Our physicians in the Endometriosis Program are dedicated to the comprehensive evaluation and treatment of women with endometriosis. Our team of experts evaluates each patient individually and discusses the best treatment options. We are well-informed on the latest medical and surgical treatments for endometriosis, and we are prepared to work with each patient and her primary physician to develop an individual treatment plan.

Our vast experience with robotic surgery also allows us to successfully treat advanced stages of endometriosis, as well as treat women who have been told by other physicians they weren’t good candidates for this type of surgery. The clinic team consists of surgical specialists skilled in minimally invasive surgeries, including robotic surgery. Our team also includes dedicated fellows, nurses and nurse practitioners. Based on each patient's case, we may refer to specialists in reproductive endocrinology and infertility (REI), physical therapy (PT), pain anesthesia, pain psychologists, urology, gastroenterology and colorectal surgery.

Contact a Patient Care Representative for more information or to make an appointment: 734-763-6295.

In patients with endometriosis, pain may be felt:

• Before, during, and after menstruation
• With ovulation
• With urination
• With bowel movements
• During or after sexual intercourse
• On a daily basis

Women with endometriosis often suffer from many other symptoms such as irregular or heavy menstrual bleeding, infertility, abdominal bloating, diarrhea or constipation, low back pain, and/or fatigue.  Unfortunately, many of these symptoms are non-specific and can occur with other medical conditions that are also common in women with endometriosis (such as irritable bowel syndrome and interstitial cystitis/painful bladder syndrome).

Other common conditions include:

• Musculoskeletal pain conditions (e.g. pelvic floor myalgia, sacroiliac joint pain, myofascial pain)
• Interstitial Cystitis and Painful Bladder Syndrome
• Irritable Bowel Syndrome
• Chronic Fatigue
• Fibromyalgia
• Chronic or recurrent headaches

Treatment for endometriosis falls into three major categories:

• Hormonal – any type of hormonal therapy to suppress the pain associated with endometriosis, including birth control pills, hormone IUD and aromatase inhibitors (a type of hormonal therapy that decreases estrogen levels in the body).
• Surgical – procedures include minimally invasive surgery to remove endometriosis tissue, cysts on the ovaries related to endometriosis, adhesions (scar tissue), and partial and total hysterectomies.
• Pain control – medical and behavioral therapies to manage pain symptoms.  These may include non-steroidal anti-inflammatory medications (e.g. ibuprofen), muscle relaxants, and neuropathic medications (e.g. gabapentin, amitriptyline).