Dr. Mamta Mamik, Endometriosis Specialist
City: New York City, New York
Philosophy of Endometriosis Care: Embryonic rest theory, coelomic metaplasia, stem cell theory
What type of surgery do you perform for endometriosis: Excision
Medication: Only oral contraceptives and Mirena IUD. I recommend their use after excision surgery to avoid recurrence. I avoid using GnRH agonists, as this makes excision difficult unless the patient really would like to try this.
Approach to Persistent Pain After Surgery: Multi-modality approach is always best. This includes collaboration with physical therapy, nerve blocks in the office, and possible neuromodulator implants depending on the severity of pain.