Dr. Marcelo Lontra, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Porto Alegre, Brazil
Philosophy:
Retrograde menstruation model
Endometrial stem cell recruitment theory
Bone marrow–derived stem cell theory
Molecular genetic changes in endometriosis
Epigenetic and microrna alterations in endometriosis
Endometrial stem cell recruitment theory
Bone marrow–derived stem cell theory
Molecular genetic changes in endometriosis
Epigenetic and microrna alterations in endometriosis
What type of surgery do you perform for endometriosis?:
Excision
Medication:
Progestins for pain;Dienogest Dienogest;2mg per day
Aromatase inhibitors for reduce pain, intestinal symptoms, urinary symptoms and
decrease the volume of laparoscopically visible endometriosis.
Gonadotropin Releasing Hormones (GnRH) antagonists for pain
Approach to Persistent Pain After Surgery:
Repeat imaging and surgery if it´s indicated