Dr. Sadikah Behbehani, MD
A Journey We’ll Take Together
Overview
Phone Number
45-minute online consultation conducted directly with Dr. Behbehani.
Online Consult Available?
Yes
At a glance
Gender
Female
Education
OBGYN residency at McGill Univeristy, Montreal, Canada
REI (reproductive endocrinology and infertility) at McGiill University, Montreal,
Canada
MIGS (Minimally invasive GYN surger) at the Mayo clinic
REI (reproductive endocrinology and infertility) at McGiill University, Montreal,
Canada
MIGS (Minimally invasive GYN surger) at the Mayo clinic
Affiliations
Associate professor at the University of California, Riverside School of Medicine. Founder of the Center for Endometriosis and Fertility
I completed my Endometriosis Fellowship under ___________
Dr. Javier Magrina at the Mayo Clinic
Awards & Recognitions
- Canadian Fertility and Andrology Society Award for Best Research Project, 2016, with travel grant
- Award Winner for Best Clinical Research, Mayo Clinic Academic Excellence Day, 2019
- IRCAD Award for Excellence in Education, AAGL Global Congress, 2019
- Finalist, Jay M. Cooper Endowed Award, AAGL Global Congress, 2020
- Finalist, Golden Laparoscope Award, AAGL Global Congress, 2020
- Finalist, IRCAD Award for Excellence in Education, AAGL Global Congress, 2020
- Award of Excellence for Outstanding Clinical Work, UCR School of Medicine, 2021
- Academic Achievement Award for Research, UCR School of Medicine, 2021
- Award for Outstanding Leadership, UCR School of Medicine, 2022
- JMIG Social Media Scholar Award, AAGL, 2022
- Award Winner for Best Clinical Research, Mayo Clinic Academic Excellence Day, 2019
- IRCAD Award for Excellence in Education, AAGL Global Congress, 2019
- Finalist, Jay M. Cooper Endowed Award, AAGL Global Congress, 2020
- Finalist, Golden Laparoscope Award, AAGL Global Congress, 2020
- Finalist, IRCAD Award for Excellence in Education, AAGL Global Congress, 2020
- Award of Excellence for Outstanding Clinical Work, UCR School of Medicine, 2021
- Academic Achievement Award for Research, UCR School of Medicine, 2021
- Award for Outstanding Leadership, UCR School of Medicine, 2022
- JMIG Social Media Scholar Award, AAGL, 2022
Insurance Accepted
Out of Network but will run out of network benefits with PPO if surgery indicated.
Endometriosis Surgeon Questionnaire
What percentage of your patients have endometriosis?
90
Do you practice obstetrics?
Yes
In 40 words or less, how do you treat endometriosis? How do you approach adhesions?
We treat endometriosis with meticulous excision of visible disease while preserving healthy tissue and surrounding structures. Adhesions are carefully lysed to restore normal pelvic anatomy and mobility, with the goal of reducing pain, improving function, and supporting fertility when desired.
If you excise endometriosis, what is your goal for a sufficient margin size? If you use other methods of removing or destroying endometriosis, how do you approach this and under which circumstances?
Our goal is complete excision of visible endometriosis while preserving healthy tissue and protecting surrounding structures. We do excision with wide margins to ensure we excise microscopic lesions of endometriosis as well. This includes a complete peritonectomy so we can remove the disease with wide margins around it. This removes microscopic endometriosis as well.
On the scale of 1 (less experienced (I rarely treat/ mostly refer out)) to 5 (extremely experienced (the majority of my cases)) how would you rate your current experience level and comfort with stage 3/4 endometriosis and complex cases?
5
What is your opinion regarding GnRH agonists and antagonists? What is your opinion regarding hysterectomies?
We do not routinely use GnRH agonists or antagonists as a long-term treatment for endometriosis or chronic pelvic pain. While these medications can temporarily suppress ovarian hormone production and may reduce symptoms, they do not remove endometriosis lesions or treat the underlying disease.
In our practice, we do use Lupron (a GnRH agonist) for approximately two months after endometriosis excision surgery in selected patients who also have adenomyosis and are preparing for IVF and embryo transfer. In this setting, the goal is temporary hormonal suppression before embryo transfer rather than treatment of the excised endometriosis itself.
Regarding hysterectomy, we do not consider hysterectomy a cure for endometriosis. Endometriosis exists outside the uterus, so removing the uterus does not necessarily remove the disease. However, hysterectomy may be appropriate for carefully selected patients—particularly those with significant adenomyosis, uterine pathology, or persistent uterine-source symptoms who have completed childbearing. When surgery is performed for endometriosis, complete excision of endometriosis should still be addressed independently of whether a hysterectomy is performed.
In our practice, we do use Lupron (a GnRH agonist) for approximately two months after endometriosis excision surgery in selected patients who also have adenomyosis and are preparing for IVF and embryo transfer. In this setting, the goal is temporary hormonal suppression before embryo transfer rather than treatment of the excised endometriosis itself.
