Dr. Jeff Arrington
Jeff Arrington MD, FACOG, ACGE Endometriosis Specialist
Summary: Dr Jeffrey Arrington, MD, FACOG, ACGE is a renowned endometriosis specialist in Riverton, Utah, recognized for his advanced surgical expertise and patient-first approach. Often referred to as Dr Jeff Arrington, he is sought after by patients across the region searching for a trusted expert like Jeffrey Arrington MD. As one of the leading gynecologic surgeons in the area, Dr Arrington Utah is known for combining cutting-edge techniques with compassionate, individualized care.
A firm believer in the Mullerianosis theory, which suggests that endometriosis develops from embryologic tissue, Dr. Jeff Arrington offers a wide range of treatment options tailored to each patient’s condition. These include hormonal therapies such as OCPs, POPs, and LNG-IUDs, as well as advanced laparoscopic excision surgery. Patients working with Dr Arrington Utah appreciate his clear communication and commitment to empowering them through every step of the treatment process.
For those struggling with ongoing pain after surgery, Jeffrey Arrington MD takes a comprehensive, multidisciplinary approach. This can include physical therapy, targeted medications, or second-look surgery when necessary. He also collaborates with other specialists for concerns like nerve impingement or neuro-compromise, ensuring that patients receive thorough, whole-person care.
City: Riverton, Utah, USA.
Philosophy: Mullerianosis. This doesn’t explain all the presentations, but I believe is the most dominant one with the highest degree of evidence.
Medication: OCP, POPs, LNG-IUD. I typically only use these if the patient chooses palliation. I do present all options with the appropriate explanation of the goal and risks of therapy. The patient is then allowed to choose the most appropriate management for her.
Approach to Persistent Pain: It depends on the symptoms and the other potential pain generators discovered in the pre-op work up. Some patients benefit from PT, some from simple hormones, and some from compounded muscle relaxers and inflammatory mediators. When appropriate I perform a second look with liberal biopsies of anything suspicious. If there is residual endo, I want to find it. I have also been looking into help with neurogastroenterology for some of the more difficult patients after endo is confirmed absent. I am also cognizant if potential nerve impingement and neuro-compromise and use appropriate referrals or personal surgical management for these.
Dr. Ken Sinervo
Dr Ken Sinervo, M.D., M.Sc, F.R.C.S.C., A.C.G.E.
Medical Director, Center for Endometriosis Care
Gynecology & Minimal Invasive Surgery
Endometriosis Specialist.
Summary: Dr Ken Sinervo, M.D., M.Sc., F.R.C.S.C., A.C.G.E., is a globally recognized leader in the treatment of endometriosis and the Medical Director of the Center for Endometriosis Care in Atlanta GA. With decades of experience, Dr. Ken Sinervo is renowned for his expertise in minimally invasive excision surgery and his compassionate, patient-focused approach. Patients from around the world travel to see Dr Ken Sinervo Atlanta GA for advanced care that addresses the full complexity of this challenging condition. As a leading expert in the field, Ken Sinervo gynecology services are known for combining surgical precision with a deep understanding of chronic pelvic pain and reproductive health. Whether patients are newly diagnosed or have struggled with endometriosis for years, Dr Ken Sinervo offers hope through highly individualized treatment. His reputation for excellence continues to make Dr Ken Sinervo Atlanta GA a trusted destination for those seeking specialized care. With a strong foundation in evidence-based medicine, Ken Sinervo gynecology expertise reflects a commitment to both innovative treatment and long-term patient support.
City: Atlanta, GA, USA.
Dr. Ken Sinervo is a world-renowned expert in the excision of endometriosis and multidisciplinary care of the disease. A humble, compassionate surgeon who truly cares for his patients, he has won countless awards for his dedicated service and is known to always go above and beyond for those in his care.
Philosophy: Endometriosis can likely be ascribed to embryologic origins as upheld by Redwine’s Mülleriosis theory, which suggests that the disease is created following abnormal differentiation of the Müllerian duct system during embryogenesis and later triggered by varied mechanisms.
Medication: When patient has chosen the option based on their specific circumstances and indications; LNR-IUS for adenomyosis, short-term ovulation suppression (3-6 immediately post-operatively) with either continuous low dose contraceptives or progestins such as norethindrone. Narcotics/pain medication as needed/appropriate.
Approach to Persistent Pain: Re-assessment of potential causes of pain. Pelvic floor PT where needed. Pain management where needed – trigger point injections, nerve blocks, medication. If need for narcotics, and have had appropriate referrals to other specialists where necessary, then we would consider another laparoscopy. Happens less than 10-15% of the time.
