Archives

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1 year ago

Dr. Linder Díaz

Dr. Linder Díaz, Endometriosis Specialist

City: Concepción, Chile

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1 year ago

Dr. Jose Fernando de los Rios Posadas

Dr. Jose Fernando de los Rios Posadas, Endometriosis Specialist

City: Medellín, Colombia

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1 year ago

Dr. Guilherme Karam

Dr. Guilherme Karam, Endometriosis Specialist

City: São Paulo, Brazil

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1 year ago

Dr. Fábio Morozetti Ramajo

Dr. Fábio Morozetti Ramajo, Endometriosis Specialist

City: São Paulo, Brazil

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1 year ago

Dr. Demetrio Larrain

Dr. Demetrio Larraín de la Cerda 

Doctor Demetrio – Endometriosis Specialist

Summary: Dr Demetrio Larraín de la Cerda is a trusted endometriosis specialist based in Providencia, Santiago, Chile. Doctor Demetrio provides expert, compassionate care rooted in the retrograde menstruation theory of endometriosis. Dr. Larrain’s approach focuses on excision surgery, followed by personalized medical management using treatments like Dienogest, Mirena, or oral contraceptives, particularly for symptomatic patients who are not seeking immediate pregnancy.

Doctor Demetrio takes a holistic view of recovery, offering continued support long after surgery. For those experiencing persistent pain, he combines imaging, medical therapy, nutrition, pelvic physiotherapy, and physiological evaluation to guide long-term healing. Patients appreciate Dr. Larrain’s deep commitment to their well-being, making him a leading choice for comprehensive endometriosis care in Chile.

City: Providencia, Santiago, Chile.

Philosophy of Endometriosis Care: Retrograde menstruation

What type of surgery do you perform for endometriosis: Excision

Medication: Dienogest, Mirena, or another OCP. I always indicate them in symptomatic patients. If they do not wish immediate pregnancy, always in the postoperative period.

Approach to Persistent Pain After Surgery: Imaging evaluation, Medical treatment, nutritional treatment, pelvic physiotherapy, and physiological evaluation.

I believe that recovery does not end in the operating room. I stay closely involved with every patient’s care, providing follow-up and support for as long as needed to help them achieve meaningful, lasting improvement.

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1 year ago

Dr. Filipe Vieira Kwiatkowski

Dr. Filipe Vieira Kwiatkowski

Dr Filipe Vieira Kwiatkowski – Endometriosis Specialist

Summary: Dr Filipe Vieira Kwiatkowski is a dedicated endometriosis specialist based in Pelotas, Rio Grande do Sul, Brazil. Dr Filipe Vieira Kwiatkowski approaches endometriosis care through a thorough understanding of retrograde menstruation and the Mullerian theory, focusing on effective surgical excision to remove endometriosis tissue. He combines advanced surgical techniques with personalized medication plans that include nonsteroidal anti-inflammatory drugs, analgesics, and estrogen blockers to manage symptoms and improve patient outcomes. Dr Filipe Vieira Kwiatkowski also emphasizes a holistic approach to persistent pain after surgery, recommending pelvic physiotherapy paired with an anti-inflammatory diet. In select cases, he may prescribe centrally acting medications such as pregabalin or duloxetine to support recovery and pain relief. Patients under Dr Filipe Vieira Kwiatkowski’s care benefit from compassionate, evidence-based treatment tailored to promote long-term health and quality of life.

City: Pelotas, Rio Grande do Sul, Brazil

Philosophy of Endometriosis Care: Retrograde Menstruation  and Mullerian Theory

What type of surgery do you perform for endometriosis: Excision

Medication: Nonsteroidal anti-inflammatory drugs and analgesics in addition to estrogen blockers

Approach to Persistent Pain After Surgery: Pelvic physiotherapy is associated with an anti-inflammatory diet and, in some cases, the use of centrally acting medications, such as pregabalin and duloxetine, for example.

