Dr. Ruy Machado Jr.
Dr. Ruy Machado Jr.
Dr. Ruy Machado Jr – Endometriosis Specialist
Summary: Dr. Ruy Machado Jr. is a dedicated endometriosis specialist based in São Paulo, Brazil, known for his expertise in excision surgery. Dr. Ruy Machado’s approach to care is rooted in the cellular metaplasia and autoimmune theories, offering patients a comprehensive understanding of their condition. He often uses medications like dienogest both before and after surgery to manage symptoms effectively. For more severe cases, such as grade 4 endometriosis, Dr. Machado incorporates goserelin acetate post-surgery for up to six months. With 17 years of experience in laparoscopy and robotic surgery, Dr. Ruy Machado prioritizes nerve-preserving excision techniques, resulting in minimal persistent pain after surgery. When symptoms do persist, they are typically managed with continuous dienogest, anti-inflammatory medications, or levonorgestrel IUDs. His patient-centered approach ensures individualized treatment and long-term relief for those living with endometriosis.
City: São Paulo, Brazil
Philosophy of Endometriosis Care: Believe mainly in the theory of cellular metaplasia and the autoimmune theory.
What type of surgery do you perform for endometriosis: Excision
Medication: I often use medications; I often use Dienogest and goserelin acetate. I use dienogest both before and after surgery to control symptoms. Gosserlin 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 a levonorgestrel IUD. Over these years, we re-operated on only 2 patients for persistent symptoms.
Dr. Mauricio Abrao
Dr. Mauricio Abrao
Dr Mauricio Abrao – Endometriosis Specialist
Summary: Dr Mauricio Abrao is a highly respected endometriosis specialist based in São Paulo, Brazil, known for his expertise in the immunological approach to care. Dr Mauricio Abrao focuses on understanding how immune system responses contribute to endometriosis, guiding both diagnosis and treatment with a patient-centered mindset. He performs expert excision surgery and offers individualized care plans that may include oral contraceptives or dienogest for patients managing pain without surgery. For those with adenomyosis seeking pregnancy, Dr Mauricio Abrao may recommend GnRHa post-surgery to optimize outcomes. When symptoms persist after surgery, he uses advanced ultrasound imaging to map disease recurrence and guide further treatment. Dr Abrao is committed to combining medical precision with empathy, ensuring each patient receives the care and attention they deserve. His approach helps patients feel seen, heard, and supported throughout their endometriosis journey.
City: São Paulo, Brazil
Philosophy of Endometriosis Care: Immunology
What type of surgery do you perform for endometriosis: Excision
Medication: Oral contraceptives/dienogest 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.
Dr Patrick Bellelis – Endometriosis Specialist, Minimally Invasive Gynecologic Surgeon
Summary: Dr Patrick Bellelis is a skilled endometriosis specialist and minimally invasive gynecologic surgeon based in São Paulo, Brazil. With a deep understanding of genetics and epigenetics, Dr Patrick Bellelis focuses on personalized care that addresses the root causes of endometriosis. He emphasizes minimally invasive surgical techniques to provide effective treatment while promoting quicker recovery. For symptom management, Dr Bellelis often uses oral contraceptive pills to help control pain and other symptoms. When patients experience persistent pain after treatment, Dr Patrick Bellelis takes a comprehensive approach, evaluating other potential causes and recommending pelvic physiotherapy and dietary adjustments to support long-term wellness. His patient-centered philosophy ensures that each woman receives individualized care tailored to her unique needs, helping her achieve lasting relief and improved quality of life. Dr Patrick Bellelis combines expertise with compassionate care to guide patients through every step of their endometriosis journey.
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
