Dr. Mauricio Abrao
Dr. Mauricio Abrao
Dr Mauricio Abrao – Endometriosis Specialist
Summary: Dr Mauricio Abrao is a highly respected endometriosis specialist based in São Paulo, Brazil, known for his expertise in the immunological approach to care. Dr Mauricio Abrao focuses on understanding how immune system responses contribute to endometriosis, guiding both diagnosis and treatment with a patient-centered mindset. He performs expert excision surgery and offers individualized care plans that may include oral contraceptives or dienogest for patients managing pain without surgery. For those with adenomyosis seeking pregnancy, Dr Mauricio Abrao may recommend GnRHa post-surgery to optimize outcomes. When symptoms persist after surgery, he uses advanced ultrasound imaging to map disease recurrence and guide further treatment. Dr Abrao is committed to combining medical precision with empathy, ensuring each patient receives the care and attention they deserve. His approach helps patients feel seen, heard, and supported throughout their endometriosis journey.
City: São Paulo, Brazil
Philosophy of Endometriosis Care: Immunology
What type of surgery do you perform for endometriosis: Excision
Medication: Oral contraceptives/dienogest for patients with pain who don’t want surgery, and GnRHa 2m after surgery for patients with adenomyosis wanting to be pregnant
Approach to Persistent Pain After Surgery: US for mapping the disease
Dr. Daniel Santos
Dr. Daniel Santos
Dr. Daniel Santos – Endometriosis Specialist
Summary: Dr. Daniel Santos is a respected endometriosis specialist based in Rio de Janeiro, Brazil, known for his expert and patient-centered care. Dr. Daniel Santos combines the retrograde menstruation and embryonic theories to guide his approach, focusing on complete excision of endometriotic lesions to ensure thorough disease removal. He also uses ablation selectively for challenging cases, such as diaphragmatic or pericardial lesions, balancing effective treatment with patient safety.
In addition to surgery, Dr. Daniel Santos recommends personalized medical management, including hormonal therapies like combined oral contraceptives, progestins, or GnRH analogs, alongside nonsteroidal anti-inflammatory drugs for pain relief. For persistent pain after surgery, Dr. Daniel Santos employs a multidisciplinary approach that involves pain specialists, pelvic physiotherapy, and psychological support to address both physical and emotional aspects of recovery. His warm, comprehensive care helps patients navigate endometriosis with hope and confidence.
City: Rio de Janeiro, Brazil
Philosophy of Endometriosis Care: I believe in both the theory of retrograde menstruation and the embryonic theory as key explanations for the origin of endometriosis. These perspectives guide my surgical approach, leading me to perform a complete excision of endometriotic lesions and a full peritonectomy of the affected compartments to ensure thorough disease removal.
What type of surgery do you perform for endometriosis: Both excision and ablation. I always perform complete excision of endometriotic lesions, as I believe it is the most effective approach for disease removal. However, I reserve ablation for specific cases where excision is not feasible, such as extensive scattered diaphragmatic lesions and those located on the pericardium. In these situations, ablation is used to manage the disease while minimizing the risks associated with deep excision in anatomically challenging areas.
Medication: In my practice, I incorporate hormonal and non-hormonal medications as part of a comprehensive approach to managing endometriosis. I typically recommend hormonal therapy, such as combined oral contraceptives, progestins, or GnRH analogs, for symptom control in patients who are not candidates for surgery or who prefer a non-surgical approach. These therapies help suppress disease activity and manage pain.
For patients with significant pain, I use nonsteroidal anti-inflammatory drugs (NSAIDs) as first-line symptom relief. Additionally, I may consider neuromodulators in cases of central sensitization and persistent pain syndromes.
However, in cases where surgery is indicated, I prioritize complete excision of endometriotic lesions. Postoperatively, hormonal therapy may be used to prevent recurrence, particularly in patients who are not seeking pregnancy. My treatment recommendations are always tailored to the patient’s symptoms, reproductive goals, and disease severity.
