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. 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
Jennifer Bloemendal, PT, DPT
Visit types: Office/Hospital;Virtual
Spoken languages: English
Interpreting services for other languages: No
What you should know about me:Visceral mobilizations (Barrel Institute VM 1 and 2), myofascial release, internal pelvic floor assessment and retraining, pain management, yoga for pelvic pain, Pilate’s reformer for breath connection.
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. Sean Copson
Dr. Sean Copson
Dr. Sean Copson – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Sean Copson is a dedicated endometriosis specialist based in West Perth, Western Australia. Known for his compassionate approach, Dr Sean Copson provides personalized care tailored to each patient’s needs. His expertise in gynecology and minimally invasive surgery ensures that patients receive the most effective treatments for managing endometriosis, including medications like progesterone-only pills, COCP, Zoladex, NSAIDs, and TCAs.
Dr Sean Copson believes in a holistic, multidisciplinary approach to care. He recognizes that endometriosis requires not only surgical intervention but also comprehensive management, especially for patients experiencing persistent pain after surgery. His treatment plans involve collaboration with pain specialists, physiotherapists, and other healthcare providers to improve the patient’s overall well-being. With Dr Sean Copson, patients can trust that their care will be customized to address the unique aspects of their condition and help them achieve the best possible outcomes.
City: West Perth, Western Australia
Philosophy:
Coelomic metaplasia, immunological, and genetic
Medication:
Approach to Persistent Pain After Surgery:
Dr. Ioannis Koutoukos
Dr. Ioannis Koutoukos, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Athens, Attica, Greece
Philosophy?
Migration
Medication:
Herbals, hormonal, letrozole
Approach to Persistent Pain After Surgery:
Dr. Whitney Ann Barnes
Dr. Whitney Ann Barnes
Dr Whitney Barnes – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Whitney Barnes MD is a compassionate and skilled endometriosis specialist based in Lawrenceville, Georgia. Patients seeking expert care often turn to Dr. Whitney Barnes for her individualized, whole-person approach to treatment. Dr Whitney Barnes MD is known for helping patients understand the complex nature of endometriosis while offering effective, tailored solutions to manage symptoms and improve quality of life.
Specializing in wide excisional surgery, Dr Whitney Barnes MD treats both visible and microscopic disease, ensuring a more thorough and lasting outcome. She works closely with each patient to develop personalized medical plans that may include non-narcotic pain relief, hormonal therapies, and mental health support. For those experiencing persistent pain after surgery, Dr Whitney Barnes MD provides a multidisciplinary care plan involving physical therapy, diet, and pain specialists. Her thoughtful and evidence-based approach empowers patients to take control of their health with confidence and clarity.
City: Lawrenceville, Georgia
Philosophy:
Medication: Medication is tailored to each patient, taking into account their unique medical circumstances and indications. This personalized approach considers factors such as the patient’s current health status and past medical history, prior experiences with medications, and individual management goals. I utilize non-narcotic pain relief medications such as NSAIDS, gabapentinoids, and SNRI/SSRI medications for central pain desensitization and hormonal regulation when appropriate. Every medication option is presented to the patient along with a thorough explanation of its intended goal and potential risks. This process is done in close collaboration with the patient, respecting the patient’s preferences and addressing the patient’s needs.
Approach to Persistent Pain After Surgery: Similar to my approach to treating endometriosis, my approach to managing persistent pain after surgery is personalized. Before proceeding with surgery, I engage in individualized patient counseling to review the risk of persistent or recurring pain. This approach recognizes that for some patients, endometriosis excision surgery is a single facet within a broader spectrum of care that may involve central and peripheral pain management, pelvic floor physical therapy, gastroenterology, pain management specialists, and dietary modifications. My ultimate goal is to alleviate the patient’s symptoms and improve the patient’s quality of life.
Janelle Topliff, PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: I always start with skilled education and book recommendations that involve anatomy, physiology, diet, and inflammation education. I utilize myofascial, visceral manipulation, and functional dry needling techniques. Yoga and Pilates are my preferred forms of exercise and mobility activities.
Dr. José Eugenio Colon
Ashley Striegler, PT, DPT
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: I use tons of education to empower the patient;often encouraging them to look into topics that they can research on. I use skills of visceral mobs, bladder and bowel retraining, neuroscience of pain, functional mobility training, etc.
Amy Underwood, OTR/L
Visit types: Office/Hospital
Spoken languages: English
Interpreting services for other languages: No
What you should know about me: I believe that endometrious should be treated holistically taking into account the whole person and not just their pelvic floor. I have found my clients who come to see me with a diagnosis of endo have suffered for on average 10 years with painful periods, bowel dysfunction and fertility struggles. I work using both manual visceral techniques and have taken courses with Ramona Horton and Jennifer VandeVegte along with using a lifestyle approach by optimising sleep, nutrition and giving my clients tools to manage their pain and stress and empower them to live their lives fully.
Sarina Karwande, PT, DPT
Visit types: Office/Hospital;At home
Spoken languages: English
Interpreting services for other languages: Yes
What you should know about me: I take pride in treating patients with endometriosis of all ages. I specialize in the pediatric population and have created effective and fun strategies to encourage nervous system downregulation, improve body awareness, and use essential breathing techniques often unknown to the younger patients. I supplement my treatments with the use of manual and mobilization techniques to further enhance muscle length and tension relationships and decrease pain. Treatment sessions are always 1:1 and unique to each individual. Patients often leave feeling supported, comforted, and encouraged to start their healing journey with their providers’ support. I enjoy collaboration with my patients’ providers, as I believe a team approach is necessary.
