Dr. David Rosen, M.B., B.S.,
Dr. David Rosen – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr David Rosen gynaecologist is a highly skilled endometriosis specialist based in Kogarah, NSW, Australia. With extensive experience in treating endometriosis, Dr. David Rosen gynaecologist, provides individualized care, focusing on excision surgery to remove all deposits rather than relying on less effective treatments like diathermy. His approach is designed to address the unique needs of each patient, ensuring the best possible outcomes.
For treatment, Dr David Rosen utilizes a range of therapies including OCP, progesterone IUDs (Mirena), and GnRH analogs (Zoladex), along with laparoscopy when necessary. He collaborates with pelvic floor physiotherapists and pain specialists to help manage chronic pain, offering a multidisciplinary approach to care.
As a dedicated gynaecologist, Dr David Rosen provides ongoing support through regular follow-ups and personalized pain management plans to improve quality of life for his patients.
City: Kogarah, NSW, Australia
Philosophy: The cause of endometriosis is unknown – deep infiltrating disease arising from the uterosacral ligaments and incorporating the ovaries and bowel shows a very different natural history to peritoneal gunpowder or vesicular deposits yet both can cause severe symptoms in women. Accordingly, each patient is approached individually however the overarching philosophy is extensional surgery to remove all deposits (versus “diathermy to endometriosis” which can often leave deep deposits of endometriosis especially in the Pouch of Douglas)
Medication:
Approach to Persistent Pain After Surgery: Endometriosis represents a chronic disease and I believe that pain pathways are laid down over years, like a highway of stimuli from the source in the pelvis, to the sensory cortex and back to the pelvis. As such, it is not unusual to experience recureent symptoms in the same areas as the initial presentation, even if the stimulus is minor. Whilst all physicians hope that their patients experience rapid and permanent relief from excising disease, I am aware of the concept of visceral sensitization and the strategies needed to reduce chronic pain symptoms for this group of women. Accordingly all endometriosis patients are reviewed annually until they feel they no longer need to be seen, offered hormonal therapy following surgery if fertility is not immediately desired and then work as a team to strategize the best plan for chronic pain sufferers, often involving clinicians listed below..