Dr. Sherif Tawfeek
Dr. Sherif Tawfeek
Dr Sherif Tawfeek – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Sherif Tawfeek is a highly experienced endometriosis specialist based in Midland, WA, Australia. With a patient-centered and holistic approach, Dr Sherif Tawfeek combines minimally invasive surgery and advanced medical treatments to provide personalized care for those suffering from endometriosis. He offers both ablation for minimal disease and infertility concerns, and excision surgery for chronic pain cases requiring more aggressive treatment. Dr Tawfeek often incorporates medications such as Zoladex or progesterone based on each patient’s age and symptom severity. Believing in a comprehensive model of care, Dr Sherif Tawfeek also addresses persistent pain by collaborating with a multidisciplinary team that may include physiotherapists, dietitians, and pain specialists. His autoimmune-centered philosophy ensures each patient receives thoughtful, individualized care to improve quality of life and long-term outcomes. Dr Sherif Tawfeek is dedicated to supporting patients through every step of their endometriosis journey.
City: Midland, WA, Australia
Philosophy of Endometriosis Care: Autoimmune
What type of surgery do you perform for endometriosis?: Ablation for minimal ends or infertility reasons and excision for aggressive surgery in chronic pain.
Medication: Zoladex or progesterone, depending on age and severity of symptoms.
Approach to Persistent Pain After Surgery: Address other non-gyne causes and include a holistic team approach, pain specialist, physio, dietician, etc…
Dr. Jaime Alfredo Calderon Tapia
Dr. Jaime Alfredo Calderon Tapia, M.D.
Dr Jaime Alfredo Calderon Tapia – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Based in Morelia, Michoacan, Dr. Jaime Alfredo Calderon Tapia is a dedicated gynecologist and minimally invasive surgeon specializing in endometriosis. With a deep understanding that multiple factors contribute to this complex disease, Dr. Jaime Alfredo Calderon Tapia approaches each case by integrating genetic, hormonal, and environmental insights to tailor effective treatments.
Dr. Calderon Tapia performs expert excision surgery to remove endometriosis lesions with precision. His medication approach includes non-inflammatory steroids, hormonal contraceptives, and progesterone therapies like levonorgestrel devices or dienogest, depending on the patient’s needs and treatment response. For persistent pain after surgery, Dr. Jaime Alfredo Calderon Tapia collaborates closely with a multidisciplinary team of specialists, including physical therapists and pain experts, and consults with international colleagues to optimize outcomes. Patients value Dr. Calderon Tapia’s compassionate, collaborative approach that prioritizes understanding and long-term relief.
City: Morelia, Michoacan, Mexico
Philosophy: None of the theories explains all the cases. I think all the theories (retrograde menstruation, coelomic metaplasia, embryonic remnants, and transformation/induction) interact as initiating factors with genetics, menstrual fluid obstruction, and propagating factors (oxidative stress, hormones, apoptosis suppression, and immune dysfunction) to explain the superficial and deep endometriosis. it’s our duty to know all the interactions to try the solve most of the cases and try to explain to the patient her condition and potential solutions.
What type of surgery do you perform for endometriosis?: Excision
Medication: Non-inflammatory steroid drug as the first line for dysmenorrhea without demonstrable endometriosis implant; hormonal contraceptive pill in the second line of dysmenorrhea with our demonstrable endometriosis progesterone treatment (intrauterine levonorgestrel device or dienogest) in cases of failure of the first and second medical treatment lines, in cases in which the patient’s condition or desire is not considered, or in patients with a high risk of postsurgical recurrence to try to avoid or reduce it.
Approach to Persistent Pain After Surgery: I submit the case to all my team for a second time, discussing the causes of the persistence of the symptoms, which include a physical therapist, psychologist, bowel surgeon, urologist, gynecological urologist, and pain expert, and later get opinions of other endometriosis colleagues around the world, mainly in Latin America. I am blessed to have a good relationship with experts in Chile, Argentina, Brazil, and here in Mexico to discuss the cases. With these meetings, I reduce the rate of failure
Dr. Cristobal Gerardo Rodriguez-Valero
Dr. Cristobal Gerardo Rodriguez-Valero, M.D.
