Dr. Madhu Bagaria, MD

Dr Madhu Bagaria, MD, Endometriosis Specialist

Summary: Dr Madhu Bagaria is a board-trained endometriosis specialist provides comprehensive, evidence-based care for patients with complex and persistent endometriosis. Affiliated with Hoboken University Hospital and The Jersey City Medical Center, Dr. Bagaria takes a highly individualized, patient-centered approach grounded in the understanding that endometriosis is a heterogeneous, multi-origin disease rather than a condition explained by a single theory.

Specializing in excision surgery for endometriosis, Dr. Madhu Bagaria focuses on complete removal of disease while recognizing that endometriosis-related pain is often multifactorial. Care is informed by advanced scientific models including neuroimmunological dysfunction, genetic predisposition, embryonic rest theory, coelomic metaplasia, immune-mediated inflammation, and central sensitization. Careful listening, detailed physical examination, and thoughtful clinical assessment are core to every treatment plan.

Treatment emphasizes a multimodal, non-opioid approach. Hormonal management commonly includes combined oral contraceptive pills and the levonorgestrel (Mirena) IUD, particularly after excision surgery to reduce recurrence and manage coexisting adenomyosis. GnRH agonists and antagonists are used selectively rather than routinely. For persistent or complex pain after surgery, care may include NSAIDs, acetaminophen, neuropathic pain agents, low-dose naltrexone (LDN), pelvic floor physical therapy, and pelvic floor botulinum toxin injections when indicated.

Dr. Bagaria completed medical training at Lady Hardinge Medical College, University of New Delhi, New Delhi, India , followed by residency training in Obstetrics and Gynecology at University College of Medical Sciences in New Delhi, India, and Henry Ford Hospital & Wayne State University in Detroit, Michigan. With extensive international training and a focus on advanced endometriosis care, this specialist serves patients seeking expert excision surgery and compassionate, long-term management of endometriosis in New York City.

City: New York, New York,  USA

Philosophy of Endometriosis Care: My approach to the treatment of endometriosis is grounded in the understanding that endometriosis is a multi-origin, heterogeneous disease, rather than a condition explained by a single theory. While retrograde menstruation may contribute in some patients, it clearly has significant limitations and does not explain endometriosis in premenarchal girls, cisgender men, or patients who develop disease after hysterectomy. My care philosophy is informed by multiple scientific theories of origin, including neuroimmunological dysfunction, coelomic metaplasia, embryonic rest theory, hematogenous and lymphatic spread, stem cell involvement, and genetic predisposition. I also recognize that endometriosis may, in part, be immune-mediated, with abnormal inflammatory and pain-processing pathways contributing to disease persistence and symptom severity. Because of this complexity, I believe that pain in endometriosis is often multifactorial. It may arise not only from active lesions, but also from central sensitization, pelvic floor dysfunction, neuropathic pain, adenomyosis, and overlapping pain syndromes. As a result, listening carefully to the patient’s experience and performing a thoughtful, detailed examination are just as important as imaging or surgical findings.

What type of surgery do you perform for endometriosis: Excision

Medication: I incorporate medications as part of a multimodal, patient-centered treatment strategy, using them to support symptom control rather than as curative therapy. For hormonal management, I primarily use combined oral contraceptive pills (OCPs) and the levonorgestrel (Mirena) IUD, most often after excision surgery to reduce recurrence and manage coexisting adenomyosis. Therapy is individualized based on patient goals, fertility plans, and prior response. I generally avoid routine use of GnRH agonists or antagonists, reserving them for select cases.