Best Doctor for Endometriosis Near Kirkland, WA

Short Answer

For endometriosis near Kirkland, WA, Dr. Sanika Kshirsagar, ND at Soma Naturopathic works alongside your gynaecologist rather than in place of one. Endometriosis is definitively diagnosed and treated surgically, and naturopathic care does not remove lesions. What it does well is reduce the inflammatory load driving pain, treat the pelvic floor dysfunction that develops secondary to years of pain, address the gut symptoms that overlap heavily with endometriosis, and protect iron status. Dr. Sanika is a Certified Integrative Pelvic Floor Therapist, which matters because pelvic floor muscle pain often persists after excision surgery.

Why Patients Choose Dr. Sanika for Endometriosis

Certified Integrative Pelvic Floor Therapist — one of very few naturopathic doctors on the Seattle Eastside who can assess and treat the pelvic floor directly rather than referring it out. In endometriosis this is significant: years of pain drive protective pelvic floor guarding, and that muscular pain frequently persists even after successful excision surgery. Women who are told surgery "did not work" often have an untreated pelvic floor component.
Honest about scope. Endometriosis lesions are removed surgically, not with nutrition or herbs. Dr. Sanika does not claim otherwise, and will push you toward an excision specialist when that is what you need.
Takes the diagnostic delay seriously. Endometriosis is diagnosed an average of seven to ten years late, almost always beginning with a young woman being told severe period pain is normal.
Licensed naturopathic physician (ND) trained at Bastyr University, the leading naturopathic medical school in the Pacific Northwest, and licensed in both Washington and California.
Initial visits are a full 60 minutes. This is a cash-pay practice with no insurance company deciding how long your appointment is allowed to run, which is what makes it possible to actually take a full history instead of covering one complaint.

What to Look For in a Endometriosis Doctor

Someone who believes your pain. The single largest driver of the seven-to-ten-year diagnostic delay is pain being minimised.
Someone who knows the difference between ablation and excision surgery, and will refer you to a genuine excision specialist rather than treating all surgery as equivalent.
Assessment of the pelvic floor. Secondary muscular pain is extremely common and routinely untreated, and it is why some women feel little better after otherwise successful surgery.
Willingness to coordinate with your existing OB-GYN, endocrinologist or primary care provider so treatments do not conflict and testing is not duplicated.
Someone who will tell you plainly when a drug, procedure or specialist referral is the better option. A practitioner who claims natural medicine can fix everything is not being straight with you.

What Treatment Actually Looks Like

A 60-minute first visit mapping your pain in detail — timing across the cycle, pain with intercourse, bowel movements or urination, and what has and has not helped.
Referral for gynaecological evaluation or imaging where you do not yet have a diagnosis, or to an excision specialist where surgery is appropriate.
Pelvic floor assessment and hands-on treatment for hypertonicity and trigger points, with downtraining rather than Kegels, which make a tight pelvic floor worse.
Anti-inflammatory nutrition targeting the omega-6 to omega-3 balance that feeds prostaglandin production, plus support for healthy estrogen metabolism and clearance.
Gut work, because IBS-type symptoms overlap heavily with endometriosis and are frequently a distinct and treatable layer of the pain.
Iron panel with ferritin, since heavy bleeding is common and iron deficiency is widely under-treated.

Why Some Women Still Hurt After Surgery

A common and demoralising scenario: excision surgery goes well, the lesions are gone, and the pain is still there. The usual explanation is that pain has more than one source. Endometriosis lesions cause pain, but years of that pain also produce two secondary problems that surgery does not touch. The first is pelvic floor dysfunction. Muscles guard against pain by tightening. Held long enough, they develop trigger points and shortening that generate pain independently. That muscular pain survives the removal of every lesion. The second is central sensitisation — the nervous system becoming more efficient at producing pain after prolonged input, so that ordinary signals are amplified. Both are treatable, and neither is addressed by more surgery. This is precisely the gap where pelvic floor therapy and nervous system work belong, and it is why Dr. Sanika assesses the pelvic floor directly rather than assuming remaining pain means remaining disease.

What It Costs

Appointment	Length	Price
Complimentary Intro Call	15 minutes	Free
Initial Visit	60 minutes	$200
Follow-Up Visit	30 minutes	$95
Direct Primary Care Plan	Ongoing	$150/month

Soma Naturopathic is a cash-pay practice. Many patients use HSA or FSA funds. See appointments & pricing for full details.

Frequently Asked Questions

Can naturopathic treatment cure endometriosis?

No, and be cautious of anyone who says otherwise. Endometriosis lesions are removed surgically. Nutrition, botanicals and supplements do not eliminate implants. What they do is reduce the inflammatory environment that amplifies pain, support estrogen metabolism, treat overlapping gut symptoms, and address the pelvic floor and nervous system components. Many women get substantial quality-of-life improvement from that — which is different from a cure.

How do I know if my period pain is endometriosis?

Suggestive features include pain that worsened over years, started well after your periods began, does not respond well to NSAIDs, or occurs alongside pain with intercourse, bowel movements or urination — or outside menstruation entirely. Definitive diagnosis requires laparoscopy, but the history determines whether imaging and gynaecological referral are warranted. Pain that stops you working or makes you vomit is not normal.

Is this instead of seeing a gynaecologist?

No — it is alongside. You need a gynaecologist, ideally an excision specialist, for diagnosis and surgical management. Dr. Sanika handles the layers surgery does not: inflammation, pelvic floor dysfunction, gut symptoms, iron status and nervous system sensitisation. She coordinates with your existing providers so nothing conflicts or gets duplicated.

Why does everyone tell me to do Kegels?

Because it is common advice for pelvic symptoms generally, and it is frequently wrong here. Most women with endometriosis-related pelvic pain have a pelvic floor that is too tight, not too weak. Kegels shorten and tighten those muscles further, which usually worsens pain and can worsen urinary urgency. Hypertonic pelvic floors need downtraining and release. This requires proper assessment, not a default recommendation.

What does it cost?

A free 15-minute intro call, $200 for the 60-minute initial visit, $95 for 30-minute follow-ups, and $95 per pelvic floor therapy session. A $150/month Direct Primary Care membership is available. Pelvic floor therapy requires in-person visits in Kirkland; other appointments can be telehealth anywhere in Washington or California. Cash-pay; HSA and FSA funds are commonly used.

Where Dr. Sanika Sees Patients

In-person appointments are in Kirkland, WA. Telehealth is available to residents anywhere in Washington and California.

Endometriosis care in Bellevue Endometriosis care in Bothell Endometriosis care in Issaquah Endometriosis care in Kenmore Endometriosis care in Kirkland Endometriosis care in Redmond Endometriosis care in Sammamish Endometriosis care in Woodinville

Keep Reading

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pelvic pain overview

Talk to Dr. Sanika About Endometriosis

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References

Dr. Sanika Kshirsagar, ND

Doctorate of Naturopathic Medicine (ND)

Bastyr University, Kenmore, WA

Last reviewed:August 5, 2026byDr. Sanika Kshirsagar, ND