Dr. Liliana Puycan, Endometriosis Specialist
City: Lima, Peru
Philosophy of Endometriosis Care: The theories of endometriosis that focus my treatment are the theory of coelomic metaplasia and the immunological theory since I think that the disease grows or proliferates in an inflammatory-immune environment, originating in certain patients susceptible to the disease.
What type of surgery do you perform for endometriosis: Excision
Medication: I begin treatment with the use of progestins and/or bioidentical progesterone, in addition to changes in nutrition and lifestyle to reduce the inflammatory effect of the disease.
Approach to Persistent Pain After Surgery: Before the surgical treatment, I made sure that the patient had already started a complete diet and physical activity regimen, which would continue postoperatively. Understanding the importance of reducing the intake of endocrine disruptors and reducing the percentage of visceral fat that leads to hyperestrogenism is essential for the long-term management of this type of patient.