Jill Cramp, PT, DPT
Jill Cramp, PT, DPT
City: Poland, ME, USA
Visit types: Office
Spoken languages: English
Interpreting services for other languages: Yes
Endometriosis is a complex diagnosis that often goes untreated/undiagnosed for years. My initial approach to working with a patient with endometriosis is to listen. I find many patients have a history of being gas-lit by medical professionals, and I seek to provide a safe, trauma-informed space where symptoms are validated and patients feel comfortable talking. I specialize in treating bladder, bowel, and sexual symptoms. Typical treatment varies depending on symptoms but may include breath work, visceral mobilization, abdominopelvic myofascial mobilization, stretches and strengthening exercises, dry needling, etc. Exercise is an important part of decreasing inflammation in the body; therefore, exercise, strength, and education are critical parts of therapy intervention.
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