Approach to Persistent Pain After Surgery: This is a significant challenge, and unfortunately, it occurs with some frequency, especially when psychological factors are involved. My approach is always multidisciplinary, involving a pain specialist—my anesthesiologist, who is also a pain specialist and provides care at our clinic, along with pelvic physiotherapy and psychological support. This comprehensive strategy ensures that persistent symptoms are addressed holistically, considering both physical and emotional aspects to optimize patient outcomes.
Dr. Hebert Enrique Quintero Fajardo
Dr. Hebert Enrique Quintero Fajardo
Dr. Hebert Enrique Quintero – Endometriosis Specialist
Summary: Dr. Hebert Enrique Quintero is a dedicated endometriosis specialist based in Barranquilla, Colombia. Doctor Hebert Enrique Quintero follows the epigenetic theory in his approach, focusing on how genetic and environmental factors influence the disease. He specializes in excision surgery to remove endometriosis lesions thoroughly, aiming for long-term relief. Medication like Dienogest is used continuously to manage symptoms in cases of superficial, ovarian, or deep endometriosis, with symptom reassessment after 12 weeks. Doctor Hebert Enrique Quintero takes a holistic, multidisciplinary approach to persistent pain, addressing physical, nutritional, hormonal, and emotional factors. He carefully evaluates pain centralization and possible disease recurrence by reviewing surgical footage to ensure complete excision. His patient-centered care emphasizes thorough follow-up and individualized treatment plans to support recovery and quality of life.
City: Barranquilla, Colombia
Philosophy of Endometriosis Care: The epigenetic theory
What type of surgery do you perform for endometriosis: Excision
Medication: Dienogest is used continuously in patients with superficial, ovarian, or deep endometriosis, with a reassessment of symptoms 12 weeks after starting treatment. Depending on the identification of other pain generators, additional medications may be incorporated, such as neuromodulators, muscle relaxants, antidepressants, and others.
Approach to Persistent Pain After Surgery: Given that patients with endometriosis experience multiple sources of pain, I conduct a thorough reassessment using a comprehensive, multi- and interdisciplinary approach. This approach addresses physical, nutritional, hormonal, and emotional aspects. Additionally, we evaluate pain centralization, assess potential recurrences, and review the recorded surgical footage to verify the complete excision of the affected tissue.
Dr. Agustina Larrea
Dr. Agustina Larrea
Dr Agustina Larrea – Endometriosis Specialist
Summary – Dr Agustina Larrea is a dedicated endometriosis specialist based in Ciudad Autónoma de Buenos Aires, Argentina. Dr Agustina Larrea approaches endometriosis care by combining the retrograde menstruation theory with genetics and nutrition, recognizing how family history and diet influence the condition’s progression. She emphasizes an anti-inflammatory diet alongside surgical excision to manage endometriosis effectively. Dr Larrea often prescribes dienogest or drospirenone for hormonal treatment and supplements such as magnesium, tailoring care to each patient’s needs. She also integrates NSAIDs for pain control and collaborates closely with pain specialists when chronic pelvic pain persists, particularly in cases of central sensitization syndrome. Dr Agustina Larrea encourages ongoing lifestyle adjustments, pelvic floor physiotherapy, and emotional support to improve long-term outcomes. Her patient-centered approach focuses on holistic care, helping women manage symptoms while considering individual circumstances and well-being.
City: Ciudad Autonoma de Buenos Aires, Argentina
Philosophy of Endometriosis Care:
-Retrograde Menstruation Theory
-Genetics: as it often runs in families and also is linked to nutrition habits in families.
-Nutrition: inflamed intestines because of flour, sugar, alcohol, and dairy, among others, lead to an an inflamated body and trigger an autoimmune system. It fails to recognize and eliminate endometrial cells growing outside the uterus, allowing the disease to progress. Besides, the metabolism of sugar is linked to the metabolism of estrogen. And we know this disease is estrogen-dependent.
I believe all these theories work together and are the key factors of treatment.
