Endometriosis Specialist


Roya Rakhshani, MD

OB-GYN & Medical Aesthetics Specialist located in Costa Mesa, CA

Endometriosis affects more than 10% of childbearing-aged women making it difficult for them to get pregnant. If heavy periods and chronic pelvic pain are interfering with your life, call or make an appointment online today with Dr. Roya Rakhshani at OriGYN in Costa Mesa, California, to determine if you have endometriosis and to begin treatment.

Endometriosis Q&A

What is endometriosis?

Endometriosis is a condition in which tissue that lines your uterus grows in your ovaries, fallopian tubes, and the lining of your pelvis. This displaced tissue continues to act as it normally would, thickening, breaking down, and bleeding with your menstrual cycle.

Since the displaced tissue has no way out of your body, it gets trapped. Surrounding tissue gets irritated, causing scars and abnormal bands of fibrous tissue that cause pelvic tissues and organs to stick to one another.

How is endometriosis diagnosed?

Pain is the most common symptom of endometriosis including:

  • Painful menstrual cramps that get worse over time
  • Chronic lower back and pelvic pain
  • Deep pain during or after sex
  • Intestinal pain
  • Painful bowel movements and urination during your periods

Other symptoms include:

  • Bleeding or spotting between periods
  • Infertility
  • Digestive issues like diarrhea, constipation, bloating, or nausea, especially during your periods

Diagnosis starts with a physical and pelvic exam at which time Dr.Rakhshani feels for cysts or scars behind your uterus. Imaging tests, including an ultrasound and magnetic resonance imaging (MRI), take pictures of the inside of your body.

To be certain you have endometriosis, Dr. Rakhshani performs a minimally invasive robotic laparoscopy to look inside your pelvic area for endometriosis tissue. Diagnosis is done by sight, or a small sample of tissue gets studied under a microscope.

How is endometriosis treated?

Treatment for your endometriosis depends on the extent of the disease, your symptoms, and your desire to have children. Most of the time, endometriosis gets treated with medication, surgery, or both.

Medications used to treat endometriosis include pain relievers and hormonal medicines including:

  • Birth control pills
  • Progestin-only medications
  • Gonadotropin-releasing hormone agonists

Hormones help slow the growth of endometrial tissue and keep new adhesions from forming. However, they do not get rid of the endometriosis tissue you already have.

Surgery helps relieve pain and improve fertility. If your pain continues to be severe and does not go away after treatment, a hysterectomy is a "last resort" option as endometriosis is less likely to return if you remove your ovaries. 

Although there is no cure for endometriosis, to begin symptom-relieving treatment, call or make an appointment online today with Dr. Roya Rakhshani at OriGyn in Costa Mesa, California.