Dr Laurence Orbuch

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United States
Beverly Hills, CA
Dr Laurence Orbuch

Director of GYN Laparoscopic/Robotic Associates LA. Board Certified. FABAG. Beverly Hills, CA.

02/22/2026

Endometriosis is complex.
Treatment should not be.

Three days of education, advocacy, and evidence-based care.

March 27–29, 2026
Orlando + Virtual Worldwide

Tickets on sale https://theendometriosissummit.com/

02/19/2026

Markers like CRP or ESR may be elevated in some patients, normal in others, and fluctuate over time. This variability is part of why endometriosis is so difficult to measure with a single test.

The absence of elevated markers does not mean the absence of disease or progression.

What inflammation markers can offer is context. When interpreted alongside symptoms, imaging, and clinical history, they help us understand disease activity, systemic involvement, and how a patient’s body is responding over time.

Endometriosis requires pattern recognition, not one data point. Medicine works best when we connect the dots, not when we rely on a single number.

02/16/2026

Informed consent is not a signature on a form.
It is a conversation.

For endometriosis patients, informed consent should include clear explanations of diagnosis uncertainty, treatment options, risks, benefits, and realistic outcomes.

It should address the differences between surgical techniques, the possibility of persistent symptoms, and the long-term nature of the disease.

Patients deserve time to ask questions without feeling rushed or dismissed. They deserve transparency, not reassurance that minimizes their experience.

True informed consent empowers patients to make decisions aligned with their goals, not just the default path offered to them.

Lagyndoc.com

02/12/2026

Implicit bias, disparities in access to specialized care, and outdated assumptions about pain tolerance all contribute to delayed diagnosis.

Women of color are more likely to have their symptoms minimized, attributed to stress, or misdiagnosed as gastrointestinal or psychological conditions.

Research gaps compound the problem. Many studies historically focused on white patient populations, limiting how symptoms are recognized and interpreted across diverse groups.

Pain deserves investigation regardless of who is experiencing it.

Closing the diagnostic gap requires listening better, researching more inclusively, and confronting uncomfortable truths within healthcare systems.

02/09/2026

Honored to join an extraordinary panel at The Endometriosis Summit: Agents of Change on March 29, 2026.

This conversation dives into one of the most misunderstood intersections in pelvic health: IBS, endometriosis, and nerve-related pain and how often they overlap, mask one another, or are misdiagnosed altogether.

I’ll be joined by leading experts across surgery, gastroenterology, pain science, and research to unpack what’s really happening in the body and how a multidisciplinary approach can change outcomes for patients who have been searching for answers for far too long.

This summit is open to patients, surgeons, practitioners, and caregivers because progress happens fastest when knowledge is shared.

Proud to stand alongside fellow agents of change.
Learn more: www.theendometriosissummit.com

02/05/2026

Many patients tell me their pain feels unpredictable or chaotic.

It’s not.

Endometriosis pain does not always follow a neat menstrual pattern. It can fluctuate based on inflammation, nerve involvement, organ irritation, stress, hormonal shifts, and cumulative disease burden.

Tracking symptoms over weeks and months often reveals patterns that are not obvious day to day. These patterns are clinically meaningful and can guide both diagnosis and treatment decisions.

Your body is communicating. The message may be complex, but it is not random.

02/02/2026

A normal ultrasound does not rule out endometriosis.

And this is one of the most common misunderstandings patients encounter.

Endometriosis lesions are often small, flat, or located in areas that imaging cannot easily visualize. Standard ultrasounds are designed to identify structural abnormalities, not microscopic or subtle disease.

Many patients with significant symptoms will have imaging that appears “normal,” especially early in the disease process.

When pain, bowel changes, fatigue, or cyclical symptoms persist despite normal imaging, that information matters. Diagnosis should be guided by clinical history, symptom patterns, and physician expertise, not imaging alone.

Normal tests do not invalidate real symptoms. They simply tell us where to look next.

01/30/2026

You didn’t ignore these symptoms because you didn’t care.

You ignored them because you were told they were normal.

Painful bowel movements.
Leg pain during your cycle.
Nausea that hits on schedule.
Lower back pain.
Fatigue that feels like it lives in your bones.

These aren’t “just part of being a woman.”

They’re signs your body has been trying to get someone’s attention.

If your pain has a pattern, there’s a reason.
Let’s talk about it.

Lagyndoc.com

01/27/2026

“Dr. Orbuch was the first doctor who actually listened. He connected the dots no one else had noticed and finally gave my pain a name. I walked out of his office feeling hopeful for the first time in years.” - Meghan H.

01/23/2026

When people think endometriosis, they think pelvic pain, heavy periods, and cramps that don’t play by the rules. But one of the most overlooked symptoms, the one patients often dismiss for years, is back pain.

Endometriosis can irritate nerves, create inflammation along the pelvic wall, and even involve structures near the lower spine. The result is pain that feels deep, aching, or radiating across the lower back or hips. It’s the kind of pain patients explain away as bad posture, a tough workout, or ‘just getting older.’

Here’s the truth:
If your back pain flares with your cycle, if it’s paired with pelvic pressure, painful periods, bowel changes, or fatigue, it may not be a spine problem at all. It may be endometriosis signaling that something deeper is going on.

Back pain shouldn’t be ignored, minimized, or normalized. It’s a clue, and when we listen to it, we catch endometriosis earlier, treat it better, and bring patients closer to a life that doesn’t revolve around pain.

01/20/2026

Patients often tell me, ‘I’m so confused… what’s the difference between adenomyosis and endometriosis?’

You’re not alone. These two conditions behave like cousins who show up to the same family gathering with very different personalities.
Endometriosis happens when tissue similar to the uterine lining grows outside the uterus. It can affect the pelvis, bowels, diaphragm, even the lungs. It’s known for inflammation, scarring, and pain that doesn’t always match what we see on imaging.

Adenomyosis, on the other hand, occurs when that tissue grows into the muscular wall of the uterus itself. Think of it as the uterus becoming heavier, more tender, and more prone to causing intense cramping, clotting, and prolonged bleeding.

The overlap makes diagnosis tricky. Many patients have both. But here’s the key difference in lived experience:
Adenomyosis often causes a pressure-filled, heavy, dragging pain. Endometriosis often causes a sharp, radiating, inflammatory pain. Both are real. Both deserve treatment. And neither should be brushed off as ‘just bad periods.’

Understanding the distinction isn’t about labels. It’s about getting you the right plan so you can finally feel better.

01/15/2026

The number one question patients ask me is: ‘How do I know if my pain is really endometriosis?

My answer is always the same: your body has been telling the truth long before anyone listened.

Endometriosis isn’t diagnosed by vibes or guesswork. We look at your history, your symptoms, your patterns, and sometimes imaging. But the most important diagnostic tool is this: validation.

If your pain is cyclical, disruptive, worsening, or affecting your daily life, it deserves to be taken seriously. Stop waiting for permission to advocate for yourself. Start documenting your symptoms. Bring your questions.

You’re not “overreacting.” You’re seeking answers. And that’s exactly what you should be doing.

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Beverly Hills, CA
90210

Website

http://lagyndoc.com/

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