PRM Opens a Center of Excellence for Endometriosis and Pelvic Pain Care in San Antonio, TX

Pelvic Rehabilitation Medicine has officially opened its San Antonio Center of Excellence, bringing specialized, physician-led care for endometriosis, adenomyosis, and chronic pelvic pain to patients across San Antonio and South Texas. For too long, patients in the region have had to choose between traveling hundreds of miles for a specialist, settling for fragmented care, or going without answers entirely. That changes now.

What the San Antonio Center of Excellence Offers

The PRM Center of Excellence model is built around one core belief: endometriosis and chronic pelvic pain are whole-body, lifelong conditions that require more than a single procedure or appointment. PRM’s San Antonio location brings together surgical care and long-term non-surgical management under one coordinated team, so patients are never left navigating their care alone.

Treatment at the San Antonio location includes advanced diagnostic evaluation, ultrasound-guided pelvic pain treatments, hormonal and inflammation management, pelvic floor physical therapy coordination, endometriosis excision surgery when appropriate, and structured pre-operative and post-operative care. Patients with endometriosis, adenomyosis, painful periods, pelvic floor dysfunction, bladder pain, bowel pain, pudendal neuralgia, pain with intercourse, and post-surgical pelvic pain are all candidates for care at this location.

Many patients who come to PRM have already seen multiple providers without relief. PRM’s approach is different because the care does not stop after a single intervention. The goal is to reduce the time patients spend suffering, and to build a long-term plan that supports them through every stage of their condition.

Meet the Providers Leading the San Antonio Center

Sonia Koshy, MD — Endometriosis Excision Surgeon

Dr. Sonia Koshy is a fellowship-trained minimally invasive gynecologic surgeon and endometriosis excision specialist leading the surgical program at PRM San Antonio. Her approach centers on understanding the full picture of a patient’s symptoms before recommending surgery, using pain mapping exams and imaging to guide treatment decisions. When surgery is indicated, Dr. Koshy performs precise excision to remove disease at the root rather than treating symptoms on the surface. She is trained in the PRM Protocol™, which integrates surgical treatment with long-term pelvic pain and inflammation management to improve outcomes and reduce symptom recurrence. Her philosophy is that surgery alone is not a complete plan.

Tiffany Gomez, MSN, APRN, FNP-C — Pelvic Pain Specialist

Tiffany Gomez, MSN, APRN, FNP-C is a Family Nurse Practitioner specializing in women’s health, hormonal care, and chronic pelvic pain management. Tiffany brings extensive experience in women’s health, hormonal management, and complex gynecologic care to the San Antonio team. Her focus is on identifying and addressing the hormonal and inflammatory contributors to pelvic pain, and she is passionate about supporting patients who have spent years feeling dismissed or undertreated. Tiffany coordinates multidisciplinary care and provides long-term symptom management alongside the surgical team.

Who This Location Is For

The PRM San Antonio Center of Excellence is for patients who are looking for an endometriosis specialist in San Antonio, TX, who are searching for pelvic pain treatment after years without answers, who have suspected or confirmed endometriosis or adenomyosis, who have ongoing pain following prior surgery, or who want a long-term treatment plan rather than temporary relief. Patients do not need a referral in most cases.

PRM regularly treats patients from San Antonio, Austin, Houston, Dallas, and across South Texas. If you are traveling from outside the city, the PRM team can help coordinate your care.

What Makes PRM Different

PRM’s PRM Protocol™ addresses endometriosis and chronic pelvic pain through a structured, multidisciplinary model that includes inflammation reduction, pelvic floor dysfunction treatment, nerve-related pelvic pain treatment, surgical care when appropriate, and structured recovery and long-term follow-up. The goal is not just to get a patient through a procedure. The goal is to help patients reduce pain, improve function, and avoid repeated surgeries wherever possible.

Specialized care matters. Patients who have been told their pain is normal deserve providers who know otherwise.

Frequently Asked Questions — Endometriosis Specialist San Antonio, TX

Is there an endometriosis specialist in San Antonio, TX?

Yes. PRM’s San Antonio Center of Excellence specializes in endometriosis, adenomyosis, and chronic pelvic pain, offering both surgical and non-surgical treatment options led by experienced, fellowship-trained providers.

Does PRM offer endometriosis excision surgery in San Antonio?

Yes. Dr. Sonia Koshy performs expert endometriosis excision surgery in San Antonio. Surgery is recommended only when clinically appropriate and is paired with long-term care through the PRM Protocol™.

Do I need a referral to see a pelvic pain specialist in San Antonio?

In most cases, no referral is required. Patients can request an appointment directly.

What conditions does PRM treat in San Antonio?

PRM treats endometriosis, adenomyosis, chronic pelvic pain, painful periods, pelvic floor dysfunction, bladder pain, bowel pain, pudendal neuralgia, and related pelvic pain conditions.

Can I travel to San Antonio for treatment?

Yes. PRM treats patients from across Texas and surrounding states who travel for specialized endometriosis and pelvic pain care. The team can help coordinate care for out-of-city patients.

Schedule a Consultation at PRM San Antonio

The PRM San Antonio Center of Excellence is now open and accepting new patients. Request an appointment today, or join the San Antonio interest list to receive updates on providers, services, and scheduling.

Pain is never normal. The pain stops here.