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11 months ago

Dr. Marco Antonio Lopez Zepeda

Dr. Marco Antonio Lopez Zepeda

Doctor Zepeda – Endometriosis Specialist

Summary: Dr Zepeda, is a highly regarded endometriosis specialist based in Guadalajara, Jalisco, Mexico. With extensive expertise in excision surgery, Dr Zepeda is committed to providing personalized care rooted in leading theories of endometriosis, including retrograde menstruation and coelomic metaplasia. Doctor Zepeda tailors treatment plans based on each patient’s symptoms, fertility goals, and IDEA Protocol results, ensuring thoughtful, patient-centered solutions. He utilizes a range of medical therapies such as Dienogest, GnRH analogs, anovulatory agents, and progestins to support healing and pain management. For those experiencing persistent pain after surgery, Dr Zepeda focuses on individualized care strategies that consider long-term health and well-being. With a warm, professional approach and a deep understanding of endometriosis, Dr Zepeda offers trusted expertise to patients seeking relief and improved quality of life.

City: Guadalajara, Jalisco, Mexico

Philosophy of Endometriosis Care: Retrograde Menstruation (Sampson Theory), Celomic Metaplasie (Iwanoff and Meyer Theory), Linfatic or Vascular Dissemination, and Embryonic Remains Theory.

What type of surgery do you perform for endometriosis?: Excision

Medication: Dianogest, GnRh Analogs, Anovulatories, Progestins

Approach to Persistent Pain After Surgery: Depends on the patient´s symptoms, desire for childbearing, and the results of the IDEA Protocol.

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1 year ago

Dr. Juan Carlos Canton Romero, PhD MD

Dr. Juan Carlos Canton Romero, PhD, MD

Dr Juan Carlos Canton Romero – Laparoscopic Surgeon, Endometriosis Specialist

Summary: Dr Juan Carlos Canton Romero is a leading endometriosis specialist and laparoscopic surgeon based in Guadalajara, Mexico. Known for his personalized, compassionate care, he uses a patient-centered approach grounded in the Mullerianosis theory. With expertise in minimally invasive procedures, Dr Juan Carlos performs excision surgeries tailored to each patient’s age, fertility goals, and disease stage. He also manages symptoms with medications like dienogest, GnRH inhibitors, and oral contraceptives. For persistent pain after surgery, Dr Juan Carlos recommends a holistic plan that may include physiotherapy, yoga, and ongoing hormonal support. Patients value his commitment to preserving fertility when possible and his thoughtful, evidence-based care. With Dr Juan Carlos, individuals experiencing endometriosis can expect clear communication, tailored treatment, and support throughout their healing journey. Whether seeking surgical expertise or long-term symptom relief, Dr Juan Carlos provides the experience and empathy patients need to feel heard and supported.

City: Guadalajara, Jalisco, Mexico

Philosophy of Endometriosis Care: Mullerianosis

What type of surgery do you perform for endometriosis?:

Ovarian ablation in young patients to preserve hormonal function and uterine in those who wish to preserve fertility; ovarian resection in postmenopausal patients. Uterine resection is for those who do not wish to preserve fertility. In patients with early-stage cancer with a good prognosis of the ovary and cervix and a desire to preserve fertility, conservative surgery was performed.

Medication: Oral analgesics, antispasmodics, prostaglandin inhibitors AINES, continuous oral contraceptives with Dienogest (Qlaira), continuous dienogest, GnRH inhibitors for 3–6 months, and Levonorgestrel IUD.

Approach to Persistent Pain After Surgery: Physiotherapy, rehabilitation, exercise like yoga, continuous contraceptives, and/or dienogest.

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3 years ago

Dr. Manuel Lopez

Dr. Manuel Antonio Lopez de la Torre, M.D.

Dr Manuel Lopez – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

Summary: If you’re looking for expert care in endometriosis, Dr Manuel Lopez is a trusted and compassionate specialist dedicated to helping women live healthier, more comfortable lives. Many patients first discover Dr. Manuel Lopez while searching for top gynecologists under names like Manuel Lopez MD San Antonio or Doctor Manuel Lopez, drawn by his excellent reputation. Though based in Guadalajara, Jalisco, Mexico, Dr. Manuel A Lopez MD San Antonio TX is well known to U.S. patients who travel for his expert care in minimally invasive gynecologic surgery.

Dr. Lopez takes a thoughtful, individualized approach to endometriosis, grounded in both medical science and empathy. He draws on a range of theories, including celomic metaplasia, retrograde menstruation, lymphatic and vascular dissemination, and embryonic origins, as well as genetic and immunological factors, to inform his care.

For treatment, Dr. Lopez typically begins with combined progestins, followed by pure progestins if needed, and rarely, GNRH analogues with add-back therapy. Pain is managed with COX inhibitors, NSAIDs, smooth muscle relaxants, and supportive treatments like multivitamins.

What truly sets Dr. Manuel Lopez apart is his conservative and holistic approach to surgery, which is only recommended for about 30% of patients. His multidisciplinary team includes experts in colorectal surgery, fertility, urology, physical therapy, psychology, nutrition, pain management, and sexology to ensure patients receive well-rounded care.

City: Guadalajara, Jalisco, Mexico

Philosophy: 

Ivanoff- Meyer( Celomic Metaplasia)
Sampson ( Retrograde Menstruation)
Halban ( Linfatic disemination)
Sampson ( Vascular Disemination)
Ricklenhausen and Russell (Embrionary remains)
+ Mechanical transplant, Genetic and inmumonolical Theories.

Medication: 

1st line combined Progestins
2nd line when not tolerated, pure progestins
3rd line GNRH analogues + addback therapy (very rare)
Pain Management: COX, NSAIDs, smooth muscle relaxant, multivitamins

Approach to Persistent Pain After Surgery:

When needed, the treatment always starts BEFORE the surgery, and SURGERY is indicated only in approximately 30% of our total amount of patients. Generally, most of the indications for surgical procedures depend on adhesions, anatomical changes due to nodules or adhesions, deep infiltrating nodules affecting the organs functional tissue(Muscular layers), adenomyosis. We always perform an integral follow-up on patients. Our clinic is constituted by multiple specialties, and we derive before surgery to the affected areas to deep study. When the symptoms continue, depending on the area, they get treated by whoever is demanded (Colo- proctology, Fertility, Urology, Physical Therapy, Psychology/Psychiatry, Nutrition, Pain specialist, Sexology).

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