Endometriosis Care

Whole-body support for a condition that deserves answers, not Band-Aids.

Have you ever said this to yourself?

“I’m afraid to make plans.”

“I’m exhausted from explaining my disease.”

“I don’t want to be seen as unreliable.”

“I wonder what my life would be like if I wasn’t in pain.” 

We created this clinic for you! Endometriosis affects 1 in 10 women worldwide. You are not alone and we can’t wait for you to turn your pain to purpose so you can thrive

You Deserve to Be Believed.

If you have spent years being told your pain is normal, that your symptoms are exaggerated, or that nothing more can be done, we want you to know something before you read another word.

We see you. We believe you. And at Foreviva Medical, we are here to help you reclaim your health, your energy, and the quality of life you deserve.

Endometriosis affects an estimated one in ten women of reproductive age worldwide, yet the average time to diagnosis still stretches between seven and ten years. During those years, many women endure a cycle of emergency room visits, inconclusive imaging, dismissed symptoms, and prescriptions that mask pain without addressing its cause. That experience is exhausting, demoralizing, and medically unacceptable.

At Foreviva, we take a fundamentally different approach. Under the care of Dr. Joelle Osias, MD, Gynecologist and Medical Director, our clinic treats endometriosis as the complex, systemic, whole-body disease it truly is. We work in close collaboration with the world-renowned Nezhat surgeons through the EndoMarch organization and the Camran Nezhat Institute for Minimally Invasive and Robotic Surgery, providing comprehensive pre-operative optimization and long-term post-surgical care that extends well beyond the operating room. 

Where Are You in Your Journey?

Start here and find your personalized path through the Foreviva Recovery Roadmap.

I think I may have endometriosis

I need testing to confirm

I want to find my community

I am exploring treatment options

I am considering surgery

I am maintaining my life with endo

I need hormone or menopause support

I am preparing for pregnancy

A Sanctuary of Hope.

Every woman deserves to feel seen, heard, and guided through her healing journey. From the youngest teen navigating a new diagnosis to the woman reclaiming her vitality at 75.

Foreviva is that sanctuary.

Your Journey at Foreviva

We have designed every step of the patient experience to feel supportive, clear, and personal.

01

First Contact

Within 24 to 48 hours of your referral or inquiry, our concierge manager personally contacts you to schedule a virtual or in-person consultation with Dr. Osias. You receive a detailed welcome packet outlining the process from start to finish, so you feel informed and confident before your first appointment.

02

Consultation and Labs

Dr. Osias conducts a thorough review of your history, symptoms, prior treatments, and goals. Comprehensive labs are ordered to assess inflammatory, hormonal, metabolic, and longevity markers. Once results are reviewed, you receive a personalized treatment plan tailored specifically to you.

03

Ongoing Treatment and Delivery

We partner with a specialized pharmacy network that delivers GLP-1 medications and peptide therapies directly to your door. We also maintain exclusive partnerships with premium supplement brands to ensure quality, safety, and effectiveness in every product we recommend.

We Treat Endometriosis Differently

We integrate traditional medicine, repurposed drugs, and functional approaches to identify and address the interconnected pathways that drive inflammation, hormonal imbalance, metabolic dysfunction, and immune dysregulation. Our goal is to shift the internal environment that sustains disease and help your body heal from the inside out.

Comprehensive Lab Testing

We go far beyond standard bloodwork. Dr. Osias orders extensive panels covering inflammatory markers, full hormonal profiles, gut health, metabolic function, and longevity biomarkers. These results create a detailed, objective map of what is happening inside your body and guide every decision we make.

Inflammation Reduction

Chronic inflammation is the engine driving endometriosis. We use targeted supplementation, dietary guidance, and advanced peptide therapies including BPC-157, Thymosin Alpha-1, TB-500, and GHK-Cu to calm inflammatory pathways at the cellular level and create an environment less hospitable to disease progression.

Hormonal Optimization

Endometriosis is estrogen-dependent, but balancing hormones for endo is not as simple as suppressing estrogen. Through our Bio-Identical Hormone Therapy program, we restore hormonal equilibrium using plant-derived hormones that support mood stability, sleep quality, energy, and metabolic function.

Metabolic Support and GLP-1 Therapy

Insulin resistance and metabolic dysfunction are common in endometriosis and compound the inflammatory burden. GLP-1 therapy improves insulin sensitivity, reduces inflammatory visceral fat, stabilizes blood sugar fluctuations, and supports a healthier metabolic baseline. We treat metabolic health as a foundational pillar of disease management, not a cosmetic concern.