What type of surgery do you perform for endometriosis: Excision
Medication: I first apply together an anti-inflammatory diet + supplements such as magnesium and dienogest. If the patient can´t afford dienogest (I live in a low-income country), then I can rotate dienogest to drospirenone 4 mg without using placebos. I met the patient after 4 months to see how she was doing.
NSAIDs can complement treatment to manage pain. If I believe the patient has a Central Sensitization Syndrome, because of chronic pelvic pain, despite of all treatments applied, I work with a pain treatment team that usually gives amitriptiline to modulate central pain.
Approach to Persistent Pain After Surgery: I explain to the patient that surgery can not always relieve pain in 100%. Definitely, we should continue with an anti-inflammatory diet and dienogest (if the patient does not desire pregnancy), regardless of the surgical treatment.
Depending on the pain, I can work with pelvic floor physiotherapists, a pain treatment team to treat central sensitization syndrome, and a psychologist in order to give emotional support and, if needed, antidepressants.
Dr. Alberto Jose De Abate Julio
Dr. Alberto Jose De Abate Julio
Dr. Alberto Jose De Abate Julio – Endometriosis Specialist
Summary: Dr. Alberto Jose De Abate Julio is a compassionate endometriosis specialist based in Panama City, Panama. Guided by the epigenetic theory, he focuses on personalized care that addresses the complex nature of endometriosis. Dr. Alberto Jose De Abate Julio specializes in excision surgery, offering precise treatment to effectively remove endometriosis lesions.
Dr. Alberto Jose De Abate Julio recommends first-line treatments including dienogest, oral contraceptives, and the Mirena IUD, combined with physical exercise and dietary guidance. Patients typically follow this regimen for 3 to 6 months before considering surgery if pain persists. For ongoing pain after surgery, he uses a tailored approach involving pelvic physical therapy, pain medications, and sometimes amitriptyline. His warm and patient-centered care supports lasting relief and improved quality of life for those living with endometriosis.
City: Panama City, Panama
Philosophy of Endometriosis Care: Epigenetic Theory
What type of surgery do you perform for endometriosis: Excision
Medication: Dienogest, oral contraceptives, and Mirena IUD are recommended as first-line treatments of endometriosis with physical exercise and diet. To all patients for 3-6 months. If the pain does not improve. I am sending the presurgical study to the surgery program.
Approach to Persistent Pain After Surgery: It depends. Pelvic physical therapy, pain medications, and amitriptyline.
Dr. Carlos Linder Efter
Dr. Carlos Linder Efter
Dr Carlos Linder Efter – Endometriosis Specialist
Sumary: Dr Carlos Linder Efter is a dedicated endometriosis specialist based in Mexico City, Mexico. Guided by the celomic metaplasia theory, Dr Carlos Linder Efter offers a thoughtful and personalized approach to endometriosis care. He specializes in excision surgery, focusing on the precise removal of endometriosis lesions to improve patient outcomes.
Doctor Carlos Linder Efter incorporates medication such as progestins, including the Mirena IUD, to evaluate and manage symptoms effectively. In select cases, he may also recommend GnRH analogs tailored to individual needs. For patients experiencing persistent pain after surgery, Dr Carlos Linder Efter emphasizes a holistic approach that includes physical therapy and nutritional adjustments. Patients appreciate his compassionate care and commitment to long-term well-being, making Dr Carlos Linder Efter a trusted expert in managing endometriosis in Mexico City.
City: Mexico City, Mexico
Philosophy of Endometriosis Care: Celomic metaplasia
What type of surgery do you perform for endometriosis: Excision
Medication: I include progestins (Mirena) in my practice to assess the response to medication. In some special cases, I like to include GnRH analogs.
