Women often spend years looking for clear answers about pelvic pain and cycle problems. Nurture Women’s Health and Fertility helps women move past guesswork and toward a real endometriosis diagnosis in Soquel, CA. Our goal is to listen carefully, look at the whole picture, and help each patient understand what is causing her symptoms.  If you are looking for someone who really understands the symptoms and treatment options for pelvic pain and endometriosis, then we recommend scheduling a visit with Dr. Sienna Titen.  Click here to book an initial visit.   

Helping You Reach an Endometriosis Diagnosis

Endometriosis can be difficult to identify because symptoms often vary from woman to woman. Some have pain, others experience fatigue, bowel changes, or infertility. Dr. Sienna Titen specializes in pelvic pain. She uses advanced diagnostic care to sort through these signals and looks beyond symptoms to identify contributing factors better.

Many women begin care with pelvic floor physical therapy. Tight or overworked pelvic muscles can mimic or worsen endometriosis pain. Pelvic floor physical therapy can calm the muscles, improve daily comfort, and help reveal whether deeper gynecologic issues are present. If symptoms point toward endometriosis, Dr. Titen provides further evaluation and, when needed, minimally invasive surgery such as endometriosis excision.

Women come to us with concerns like:

• Long-lasting pelvic pain

• Painful or heavy periods

• Pain with movement or intimacy

• Bowel or bladder discomfort

• Ongoing fatigue

• Infertility

• Symptoms that haven’t improved with other care

A thorough diagnosis takes time. Visits focus on your history, your goals, and how your symptoms affect your daily life. This approach helps women feel heard and is never rushed.

Commonly Asked Questions About Endometriosis Diagnosis

How is endometriosis usually diagnosed?

Diagnosis begins with listening to your story and reviewing past care. Imaging and a physical exam helps rule out other causes of pain. The most certain answer often comes from minimally invasive surgery, where tissue can be seen and treated.

Should I try pelvic floor therapy before surgery?

Many women benefit from pelvic floor physical therapy first. Tight muscles can add to pain and make symptoms feel worse than the disease alone. Therapy can also prepare the body if surgery becomes the right next step.  If you are interested in booking with our Pelvic Floor Physical Therapist, Dr. Alex Beadoin, click here.  Make a hyperlink going to booking page. 

Will surgery cure all of my symptoms?

Surgery can remove endometriosis tissue and reduce pain, but healing is a process. Some women need ongoing support with hormones, therapy, or lifestyle changes. Care is tailored to your body's needs after surgery.

How is this approach different?

Care is built around finding the true source of pain instead of treating symptoms alone. Dr. Titan and the pelvic floor therapist work together so women move between therapy and surgical care without gaps. This team approach helps women feel supported at every stage.

We Serve Women in Soquel, CA

Soquel is in Santa Cruz County, along the central California coast. Women from Soquel, Capitola, Aptos, and the surrounding areas come to Nurture Women’s Health and Fertility for thoughtful care. Many have seen several providers before and want a place that looks deeper. Local women value having advanced expertise close to home.

Begin Your Path to Answers

If you are seeking an endometriosis diagnosis in Soquel, CA, Nurture Women’s Health and Fertility can help you take the next step. You don’t have to live with pain that has no name. Reach out through our website to share what you’ve been experiencing and learn which options fit your needs.