Jeff Arrington, M.D., FACOG, ACGE
City: Atlanta, GA, USA.
Dr. Jeff Arrington is a widely recognized expert in advanced excision of endometriosis and Minimally Invasive Gynecologic Surgery. He is known for his compassion and support of all those struggling with endometriosis.
Philosophy: Mullerianosis. This doesn’t explain all the presentations, but I believe is the most dominant one with the highest degree of evidence.
Medication: OCP, POPs, LNG-IUD. I typically only use these if the patient chooses palliation. I do present all options with the appropriate explanation of the goal and risks of therapy. The patient is then allowed to choose the most appropriate management for her.
Approach to Persistent Pain: It depends on the symptoms and the other potential pain generators discovered in the pre-op work up. Some patients benefit from PT, some from simple hormones, and some from compounded muscle relaxers and inflammatory mediators. When appropriate I perform a second look with liberal biopsies of anything suspicious. If there is residual endo, I want to find it. I have also been looking into help with neurogastroenterology for some of the more difficult patients after endo is confirmed absent. I am also cognizant if potential nerve impingement and neuro-compromise and use appropriate referrals or personal surgical management for these.