Chauncey Stokes

Dr. Chauncey Stokes

Endometriosis Specialist

Gynecology & Minimal Invasive Surgery

Address

CWC ASHBURN
Virginia Heart - Lansdowne, 19450 Deerfield Ave, Leesburg, VA, USA

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Specialties
  • Endometriosis Excision Surgery
  • Pelvic Endometriosis
  • Fertility and Endometriosis
Profile Description

Dr. Chauncey Stokes, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.

City: Lansdowne, Virginia

Philosophy:

Please refer to the uploaded document for further discusion. I short I believe that endometriosis starts withearly development of the embryo. We can operate and remove endo but understanding the origin is still perplexing. WIth more genetic reseach we may have better answers to the question. For now extensive excision seems to afford best relief in the short term. Long-term relief usually requires more aggressive surgical intervention. For most patient they have had their children. For others they have been so debilitated by the disease that they opt for aggressive therapy at the exclusion of childbearing. Emotional/psychological support during the management of this disease is crucial to success because of its chronicity.

What type of surgery do you perform for endometriosis?:

Excision

Medication:

ORAL CONTRACEPTION , ANTIESTROGEN MEDS, ANTIDEPRESSANTS , GABPENTIN ,LYRICA I typically offer the younger females a trial of oral contraceptives followed by antiestrogen medication. I will add antidepressants and the neuro modulators as needed especially if the initial regimen is not sufficient. Counseling and relaxation techniques are considered as an adjuvant to the medical therapy just to get some relief

Approach to Persistent Pain After Surgery:

I initially use a questionnaire to help determine if patients have had sexual abuse and other psychological factors that may play in to the overall management. If they are positive in that regard I may refer out for further evaluation or before initiating medical treatment. I advise weight loss for those women with increased BMI. I try to avoid chronic pain clinics due to the concern about addiction. I have used them in the past when major meds for management have been unsuccessful. I have those who have used acupuncture but the results have been unpredictable. Exercise can be beneficial along with alterations in diet. I work with nutritionist to assist with developing anti inflammatory diets. The truth is that some of these patients are difficult to manage and we have little left once we have exhausted surgical and medical treatments. The initial questionnaires do help us to delineate those who may be difficult to treat. We try to set expectations and promote small successes as a step in the right direction steps
Additional Info
Gender:

Male

Hospital Affiliations:

Inova Loudoun Hospital, Lansdowne, Virginia.

Insurance:

Aetna, United Healthcare , BCBS , Cigna, Healthkeepers , Innovation Health , Mutual of Omaha, and most other insurances in the Washington Maryland and Virginia

Waiting Time:

7-10 days

In Practice Since Year:

1989

Fellowship & Certificates:

- Board Certification: Fellow of the American College of Obstetrics and Gynecology (since 1992).
- Special Interest: Minimally Invasive Surgery/ Laparoscopic & Robotic Gyn Surgery (MIGS Focused Practice Designation, since 2022).

Residency:

- Residency in Obstetrics and Gynecology at Howard University Hospital, Washington, D.C.
- Administrative Chief Resident (1989 - 1990).

Medical School:

Medical School: Meharry Medical College, Nashville, Tennessee (M.D. Degree, completed in 1981).

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