Approach to Persistent Pain After Surgery: Physical therapy and nutritional changes
Dr. Alberto Maya Epelstein
Dr. Alberto Maya Epelstein, Endometriosis Specialist
City: San Nicolás de los Garza, Mexico
Dr. Hugo Ruano
Dr. Hugo Ruano
Hugo Ruano – Endometriosis Specialist
Summary: Dr Hugo Ruano is a trusted endometriosis specialist based in Guatemala City, Guatemala. Grounded in the embryologic theory, Dr Hugo Ruano understands endometriosis as a condition originating from early developmental changes in the body’s mesodermal layer. This deep knowledge shapes his patient-centered approach to care. He specializes in excision surgery, offering precise treatment to remove endometriosis lesions effectively.
Doctor Hugo Ruano complements surgical care with personalized medication plans, often recommending non-steroidal anti-inflammatory drugs, oral contraceptives like ethinyl estradiol with dienogest, or levonorgestrel IUDs to manage symptoms. For patients with persistent pain after surgery, Dr Ruano emphasizes a multidisciplinary approach, involving neuropelviologists and anesthesiologists to address complex pain issues. His compassionate care and commitment to comprehensive treatment make Dr Hugo Ruano a leading choice for patients seeking expert endometriosis care in Guatemala.
City: Guatemala, Guatemala
Philosophy of Endometriosis Care: Embryologic Theory. Endometriosis has a mesodermic origin. It starts as early as embryologic life when the three layers (endoderm, mesoderm, and ectoderm) are different(iating)
What type of surgery do you perform for endometriosis: Excision
Medication: Non-steroidal anti-inflammatory medications. I also use oral contraceptives such as ethinyl estradiol plus dienogest or dienogest alone and an IUD of levonorgestrel.
Approach to Persistent Pain After Surgery: We usually carry on an evaluation with a neuropelviologist for initial and persistent symptoms. We also have an anesthesiologist specializing in pain management.
Dr. Jill Ingenito
Dr. Jill Ingenito
Dr Jill Ingenito – Endometriosis Specialist
Summary: Dr Jill Ingenito is an experienced endometriosis specialist based in Centennial, Colorado, dedicated to providing comprehensive, patient-centered care. Dr Jill Ingenito approaches endometriosis as a multifactorial disease, considering key theories such as retrograde menstruation, coelomic metaplasia, immune dysfunction, and genetic factors. This broad understanding guides her personalized treatment plans, which include excision surgery and tailored hormonal therapies like combined oral contraceptives, progestins, and GnRH modulators. Dr Jill Ingenito emphasizes a multidisciplinary approach, integrating pelvic floor therapy, dietary changes, and pain management to address persistent symptoms. For ongoing pain after surgery, she recommends NSAIDs, neuromodulators, and low-dose naltrexone to reduce inflammation and nerve-related discomfort. Her patient-focused philosophy prioritizes shared decision-making and holistic care to improve quality of life. With a commitment to staying current on emerging research, Dr Jill Ingenito combines expertise and compassion to support women through every stage of their endometriosis journey.
City: Centennial, Colorado, USA
Philosophy of Endometriosis Care: Endometriosis is a complex condition with multiple proposed theories of origin, and I approach its treatment with this multifaceted nature in mind. Here are the key theories I consider and how they influence my approach:
1. Retrograde Menstruation Theory: Endometrial-like tissue flows backward through the fallopian tubes into the peritoneal cavity during menstruation, where it implants and grows.
Influence on Treatment: This theory underscores the importance of hormonal suppression to reduce menstrual flow and mitigate disease progression. Treatments like hormonal contraceptives, progestins, and GnRH modulators can help control symptoms and prevent recurrence.
2. Coelomic Metaplasia Theory: The peritoneal lining transforms into endometrial-like tissue due to genetic or environmental factors.
Influence on Treatment: This theory supports the need for a holistic approach, including addressing potential environmental triggers and reducing inflammation through lifestyle modifications, diet, and anti-inflammatory therapies.
3. Stem Cell Theory: Stem cells from the bone marrow or endometrium migrate to ectopic locations and differentiate into endometrial-like tissue.
Influence on Treatment: This theory emphasizes the potential role of immune system modulation and ongoing research into regenerative therapies.