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1 year ago

Dr. Andres Viguera Smith

Dr. Andres Viguera Smith, Endometriosis Specialist

City: Talcahuano, Chile

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1 year ago

Dr. Juan Carlos Canton Romero, PhD MD

Dr. Juan Carlos Canton Romero, PhD, MD

Dr Juan Carlos Canton Romero – Laparoscopic Surgeon, Endometriosis Specialist

Summary: Dr Juan Carlos Canton Romero is a leading endometriosis specialist and laparoscopic surgeon based in Guadalajara, Mexico. Known for his personalized, compassionate care, he uses a patient-centered approach grounded in the Mullerianosis theory. With expertise in minimally invasive procedures, Dr Juan Carlos performs excision surgeries tailored to each patient’s age, fertility goals, and disease stage. He also manages symptoms with medications like dienogest, GnRH inhibitors, and oral contraceptives. For persistent pain after surgery, Dr Juan Carlos recommends a holistic plan that may include physiotherapy, yoga, and ongoing hormonal support. Patients value his commitment to preserving fertility when possible and his thoughtful, evidence-based care. With Dr Juan Carlos, individuals experiencing endometriosis can expect clear communication, tailored treatment, and support throughout their healing journey. Whether seeking surgical expertise or long-term symptom relief, Dr Juan Carlos provides the experience and empathy patients need to feel heard and supported.

City: Guadalajara, Jalisco, Mexico

Philosophy of Endometriosis Care: Mullerianosis

What type of surgery do you perform for endometriosis?:

Ovarian ablation in young patients to preserve hormonal function and uterine in those who wish to preserve fertility; ovarian resection in postmenopausal patients. Uterine resection is for those who do not wish to preserve fertility. In patients with early-stage cancer with a good prognosis of the ovary and cervix and a desire to preserve fertility, conservative surgery was performed.

Medication: Oral analgesics, antispasmodics, prostaglandin inhibitors AINES, continuous oral contraceptives with Dienogest (Qlaira), continuous dienogest, GnRH inhibitors for 3–6 months, and Levonorgestrel IUD.

Approach to Persistent Pain After Surgery: Physiotherapy, rehabilitation, exercise like yoga, continuous contraceptives, and/or dienogest.

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1 year ago

Dr. Cristobal Gerardo Rodriguez-Valero

Dr. Cristobal Gerardo Rodriguez-Valero, M.D.

Dr Gerardo Rodriguez – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

Summary – Dr Gerardo Rodriguez is a trusted endometriosis specialist based in Monterrey, Mexico. With a patient-centered approach rooted in the epigenetic theory of endometriosis, Dr Gerardo Rodriguez MD, emphasizes a comprehensive understanding of the condition, especially in teens and complex cases. He specializes in excision surgery, often using medications like Dienogest or Orlissa preoperatively to enhance surgical outcomes. Dr Gerardo Rodriguez believes in a multidisciplinary strategy for persistent pain, collaborating with psychologists and pelvic floor therapists to support holistic healing. Patients seeking expert care from Dr Gerardo Rodriguez MD benefit from his deep commitment to individualized treatment plans and his dedication to long-term symptom relief. Dr Gerardo Rodriguez combines advanced surgical skill with compassion and insight, helping patients in Monterrey and beyond find answers and relief through expert, human-centered care.

City: Monterrey, Nuevo Leon, México

Philosophy: Epigenetic theory: despite Sampson’s theory being well accepted, it does not integrate the diagnosis in teenage patients and others. I believe epigenetic englobes a more acceptable theory, conjoined with other theories like Mullerian malformations.

What type of surgery do you perform for endometriosis?: Excision

Medication: In some specific cases, previous to surgery, we decide to manage with DIENOGEST, Orlissa, or Visanette, commercial names, to suppress the disease and better prepare for excision in surgery.

Approach to Persistent Pain After Surgery: Multispecialty Management with Psychology and Pelvic Floor Therapy.

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2 years ago

Dr. Victor Rubio

Dr. Víctor Rubio

Victor Rubio – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist

Summary: Based in Chihuahua, Dr Rubio Mexico (Dr Víctor Rubio) is a skilled gynecologist and minimally invasive surgeon who is deeply committed to helping patients manage endometriosis. With years of experience and a focus on excision surgery, Victor Rubio provides individualized care grounded in the embryogenetic theory of endometriosis development.

