Dr. Guilherme Karam
Dr. Guilherme Karam, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Fábio Morozetti Ramajo
Dr. Fábio Morozetti Ramajo, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Filipe Vieira Kwiatkowski
Dr. Filipe Vieira Kwiatkowski, Endometriosis Specialist
City: Pelotas, Rio Grande do Sul, Brazil
Philosophy of Endometriosis Care: Retrograde Menstruation and Mullerian Theory
What type of surgery do you perform for endometriosis: Excision
Medication: Nonsteroidal anti-inflammatory drugs and analgesics in addition to estrogen blockers
Approach to Persistent Pain After Surgery: Pelvic physiotherapy is associated with an anti-inflammatory diet and, in some cases, the use of centrally acting medications, such as pregabalin and duloxetine, for example.
Dr. Igor Chiminacio
Dr. Igor Chiminacio, Endometriosis Specialist
City: Sao Paulo, Brazil
Philosophy of Endometriosis Care: I really believe in the embryological origin of endometriosis, especially the Mullerian remanent theory lá.
What type of surgery do you perform for endometriosis: Excision
Medication: Gnrh post-operative for patients who are also suffering from adenomyosis.
Approach to Persistent Pain After Surgery: Identify and treat adenomyosis concomitant
Dr. Marcos Travessa
Dr. Marcos Travessa, Endometriosis Specialist
City: Bahia, Brazil
Philosophy of Endometriosis Care: David Redwine’s embryological (Mullerian) theory
What type of surgery do you perform for endometriosis: Excision
Medication: Contraceptives in their various routes of administration, non-steroidal anti-inflammatory drugs, medication for the treatment of chronic pain (tricyclic antidepressants; pregabalin; gabapentin), analgesics avoiding morphine derivatives. Contraceptives in patients without contraindications and without the desire to become pregnant. Analgesics and NSAIDs in patients with pain refractory to the use of contraceptives and medications for chronic pain in patients with endometriosis with some degree of chronic pain.
Approach to Persistent Pain After Surgery: Nutritional therapy, pelvic physiotherapy, pain specialists, contraceptives, and analgesics, among other options.
Dr. Marcelo Lontra
Dr. Marcelo Lontra, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Porto Alegre, Brazil
Philosophy:
Endometrial stem cell recruitment theory
Bone marrow–derived stem cell theory
Molecular genetic changes in endometriosis
Epigenetic and microrna alterations in endometriosis
What type of surgery do you perform for endometriosis?:
Excision
Medication:
Progestins for pain;Dienogest Dienogest;2mg per day
Aromatase inhibitors for reduce pain, intestinal symptoms, urinary symptoms and
decrease the volume of laparoscopically visible endometriosis.
Gonadotropin Releasing Hormones (GnRH) antagonists for pain
Approach to Persistent Pain After Surgery:
Dr. Patrick Bellelis
Patrick Bellelis, M.D., Endometriosis Specialist, Minimally Invasive Gynecologic Surgeon.
City: São Paulo, Brazil.
Philosophy: Genetics and epigenetics
Medication: Oral contraceptive pills for symptom control
Approach to Persistent Pain: Evaluate other causes of pain and associate them with pelvic physiotherapy and adequate diet
Dr. William Kondo
William Kondo M.D.
William Kondo M.D.- Endometriosis Specialist, Gynecologist, and Laparoscopic Surgeon.
Summary: Dr William Kondo M.D. is a trusted endometriosis specialist and urogynecologist based in Tijuana, Baja California, Mexico, with more than 30 years of experience helping patients find relief through advanced endometriosis treatment. He is known for his compassionate approach and deep understanding of how complex and life-disrupting this condition can be.
Dr Kondo sees endometriosis as a multifactorial disease influenced by genetics, hormones, and immune function. His treatment plans are tailored to each patient, often combining hormonal therapy with lifestyle support. For those dealing with ongoing pain after surgery, he integrates physical therapy, pain management, and holistic options like nutrition and acupuncture.
As a VideoVetted surgeon on iCareBetter, Dr Kondo is especially skilled in excision surgery for complex cases, including pelvic, bowel, bladder, and urinary endometriosis.
City: Tijuana, Baja California, Mexico
Philosophy: Endometriosis is a multifactorial disease. Hereditary predisposition (immune dysfunction apoptosis suppression), genetics, and epigenetics associated with hormones, menstruation, ovulation, dioxines, oxidative stress and inflammation are important factors that contribute to the pathophysiology and pathogenesis of endometriosis.
Medication: Usually I use combined oral contraceptives and progestins for the treatment of most women with endometriosis not desiring pregnancy. In some specific cases, we may use GnRH analogues or gestrinone, especially for those women who are not responsive to conventional treatment.
Approach to Persistent Pain: For persistent pain after surgery, if the surgery was complete we try to start clinical treatment for those women not desiring pregnancy (oral contraceptives or progestins in order to try do induce amenorrhea and ovulation suppression). In those cases of persistent pain, it is very important to have physical therapy to treat myofascial pain, and also some other treatments may play an important role (pain medications, physical activity, acupuncture, nutrition, etc).