4. Immune Dysfunction Theory: Impaired immune surveillance allows ectopic endometrial-like tissue to implant and persist.
Influence on Treatment: I focus on optimizing the immune environment through anti-inflammatory strategies, adjunctive therapies (e.g., low-dose naltrexone), and encouraging overall immune health.
5. Genetic and Epigenetic Theories: A genetic predisposition and epigenetic modifications may make certain individuals more susceptible to developing endometriosis.
Influence on Treatment: Understanding that endometriosis is likely influenced by heritable factors helps me counsel patients on recurrence risk and tailor long-term management strategies.
6. Lymphatic and Hematogenous Spread Theory: Endometrial-like cells spread through the lymphatic system or bloodstream, explaining distant lesions.
Influence on Treatment: This theory highlights the importance of a systemic approach to the disease, particularly in cases with extra pelvic manifestations.
My Approach:
Excision Surgery: Recognizing that excision addresses the visible and tangible lesions of endometriosis regardless of origin, I prioritize this approach for definitive treatment.
Multidisciplinary Care: I integrate pelvic floor physical therapy, dietary interventions, pain management strategies, and psychological support to address the systemic impact of the disease.
Patient-Centered Care: I emphasize shared decision-making, tailoring treatment plans based on the severity of symptoms, goals, and individual patient needs.
Ongoing Education and Research: Staying updated on emerging theories and treatments is critical to providing the most effective care.
By addressing endometriosis as a multifactorial condition, I aim to provide comprehensive and compassionate care that not only alleviates symptoms but also improves the overall quality of life for my patients.
What type of surgery do you perform for endometriosis: Excision
Medication: In my practice, I incorporate a range of medications tailored to the individual needs of patients with endometriosis, always balancing symptom relief with long-term management goals. Here’s an overview of the medications I use and how I recommend them:
I frequently use hormonal therapies. Combined oral contraceptives (COCs) are a first-line option for mild to moderate symptoms or as a trial before more invasive interventions. These are used continuously or cyclically to suppress ovulation and reduce menstrual flow, which helps decrease inflammation and pain by reducing hormonal cycling. Progestins, such as norethindrone acetate, dienogest, or medroxyprogesterone acetate, are another option, particularly for patients who cannot tolerate estrogen or prefer non-estrogen approaches. These can be delivered orally, via injection (Depo-Provera), or intrauterine (e.g., Mirena IUD), thinning endometrial tissue and suppressing ovulation to reduce lesion activity and pain. GnRH agonists and antagonists, such as leuprolide (Lupron) or elagolix (Orilissa), are often used for moderate to severe symptoms or as an adjunct to surgery. These induce a hypoestrogenic state and are used short-term due to side effects like bone density loss, often combined with add-back therapy to mitigate these side effects. For long-term management, especially for those seeking contraception, levonorgestrel-releasing IUDs (e.g., Mirena or Kyleena) provide localized progestin release, reducing heavy bleeding and pelvic pain with minimal systemic effects.
Approach to Persistent Pain After Surgery: I often recommend NSAIDs, such as ibuprofen or naproxen, for acute pain or in combination with other therapies. These are most effective when taken around the clock during symptom flares to reduce prostaglandin-mediated inflammation and pain. Neuromodulators like gabapentin or amitriptyline are used for neuropathic or chronic pelvic pain that persists despite hormonal or surgical management, typically initiated at low doses and titrated as needed. Low-dose naltrexone is another option for chronic pain and inflammation, taken nightly with patient education about its gradual onset. For bowel-related symptoms, I may use antispasmodics like dicyclomine as needed during symptom flares to reduce smooth muscle spasms.
