Dr. Tarek Toubia, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Hopkinsville, Kentucky
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?:
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:
Also postoperative hormonal suppression to decrease risk of recurrence