Dr. Tarek Toubia, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Hopkinsville, Kentucky
Philosophy:
Multifactorial origin for a complex disease (with emphasis to genetic and embryonic theories) and thus treatment approach needs to be personalized and multidisciplinary.
What type of surgery do you perform for endometriosis?:
Excision
Medication: I use hormonal suppression with combined contraceptives or some progestational agents when someone does not want surgical treatment and is desiring contraception. I use GnRH antagonists for patients who are suffering from pain symptoms and desiring to delay surgical intervention and not attempting conception.
Approach to Persistent Pain After Surgery:
Reassess and reevaluate for any concomitant pathology that could be contributing to pain
Also postoperative hormonal suppression to decrease risk of recurrence
Also postoperative hormonal suppression to decrease risk of recurrence