Dr Gerardo Rodriguez – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary – Dr Gerardo Rodriguez is a trusted endometriosis specialist based in Monterrey, Mexico. With a patient-centered approach rooted in the epigenetic theory of endometriosis, Dr Gerardo Rodriguez MD, emphasizes a comprehensive understanding of the condition, especially in teens and complex cases. He specializes in excision surgery, often using medications like Dienogest or Orlissa preoperatively to enhance surgical outcomes. Dr Gerardo Rodriguez believes in a multidisciplinary strategy for persistent pain, collaborating with psychologists and pelvic floor therapists to support holistic healing. Patients seeking expert care from Dr Gerardo Rodriguez MD benefit from his deep commitment to individualized treatment plans and his dedication to long-term symptom relief. Dr Gerardo Rodriguez combines advanced surgical skill with compassion and insight, helping patients in Monterrey and beyond find answers and relief through expert, human-centered care.
City: Monterrey, Nuevo Leon, México
Philosophy: Epigenetic theory: despite Sampson’s theory being well accepted, it does not integrate the diagnosis in teenage patients and others. I believe epigenetic englobes a more acceptable theory, conjoined with other theories like Mullerian malformations.
What type of surgery do you perform for endometriosis?: Excision
Medication: In some specific cases, previous to surgery, we decide to manage with DIENOGEST, Orlissa, or Visanette, commercial names, to suppress the disease and better prepare for excision in surgery.
Approach to Persistent Pain After Surgery: Multispecialty Management with Psychology and Pelvic Floor Therapy.
Dr. Paulami Guha, MD, FACOG
Dr. Paulami Guha
Paulami Guha MD – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist
Summary: Dr Paulami Guha MD is a compassionate endometriosis specialist offering advanced care in Jacksonville, FL. Patients searching for expert support from Dr Guha Jacksonville FL can trust her thorough and personalized approach. With a strong belief in multimodal treatment, Dr Guha combines surgical excision—both robotic and laparoscopic—with medical management to address the full spectrum of endometriosis symptoms. She treats each patient holistically, considering physical, emotional, and reproductive needs. After excision, she commonly prescribes continuous hormonal therapies and offers guidance for those trying to conceive. When pain persists, Dr Paulami Guha MD integrates pelvic floor physical therapy, acupuncture, and menstrual suppression strategies to improve quality of life. Her balanced approach is rooted in coelomic metaplasia and Sampson’s theory, with a deep understanding of the disease’s complexity. Patients across Jacksonville and beyond seek Dr Guha for her expertise, empathy, and dedication to long-term healing.
City: Jacksonville, FL
Philosophy of Endometriosis Care: Coelomic Metaplasia; blockage in the reproductive tract, treating pain symptoms; multimodal management – surgical and medical, also addressing the mental component; surgical excision of endometriosis; medical management by suppression of menstruation and Sampson’s theory.
What type of surgery do you perform for endometriosis?: Robotic and Laparoscopic Excision
Medication: Surgical excision followed by continuous norethindrone vs. progestin-only pills vs OCPs. If the patient is waiting for surgery and is in pain or heavy bleeding, I do recommend GnRH antagonists or agonists. In infertility patients, I recommend trying for pregnancy right away. Have used letrozole in adenomyosis patients who are going to try for pregnancy.
Approach to Persistent Pain After Surgery: For pain, I recommend pelvic floor physical therapy and acupuncture, and also suppression of menses.
Dr. Victor Rubio
Dr. Víctor Rubio
Victor Rubio – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist
Summary: Based in Chihuahua, Dr Rubio Mexico (Dr Víctor Rubio) is a skilled gynecologist and minimally invasive surgeon who is deeply committed to helping patients manage endometriosis. With years of experience and a focus on excision surgery, Victor Rubio provides individualized care grounded in the embryogenetic theory of endometriosis development.
