Dr. Fernando Garcia Vargas
Dr. Fernando Garcia Vargas
Dr Fernando Garcia Mexico – Endometriosis Specialist
Summary: Dr Fernando Garcia Mexico is a highly experienced endometriosis specialist based in Puebla, Mexico. With a deep commitment to personalized care, Dr Fernando Garcia approaches endometriosis as a multifaceted disease influenced by factors such as retrograde menstruation, coelomic metaplasia, and immune dysfunction. His practice focuses on accurate diagnosis and individualized treatment plans, often involving expert excision surgery and multidisciplinary collaboration for complex cases, including those affecting the bladder, rectum, or ureters.
Patients seeking compassionate and advanced care choose Dr Fernando Garcia Mexico for his integrative approach. He frequently partners with specialists in urology and coloproctology to ensure comprehensive outcomes, especially in deep infiltrative endometriosis. After surgery, he recommends synthetic progestins to reduce recurrence and refers patients with persistent pain to a neuropelveologist for thorough evaluation. Dr Fernando Garcia’s holistic, evidence-based care provides women with lasting relief and restored quality of life.
City: Puebla, Puebla, Mexico
Philosophy of Endometriosis Care: I believe that the theory of celomic metaplasia, as well as retrograde menstruation and altered immunity, can contribute to the development of the disease and its progression through different pathways. Therefore, it is essential to take a multidisciplinary assessment approach, individualizing each case to offer excision surgery when necessary, as cases of deep infiltrative endometriosis can occur, which may involve the rectum, ureters, bladder, etc. In such cases, joint management with coloproctology and urology is required to perform a successful surgery.
What type of surgery do you perform for endometriosis: Excision
Medication: Synthetic progestins such as desogestrel, implant, injections, or levonorgestrel-releasing intrauterine systems, which may help reduce the recurrence of the disease after excision surgery, and the time you use it depends on the option you decide
Approach to Persistent Pain After Surgery: I always recommend a complementary treatment such as synthetic progestins after excision surgery, and in case of symptom persistence, I refer my patients for evaluation by a neuropelvicologist.
Dr. Carlos Alberto Serrano Flores
Dr. Carlos Alberto Serrano Flores
Dr Carlos Alberto Serrano – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Carlos Alberto Serrano is a dedicated endometriosis specialist based in Puebla, Mexico, known for his expert care in gynecology and minimally invasive surgery. Dr Carlos Alberto Serrano approaches endometriosis through a comprehensive understanding of Müllerianosis, epigenetic, genetic, and immunological theories to tailor treatments that address each patient’s unique condition. He specializes in surgical excision of endometriosis lesions and offers personalized medical management for those who may not require surgery or wish to preserve fertility. His treatment plans include hormonal therapies, analgesics, and supportive care like acupuncture and psychological therapy. Dr Carlos Alberto Serrano emphasizes a holistic approach, recognizing that persistent pain often involves multiple factors. His multidisciplinary team focuses on managing chronic pelvic pain through pelvic floor rehabilitation, pain specialists, and mental health support. Patients benefit from compassionate, patient-centered care designed to improve quality of life while addressing complex endometriosis symptoms.
City: Puebla, Mexico
Philosophy of Endometriosis Care: Müllerianosis, Epigenetic, Genetic, and Immunological Theories.
What type of surgery do you perform for endometriosis: Excision
Medication: For patients who do not require surgery, who do not desire fertility, or who do not desire surgery: Oral contraceptives, progestins, Levonorgestrel IUD (especially for those with associated adenomyosis), Analgesics, multivitamins, smooth muscle relaxants, etc. Patients who require surgery in the pre-and postoperative period and without desire for short-term fertility, 6 months to 2 years, preferably progestins. Amitriptyline, Gabapentin in patients with chronic pelvic pain and central sensitization. For all patients, multivitamins, natural anti-inflammatories, acupuncture, psychological and psychiatric therapy.
Approach to Persistent Pain After Surgery: Most patients who require surgery have other added pain syndromes; therefore, surgery is only a complement to the resolution of pain. Patients must be evaluated with a chronic pelvic pain approach, taking into account each aspect that can trigger this problem. They must be evaluated by pain specialists, we always treat central sensitization, and myofascial compromise with pelvic floor rehabilitation, we treat psychologically and psychiatrically, we improve the metabolic environment with nutrition; and we address pain from a holistic approach. We have a large multidisciplinary group focused on patients with endometriosis.
Dr. Cuauhtemoc Cano Aguilar
Dr. Cuauhtemoc Cano Aguilar
Dr Cuauhtemoc Cano Aguilar – Gynecology and Endometriosis Specialist
Summary: Dr Cuauhtemoc Cano Aguilar is a leading endometriosis specialist based in Puebla, Mexico, known for his compassionate care and surgical expertise. With a patient-centered approach, Dr Cuauhtemoc Cano Aguilar focuses on the Mullerianosis theory of endometriosis, tailoring treatment to each individual’s unique condition. He specializes in excision surgery and offers a range of medical therapies, including hormonal contraceptives, dienogest, and the levonorgestrel intrauterine device, to manage pain and symptoms. When patients experience persistent pain after surgery, Dr Cuauhtemoc Cano Aguilar carefully reevaluates each case through imaging, medication adjustments, and collaboration with pelvic pain specialists to ensure the best outcomes. His thoughtful, multidisciplinary care helps patients better understand their condition and find relief. Patients seeking expert endometriosis care in Puebla can trust Dr Cuauhtemoc Cano Aguilar’s experience, dedication, and commitment to improving quality of life.
City: Puebla, Mexico
Philosophy of Endometriosis Care: Mullerianosis
What type of surgery do you perform for endometriosis?: Excision
Medication: Hormonal Anticonceptives, Dienogest, Levonorgestrel Intrauterine Device, Analgesics.
Approach to Persistent Pain After Surgery: Medications like dienogest, painkillers, evaluation with a pelviologic specialist, and repeat imaging assessment.
