Dr. Agustina Larrea
Dr. Agustina Larrea
Dr Agustina Larrea – Endometriosis Specialist
Summary – Dr Agustina Larrea is a dedicated endometriosis specialist based in Ciudad Autónoma de Buenos Aires, Argentina. Dr Agustina Larrea approaches endometriosis care by combining the retrograde menstruation theory with genetics and nutrition, recognizing how family history and diet influence the condition’s progression. She emphasizes an anti-inflammatory diet alongside surgical excision to manage endometriosis effectively. Dr Larrea often prescribes dienogest or drospirenone for hormonal treatment and supplements such as magnesium, tailoring care to each patient’s needs. She also integrates NSAIDs for pain control and collaborates closely with pain specialists when chronic pelvic pain persists, particularly in cases of central sensitization syndrome. Dr Agustina Larrea encourages ongoing lifestyle adjustments, pelvic floor physiotherapy, and emotional support to improve long-term outcomes. Her patient-centered approach focuses on holistic care, helping women manage symptoms while considering individual circumstances and well-being.
City: Ciudad Autonoma de Buenos Aires, Argentina
Philosophy of Endometriosis Care:
-Retrograde Menstruation Theory
-Genetics: as it often runs in families and also is linked to nutrition habits in families.
-Nutrition: inflamed intestines because of flour, sugar, alcohol, and dairy, among others, lead to an an inflamated body and trigger an autoimmune system. It fails to recognize and eliminate endometrial cells growing outside the uterus, allowing the disease to progress. Besides, the metabolism of sugar is linked to the metabolism of estrogen. And we know this disease is estrogen-dependent.
I believe all these theories work together and are the key factors of treatment.
What type of surgery do you perform for endometriosis: Excision
Medication: I first apply together an anti-inflammatory diet + supplements such as magnesium and dienogest. If the patient can´t afford dienogest (I live in a low-income country), then I can rotate dienogest to drospirenone 4 mg without using placebos. I met the patient after 4 months to see how she was doing.
NSAIDs can complement treatment to manage pain. If I believe the patient has a Central Sensitization Syndrome, because of chronic pelvic pain, despite of all treatments applied, I work with a pain treatment team that usually gives amitriptiline to modulate central pain.
Approach to Persistent Pain After Surgery: I explain to the patient that surgery can not always relieve pain in 100%. Definitely, we should continue with an anti-inflammatory diet and dienogest (if the patient does not desire pregnancy), regardless of the surgical treatment.
Depending on the pain, I can work with pelvic floor physiotherapists, a pain treatment team to treat central sensitization syndrome, and a psychologist in order to give emotional support and, if needed, antidepressants.
Dr. Alejandro Ruben Sosa
Dr. Alejandro Ruben Sosa, Endometriosis Specialist
City: Cordoba, Argentina
Dr. Alejandro Mario Rossini
Dr. Alejandro Mario Rossini, Endometriosis Specialist
City: Cordoba, Argentina
Dr. Mónica Cristina Bonin
Dr. Mónica Cristina Bonin,
Doctor Bonin – Endometriosis Specialist
Summary: Dr Mónica Cristina Bonin is a dedicated endometriosis specialist based in Villa Allende, Córdoba, Argentina. With a deep understanding of this complex condition, doctor Bonin approaches care through a multifactorial lens, focusing on the metabolic-hormonal profile, immune system, genetics, and environmental influences. Dr Mónica Cristina Bonin specializes in excision surgery and designs personalized treatment plans to help patients regain quality of life. Her medical approach includes hormonal therapies such as dienogest and levonorgestrel devices, as well as supportive supplements like vitamin D, magnesium, and omega-3. For persistent pain after surgery, doctor Bonin integrates pelvic floor rehabilitation, nutrition and exercise plans, and targeted imaging to detect recurring or missed lesions. Dr Mónica Cristina Bonin also collaborates with other specialists when needed to ensure comprehensive, whole-person care for long-term pain relief and health improvement.
City: Villa Allende, Córdoba, Argentina
Philosophy of Endometriosis Care: It’s a multifactorial disease with a strong relationship with the metabolic hormonal profile, the immune system, the environment, and the genetics.
What type of surgery do you perform for endometriosis: Excision
Medication: Hormonal treatment (dienogest, drospirenone, levonorgestrel device), supplementation (vitamin D, magnesium, omega 3).
Approach to Persistent Pain After Surgery: Pelvic floor rehab, metabolic changes with nutrition, exercise and supplementation, referral to another specialist looking for another cause, and of course a very good imaging of the pelvis looking for new lesions
Dr. Javier Del Longo
Dr. Javier Del Longo, Endometriosis Specialist
City: Posadas, Argentina
