Obstetrics, Gynecology, and Reproductive Science

Endometriosis and Pelvic Pain

Chronic pelvic pain affects approximately 15 percent of women at some point during their lives. Pelvic pain has a significant impact on your well-being, quality of life, and sexual and reproductive health.

The Division of Endometriosis and Pelvic Pain is comprised of highly trained surgeons, gastroenterologists, colorectal surgeons, pelvic floor physical therapists, anesthesiologists, psychiatrists, acupuncturists, and specialists in complementary medicine. We offer you the most up-to-date, evidence-based options. 

Our endometriosis and pelvic pain experts perform an extensive evaluation to understand the cause of your pain. Once we realize the source or sources of pain, we offer a multidisciplinary approach to treatment. We understand that each patient has different medical issues, goals, and ideals, and we offer you a variety of options, including surgical, medical, and alternative approaches. We know that pelvic pain is debilitating, and it is our goal to help you become pain-free.

Conditions We Treat

At Mount Sinai’s Division of Endometriosis and Pelvic Pain, we treat a variety of conditions, including,

  • Adenomyosis
  • Adhesions
  • Endometriosis
  • Fibroids
  • Interstitial cystitis
  • Nerve entrapment
  • Ovarian cysts
  • Pelvic floor myalgia
  • Vulvodynia

What is Pelvic Pain?

The American Congress of Obstetricians and Gynecologists defines chronic pelvic pain as noncyclical pain for at least six months and involves the pelvis, abdominal wall, lower back, and/or buttocks. It is serious enough to cause disability or to require medical care.

What is Endometriosis?

Endometriosis is a condition where the endometrial tissue (tissue that lines the inside of the uterus) is present outside of the uterus. If you have this condition, you may have symptoms including pelvic pain, pain with periods, pain with sex, or infertility. Others may experience no symptoms.

Evaluation

Our specialists do a comprehensive physical examination of your back, abdomen, and pelvis, including a gynecologic examination. We may also perform diagnostic tests such as blood tests, cultures, pelvic ultrasounds, and MRI scans.

Treatment

We provide a variety of treatments for endometriosis, including:

  • Acupuncture
  • Botox injections
  • Dietary modifications
  • Exercise programs
  • Herbal supplements
  • Laparoscopic surgery
  • Medications
  • Nerve blocks
  • Physical therapy
  • Robotic surgery
  • Trigger point injections