Dr Víctor Rubio prioritizes patient well-being through both surgical and non-surgical approaches. For those delaying pregnancy, he may prescribe Dienogest to manage symptoms and protect ovarian health. After surgery, he supports healing with pelvic floor physiotherapy to address persistent pain and promote long-term relief. Known for his compassionate, patient-first care, Dr Rubio Mexico ensures every treatment plan is tailored to the individual’s needs and life goals. Victor Rubio is dedicated to improving the quality of life for those navigating the challenges of endometriosis.

City: Chihuahua, Mexico

Philosophy: Embryogenetic Theory

What type of surgery do you perform for endometriosis?: Excision

Medication: Dienogest 2mg oral every 24 24 hours. At the time of the diagnosis, if the patient does not want to become pregnant until she does, after surgery, in endometriomas, depending on age, ovarian reserve, and size.

Approach to Persistent Pain After Surgery: Pelvic Floor Physiotherapy.

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2 years ago

Dr. Kenneth I. Barron

Kenneth I. Barron

Dr Kenneth Barron – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.

Summary: Dr Kenneth Barron is a leading gynecologist and minimally invasive surgeon in Charlottesville, VA, specializing in endometriosis care and advanced fertility support, including IVF in Charlottesville VA. Known for his compassionate, patient-focused care, Dr Barron Charlottesville offers expert excision surgery and custom treatment plans for those navigating complex pelvic pain and fertility challenges.

Kenneth Barron MD approaches endometriosis with the precision of cancer care—targeting lesions with wide excision to reduce recurrence. He combines surgical expertise with hormonal therapies like high-dose progesterone and GnRH antagonists to support patients before and after treatment. When pain persists, he continues care by assessing for other pain sources such as nerve or myofascial issues. Patients seeking both endometriosis relief and fertility options turn to Dr Kenneth Barron for trusted, long-term support and highly specialized care in the heart of Charlottesville.

City: Charlottesville, Virginia

Philosophy:

Endometriosis is the medusa of gynecologic care. It is a many-headed monster with evidence of disease from birth (congenital); spread through vascular and lymphatic channels; metaplasia; and efflux of menstrual tissue. The origin is less important than the disease location, symptoms, and treatment goals. I treat endometriosis much like cancer: It must be resected with wide margins as recurrences when they occur, are typically in the same locations as previous disease.
What type of surgery do you perform for endometriosis?: Excision

Medication: Hormonal medications can be helpful for patients in controlling symptoms, preparing for fertility treatment, and anticipating surgery. Patients seek me out for surgical management when medicine fails. I often have patients try high-dose progesterone (norethindrone at 2.5 mg) if they have not before. I occasionally treat with GnRH antagonists in cases of nerve involvement, desire to shrink the disease before operating to reduce the risk of oophorectomy, and prolonged waiting for surgery.

Approach to Persistent Pain After Surgery:

I always continue to take care of my patients after surgery. There can be more than one pain generator coexisting with endometriosis. If pain persists post-operatively, I re-evaluate the patient for other sources of pain, if not already recognized pre-operatively, such as myofascial pain, neuropathic pain, primary uterine pain, or bowel and bladder-related pain.

 

 

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2 years ago

Dr. Tarek Toubia

Dr. Tarek Toubia

Dr Tarek Toubia – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.

Summary: Located in Hopkinsville, Kentucky, Dr Toubia is a compassionate gynecologist and minimally invasive surgeon specializing in endometriosis care. With a focus on the complex, multifactorial nature of endometriosis, Dr Tarek Toubia offers personalized, multidisciplinary treatment plans that address each patient’s unique needs.

Dr Toubia performs precise excision surgery to remove endometrial lesions and alleviate pain. For patients seeking non-surgical options or contraception, he provides hormonal suppression using combined contraceptives or progestational agents. Additionally, Dr Toubia utilizes GnRH antagonists for symptom relief when delaying surgery is preferred. When pain persists after surgery, he carefully reassesses for other causes and recommends postoperative hormonal treatments to reduce the risk of recurrence. Patients trust Dr Toubia for his thoughtful approach and dedication to long-term health and comfort.

City: Hopkinsville, Kentucky

Philosophy: Multifactorial origin for a complex disease (with emphasis on genetic and embryonic theories), and thus the 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 desires 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 decreases the risk of recurrence

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