Dr. Andrea Vidali MD
Dr. Andrea Vidali, M.D
Endometriosis Specialist, Obstetrics & Gynecology / General Obstetrics & Gynecology, Reproductive Endocrinology
Summary: Dr Andrea Vidali MD is a highly regarded endometriosis specialist and reproductive endocrinologist based in New York, NY, USA. Known for his expertise and compassionate approach, Dr Vidali offers comprehensive care for patients dealing with complex endometriosis cases. His practice attracts individuals from both the New York City area and beyond, especially those searching for a trusted expert like Andrea Vidali NYC. What makes Dr Andrea Vidali endometriosis treatment unique is his focus on combining excision surgery with targeted medical therapies, such as progestins and IUDs. This approach not only helps control bleeding but also addresses related conditions that often go untreated. His methods are especially effective for patients who haven’t responded well to hormonal therapy alone.
In addition to his surgical skill, Dr Vidali emphasizes the importance of personalized, long-term care. Every patient receives a tailored recovery plan that may include physical therapy and collaboration with physiatrists to help manage persistent pelvic pain. This ongoing support is a key part of the experience with Dr Andrea Vidali MD, who believes that successful treatment doesn’t end in the operating room.
Many patients turn to Dr Andrea Vidali MD not just for his medical knowledge, but for his commitment to improving their overall quality of life. Whether you’re local to New York or researching providers like Andrea Vidali NYC from across the country, his integrative approach to endometriosis makes him a leading choice in the field. It’s no surprise that Dr Andrea Vidali endometriosis care is so highly sought after by those navigating this challenging condition.
City: New York, NY, USA
Philosophy: Current scientific evidence points to the coelomic theory of endometriosis
Medication: The approach to endometriosis has to be holistic and address not only the disease itself but also potentially associated conditions. At this time, since we do not have medical candidates for curing endometriosis, the first essential step in the treatment of endometriosis is excision surgery. Additionally, Dr. Vidali rely on hormonal contraception, preferably progestins either orally or in the form of IUD to control bleeding or adenomyosis-related factors, if present. He does not rely on GnRH agonists or antagonists as in my experience the risk profile and efficacy profile not better than progestins make them undesirable.
Approach to Persistent Pain: I would like to affirm that I follow all the patients I operate on until they are well. I see the patients periodically as long as necessary. I always have a plan post-operatively especially if history, lab work, and initial examination have highlighted the possibility of the coexistence of additional pain generators. I do recommend physical therapy to most if not all patients and rely on a network of physiatrists.
Dr. Cindy Mosbrucker
Dr. Cindy Mosbrucker, M.D.
Dr Cindy Mosbrucker – Endometriosis Specialist, Urogynecologist
Summary: Dr Cindy Mosbrucker MD is a highly respected endometriosis specialist and urogynecologist based in Gig Harbor, Washington. Dr. Mosbrucker brings a compassionate, evidence-based approach to endometriosis care, guided by the belief that peritoneal metaplasia, influenced by genetics, plays a key role in the disease. With a focus on thorough evaluation and individualized treatment, Dr Mosbrucker prioritizes conservative hormone therapy and advanced excision surgery. She avoids GnRH therapies, favoring progestins and multimodal postoperative pain management to enhance patient recovery.
Dr Mosbrucker’s approach to persistent pelvic pain is holistic and thoughtful. Recognizing that most postoperative pain stems from myofascial or pelvic floor dysfunction, she frequently partners with physical therapists and employs non-opioid treatments. Patients searching for expert care from Dr Cindy Mosbrucker MD can trust in her meticulous, patient-centered philosophy focused on long-term relief and improved quality of life.
City: Gig Harbor, Washington, USA
Philosophy: Peritoneal metaplasia, which is genetically influenced
Medication: I do not use any GnRH agonists or antagonists. I will use progestins (either norethindrone or Prometrium) for suppression when necessary, either while waiting for surgery or for those recurrent pains typically from ovarian cysts. I am not opposed to OCPs or progestin-containing IUDs s however, their utility is not as good as progestins alone. I use multimodal pain management postop with TAP blocks, an On-Q pump, gabapentin, tramadol, Sprix (ketorolac nasal spray), antiemetics, and minimal narcotics.
Approach to Persistent Pain: Figure out what is causing their pain. At least 75% of the time, it is myofascial, usually related to pelvic floor spasm. Most of my patients are referred to PT post-op. IC patients are taught installations usually before surgery, but sometimes postop. Those prone to adhesion formation are referred to as visceral mob PTs around 6-8 weeks postop. For those with pain after these interventions, we consider repeat surgery, and my reoperation rate is somewhere between 5% and 10%.
