Kathy Kates
Kathy Kates, MSN, FNP-BC
Endometriosis Long Term Care Provider
Summary: Kathy Kates, MSN, FNP-BC, is an Endometriosis Long-Term Care Provider and founder of Pelvic Health Support in Brookline, Massachusetts, a clinical practice focused on restoring quality of life through integrative, evidence-based care for pelvic pain, sexual dysfunction, menopause, and endometriosis. She previously co-founded the Institute for Pelvic Health, where she developed continuing education programs to expand comprehensive pelvic health training for clinicians. Kathy holds a Master of Science in Nursing as a Family Nurse Practitioner from MGH Institute of Health Professions.
Kathy takes a multifactorial, whole-person approach to endometriosis, recognizing that the disease involves hormonal, inflammatory, immune, tissue, and nervous-system mechanisms. Her care may include individualized hormonal and pain management, pelvic floor physical therapy, myofascial and visceral therapies, and treatment of associated conditions such as mast cell activation, dysautonomia, and connective tissue disorders. She works closely with excision surgeons to prepare patients before surgery and provides structured postoperative care focused on healing, pelvic floor rehabilitation, bowel and bladder function, sexual health, symptom management, and long-term recurrence prevention.
Her philosophy is that endometriosis care extends beyond treating lesions alone. By addressing hormones, inflammation, tissue, muscle, and nervous-system sensitization together, Kathy aims to help patients reduce pain, restore function, and improve quality of life over the long term.
City: Brookline, Massachusetts, USA
Visit types: In-Person and Telehealth
Spoken languages: English
Interpreting services for other languages: No
Philosophy of Endometriosis Care: My approach reflects the current consensus that endometriosis is multifactorial. I regard Sampson’s retrograde menstruation theory as the foundational mechanism of lesion formation, but incomplete on its own: refluxed endometrial cells are found in the majority of menstruating women, yet only a subset develop disease. I therefore also ground my approach in the complementary theories – impaired immune clearance and chronic peritoneal inflammation, coelomic metaplasia, stem cell origin (including bone marrow-derived cells, which help explain recurrence after excision), and genetic/epigenetic predisposition. Because the disease is estrogen-dependent, inflammatory, and neuroimmunologic, my treatment model addresses hormones, tissue, and muscle together rather than treating the lesion alone.
Medication: My medication approach is layered to match the layered pathophysiology. Hormonal: continuous combined oral contraceptives or progestins for suppression; GnRH antagonists with add-back therapy for moderate-to-severe or refractory cases; and, in carefully selected refractory cases, aromatase inhibition. Pain and nervous system: NSAIDs for inflammatory flares, neuromodulators (gabapentin, low-dose amitriptyline) for sensitized pain, and low-dose naltrexone for its anti inflammatory and central sensitization effects. When MCAS overlaps, I use mast cell-directed therapy (H1/H2 blockade, cromolyn, ketotifen, microdosing of GLP/GIP). Locally: compounded topical hormones for tissue health: including vaginal estrogen +/- testosterone, neuropathic agents and vestibular or intravaginal onobotulinintoxinA for refractory high-tone dysfunction. For patients with metabolic or weight related comorbidity that is worsening their inflammatory burden and pain, I incorporate microdosed GLP-1/GIP receptor agonists – using low, titrated doses to capture the anti-inflammatory and metabolic benefits while minimizing GI side effects. Medication is always paired with bodywork and PT – drugs quiet the fire; they do not release the tissue.
Pre-surgical care plan: Before surgery, my goals are to decrease inflammation, calm the nervous system and optimize the tissue environment so the patient gets the most from the operation. I treat high-tone pelvic floor dysfunction and central sensitization preoperatively (pelvic floor therapy with myofascial release, visceral manipulation and – when indicated vestibular or intravaginal onobotulinintoxinA) so that postoperative pain is not layered onto a guarded, sensitized pelvis. I optimize the hormonal and inflammatory milieu, stabilize any comorbid mast cell activation, connective tissue disorder, dysautonomia, address bowel and bladder function, and coordinate timing and preoperative instructions with the excision surgeon. Just as importantly, I set expectations: surgery removes tissue, but it does not resolve muscle guarding, fascial restriction, or sensitization – so patients understand pre-surgical work is a crucial part of the overall treatment plan.