Dr Víctor Rubio prioritizes patient well-being through both surgical and non-surgical approaches. For those delaying pregnancy, he may prescribe Dienogest to manage symptoms and protect ovarian health. After surgery, he supports healing with pelvic floor physiotherapy to address persistent pain and promote long-term relief. Known for his compassionate, patient-first care, Dr Rubio Mexico ensures every treatment plan is tailored to the individual’s needs and life goals. Victor Rubio is dedicated to improving the quality of life for those navigating the challenges of endometriosis.
City: Chihuahua, Mexico
Philosophy: Embryogenetic Theory
What type of surgery do you perform for endometriosis?: Excision
Medication: Dienogest 2mg oral every 24 24 hours. At the time of the diagnosis, if the patient does not want to become pregnant until she does, after surgery, in endometriomas, depending on age, ovarian reserve, and size.
Approach to Persistent Pain After Surgery: Pelvic Floor Physiotherapy.
Dr. Kenneth I. Barron
Kenneth I. Barron
Dr Kenneth Barron – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Kenneth Barron is a leading gynecologist and minimally invasive surgeon in Charlottesville, VA, specializing in endometriosis care and advanced fertility support, including IVF in Charlottesville VA. Known for his compassionate, patient-focused care, Dr Barron Charlottesville offers expert excision surgery and custom treatment plans for those navigating complex pelvic pain and fertility challenges.
Kenneth Barron MD approaches endometriosis with the precision of cancer care—targeting lesions with wide excision to reduce recurrence. He combines surgical expertise with hormonal therapies like high-dose progesterone and GnRH antagonists to support patients before and after treatment. When pain persists, he continues care by assessing for other pain sources such as nerve or myofascial issues. Patients seeking both endometriosis relief and fertility options turn to Dr Kenneth Barron for trusted, long-term support and highly specialized care in the heart of Charlottesville.
City: Charlottesville, Virginia
Philosophy:
Medication: Hormonal medications can be helpful for patients in controlling symptoms, preparing for fertility treatment, and anticipating surgery. Patients seek me out for surgical management when medicine fails. I often have patients try high-dose progesterone (norethindrone at 2.5 mg) if they have not before. I occasionally treat with GnRH antagonists in cases of nerve involvement, desire to shrink the disease before operating to reduce the risk of oophorectomy, and prolonged waiting for surgery.
I always continue to take care of my patients after surgery. There can be more than one pain generator coexisting with endometriosis. If pain persists post-operatively, I re-evaluate the patient for other sources of pain, if not already recognized pre-operatively, such as myofascial pain, neuropathic pain, primary uterine pain, or bowel and bladder-related pain.
Dr. Tarek Toubia
Dr. Tarek Toubia
Dr Tarek Toubia – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Located in Hopkinsville, Kentucky, Dr Toubia is a compassionate gynecologist and minimally invasive surgeon specializing in endometriosis care. With a focus on the complex, multifactorial nature of endometriosis, Dr Tarek Toubia offers personalized, multidisciplinary treatment plans that address each patient’s unique needs.
Dr Toubia performs precise excision surgery to remove endometrial lesions and alleviate pain. For patients seeking non-surgical options or contraception, he provides hormonal suppression using combined contraceptives or progestational agents. Additionally, Dr Toubia utilizes GnRH antagonists for symptom relief when delaying surgery is preferred. When pain persists after surgery, he carefully reassesses for other causes and recommends postoperative hormonal treatments to reduce the risk of recurrence. Patients trust Dr Toubia for his thoughtful approach and dedication to long-term health and comfort.
City: Hopkinsville, Kentucky
Philosophy: Multifactorial origin for a complex disease (with emphasis on genetic and embryonic theories), and thus the treatment approach needs to be personalized and multidisciplinary.
What type of surgery do you perform for endometriosis?: Excision
Medication: I use hormonal suppression with combined contraceptives or some progestational agents when someone does not want surgical treatment and desires contraception. I use GnRH antagonists for patients who are suffering from pain symptoms and desiring to delay surgical intervention and not attempting conception.
