Dr. Jurgis Vitols 

Jurgis Vitols – Endometriosis Specialist

Summary: Dr Jurgis Vitols is a leading endometriosis specialist based in Riga, Latvia, known for his precise surgical expertise and individualized approach to care. With a foundation in the genetic-epigenetic theory of endometriosis, Jurgis Vitols believes in tailoring treatments to each patient’s unique biology and goals. He specializes in excision surgery and prefers cystectomy for ovarian cysts, sometimes using laser vaporization when preservation of healthy tissue is a priority.

Dr Jurgis Vitols carefully considers each patient’s preferences when recommending medical management. For those avoiding surgery, he may suggest oral contraceptives or progesterone pills. After surgery, he personalizes follow-up care based on fertility goals, occasionally using short-term GnRH therapies when appropriate. In cases of persistent pain, Dr Vitols incorporates hormone therapy and may refer patients to pain specialists for additional support. His patient-centered, evidence-based care makes him a trusted expert in endometriosis treatment.

City: Riga, Latvia

Philosophy of Endometriosis Care: Genetic-Epigenetic Theory.

What type of surgery do you perform for endometriosis: Excision; Both. I may use ablation only for ovarian cysts. For ovarian endometriosis, I may use laser vaporization on the hilum of the capsule or for all of the cyst capsules in case the cyst enucleates badly and there is a high risk of damage to normal ovarian tissue. My preferred approach for ovarian cysts is cystectomy.

Medication: Depends on the patient’s wishes and complaints. For patients who don’t want to have surgery, I recommend the use of combined oral contraceptive pills or progesterone pills. If symptoms persist, I recommend surgical treatment. After surgery, I recommend long-term use of combined oral contraceptive pills or progesterone pills for patients who don’t wish to become pregnant and have had ovarian endometrioma to reduce recurrence. For patients who wish to become pregnant after surgery, sometimes I recommend short use (maximum of 3-4 months) of GnRH analogs or GnRH antagonists to improve their chance of having a natural conception. I never prescribe long-term use of GnRH medication.