Regarding hysterectomy, we do not consider hysterectomy a cure for endometriosis. Endometriosis exists outside the uterus, so removing the uterus does not necessarily remove the disease. However, hysterectomy may be appropriate for carefully selected patients—particularly those with significant adenomyosis, uterine pathology, or persistent uterine-source symptoms who have completed childbearing. When surgery is performed for endometriosis, complete excision of endometriosis should still be addressed independently of whether a hysterectomy is performed.
What is your opinion on using Robotics (ie DaVinci) for the treatment of endometriosis? Do you use it?
Yes. Dr. Behbehani uses the da Vinci robotic surgical system to perform minimally invasive excision surgery for endometriosis. The robot does not perform the surgery independently; it is completely controlled by the surgeon and serves as an advanced surgical tool.
Robotic assistance provides high-definition, magnified 3D visualization and instruments with a greater range of motion than traditional laparoscopic instruments. These features can be particularly helpful when carefully dissecting and excising endometriosis in complex areas of the pelvis, including around the ovaries, ureters, bowel, bladder, pelvic sidewalls, and other delicate structures.
Our focus, however, is not simply on using the robot. The goal of surgery is the thorough identification and excision of endometriosis while preserving healthy tissue and protecting surrounding organs whenever possible. The da Vinci system is the platform Dr. Behbehani uses to accomplish this with enhanced visualization, precision, and control.
It is also important to understand that robotic surgery has not been proven to be universally superior to conventional laparoscopy for endometriosis. Research generally shows similar complication rates, blood loss, and other perioperative outcomes between the two minimally invasive approaches, with robotic procedures sometimes taking longer. Ultimately, the experience and skill of the surgeon in recognizing and excising endometriosis are more important than the specific surgical platform being used.
Robotic assistance provides high-definition, magnified 3D visualization and instruments with a greater range of motion than traditional laparoscopic instruments. These features can be particularly helpful when carefully dissecting and excising endometriosis in complex areas of the pelvis, including around the ovaries, ureters, bowel, bladder, pelvic sidewalls, and other delicate structures.
Our focus, however, is not simply on using the robot. The goal of surgery is the thorough identification and excision of endometriosis while preserving healthy tissue and protecting surrounding organs whenever possible. The da Vinci system is the platform Dr. Behbehani uses to accomplish this with enhanced visualization, precision, and control.
It is also important to understand that robotic surgery has not been proven to be universally superior to conventional laparoscopy for endometriosis. Research generally shows similar complication rates, blood loss, and other perioperative outcomes between the two minimally invasive approaches, with robotic procedures sometimes taking longer. Ultimately, the experience and skill of the surgeon in recognizing and excising endometriosis are more important than the specific surgical platform being used.
Do you work with and/or refer patients to other healthcare providers? If so, which types (e.g. physical therapists, nutritionists, etc.) ?
Yes. We take a multidisciplinary approach and work with or refer patients to pelvic floor physical therapists, nutritionists, gastroenterologists, urologists, acupuncturists, and functional/integrative medicine providers. We also coordinate specialized care for patients with conditions such as MCAS and POTS when appropriate.
How do you approach the following: bowel cases, urinary cases, thoracic cases and any other extragenital cases?
We take a multidisciplinary approach to complex or extragenital endometriosis. For suspected bowel, urinary tract, thoracic, or other organ involvement, we coordinate with appropriate specialists, such as colorectal surgery, urology, or thoracic surgery, to provide comprehensive evaluation and surgical care when needed.
Do you follow up with patients at regular intervals post-operatively? If so, what are your findings?
Yes. We provide postoperative support for 8 weeks, including same-day appointments when needed. All patients have a 2-week visit to assess recovery and review pathology and surgical photographs. Hysterectomy patients also have a 2-month vaginal cuff check. We monitor healing, symptom improvement, quality of life, and address persistent symptoms or additional multidisciplinary needs. Our patients have direct access to our team (front desk, PA, MD) by having their direct phone numbers.
What percentage of your patients require re-surgery? How do you track this?
We counsel patients that endometriosis may recur, with an estimated recurrence risk of approximately 20% over 5 years. However, recurrence of symptoms does not necessarily mean that repeat surgery is required. We track outcomes through postoperative follow-up, symptom assessment, pathology, imaging when indicated, and subsequent surgical findings. We also treat other pain generators through physical therapy, treatment of bowel and bladder function, nerves and muscles.
Do you have any studies, talks, or publications you'd like to share?
Yes
If you'd like to share any of your work, please upload it here
If you'd like to share any of your work online, please link to it here
What are some fun facts about you? Hobbies, interests, family life, languages, etc. that you would like to share to help patients get to know you as a person?
Dr. Behbehani loves to go to the beach, and spend time with her family. Dr. Behbehani speaks multiple languages; French, Arabic, and English. Dr. B is a double board certified surgeon. She studied in Canada before coming to the states and is from Kuwait. My work colleagues and patients are my 2nd family so I love spending time at the office with my team, and taking care of women who need me.
Location
1901 Newport Blvd suite 278, Costa Mesa, CA, USA