Approach to Persistent Pain After Surgery: Reassess and reevaluate for any concomitant pathology that could be contributing to pain. Also, postoperative hormonal suppression decreases the risk of recurrence
Dr. Marcelo Lontra
Dr. Marcelo Lontra
Dr Marcelo Lontra – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Based in Porto Alegre, Brazil, Dr. Marcelo Lontra is a trusted gynecologist and minimally invasive surgeon specializing in endometriosis treatment. Known as Dr. Lontra or Doctor Lontra, he combines advanced surgical techniques with cutting-edge research to provide personalized care grounded in the latest theories of endometriosis, including retrograde menstruation and stem cell recruitment.
Dr. Marcelo Lontra performs precise excision surgery to effectively remove endometrial lesions. He complements surgery with medications like Dienogest, aromatase inhibitors, and GnRH antagonists to manage pain and reduce symptoms affecting the intestines and urinary tract. When persistent pain occurs, Doctor Lontra uses repeat imaging and, if necessary, additional surgery to ensure thorough treatment. Patients appreciate Dr. Lontra’s compassionate, science-based approach that focuses on long-term relief and improved quality of life.
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, and urinary symptoms; and decrease the volume of laparoscopically visible endometriosis. Gonadotropin Releasing Hormone (GnRH) antagonists for pain
Approach to Persistent Pain After Surgery:
Dr. Romeo Lucas
Dr. Romeo Lucas
Dr Lucas – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Based in Freeport, Maine, Dr Lucas OBGYN is a dedicated gynecologist and minimally invasive surgeon at the New England Center for Pelvic Health, specializing in endometriosis care. With a commitment to patient-centered treatment, Dr. Romeo Lucas performs thorough excision surgery and collaborates with other specialists when needed to ensure comprehensive care.
Dr. Lucas believes in transparent communication and detailed documentation. If full excision isn’t possible during surgery, he carefully records and reviews all findings with the patient, offering appropriate referrals when necessary. Grounded in the coelomic metaplasia theory, he approaches endometriosis as a complex condition often requiring multidisciplinary insight. Through his work at the New England Center for Pelvic Health, Dr. Lucas OBGYN helps patients better understand their diagnosis and treatment options, empowering them to make informed decisions on their journey toward relief.
City: Freeport, Maine
Philosophy: I employ excision to the fullest extent that I am comfortable operatively. I may call for an intraoperative consult as needed. I may ask for certain specialists to be present or available if I have a high suspicion before surgery. Even if I am unable to excise or there is no surgeon available to excise, I thoroughly document the lesions (digital pictures) remaining and review them with the patient post-operatively. I then provide a referral as needed/desired.
Theories of endometriosis origin: Most likely due to coelomic metaplasia. Certainly, there are cases owing to menstrual regurgitation (i.e., imperforate hymen) or seeding during surgery (i.e., abdominal wall endometriosis after cesarean delivery). However, in such cases, it seems possible, if not likely, that there is an aberrant immunologic process allowing for unaddressed proliferation of that tissue.
What type of surgery do you perform for endometriosis?: Excision
Dr. Joseph Njagi
Dr. Joseph Njagi
Dr Joseph Njagi – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Based in Kerugoya, Central Kenya, Dr Joseph Njagi is a highly experienced gynecologist specializing in minimally invasive surgery and the expert care of endometriosis. With a deep understanding of the condition, Dr Joseph Njagi follows the retrograde menstruation theory to guide his treatment philosophy. He focuses on excision surgery for endometriosis, a proven technique to remove diseased tissue and provide lasting relief.
Dr Njagi takes a patient-centered approach, using NSAIDs and combined oral contraceptives (COCs) to manage pain and prevent the regrowth of endometrial cells post-surgery. When persistent pain occurs after treatment, he conducts comprehensive evaluations—including medical history reviews, imaging analysis, and one-on-one consultations—to tailor each patient’s care. Through ongoing follow-up and thoughtful adjustments, Dr Njagi ensures his patients receive continuous, personalized support throughout their healing journey.
City: Kerugoya, Central Kenya
Philosophy:
Retrograde menstruation theory
What type of surgery do you perform for endometriosis?: Excision
Medication: I incorporate NSAIDs for pain management after surgery. I also use COCs for pain management and to limit the growth of endometrial cells.
