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Surgery

Will an endometriosis surgeon take me seriously if I don’t want kids?

The short answer

Yes, your symptoms and quality of life matter whether or not you want children. In our practice, fertility is not a requirement for care, and we individualize treatment based on your symptoms, your disease and the outcomes you want.

Yes. Your symptoms and quality of life matter, full stop. Your goals don’t have to include pregnancy for you to deserve thorough evaluation and effective treatment. In our practice, we don’t use fertility as a gatekeeper for care. We focus on what your disease may be doing (pain, bleeding, bowel/bladder symptoms, fatigue, missed work, intimacy pain) and the outcomes you want from treatment.

Not wanting children can make some options clearer, especially when adenomyosis or severe uterine disease is part of the picture, because the need to preserve fertility may not apply. That said, we still tailor the plan to you: endometriosis can involve multiple organs, and the right surgical approach means complete, precise excision and a plan you understand, rather than a one-size-fits-all recommendation.

If you’ve felt dismissed before, you’re not alone. Our intake and consultation process is grounded in your records and has a clear purpose: to take your history seriously, set expectations early, and be direct about whether we think we can help. If you’re ready, reach out to schedule a consultation and tell us your goals clearly, including if your priority is pain relief and long-term function rather than fertility.

Where to go from here

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

Step 3 · Speak with Us

Your goals matter—period.

You don’t need to want kids to deserve expert endometriosis and adenomyosis care. Our surgeons focus on symptom relief and quality of life, and can discuss surgical options that fit your goals.

Questions people ask next

All surgery questions
  • Can I get endometriosis treatment if I’m not trying to get pregnant?

    Yes, endometriosis treatment is appropriate whether or not you’re trying to get pregnant. Care can focus on pain relief, protecting organs, and improving daily function, with a plan tailored to your symptoms, risks, and preferences.

  • Is endometriosis surgery only for fertility?

    No, endometriosis surgery is not only for fertility. Excision surgery is often performed to relieve pain and other symptoms, restore normal anatomy, or address endometriosis affecting organs like the bowel or bladder. Surgery can also help confirm the diagnosis.

  • Should I see a gyn, MIGS surgeon, or excision specialist for endometriosis?

    A general gynecologist may be a reasonable starting point for routine evaluation or medication, while an excision specialist is usually the most direct path for suspected complex disease. MIGS training alone does not automatically mean deep endometriosis excision expertise.

  • When should I get a second opinion for endometriosis?

    A second opinion is worth pursuing when symptoms persist despite treatment, your pain is minimized, or you face a major decision without a clear plan. It’s also important if imaging is normal but symptoms track with your cycle, or surgery gave incomplete relief.

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