Post-surgical care plan: Postoperatively, I see patients early to support healing and prevent the pain cycle from restarting. The plan includes: (1) early hormonal suppression to reduce recurrence, given the estrogen dependent nature of lesions and the stem cell mechanism behind regrowth; (2) graded pelvic floor therapy once the surgeon clears it, to prevent guarding from becoming chronic high-tone dysfunction; (3) myofascial release and visceral mobilization after adequate healing to address adhesions, scar tissue, and fascial restriction, and restore visceral mobility; (4) bowel, bladder, and sexual function rehabilitation; and (5) structured follow-up to catch persistent symptoms early. I integrate the surgeon’s operative findings (disease extent, locations, complications) directly into the ongoing plan.
Magen Price
Magen Price, FNP-BC, MSCP, CSC
Endometriosis Long Term Care Provider
Summary: Magen Price, is a Family Nurse Practitioner and skilled Long-Term Endometriosis Care Provider at Mystic Valley Sexual Wellness in Melrose, Massachusetts. She specializes in individualized, comprehensive care for endometriosis, with particular expertise in hormonal health, menopause, and sexual health. Her approach is evidence-informed and patient-centered, incorporating progestogens and oral contraceptives for endometriosis, as well as individualized hormonal therapy during the menopause transition, including oral micronized progesterone, estradiol, and, when appropriate, testosterone guided by ISSWSH recommendations. Pain management may also include analgesics, vaginal suppositories, and non-pharmacologic modalities.
Magen emphasizes comprehensive support throughout the surgical journey. Before surgery, she focuses on patient education, anticipatory guidance, and ensuring that patients have the appropriate emotional and practical supports in place. When possible, she collaborates closely with surgeons and values established relationships with excision specialists. Following surgery, she takes a hands-on approach to recovery, with particular attention to pain management during the first six months, monitoring for postoperative complications, and supporting patients as they begin pelvic floor physical therapy when appropriate. She also helps manage coexisting conditions, including mast cell activation syndrome and autoimmune disease, which may flare during the postoperative period.
Magen earned her Master of Science in Nursing (MSN) as a Family Nurse Practitioner from Simmons College in Boston in 2013 and her Bachelor of Arts in Biology and Psychology from Boston University in 2009. She is a Certified Family Nurse Practitioner through the American Nurses Credentialing Center (ANCC), a Registered Nurse in Massachusetts, a Menopause Society Certified Practitioner (MSCP), and an AASECT Certified Sex Counselor (CSC) and Approved Continuing Education Provider. Her professional affiliations include the International Society for the Study of Women’s Sexual Health (ISSWSH), where she serves on the Education Committee, as well as AASECT, The Menopause Society, the International Society for Mast Cell Activation Syndromes (ISMCAS), and the American Association of Nurse Practitioners (AANP).
City: Melrose, Massachusetts, USA
Visit types: In-Person and Telehealth
Spoken languages: English
Interpreting services for other languages: No
Philosophy of Endometriosis Care: While we aren’t married to any one theory, the polypotential germ-cell is probably at the forefront of our mind and dictates much of how we approach our patients.
Medication: Our practice is most focused on midlife care (though we have plenty of younger patients as well), so our expertise is really in hormonal treatments. For endometriosis we use progestogens and oral contraceptives, we use oral micronized progesterone, estradiol, and testosterone in the menopause transition (thoughtfully, per ISSWSH guidelines, and depending on the case). We have never needed to prescribe GnRH analogues in our practice. Pain management includes analgesics and vaginal suppositories, as well on non-pharmacologic modalities.
Pre-surgical care plan: Pre-surgery much of our focus is on patient support and anticipatory guidance. We work closely with surgeons (if possible). It is much easier when we have a relationship with their excision specialist. We help ensure supports are in place and all questions are answered.
Post-surgical care plan: Post-surgery we are much more hands-on. We focus on pain management for the first 6 months post-op, help with PFPT support when ready, and monitor for any post-surgical complications. We manage coexisting conditions such as MCAS or autoimmune disease which can flare post-surgery.
Celine Loiselle, OTR
Celine Loiselle, OTR
Celine Loiselle—Endometriosis Physical Therapist
Summary: Celine Loiselle, OTR, is a skilled endometriosis occupational therapist at Pelvic Health and Rehabilitation Center in Lexington, Massachusetts. Celine Loiselle specializes in a whole-person approach to endometriosis care, recognizing the condition’s impact on both physical and mental well-being. Her treatment philosophy integrates evidence-based techniques such as myofascial release, trigger point therapy, visceral mobilization, and soft tissue desensitization to address pain and dysfunction at their source.
