Dr. Ana Gabriela Sierra Brozon

Dr Ana Sierra – Minimally Invasive Gynecological Surgery

Summary: Dr Ana Sierra is a skilled minimally invasive gynecologic surgeon based in Mexico City, specializing in endometriosis care. With a deep understanding of the condition’s complexity, Dr Ana Sierra embraces a unique approach grounded in the mesodermal origin theory, viewing endometriosis as a congenital condition rather than one solely caused by retrograde menstruation. This insight shapes her commitment to early diagnosis and precision excision surgery, making Dr Ana Sierra a trusted choice for patients seeking expert, evidence-based care.

She creates personalized treatment plans that may include hormonal therapy, anti-inflammatory supplements, and pelvic floor physiotherapy. When persistent pain remains after surgery, Dr Ana Sierra conducts a thorough neuropelviology evaluation and collaborates closely with pain management specialists. Patients benefit from her thoughtful, multidisciplinary approach and dedication to long-term relief. With Dr Ana Sierra, endometriosis care is comprehensive, compassionate, and rooted in the latest medical understanding.

City: Mexico City, Mexico

Philosophy of Endometriosis Care: Our approach to the treatment of endometriosis is based on the mesodermal origin theory, which suggests that individuals are born with endometriotic-like cells due to embryological misdifferentiation of the mesoderm. This theory posits that endometriosis is not solely a retrograde menstruation phenomenon but rather a condition that originates during fetal development, where misplaced Müllerian or mesothelial cells retain their potential to differentiate into endometrial-like tissue later in life.

This perspective explains why endometriosis can be diagnosed in prepubertal patients, postmenopausal women, and even in cases without functional menstruation. It also underscores the importance of a comprehensive excision-based surgical approach, as the disease is not merely a result of refluxed endometrial tissue but rather a condition embedded in the developmental blueprint of the pelvic structures. Understanding endometriosis from a congenital standpoint allows us to refine treatment strategies, emphasizing early diagnosis, precision excision surgery, and a multidisciplinary approach to improve patient outcomes.

What type of surgery do you perform for endometriosis: Excision

Medication: Hormonal treatment, primarily progestins, only when necessary; anti-inflammatory diet; pelvic floor physiotherapy; anti-inflammatory supplements.