Archives

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5 years ago

Dr. Ken Sinervo

Dr Ken Sinervo, M.D., M.Sc, F.R.C.S.C., A.C.G.E.
Medical Director, Center for Endometriosis Care
Gynecology & Minimal Invasive Surgery

Endometriosis Specialist.

Summary: Dr Ken Sinervo, M.D., M.Sc., F.R.C.S.C., A.C.G.E., is a globally recognized leader in the treatment of endometriosis and the Medical Director of the Center for Endometriosis Care in Atlanta GA. With decades of experience, Dr. Ken Sinervo is renowned for his expertise in minimally invasive excision surgery and his compassionate, patient-focused approach. Patients from around the world travel to see Dr Ken Sinervo Atlanta GA for advanced care that addresses the full complexity of this challenging condition. As a leading expert in the field, Ken Sinervo gynecology services are known for combining surgical precision with a deep understanding of chronic pelvic pain and reproductive health. Whether patients are newly diagnosed or have struggled with endometriosis for years, Dr Ken Sinervo offers hope through highly individualized treatment. His reputation for excellence continues to make Dr Ken Sinervo Atlanta GA a trusted destination for those seeking specialized care. With a strong foundation in evidence-based medicine, Ken Sinervo gynecology expertise reflects a commitment to both innovative treatment and long-term patient support.

City: Atlanta, GA, USA.

Dr. Ken Sinervo is a world-renowned expert in the excision of endometriosis and multidisciplinary care of the disease. A humble, compassionate surgeon who truly cares for his patients, he has won countless awards for his dedicated service and is known to always go above and beyond for those in his care.

Philosophy: Endometriosis can likely be ascribed to embryologic origins as upheld by Redwine’s Mülleriosis theory, which suggests that the disease is created following abnormal differentiation of the Müllerian duct system during embryogenesis and later triggered by varied mechanisms.

Medication: When patient has chosen the option based on their specific circumstances and indications; LNR-IUS for adenomyosis, short-term ovulation suppression (3-6 immediately post-operatively) with either continuous low dose contraceptives or progestins such as norethindrone. Narcotics/pain medication as needed/appropriate.

Approach to Persistent Pain: Re-assessment of potential causes of pain. Pelvic floor PT where needed. Pain management where needed – trigger point injections, nerve blocks, medication. If need for narcotics, and have had appropriate referrals to other specialists where necessary, then we would consider another laparoscopy. Happens less than 10-15% of the time.

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5 years ago

Dr. Andrea Vidali MD

Dr. Andrea Vidali, M.D

Endometriosis Specialist, Obstetrics & Gynecology / General Obstetrics & Gynecology, Reproductive Endocrinology

Summary: Dr Andrea Vidali MD is a highly regarded endometriosis specialist and reproductive endocrinologist based in New York, NY, USA. Known for his expertise and compassionate approach, Dr Vidali offers comprehensive care for patients dealing with complex endometriosis cases. His practice attracts individuals from both the New York City area and beyond, especially those searching for a trusted expert like Andrea Vidali NYC. What makes Dr Andrea Vidali endometriosis treatment unique is his focus on combining excision surgery with targeted medical therapies, such as progestins and IUDs. This approach not only helps control bleeding but also addresses related conditions that often go untreated. His methods are especially effective for patients who haven’t responded well to hormonal therapy alone.

In addition to his surgical skill, Dr Vidali emphasizes the importance of personalized, long-term care. Every patient receives a tailored recovery plan that may include physical therapy and collaboration with physiatrists to help manage persistent pelvic pain. This ongoing support is a key part of the experience with Dr Andrea Vidali MD, who believes that successful treatment doesn’t end in the operating room.

Many patients turn to Dr Andrea Vidali MD not just for his medical knowledge, but for his commitment to improving their overall quality of life. Whether you’re local to New York or researching providers like Andrea Vidali NYC from across the country, his integrative approach to endometriosis makes him a leading choice in the field. It’s no surprise that Dr Andrea Vidali endometriosis care is so highly sought after by those navigating this challenging condition.

City: New York, NY, USA

Philosophy: Current scientific evidence points to the coelomic theory of endometriosis

Medication: The approach to endometriosis has to be holistic and address not only the disease itself but also potentially associated conditions. At this time, since we do not have medical candidates for curing endometriosis, the first essential step in the treatment of endometriosis is excision surgery. Additionally, Dr. Vidali rely on hormonal contraception, preferably progestins either orally or in the form of IUD to control bleeding or adenomyosis-related factors, if present. He does not rely on GnRH agonists or antagonists as in my experience the risk profile and efficacy profile not better than progestins make them undesirable.

Approach to Persistent Pain: I would like to affirm that I follow all the patients I operate on until they are well. I see the patients periodically as long as necessary. I always have a plan post-operatively especially if history, lab work, and initial examination have highlighted the possibility of the coexistence of additional pain generators. I do recommend physical therapy to most if not all patients and rely on a network of physiatrists.

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5 years ago

Dr. Cindy Mosbrucker

Dr. Cindy Mosbrucker, M.D.

Endometriosis Specialist, UroGynecologist.

City: Gig Harbor, Washington, USA

Philosophy: Peritoneal metaplasia which is genetically influenced

Medication: I do not use any GnRH agonists or antagonists. I will use progestins (either norethindrone or Prometrium) for suppression when necessary, either while waiting for surgery or for those recurrent pain typically from ovarian cysts. I am not opposed to OCPs or progestin containing IUD s  however their utility is not as good as progestins alone. I use multimodal pain management postop with tap blocks, On Q pump, gabapentin, tramadol, Sprix (ketorolac nasal spray), antiemetics, and minimal narcotics.

Approach to Persistent Pain: Figure out what is causing their pain. At least 75% of the time it is myofascial usually related to pelvic floor spasm. Most of my patients are referred to PT postop. IC patients are taught installations usually before surgery but sometimes postop. Those prone to adhesion formation are referred to visceral mob PTs around 6-8 wks postop. For those with pain after these interventions, we consider repeat surgery and my reoperation rate is somewhere between 5-10%.

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