Celine Loiselle also incorporates mindfulness education, nutrition and hydration guidance, and Pilates-based therapeutic exercises to support functional recovery and improve daily participation. With a strong foundation in exercise physiology and occupational therapy, she designs individualized care plans that empower patients to better understand their bodies and actively manage their symptoms.
Committed to long-term healing, Celine Loiselle fosters confidence and self-efficacy in her patients, helping them build sustainable strategies for symptom relief and improved quality of life. Her compassionate, patient-centered care ensures a supportive environment where individuals with endometriosis can regain control and thrive.
City: Lexington, Massachusetts, USA
Visit types: Office, Hospital
Spoken languages: English
Interpreting services for other languages: No
Philosophy of Endometriosis Care: I believe endometriosis is a whole-person diagnosis that impacts not only the body, but also the mind. My treatment approach to endometriosis is desensitization of soft tissues, myofascial release, trigger point release, visceral mobilization, mindfulness education, nutrition and hyradation education, and pilates-based therapeutic exercises to reduce the impact of symptoms on participation with daily activities. I want people with endometriosis to feel empowered regarding their diagnosis and confidence with implementation of various strategies for long-term healing and self-management.
What should be known about you and your practice: I have a special interest in trauma-informed and gender-affirming care, and work regularly with trans clients, including those with endometriosis.
Kristin Kennedy, PT, DPT
Kristin Kennedy, PT, DPT
Kristin Kennedy—Endometriosis Physical Therapist
Summary: Kristin Kennedy, PT, DPT, is an experienced endometriosis physical therapist based at Wellest Integrative Health in Boston, MA. Kristin Kennedy offers compassionate, evidence-based care tailored to each patient’s unique needs. With a focus on holistic healing, she integrates techniques such as myofascial release, visceral manipulation, scar tissue mobilization, and cupping therapy into her treatment plans. Her approach supports both symptom relief and long-term wellness by addressing the full-body impact of endometriosis. Her goal is to empower patients with knowledge and strategies to feel more in control of their health and healing journey.
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: Na
What you should know about me: As a Pelvic Physical Therapist specializing in endometriosis care, I utilize a variety of evidence-based techniques, including myofascial release, visceral manipulation, scar mobilization, and cupping therapy as part of a holistic care plan.
Alicia Jeffrey-Thomas, PT, DPT
Alicia Jeffrey-Thomas, PT, DPT
Alicia Jeffrey-Thomas—Endometriosis Physical Therapist
Summary: Alicia Jeffrey-Thomas is a compassionate and skilled endometriosis physical therapist at Wellest Integrative Health in Boston, MA. Alicia Jeffrey-Thomas emphasizes an individualized treatment approach that addresses the whole body, tailoring care to each patient’s unique needs. Her expertise includes combining hands-on visceral and myofascial therapy with effective self-management strategies such as yoga, stretching, mindfulness, and breathing techniques. Alicia also guides patients in the use of pelvic wands and dilators, helping them take an active role in their recovery through personalized home exercise programs. By integrating these therapies, she supports patients in managing symptoms and improving quality of life with warmth and professionalism. Her holistic focus ensures that every patient feels heard, empowered, and cared for throughout their healing journey.
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: I believe in an individualized treatment plan for people with endometriosis, which includes a whole-body assessment. I incorporate yoga/stretching, mindfulness/breathing strategies, and pelvic wands/dilators for self-management strategies and home exercise programs. In the clinic, I focus on visceral and myofascial work to the abdomen, glutes, inner thighs, pelvic floor, etc, as appropriate.
Kimberly Norton, PT, DPT
Kimberly Norton, PT, DPT
Kimberly Norton – Endometriosis Physical Therapist
Summary: Kimberly Norton is a skilled endometriosis physical therapist based in Cambridge, Massachusetts, at Weeks Wellness. With a comprehensive and individualized approach, Kimberly Norton focuses on reducing pelvic pain and improving function through manual therapy techniques like myofascial release and connective tissue mobilization.
