Dr. Fadel Azer

Endometriosis Specialist

Gynecology & Minimal Invasive Surgery

Address

Advanced Gynecology Practice
3033 Ogden Ave. Ste 300, Lisle, IL 60532

Phone: +1(331) 702-2455
Share
Specialties
  • Endometriosis Excision Surgery
  • Pelvic Endometriosis
Profile Description

Dr. Fadel Azer, Endometriosis Specialist

City: Lisle, IL, USA

Philosophy of Endometriosis Care: I believe that the etiology of endometriosis is complex and multifactorial involving genetic, hormonal, immune, and environmental components. For most patients, I find a positive family history of the disease or one of its symptoms. While retrograde menstruation may initiate superficial endometriosis, deep endometriosis appears to have different mechanisms. Unlike superficial lesions, deep nodular lesions are not typically shed during menstruation, suggesting alternative theories such as coelomic metaplasia, induction of cellular transformation, and the embryonic remnant theory may better explain their origin. Genetic, hormonal, and environmental influences also contribute to the progression of both superficial and deep

What type of surgery do you perform for endometriosis?: Excision

Medication: Given the unique circumstances of each patient, I customize my treatment strategy accordingly. I offer a range of hormonal contraceptive options, including the Mirena IUD, oral contraceptive pills (OCPs), and Depo-Provera. Medications are provided before, during (such as inserting a Mirena or Kyleena IUD post-excision surgery while the patient is still under anesthesia, particularly for younger patients or those aiming for fertility), and after surgery. While I typically refrain from routinely suggesting GnRH agonists or antagonists, I may contemplate their use in certain instances, particularly for addressing persistent postoperative pain.

Approach to Persistent Pain After Surgery: Preparation for managing postoperative persistent pain begins during preoperative consultations. I conduct thorough assessments, including detailed medical histories and comprehensive physical exams, along with pelvic pain evaluations to explore potential conditions like spastic pelvic floor syndrome, interstitial cystitis, and irritable bowel syndrome. When central sensitization is suspected, I collaborate with a team comprising pelvic floor physical therapists, pelvic pain specialists, sex therapists, and behavioral therapists. I prescribe muscle relaxants to address pelvic floor spasms and provide treatment for interstitial cystitis or IBS through medications and lifestyle adjustments. In cases of suspected central sensitization, SSRIs may be prescribed. Additionally, I may consider GnRH agonists or antagonists for persistent postoperative pain management in specific scenarios.

Additional Info
Gender:

Male

Hospital Affiliations:

- Rush Copley Medical Center, Aurora, IL
- Advocate Sherman Hospital, Elgin, IL
- Advocate Good Samaritan Hospital, Downers Grove, IL
- Oak Brook Surgery Center, ak Brook, IL
- Presence Mercy Medical Center, Aurora, IL

Insurance:

BCBS, BCBSIL, Aetna, Signa, Humana, United Healthcare, Medicare

Waiting Time:

1 week

In Practice Since Year:

2010

Fellowship & Certificates:

N/A

Residency:

Obstetrician/Gynecologist Residency at St John Hospital And Medical Center (SJHMC) – Detroit, MI, in 2006–2010

School:

- Doctor of Medicine at University of Cairo, Cairo, Egypt in 2000
- Masters of General Surgery at the University of Cairo School of Medicine, Cairo, Egypt in 2003

Share
Reviews:
0 0 votes
Knowledge of endometriosis
0 0 votes
Bedside manner
0 0 votes
Pre procedure explanation
0 0 votes
Follow up care
0 0 votes
Achieving your desired outcome
Subscribe
Notify of
guest

0 Reviews
Inline Feedbacks
View all comments
Phone: +1(331) 702-2455