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If you’re reading this, there’s a good chance you’ve been dealing with more than “just bad periods.”
Maybe it’s constant pelvic pain. Maybe it’s pain with exercise, intimacy, or even just getting through a normal day. Or maybe you’ve tried different treatments and still don’t feel like yourself.
Endometriosis can be frustrating that way. It doesn’t always follow a predictable pattern, and it often takes time to find the right approach.
Dr. Yitzhack Asulin of the Institute for Gynecology Minimally Invasive and Robotic Surgery in Englewood, New Jersey, sees this every day. And one thing we always want you to know is this: If you’re still hurting, there are options.
For some women, that next step is robotic surgery.
What robotic surgery actually means
Let’s clear up a common misconception first. Robotic surgery doesn’t mean a robot is doing your surgery. Dr. Asulin is in complete control the entire time.
The robotic system simply translates his hand movements into very precise, controlled motions using specialized instruments. What makes this approach different is the level of detail.
The system provides a magnified 3D view of the surgical area and allows for a range of motion that’s even more refined than that of the human hand. This matters, especially with endometriosis, where tissue can grow in delicate or hard-to-reach areas.
Why this approach can be helpful for endometriosis
Endometriosis isn’t always straightforward. In some cases, the tissue is superficial. In others, it can grow deeper and involve nearby structures such as your bowel, bladder, or ovaries.
That’s where precision becomes especially important. Robotic-assisted surgery allows Dr. Asulin to carefully remove endometriosis tissue while protecting surrounding organs.
Because the incisions are small, the procedure is also considered minimally invasive. That typically means:
- Less disruption to the surrounding tissue
- Smaller scars
- Less postoperative discomfort
- A faster return to normal activities
For many women, the combination of precision and a gentler recovery makes a meaningful difference.
What surgery can — and can’t — do
Surgery can remove endometriosis tissue. It can relieve pain. And in many cases, it can improve quality of life and even fertility.
But it’s not a guaranteed cure. Endometriosis can come back over time, even after carefully performed surgery.
That doesn’t mean surgery isn’t worth considering. It just means we approach it as part of a broader, long-term plan.
What to expect from recovery
One of the first questions women ask is, “How long will I be down?” Recovery time varies, depending on how extensive the surgery is. Minimally invasive approaches such as robotic surgery generally allow for a quicker return to daily life compared to traditional open procedures.
Many women are up and moving in a day or two. You may still feel tired for a bit. That’s normal. Your body is healing, even if the incisions are small. Most women gradually return to their normal routines over several weeks.
When to consider robotic surgery
Not everyone with endometriosis needs surgery. In many cases, we start with medical management — medications, hormonal therapy, or other approaches.
But surgery may be worth discussing if:
- Pain continues despite treatment
- Endometriosis is suspected to be more extensive
- Fertility is a concern
- Imaging or symptoms suggest deeper disease involvement
This is never a one-size-fits-all decision. It’s a conversation.
Dr. Asulin’s approach
At the Institute for Gynecology Minimally Invasive and Robotic Surgery, we don’t jump straight to surgery. And we don’t use a standard script. We listen first.
We take the time to understand your symptoms, goals, and how this condition is affecting your life. Then we walk through your options together.
If robotic surgery is the right next step, we use advanced minimally invasive techniques designed to treat the disease as precisely as possible. And just as important, we stay involved in your care after surgery, because managing endometriosis doesn’t end in the operating room.
Living with endometriosis can be physically and emotionally draining. It’s easy to feel like you’ve tried everything or that this is just something you have to live with.
But that’s not the full story. If your symptoms persist or worsen, it’s worth revisiting your options.
If you’d like to learn whether robotic surgery could be part of your treatment plan, request an appointment online or call the Institute for Gynecology Minimally Invasive and Robotic Surgery. We’re here to help you find a path forward — one that feels right for you.