Dr. Whitney Ann Barnes

Dr. Whitney Ann Barnes, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.

City: Lawrenceville, Georgia

Philosophy:

The pathogenesis of endometriosis is complex and multifactorial. Despite continuous research efforts dedicated to unraveling the disease’s origins, its etiology remains elusive. Various theories have been proposed about its origin, with the initial theory of retrograde menstruation. However, this theory as the single cause of endometriosis has faced challenges, as it fails to account for the fact that more than 80% of women of reproductive age experience retrograde menstrual bleeding without developing endometriosis. Presently, a comprehensive understanding of the condition suggests that a combination of factors, including impaired immunologic response, genetic predisposition, and epigenetic and environmental factors, provide possible explanations as to the cause of the disease.

In my practice, my primary focus revolves around ensuring that patients understand the complex nature of endometriosis. I use an individualized approach, tailoring treatment options based on each patient’s unique preferences and circumstances, with the ultimate goal to improve the quality of life for my patients. I firmly believe that wide surgical excisional surgery offers the best solution because it removes both visible tissue and the surrounding microscopic disease, surpassing the efficacy of localized excision or ablation techniques.

Medication: Medication is tailored to each patient, taking into account their unique medical circumstances and indications. This personalized approach considers factors such as the patient’s current health status and past medical history, prior experiences with medications, and individual management goals. I utilize non-narcotic pain relief medications such as NSAIDS, gabapentinoids, and SNRI/SSRI medications for central pain desensitization and hormonal regulation when appropriate. Every medication option is presented to the patient along with a thorough explanation of its intended goal and potential risk. This process is done in close collaboration with the patient, respecting the patient’s preferences and addressing the patient’s needs.

Approach to Persistent Pain After Surgery: Similar to my approach to treating endometriosis, my approach to managing persistent pain after surgery is personalized. Before proceeding with surgery, I engage in individualized patient counseling to review the risk of persistent or reoccurring pain. This approach recognizes that for some patients, endometriosis excision surgery is a single facet within a broader spectrum of care that may involve central and peripheral pain management, pelvic floor physical therapy, gastroenterology, pain management specialists, and dietary modifications. My ultimate goal is to alleviate the patient’s symptoms and improve the patient’s quality of life.

Dr. Whitney Ann Barnes

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