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Surgery

What are the treatment options for endometriosis?

The short answer

Endometriosis treatment usually involves medication to suppress symptoms or surgery to diagnose and treat the disease. Hormonal therapies can lessen pain and bleeding for some people, while expert excision surgery removes endometriosis tissue for long-term relief.

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

For long-term relief, the cornerstone 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 which treatment pathway fits your symptoms, anatomy, and fertility goals.

Where to go from here

Understand it, compare it with what you're feeling, then talk it through with us.

Step 1 · Understand

Understand the condition

Step 3 · Speak with Us

Ready for Lasting Relief?

Our specialists provide expert excision surgery to remove endometriosis tissue and help you reclaim your life. Let us guide you toward pain-free days with personalized treatment options.

Questions people ask next

All surgery questions
  • What is tried first for endometriosis pain, and how is it chosen?

    Many patients start with hormonal suppression, such as continuous combined hormonal contraception, a progestin-only medication, or a levonorgestrel IUD. The choice depends on pain, bleeding goals, migraine history, clot risk, prior hormone side effects, and fertility timing.

  • Do hormones or birth control treat endometriosis?

    Hormonal birth control and other hormone therapies can reduce endometriosis symptoms, but they usually don’t treat the disease itself. They don’t remove endometriosis lesions or restore normal anatomy, so pain can return when you stop them.

  • Can endometriosis be cured or only put into remission?

    Endometriosis doesn’t currently have a proven permanent cure, but many people can achieve major, lasting symptom improvement. Treatment typically aims for durable relief and disease control, which many patients describe as remission, while protecting long-term pelvic health.

  • What complementary therapies can help endometriosis symptoms?

    Nutrition-focused changes, acupuncture, and pelvic floor physical therapy may help some people manage endometriosis symptoms, especially pain, alongside medical treatment. Evidence is mixed, and these approaches do not remove endometriosis or adenomyosis.

Reach Out

Have a question?

Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.


Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.

Call Us

(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8am - 5pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420