Dr. Mohammad Haekal

Dr. Mohammad Haekal

Dr Mohammad Haekal – Endometriosis Specialist

Summary: Dr Mohammad Haekal is a skilled endometriosis specialist based in Jakarta, Indonesia, known for his comprehensive approach to care. Dr Mohammad Haekal’s clinical philosophy integrates multiple theories of disease origin—including retrograde menstruation, stem cell, and epigenetic mechanisms—to better understand and manage endometriosis in an evidence-based manner. He also believes that natural conception may still be possible after complete and meticulous surgical excision if normal anatomy and physiological function are restored.

Dr. Haekal follows a stepwise treatment strategy, where hormonal therapy—including progestins, GnRH injections, and LNG-IUS or implants—is used as first-line management for endometriosis-associated pain. Surgical intervention is recommended when medical therapy fails or when there is a clear clinical indication. In fertility-focused care, he routinely evaluates ovarian reserve: patients with good ovarian reserve and surgical benefit undergo comprehensive excision surgery, while those with low ovarian reserve are advised to proceed directly to Assisted Reproductive Technology (ART) to optimize fertility outcomes.

He performs systematic pre-operative mapping using ultrasound and MRI to define disease extent and detect residual lesions, with all surgeries carefully planned and carried out by a multidisciplinary team, focusing on complete excision of deep infiltrating endometriosis (DIE). For recurrent endometrioma, he adopts a fertility-preserving approach using suction combined with selective surgical and laser techniques to protect ovarian reserve. Post-operatively, he provides tailored hormonal therapy for patients delaying pregnancy and prioritizes medical management for persistent pain, generally recommending only one well-executed comprehensive surgery, with the goal of improving symptom control, fertility outcomes, and overall quality of life.

City: Jakarta, Indonesia

Philosophy of Endometriosis Care: Retrograde, stem cell, and epigenetic theories. For treatment associated infertility, I always check for ovarian reserve of the patient. If there is good ovarian reserve and there is benefit of the surgery then we performed the surgery. If the patient have low ovarian reserve then we directly go to ART.

I always believe that there is always a chance to naturally conceived after complete and comprehensive surgical excision if we can restore the anatomy and physiologically.

I also give medication for post-operative patients who want to delay their fertility to reduce risk.

Systematic pre-operative mapping with ultrasound and MRI will be performed to search for residual lesions.

Surgery will be done based on pre-operative diagnostic with multidisciplinary team. We will performed complete excision of DIE lesion.  For repeated endometrioma I only performed suction (+surgical) and laser, since it will markedly decreasing of ovarian reserve in repeated surgery and will made bad prognosis for fertility.

What type of surgery do you perform for endometriosis: Excision

Medication: Hormonal (progestin, GnRH Injection, LNG IUS or Implant) using as first line treatment for endometriosis associated pain. Excision surgery will performed if there is failed of medication treatment.