Dr. Hugo Ruano, Endometriosis Specialist
City: Guatemala, Guatemala
Philosophy of Endometriosis Care: Embriologic Theory. Endometriosis has a mesodermic origin. It starts as early as embryologic life when the three layers (endoderm, mesoderm, and ectoderm) are different(iating)
What type of surgery do you perform for endometriosis: Excision
Medication: Non-steroidal anti-inflammatory medications. I also use oral contraceptives such as ethinyl estradiol plus dienogest or dienogest alone and IUD of levonorgestrel.
Approach to Persistent Pain After Surgery: We usually carry on an evaluation with a neuropelviologist for initial and persistent symptoms. We also have an anesthesiologist specializing in pain management.