Meet Your PRM San Antonio Care Team
PRM San Antonio is officially open, bringing specialized endometriosis and chronic pelvic pain care to South Texas for the first time. It’s a new frontier for endo care in the region — and for patients who’ve struggled to find anyone who takes their pain seriously, that matters.
Here’s an introduction to the providers who make up your new San Antonio care team.
Currently Seeing Patients
See our full list of providers across all PRM locations.
Sonia Koshy, DO
Gynecologic Surgeon & Endometriosis Excision Specialist
Dr. Sonia Koshy is a fellowship-trained minimally invasive gynecologic surgeon and endometriosis excision specialist who provides individualized care for patients with complex pelvic pain conditions. She combines advanced surgical expertise with a patient-centered approach, prioritizing fertility preservation whenever possible and working closely with each patient to develop a personalized treatment plan.
Areas of focus:
- Endometriosis diagnosis and excision surgery
- Chronic pelvic pain
- Minimally invasive gynecologic surgery
- Complex gynecologic conditions
- Advanced pelvic pain mapping and imaging
- Fertility preservation
- Fibroids
- Multidisciplinary pelvic pain care
- Personalized surgical treatment planning
- Long-term recovery and pelvic health management
Book an appointment with Dr. Koshy →
Tiffany Gomez, MSN, APRN, FNP-C
Pelvic Pain Specialist
Tiffany Gomez is a Pelvic Pain Specialist with extensive experience in women’s health, hormonal care, and chronic pelvic pain. She is passionate about helping patients feel heard, believed, and empowered while delivering evidence-based, personalized care.
Areas of focus:
Book an appointment with Tiffany →
Why We Opened in San Antonio
Patients across South Texas have historically had to travel out of state for specialized excision surgery and pelvic pain care. PRM San Antonio changes that — and as the team grows, so does appointment availability, wait times, and the range of expertise available close to home.
Conditions We Treat
Our San Antonio team evaluates and treats a wide range of pelvic pain conditions, including:
- Endometriosis
- Adenomyosis
- Pelvic floor dysfunction
- Interstitial cystitis / bladder pain syndrome
- Pudendal neuralgia
- Vaginismus
- Vulvodynia
- Chronic pelvic pain
- Levator ani syndrome
- Chronic pelvic pain syndrome (CPPS) in men
Ready to Learn More?
This is a new chapter for pelvic pain care in San Antonio. Whether you’re looking for a diagnosis, a second opinion, or a plan that finally makes sense, our team is here for it.
We hear you. We see you. We believe you.
Frequently Asked Questions
In most cases, no, patients can request an appointment directly with the San Antonio team without a referral.
What’s the difference between a gynecologic surgeon and a pelvic pain specialist on this team? Surgeons are fellowship-trained physicians who perform endometriosis excision and other advanced gynecologic surgery when it’s needed. Pelvic pain specialists focus on non-surgical evaluation and treatment — including the PRM Protocol™ — and often work alongside surgeons before and after surgery. Many patients see both.
What happens at a first appointment? A comprehensive, unhurried evaluation — your provider reviews your health history and prior treatment, listens to your symptoms in detail, and performs a physical exam to help identify what’s contributing to your pain, then walks you through a personalized plan.
Does PRM San Antonio offer non-surgical treatment, or is surgery always required? Both. Not every patient needs surgery — the San Antonio team offers non-surgical options alongside advanced excision surgery, and helps you figure out which fits your symptoms and goals.
I’ve already had surgery or treatment elsewhere and I’m still in pain — can PRM San Antonio help? Yes. Many patients come to PRM after previous treatment hasn’t fully resolved their symptoms. The team specializes in complex, previously-treated cases.
Does PRM San Antonio accept my insurance? PRM works with a range of insurance plans — visit PRM’s insurance page or contact the San Antonio office directly to confirm coverage before your visit.
Surgeons are fellowship-trained physicians who perform endometriosis excision and other advanced gynecologic surgery when it’s needed. Pelvic pain specialists focus on non-surgical evaluation and treatment, including the PRM Protocol™, and often work alongside surgeons before and after surgery. Many patients see both.
A comprehensive, unhurried evaluation, your provider reviews your health history and prior treatment, listens to your symptoms in detail, and performs a physical exam to help identify what’s contributing to your pain, then walks you through a personalized plan.
Both. Not every patient needs surgery, the San Antonio team offers non-surgical options alongside advanced excision surgery, and helps you figure out which fits your symptoms and goals.
Yes. Many patients come to PRM after previous treatment hasn’t fully resolved their symptoms. The team specializes in complex, previously-treated cases.
PRM works with a range of insurance plans, visit PRM’s insurance page or contact the San Antonio office directly to confirm coverage before your visit.