Gut Health and the Endo-Microbiome Connection

An imbalanced gut microbiome can increase circulating estrogen and amplify inflammatory signaling. Many endo patients are misdiagnosed with IBS before they reach us. We evaluate gut health as part of every workup and incorporate probiotic protocols, dietary modifications, and BPC-157 peptide support to restore microbial balance and reduce systemic inflammation.

Nervous System Regulation

Chronic pain rewires the nervous system. Endometriosis can cause central sensitization, where the nervous system amplifies minor pain signals, which is why pain often persists even after successful surgery. We address nervous system regulation in every treatment plan through supplementation, lifestyle counseling, and therapies that support vagal tone and parasympathetic function.

Hope begins when someone finally listens.

— Dr. Camran Nezhat

Hope begins when someone finally listens.

— Dr. Camran Nezhat

I think I may have endometriosis

I need testing to confirm

I want to find my community

I am exploring treatment and pre-care

I am considering surgery

I am maintaining my life with endo

I need hormone or menopause support

I am preparing for pregnancy

Pre-Surgical Optimization and Post-Surgical Recovery

We have designed every step of the patient experience to feel supportive, clear, and personal.

Before Surgery

Preparing Your Body for Surgery

In the weeks and months leading up to excision surgery, we work to reduce your inflammatory burden, stabilize your hormonal environment, optimize your nutritional status, and support your immune function. A well-prepared body enters surgery in the strongest possible condition, which is associated with improved outcomes, fewer complications, and faster recovery.

Pre-surgical protocols may include: peptide therapy, IV therapy for deep hydration and nutrient replenishment, vitamin injections, hormone balancing, and anti-inflammatory dietary strategies. 

After Surgery

Long-Term Post-Surgical Care

Surgery removes visible disease, but it does not address the underlying inflammatory and immunologic patterns that allowed endometriosis to develop. Without ongoing support, recurrence rates remain significant.

After surgery, Foreviva becomes your long-term maintenance and recovery partner. We guide healing with continued anti-inflammatory support, hormonal optimization, gut restoration, and metabolic stability. Our goal is to maintain the progress achieved through surgery and prevent the conditions that lead to recurrence.

This is not a six-week follow-up plan. It is a sustained partnership in your long-term health.

There is a place for surgery in endometriosis care, and we deeply respect the surgeons who perform it. Our role is to complement their work by making sure your body is as prepared as possible going in, and as supported as possible coming out.

Complementary Therapies for Endometriosis Patients

Endometriosis affects the whole body, and our treatment approach reflects that reality. Depending on your individual needs, your care plan may include any of the following supportive therapies.

IV Therapy

Delivers deep hydration, antioxidants, and essential nutrients directly into the bloodstream for immediate cellular support.

Vitamin Injections

Corrects common deficiencies in B12, vitamin D, and magnesium that contribute to fatigue, mood instability, and impaired healing in women with chronic inflammatory conditions.

Bio-Identical Hormone Therapy

Restores hormonal balance with precision, addressing the estrogen dominance and progesterone insufficiency that frequently accompany endometriosis.

Peptide Therapy and GLP-1

Targets cellular repair, immune modulation, and inflammation reduction at the molecular level.

Gynecology and Well Woman Visits

Ensures ongoing monitoring of your reproductive health, hormonal status, and overall wellbeing within a practice that truly understands your condition.

Why Choose Foreviva for Endometriosis Care

At Foreviva we know you deserve more than quick fixes and temporary solutions. At Foreviva, we prioritize lasting health, restored quality of life, and whole-person healing. You deserve to be heard. You deserve answers. You deserve a team that never stops searching for them. You deserve hope.

Our commitment to you includes:

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You Are Not Alone in This.

Living with endometriosis can feel isolating. The invisible nature of the disease, the years of misdiagnosis, the skepticism from providers who should have listened. All of it takes a toll that goes beyond the physical.

At Foreviva Medical in Menlo Park and Mountain View, we exist to change that experience. We offer the warmth, expertise, innovation, and partnership that women with endometriosis have been missing. Your pain is real. Your experience matters. And there is a path forward.

Podcast

Peptalk: Peptides Unpacked Masterclass

Explore how personalized medicine, peptide education, and root-cause care are changing the conversation around endometriosis, PCOS, and the future of women’s health.

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