Dr. Patrick Yeung Jr

Endometriosis Specialist

Minimally Invasive Gynecologic Surgeon

Address

522 N New Ballas Rd, Suite 300, St. Louis, MO 63141

Share
Specialties
  • Pelvic Endometriosis
  • Fertility and Endometriosis
  • Endometrioma
  • Bowel Endometriosis
Profile Description

Patrick Yeung Jr, M.D., Endometriosis Specialist, Minimally Invasive Gynecologic Surgeon.

City: St. Louis, MO, USA

Philosophy: Metaplasia or maybe stem cells. I agree with Dr. Redwine that the retrograde menstruation theory is probably one of the most problematic areas in our understanding of endometriosis, and leads people to make statements or hold ideas that just biologically are not true (like hysterectomy or inducing amenorrhea will somehow treat endometriosis).

Medication: I rarely, if ever, use or recommend hormonal suppression, which at best is symptomatic relief; I think that hormonal suppression does nothing to the actual disease (it certainly does not dissolve it or get rid of it), has not been shown or proven to prevent progression, does NOT help (later) fertility, and can have serious side effects.
I do NOT recommend postoperative hormonal suppression for the sake of preventing progression or recurrence if I think that optimal excision has been achieved, and so am committed to achieving optimal excision at the time of surgery.

Approach to Persistent Pain: If a patient has had optimal excision, then endometriosis as a source of pain should be at the bottom of the list of potential sources of symptoms, though not off the list. Other sources of pain should be investigated first before revisiting the issue of endometriosis-associated pain, or at least in thinking that another surgery would be helpful. The uterus itself could also be a source of pain.
Our rate of repeat surgery for endometriosis, since incorporating a more global or comprehensive approach to pain, has gone from 40% to 6%.
If surgery is to be repeated, I like to try to do something different than what was done the first time, in the hopes of a different outcome.

Additional Info
Gender:

Male

Hospital Affiliations:

St. Luke's Hospital, the St. Louis Multispecialty Surgery Center, and Mercy Main Hospital.

Insurance:

Out of Network

Waiting Time:

6 Weeks

In Practice Since Year:

2008

Fellowship & Certificates:

-Mini Fellowship in Laparoscopic Excision of Endometriosis, Center for Endometriosis Care, Atlanta, GA, 07/2008-09/2008
-Fellowship in Minimally Invasive Gynecologic Surgery, University of Louisville, KY, 07/2007- 06/2008

Residency:

- Obstetrics and Gynecology, Georgetown University Medical Center, Washington, D.C., 07/2003-07/2007
-Family Medicine, St. John’s Mercy Medical Center St. Louis, MO, 08/2000-06/2003

Medical School:

Queens University, Kingston, Ontario, Canada 08/1996-05/2000

Share