Kimberly Norton works closely with each patient to address range of motion, strength, and pelvic floor coordination to support pain-free movement and participation in activities such as yoga or tai chi. She is attentive to the broader health context, recognizing conditions like Ehlers-Danlos syndrome, fibromyalgia, and irritable bowel syndrome, and collaborates with gynecologists, surgeons, nutritionists, and other specialists for holistic care.
Kimberly Norton emphasizes ongoing communication to tailor treatment plans that evolve with patient progress and goals. Patients in Massachusetts trust her thoughtful, whole-person care to manage endometriosis symptoms and enhance their quality of life.
Visit types: Office/Hospital; Virtual
Spoken languages: English
Interpreting services for other languages: No
Philosophy of care and typical treatment strategies: I take a comprehensive and individualized approach to treating patients with endometriosis. I primarily focus on manual therapy using myofascial release and connective tissue mobilization to reduce pain, but also use physical activity to improve a patient’s pain-free function, including addressing any range of motion or strength deficits that are negatively affecting their ability to function. Depending on the patient’s specific needs and goals, we may also be working to manage constipation, reduce pelvic floor muscle tension, or improve their ability to coordinate the muscles around their pelvis in order to improve their ability to participate in appropriate physical activities and reduce symptoms (such as tai chi or yoga). A comprehensive evaluation will help us determine each patient’s specific goals, which we will discuss and update regularly. Treatment includes an ongoing conversation where we review how each previous session went and use that information to plan our new goals and treatment ideas moving forward.
I am mindful of concurring conditions often seen in patients with endometriosis, such as Ehlers Danlos syndrome, fibromyalgia, irritable bowel syndrome, etc. and while I do not treat these specifically as a physical therapist, I understand the impact that these conditions can make as part of the big picture when treating a patient comprehensively and encourage them to seek care with specialists when appropriate. I collaborate with local specialists, including gynecologists, gynecological surgeons, GI, urologists, nutritionists, naturopaths, etc. and believe that we all work together to provide the best care for our patients, addressing all of their needs.
Dr. Antonio Rosario Gargiulo
Dr Antonio Gargiulo MD
Dr Antonio Gargiulo – Endometriosis Specialist, Gynecologist
Summary: Dr Antonio Gargiulo is a leading endometriosis specialist Boston patients trust for expert, compassionate care. As a highly respected gynecologic surgeon based in Boston, MA, Dr Antonio Gargiulo is known for his advanced techniques and individualized approach to treatment. Patients from across the U.S. seek Antonio Gargiulo MD endometriosis care for its innovation, depth, and dedication to whole-person health. Whether you’re searching for a highly experienced endometriosis specialist in Boston or have been referred to Doctor Gargiulo by another provider, his reputation for excellence and holistic, evidence-based care sets him apart.
While the exact causes of endometriosis are still under investigation, Dr Antonio Gargiulo supports the theory of a polypotential germ-cell origin. In clinical settings, Doctor Gargiulo often begins treatment with FDA-approved progestins and NSAIDs, reserving GnRHa primarily for patients with adenomyosis preparing for IVF. His thoughtful, personalized strategies help patients manage symptoms while minimizing unnecessary interventions.
When facing chronic or complex pelvic pain, Antonio Gargiulo MD endometriosis care expands well beyond standard gynecological evaluations. Doctor Gargiulo integrates comprehensive assessments across specialties, including urology, gastrointestinal, neuro-orthopedic, rheumatology, and mental health domains. His approach ensures coexisting or overlooked conditions are addressed, and that issues such as adhesions or hernias are not missed. Physical therapy and regular follow-ups are also central to his long-term treatment plans.
With unmatched expertise and a commitment to multidisciplinary, compassionate care, Dr Antonio Gargiulo remains a leading name in the field. As a trusted endometriosis specialist Boston patients rely on, Doctor Gargiulo continues to provide clarity, relief, and lasting solutions in the often misunderstood world of endometriosis.
City: Boston, MA, USA
Philosophy: Etiology is yet unclear. Polypotential germ-cell origin is a promising hypothesis.
Medication: My first line is FDA-approved progestins and NSAIDs. I use GnRHa exclusively for adenomyosis patients in the setting of IVF.
Approach to Persistent Pain: Expanding diagnostic approach (uro, GI, neuro/ortho, rheumatology, psyche). Expanding physical therapy approach. Clinical reevaluation for possible residual disease or iatrogenic disease (hernia, adhesions). Pain service.
