Dr. Madhu Bagaria

Patient Feedback

Patterns Across Patient Feedback

Endometriosis Focus

A Recent but Dedicated Endometriosis Focus After a Generalist Career

Endometriosis and complex pelvic pain are the current primary focus, though that focus is relatively recent. Early career was spent as a generalist gynecologic surgeon at Mayo Clinic Health System in Austin, Minnesota. Two fellowships followed. The first, in Advanced Pelvic Surgery at Emory University, was by the program's own description oriented around gynecologic oncology and cancer surgery rather than endometriosis. The second, a minimally invasive gynecologic surgery fellowship at Mayo Clinic Arizona completed in 2023, centered on complex endometriosis excision, advanced laparoscopy, and robotic surgery.

Practice materials describe a double-fellowship trained endometriosis specialist, though only the Mayo fellowship was endometriosis-focused. One of her mentors at Mayo is listed as Megan Wasson, a respected name in the endometriosis community. Practice since the fellowship has been at endometriosis-focused groups in the New York and New Jersey area, first Pelvic Rehabilitation Medicine and now Endometriosis Surgical Specialists International (ESSI), where the stated focus is surgical excision of deep disease and endometriomas.

Multidisciplinary Approach

A Team Practice With Co-Surgeons and Outside Referrals

Care is delivered within a team practice at ESSI rather than by a single surgeon working alone. Patient accounts and practice materials describe complex cases handled with co-surgeons, including a general surgeon for bowel involvement and colleagues for disease found in other areas of the body. Collaboration with interventional radiology is described for vein-related pelvic pain. Pelvic floor physical therapy is recommended as part of treatment and recovery, with referrals to outside therapists, and pain management providers are also part of the coordinated approach described for patients whose pain continues after surgery.

Diagnosis Methods

Normal Imaging Does Not Rule Out Endometriosis

Public statements directly address the limits of imaging in diagnosing endometriosis. The stated position is that a normal MRI or ultrasound does not rule out the disease, since superficial, microscopic, and nerve-related disease can fall below what scans detect, and that surgery by non-specialists can also miss disease that does not look like classic lesions. In-office evaluation is described as including ultrasound and a physical exam that checks for tender points and the mobility of pelvic organs. Listening carefully to symptoms and performing a detailed exam are described as being as important as imaging or surgical findings.

Educational Presence

An Active Self-Run Social Presence Alongside Guest Interviews

Public-facing educational activity is substantial and largely self-produced on social media. An Instagram account is active and focused on endometriosis, with posts explaining topics such as endometriosis affecting the ureter and kidney. A LinkedIn presence carries frequent educational posts on diagnosis, post-surgical monitoring of endometriomas, bowel symptoms, and the limits of standard surgery for deep disease. A TikTok account focused on endometriosis was recently opened. Several YouTube videos show the presence consists of guest appearances on other channels.

There are also several interviews and podcast appearances, including a long-form discussion on endometriosis and sexual health with a pelvic health host, a podcast episode on medical gaslighting produced by an integrative women's health group, and an interview on a general health podcast arranged through a former practice. Clinic-produced interviews cover endometriomas and care for the South Asian community. A speaker profile lists participation in an endometriosis summit, and practice materials describe involvement in a 2026 masterclass on pelvic surgery in Dubai.

Around ten research publications appear on PubMed, none specifically on endometriosis. The closest concern detection of endometrial cancer, which is a different condition, and several papers are co-authored with former Mayo faculty. Board certification in obstetrics and gynecology is held, and an independent listing appears on iCareBetter.

Post-Surgical Care

Close Personal Follow-Up and Hormone-Sparing Management

Patient accounts describe close personal follow-up after surgery, including phone calls in the days after a procedure, check-ins during recovery, and follow-up visits that review surgical findings. One account describes a recheck with ultrasound around seven months after surgery. For patients who travel from out of state, practice statements describe co-managing recovery with a local provider while remaining available for endometriosis-related concerns. Coordination with physical therapy and pain management during recovery is described in multiple accounts.

For hormonal management after surgery, the stated approach relies mainly on combined oral contraceptive pills and the levonorgestrel (Mirena) IUD, used after excision to reduce recurrence and to manage coexisting adenomyosis, with routine use of GnRH agonists such as Lupron generally avoided and reserved for select cases. Pain management after surgery is described as non-opioid first, with opioids limited to short-term use.

Philosophy and Fit

Pain Treated as Multifactorial, With an Emphasis on Listening

The stated philosophy treats endometriosis as a complex disease with multiple possible origins rather than one explained by a single theory, and holds that pain in endometriosis is often multifactorial, arising not only from active disease but also from nerve sensitization, pelvic floor dysfunction, adenomyosis, and overlapping pain conditions. Because of this, careful listening to a patient's experience and a detailed exam are described as carrying as much weight as imaging or surgical findings.

Public materials and patient accounts emphasize a patient-centered approach focused on validation, education, and shared decision-making, with particular attention to patients who have been dismissed elsewhere, who have pain that continued after prior surgery, or who are weighing fertility alongside treatment. This may be a strong fit for patients who value an unhurried, explanatory style and a view of pelvic pain that extends beyond the lesions themselves. The recently established independent track record is worth weighing for patients who place heavy emphasis on a long history of endometriosis-specific outcomes.