomy
Tuboplasty
Adhesiolysis
Endometriosis excision surgery
Infertility exploratory surgery
Vaginal endometriosis excision
Abdominoplasty and/or liposuction*
Plastic surgery*
Vaginal specimen removal
Contraception device management
Hernia repair*
Cystoscopy

*Performed in combination with necessary gynecologic surgery, not as standalone services 

Each case is unique, surgery technique varies by:

APPROACH

Laparoscopic, robotic, hysteroscopic, vaginal, or abdominal (requires visit)

INTENT

Fertility-preserving or definitive management

COMPLEXITY

First-time or revision surgery

SCOPE 

Gynecology-only or multidisciplinary team

Why Patients Choose ESSE Care

Relief &
Restoration

Definitive
Care

Integrative
Support

Minimally
Invasive

Fertility
Preservation

Surgical
Excellence

Getting Started with ESSE Care

Insurance Verification

Submit your insurance and ID information over the phone or through our online form. We’ll verify your benefits and let you know what’s covered before your appointment.

Want to know what to expect when you come into one of our offices for an in-person appointment? We’ve got you covered. Find out what to bring and how to prepare.

Our team is dedicated to taking the headache out of planning for your surgery. We’ll coordinate all the necessary expertise behind the scenes while you focus on your path to healing. Learn more.

Our patients travel from all over the world for treatment at ESSE Care. We provide comprehensive concierge travel support to make the process stress-free for you. All you have to do is show up. Learn more

It just felt very warm and comforting to have a team of women who are not only experts in their field, but also understood the disease I had and had been through it.

Nabila, ESSE Care Patient

Your journey to relief begins now.

We’re with You Every Step of the Way

Endometriosis & Pelvic Pain 

ESSE's excision specialists offer precise, compassionate care that targets the root cause of endometriosis.

Gynecologic Surgery

We treat fibroids, uterine anomalies, polyps, and more with expertise and intention.

Fertility Optimization

We address the conditions that may be interfering with your fertility while coordinating with fertility specialists.

Comprehensive & Partner Support

ESSE Care offers comprehensive gynecologic care for all ages, as well as integrative therapies via our trusted partners.

Ready to take the next step?