Personalized Endometriosis Treatment

Endometriosis doesn't affect everyone in the same way, and neither should treatment options. At Nurture Women’s Health & Fertility, we view women’s health as an ongoing process. We specialize in compassionate, personalized endometriosis care that helps patients identify the root cause of chronic and painful symptoms. Dr. Sienna Titen, MD, is a board-certified physician and minimally invasive gynecologic surgeon who specializes in endometriosis and complex pelvic pain. She offers evaluations for persistent symptoms and creates individualized care plans that may include medical management, minimally invasive surgery, or both. In most cases, pelvic floor physical therapy is recommended to provide relief and help prevent and heal from surgery. 

Commonly Asked Questions About Endometriosis Treatment

What Causes Endometriosis Flare-ups?

Endometriosis flare-ups are usually triggered by a mix of hormone shifts and everyday lifestyle factors that increase inflammation or pelvic tension. Common triggers include changes across the menstrual cycle, high stress, poor sleep, certain inflammatory foods, overexertion, and pelvic floor muscle tightness or dysfunction. When these stack up, they can heighten nerve sensitivity, increase pelvic congestion, and make pain or bowel and bladder symptoms more noticeable.Pelvic floor physical therapy can be a key part of calming things down. It helps reduce muscle guarding, improve blood flow and mobility, and support a more regulated nervous system—all of which can lessen how often flares happen and how intense they feel. Since everyone’s triggers are a little different, we work with you to identify your specific patterns and build a personalized plan to help you feel more in control and supported long term.

What Type Of Doctor Should I See For Endometriosis Treatment?

If you think you may have endometriosis, the best place to start is with a gynecologist who has specific training and experience in diagnosing and treating complex pelvic pain and endometriosis. While general gynecologists are highly skilled in many areas of women’s health, endometriosis can be particularly challenging to recognize. Symptoms often overlap with other conditions (like IBS, bladder pain, or musculoskeletal issues), imaging is frequently normal, and the disease does not always correlate with exam findings. Because of this, patients are sometimes told their pain is “normal,” hormonal, or unexplained when, in reality, endometriosis may be the underlying driver.An endometriosis-focused specialist looks at the full clinical picture—cycle patterns, pain mapping, bowel and bladder symptoms, musculoskeletal factors, and prior treatment responses—rather than relying on imaging alone. Specialists are also more familiar with the subtle presentations of the disease and the range of treatment options, including advanced medical management, pelvic floor therapy integration, and when appropriate, excision surgery. This depth of experience can make a critical difference in shortening the time to diagnosis and creating a more effective, individualized treatment plan.Working with a specialist like Sienna Titen, MD can help “unlock the mystery” of persistent pelvic pain by connecting the dots that are often missed in a standard visit. The goal is not just to label the condition, but to understand your unique pattern of symptoms and guide you toward a path of healing—reducing flares, improving function, and helping you regain a sense of control over your body and daily life.

Will Endometriosis Return After Surgery?

Endometriosis can become an ongoing issue for many women, even after surgery. Ongoing symptoms depend on several factors. However, returning pain doesn’t always mean endometriosis has returned. Combining surgery with pelvic floor therapy offers continuing support and lasting relief.

Schedule An Appointment Today

Our team is passionate about personalized women’s health. If you’re struggling with pelvic pain or symptoms that may signal endometriosis,  contact Nurture Women’s Health & Fertility near Capitola, CA, today. We are here to create a treatment plan that improves your overall health and wellness. 

Find Personalized Care Near Capitola, CA

We are thrilled to offer care near Capitola, CA, and the surrounding areas. Capitola is located along Monterey Bay and has over 9,000 residents who enjoy the beautiful scenery and recreational attractions. Santa Cruz and Soquel are part of the surrounding communities.