Dr. Aaron Parry, II, MD, FACOG
Dr. Aaron Parry, II, MD, FACOG, Endometriosis Specialist
Summary:
Dr. Aaron R. Parry, II, MD, FACOG is an experienced endometriosis and minimally invasive gynecologic surgery specialist based in Summerville, South Carolina, USA. His philosophy of endometriosis care is grounded in the coelomic metaplasia theory, recognizing endometriosis as a complex, multifactorial disease rather than one solely explained by retrograde menstruation. This perspective guides his diagnostic evaluation and long-term, individualized treatment planning.
Dr. Parry performs excision surgery for endometriosis, the gold standard for surgical management, with extensive expertise in laparoscopic and robotic-assisted techniques. He holds an ABOG Focused Practice Designation in Minimally Invasive Gynecologic Surgery (MIGS) and has completed advanced robotic training, with over 800 minimally invasive and robotic gynecologic procedures performed. His approach emphasizes meticulous surgical excision combined with thoughtful postoperative management to reduce recurrence and address coexisting gynecologic conditions.
Dr. Parry recommends a broad, individualized medication strategy for the treatment and management of endometriosis. First-line therapies include non-steroidal anti-inflammatory drugs (NSAIDs), progestins, and oral contraceptives, with strong preference for oral progestins and progestin-containing IUDs for both medical management and postoperative suppressive therapy. GnRH antagonists are used selectively, primarily for patients who have not responded to other medical treatments, and gabapentin is incorporated infrequently for neuropathic pain. His care is evidence-based, patient-centered, and focused on improving long-term symptom control and quality of life.
Philosophy of Endometriosis Care: Coelomic metaplasia theory of endometriosis
What type of surgery do you perform for endometriosis: Excision
Medication: I recommend a wide of medications in the treatment and management of endometriosis. First line therapies are non-steroidal anti-inflammatory drugs, progestins, and oral contraceptives. I strongly encourage oral progestins and progestin containing IUDs for medical treatment and post operative suppressive therapy. GnRH antagonists are used in my practice as well although not as commonly. I will use these medications when a patient did not respond to other medical therapies in the past. Further, I will incorporate gabapentin for neuropathic pain infrequently as well.
Approach to Persistent Pain After Surgery: Once a physician-patient relationship is made, I continue to follow my patients throughout their life, navigating this chronic disease. I strongly recommend post operative suppressive therapy with either OCPs, progestins (of various forms) and GnRH antagonists. I commonly will use what a patient has tolerated in the past to guide my therapy. Although I strongly recommend post operative therapy, I do respect the decision of the patient if she does not want post operative therapy. If symptoms recur post operatively, I will continue to evaluate for other causes of pelvic pain as well as make the appropriate referrals to urology, gastroenterology or pain management as needed. I commonly recommend post operative pelvic floor physical therapy before and after excision surgery, along with dietary counseling to avoid triggers of symptoms.
I am want to share my sincere recommendation and gratitude for Dr. Parry and his team. The care he provided me has been truly life changing, and I feel strongly that his dedication and compassion deserve to be recognized.
For years, I lived with ongoing pain and symptoms that were repeatedly dismissed or minimized. I saw multiple providers and often left feeling unheard and discouraged. From my very first appointment with Dr. Parry, that experience changed completely. He was the first and only OB GYN who genuinely listened to me, believed my pain, and took my concerns seriously. For the first time, I felt validated and supported instead of brushed aside.
In August, Dr. Parry performed my endometriosis excision surgery. I was honestly shocked by how much endometriosis was removed. The results were nothing short of incredible. After the surgery, I finally got my quality of life back. I was able to live without constant pain, something I had not experienced in years.
Beyond relieving my pain, Dr. Parry also gave me hope for a future I had nearly stopped believing in. After trying for about four years, I found out in November that I am pregnant with my first child. I truly believe this would not have been possible without the surgery and care I received from Dr. Parry.
Because of the trust he has earned and the profound impact he has had on my life, I would not consider seeing anyone else for my prenatal and OB care, nor for continued endometriosis treatment. Dr. Parry is not only an exceptional physician, but also a compassionate listener, which makes all the difference as a patient.
Dr. Parry has changed my life in ways I will always be grateful for. He was the first doctor to truly listen to me, and because of that, I am living pain free and preparing to welcome my first child. I cannot recommend him enough.