Dr. Chauncey Stokes
Dr. Chauncey Stokes
Dr Stokes OBGYN – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist
Summary: Dr Stokes OBGYN is a respected gynecologist and minimally invasive surgeon based in Lansdowne, VA, offering expert care to patients facing endometriosis and chronic pelvic pain. As an experienced OB GYN in Lansdowne, VA, Dr Chauncey Stokes combines surgical skill with a deep understanding of the complex nature of endometriosis. Practicing near Virginia Heart in Lansdowne, Virginia, he performs advanced excision surgery and provides comprehensive, compassionate care.
Dr Chauncey Stokes believes emotional support is essential to long-term healing. He incorporates oral contraceptives, antiestrogen medication, antidepressants, and neuromodulators into his treatment plans, tailoring care to each patient’s needs. When pain persists after surgery, he evaluates psychological and lifestyle factors and may include dietary changes, counseling, and exercise. Dr. Stokes, OBGYN is committed to helping patients reclaim quality of life through thoughtful, individualized care and evidence-based therapies.
City: Lansdowne, Virginia
Philosophy: Please refer to the uploaded document for further discussion. In short, I believe that endometriosis starts with the early development of the embryo. We can operate and remove endo, but understanding the origin is still perplexing. With more genetic research, we may have better answers to the question. For now, extensive excision seems to afford the best relief in the short term. Long-term relief usually requires more aggressive surgical intervention. For most patients, they have had their children. For others, they have been so debilitated by the disease that they opt for aggressive therapy at the exclusion of childbearing. Emotional/psychological support during the management of this disease is crucial to success because of its chronicity.
What type of surgery do you perform for endometriosis?: Excision
Medication: Oral contraception, antiestrogen meds, antidepressants, gabapentin, and Lyrica. I typically offer the younger females a trial of oral contraceptives followed by antiestrogen medication. I will add antidepressants and neuromodulators as needed, especially if the initial regimen is not sufficient. Counseling and relaxation techniques are considered as an adjuvant to the medical therapy, just to get some relief
Approach to Persistent Pain After Surgery: I initially use a questionnaire to help determine if patients have had sexual abuse and other psychological factors that may play into the overall management. If they are positive, I may refer them out for further evaluation or before initiating medical treatment. I advise weight loss for those women with increased BMI. I try to avoid chronic pain clinics due to the concern about addiction. I have used them in the past when major meds for management have been unsuccessful. I have those who have used acupuncture, but the results have been unpredictable. Exercise can be beneficial, along with alterations in diet. I work with a nutritionist to assist with developing anti-inflammatory diets. The truth is that some of these patients are difficult to manage, and we have little left once we have exhausted surgical and medical treatments. The initial questionnaires do help us to delineate those who may be difficult to treat. We try to set expectations and promote small successes as a step in the right direction.
Dr. Anshumala Shukla Kulkarni
Dr. Anshumala Shukla Kulkarni
Anshumala Shukla Kulkarni – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Anshumala Shukla Kulkarni is a compassionate endometriosis specialist based in Mumbai, Maharashtra, with expertise in gynecology and minimally invasive surgery. Her approach to treating endometriosis is rooted in understanding the complexities of immune dysregulation and coelomic metaplasia, which play key roles in the development of the condition. Anshumala Shukla offers a variety of treatment options tailored to each patient’s needs, including low-dose oral contraceptive pills to reduce the risk of recurrence after surgery and progesterone therapy for patients who are not ready for surgery or have minimal symptoms.
When addressing persistent pain after surgery, Dr Kulkarni takes a thorough, patient-centered approach. She recommends re-evaluating imaging to rule out other causes of symptoms and revisiting surgery if there is no improvement with medical management. Dr Anshumala Shukla focuses on providing comprehensive care to enhance her patients’ well-being and quality of life.
City: Mumbai, Maharashtra
Philosophy: Immune dysregulation, coelomic metaplasia
Medication: Low-dose oral contraceptive pills for post-operative long-term reduction of recurrence, progesterone for post-operative or those not willing to undergo surgery, young patients with minimal symptoms
Approach to Persistent Pain After Surgery: Relook imaging, rule out other causes for symptoms, relook surgery if no response to medical management.
