Dr. Ruy Machado Jr.
Dr. Ruy Machado Jr., Endometriosis Specialist
City: São Paulo, Brazil
Philosophy of Endometriosis Care: Believe mainly in the theory of cellular metaplasia and autoimmune theory.
What type of surgery do you perform for endometriosis: Excision
Medication: I often use medications; I often use dienogest and gossreline acetate. I use dienogest both before and after surgery to control symptoms. Gosserrelin acetate is used exclusively after surgery in cases of grade 4 endometriosis for a period limited to 6 months.
Approach to Persistent Pain After Surgery: I have been treating endometriosis for laparoscopy for 17 years and more recently for robotic surgery. In recent years, we have had very few patients with persistent symptoms after the surgeries we practice using nerve-preserving disease excision techniques. The cases we had improved only with the use of continuous dienogest, anti-inflammatory drugs, or the use of levonorgestrel IUD. Over these years, we re-operated only 2 patients for persistent symptoms.
Dr. Mauricio Abrao
Dr. Mauricio Abrao, Endometriosis Specialist
City: Sao Paulo, Brazil
Philosophy of Endometriosis Care: Immunology
What type of surgery do you perform for endometriosis: Excision
Medication: Oral contraceptives / dienogeste for patients with pain who don’t want surgery and
GnRHa 2m after surgery for patients with adenomyosis wanting to be pregnant
Approach to Persistent Pain After Surgery: US for mapping the disease
Dr. Alexandre Amaral
Dr. Alexandre Amaral, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Raquel Reis Magalhães
Dr. Raquel Reis Magalhães, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Mariana Vieira
Dr. Mariana Vieira, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Rodrigo Fernandes
Dr. Rodrigo Fernandes, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Guilherme Karam
Dr. Guilherme Karam, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Fábio Morozetti Ramajo
Dr. Fábio Morozetti Ramajo, Endometriosis Specialist
City: São Paulo, Brazil
Dr. Patrick Bellelis
Patrick Bellelis, M.D., Endometriosis Specialist, Minimally Invasive Gynecologic Surgeon.
City: São Paulo, Brazil.
Philosophy: Genetics and epigenetics
Medication: Oral contraceptive pills for symptom control
Approach to Persistent Pain: Evaluate other causes of pain and associate them with pelvic physiotherapy and adequate diet
