Dr. Alexander Kopelman

Dr. Alexander Kopelman – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist

Summary:

Dr. Alexander Kopelman is a highly regarded endometriosis specialist based in São Paulo, Brazil, practicing at Clínica Evince. He provides comprehensive, patient-centered care for individuals with endometriosis and complex pelvic pain, combining advanced diagnostics, minimally invasive techniques, and individualized treatment plans focused on long-term symptom relief, fertility preservation, and quality of life. Dr. Kopelman specializes in excision surgery for endometriosis, emphasizing the precise and complete removal of disease through advanced gynecologic endoscopy techniques.

Dr. Kopelman’s philosophy of endometriosis care is based on the retrograde menstruation theory described by John A. Sampson. For patients who are not actively trying to conceive, he commonly recommends hormonal management as the first step in treatment, including combined oral contraceptives, progesterone-only medications, and progesterone-releasing intrauterine devices for appropriately selected patients. He generally avoids intrauterine devices in patients with ovarian endometriomas due to the increased risk of recurrence. When symptoms persist after approximately three months of medical therapy, Dr. Kopelman recommends surgical treatment. For patients experiencing persistent pain after surgery, he utilizes a multidisciplinary approach that may include pelvic floor and myofascial physical therapy, evaluation for central sensitization with pain specialists, and assessment for associated gastrointestinal conditions in collaboration with gastroenterologists when needed.

Dr. Alexander Kopelman earned his Doctor of Medicine degree from Federal University of São Paulo in 2001, followed by a Medical Residency in Gynecology and Obstetrics at UNIFESP/EPM in 2004. He later completed a Master of Science in Gynecology in 2008 and a PhD in Gynecology in 2015 at UNIFESP/EPM. Dr. Kopelman also holds specialist certifications in Gynecology and Obstetrics (TEGO), Gynecologic Endoscopy, and Assisted Reproduction through FEBRASGO/AMB, further supporting his expertise in advanced endometriosis and reproductive care.

Philosophy of Endometriosis Care: Sampson’s theory

What type of surgery do you perform for endometriosis: Excision

Medication: The pharmacological treatment for endometriosis that I usually use in the clinic is hormonal treatment. In our environment, there is difficulty in having GNRH agonists or antagonists or other medications to control symptoms. Another type of treatment that uses clinical practice is the use of antioxidants such as vitamin C and vitamin E. Also, the use of probiotics given some of the theories of endometriosis’ gastrointestinal origin.