Dr. Joseph Chen
Dr Joe Chen – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Joseph Chen, also known as Dr Joe Chen or Chen Joseph, is a skilled endometriosis specialist in Oakland, California, offering expert care for patients dealing with this complex condition. With a deep understanding of extra-pelvic endometriosis, Joseph Chen MD believes in addressing multiple theories of endometriosis origins, including retrograde menstruation, colemic transformation, and lymphatic dysregulation. His holistic approach to treatment includes excisional surgery in Omaha, NE, along with systemic and localized progestin suppression to manage symptoms and prevent recurrence.
Dr Joe Chen also ensures comprehensive care by screening for additional pain triggers such as neuropathic pain, IBS, and pelvic floor dysfunction. His approach to persistent pain after surgery involves careful reevaluation and collaboration with the patient to decide whether further excision surgery is necessary. With his expertise and personalized care, Dr Joseph Chen strives to improve his patients’ quality of life and fertility outcomes.
City: Oakland, California
Philosophy: As a provider who sees and addresses extra-pelvic endometriosis on a consistent basis, I am a believer that many of the origin theories, including retrograde menstruation, Mullerian and colemic transformation, as well as dysregulation of lymphatic transportation, are all relevant causes for this chronic condition. We know that premenstrual, postmenopausal, and non-female cases of endometriosis do occur, and thus, we need to be cognizant of the challenges regarding the current understanding of this disease.
Medication: I will routinely use progestin components for systemic suppression, as well as localized progestin protection for pain control. I routinely encourage patients to consider the use of systemic progestin suppression to prevent recurrence following excisional surgery – an approach that I have seen tremendous success in.
Approach to Persistent Pain After Surgery: Similar to my presurgical approach, I will often reevaluate to determine if the other pain triggers following surgery have been addressed. With patients who desire future fertility, repeating imaging and further systemic suppression are important to prevent worsening symptoms. With careful counseling and detailed discussion about the risks, benefits, and alternatives for reoperation, can we consider repeating the excision surgery.