Dr. Amanda Chu
Dr. Amanda Chu
Amanda Chu MD – Endometriosis Specialist
Summary: Dr Amanda Chu MD is a highly regarded endometriosis specialist based in New York City. With a patient-centered philosophy, Dr Amanda Chu MD emphasizes that no single theory fully explains endometriosis, though she draws from retrograde menstruation, coelomic metaplasia, and emerging research in epigenetics and immune dysfunction to guide individualized care. She specializes in excision surgery, supported by thoughtful use of continuous progesterone-only medications to manage symptoms while avoiding more aggressive hormonal therapies when possible. Dr Chu takes a holistic approach to persistent pain after surgery, focusing on reducing inflammation and addressing musculoskeletal and neuropathic pain through non-invasive strategies. She acknowledges the importance of treating coexisting conditions and embraces complementary medicine as part of a broader, multidisciplinary care plan. Patients can expect compassionate, personalized treatment that integrates the latest research and whole-person care principles.
City: New York City, USA
Philosophy of Endometriosis Care: No single theory adequately explains all presentations of endometriosis, but I believe that certain theories play more of a role in individual patients. Older theories have merit, e.g., retrograde menstruation and coelomic metaplasia, but we are constantly increasing our knowledge of endometriosis, & I think that epigenetics and immune dysregulation will become increasingly important.
What type of surgery do you perform for endometriosis?: Excision
Medication: Currently, hormonal medications are a useful and, at times, necessary adjunctive for cyclic symptoms and ovarian cyst prevention. Typically, I utilize continuous progesterone-only medications with the goal of amenorrhea/anovulation. I prefer to avoid GnRH agonists/antagonists for long-term use, given their severe side effect profile.
Approach to Persistent Pain After Surgery: Postoperatively, I prefer to focus on finding less invasive ways to decrease inflammatory, musculoskeletal, & neuropathic pain rather than repetitive procedures. I believe in treating all etiologies of pain, including often coexisting comorbidities, and well as being receptive to approaches that expand beyond traditional Western medicine. Finally, the mental & social impact of endometriosis cannot be overstated, and a multidisciplinary team is essential.
Dr. Jurgis Vitols
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.
Approach to Persistent Pain After Surgery: Combined oral contraceptive pills or progesterone pills. Suppose this doesn’t help—pregabalin or amitriptyline. Patients with persistent pain symptoms are referred to pain specialists.
Dr. Brooke Winner
Dr. Brooke Winner
Brooke Winner – Endometriosis Specialist
Summary: Dr Brooke Winner is a compassionate and highly skilled endometriosis specialist based in Seattle, Washington. With a deep belief in the embryologic origin theory of endometriosis, Dr Brooke Winner approaches care with the understanding that many patients are born with misplaced endometrial cells, explaining why symptoms often begin with the first period. She specializes in excision surgery, providing targeted and effective treatment tailored to each individual’s needs.
Dr Brooke Winner works closely with patients to explore hormone therapy options when appropriate, always prioritizing shared decision-making. She typically avoids treatments like Lupron or Orlissa due to potential side effects, but respects that they may benefit some patients. Her approach to persistent pain after surgery is holistic and multidisciplinary, incorporating pelvic floor therapy, acupuncture, nutrition, and mental health support. Patients appreciate her thoughtful, personalized care and commitment to long-term wellness.
City: Seattle, Washington, USA
Philosophy of Endometriosis Care: I believe in the embryologic origin theory, which basically says you are born with the endometriosis cells in the wrong place. This would explain why so many endometriosis patients say that their periods have been terrible ever since they started.
What type of surgery do you perform for endometriosis: Excision
Medication: Some patients respond well to hormone therapy, and others do not. There is no “one size fits all” approach. We will discuss the options available, the pros and cons given your unique situation, and ultimately the decision is up to you. We typically do not use Lupron or Orlissa to treat endometriosis due to significant side effects, although there are some patients who have found these medications helpful as well.
Approach to Persistent Pain After Surgery: The persistence of symptoms postoperatively is multifaceted and requires a multidisciplinary approach. One common issue is pelvic floor muscle spasms, in which case pelvic floor physical therapy can be helpful. Vaginal suppositories, acupuncture, massage, nutrition and mental health counseling can all be beneficial as well.
Website: https://www.fullspectrumgyn.com/
Instagram: https://www.instagram.com/dr.brookewinner/
