Archives

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8 months ago

Dr. Marco Guzman

Dr. Marco Guzman 

Dr Marco Guzman – Endometriosis Specialist

Summary: Dr Marco Guzman is a dedicated endometriosis specialist based at Hospital Angeles Juarez in Juarez, Chihuahua, Mexico. With a strong foundation in embryology, Dr Marco Guzman focuses on precise excision surgery to effectively treat endometriosis and improve patient outcomes. At Hospital Angeles Juarez, he combines surgical expertise with hormonal and anti-inflammatory therapies during the early stages of treatment and post-surgery care. Dr Guzman emphasizes a personalized approach, using progestins for managing persistent pain after surgery, ensuring patients receive comprehensive care tailored to their needs. His commitment to a holistic and patient-centered approach makes Dr. Marco Guzman a trusted choice for those seeking specialized endometriosis treatment in Juarez. Patients can expect compassionate support and advanced medical care at Hospital Angeles Juarez under his expert guidance.

City: Juarez, Chihuahua, Mexico

Philosophy of Endometriosis Care: Embryology

What type of surgery do you perform for endometriosis: Excision

Medication: Hormonal, anti-inflammatory therapy, in early stages, and after surgery

Approach to Persistent Pain After Surgery: Hormonal therapy (Progestines )

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8 months ago

Dr. Gina Ranieri

Dr. Gina Ranieri

Gina Ranieri – Endometriosis Specialist

Summary: Dr Gina Ranieri is an experienced endometriosis specialist based in Princeton, New Jersey. Gina Ranieri’s approach to endometriosis care is rooted in the belief that the condition often originates during embryologic development, involving coelomic metaplasia or embryonic cell remnants. This perspective helps explain endometriosis in patients without menstruation and in unusual locations. Dr Gina Ranieri performs precise excision surgery to remove endometriosis lesions while prioritizing patient well-being. For those not pursuing surgery or to prevent recurrence, she prescribes hormonal treatments such as the levonorgestrel IUD and combined oral contraceptives. Post-surgery, Gina Ranieri carefully evaluates persistent pain by considering other causes, referring patients to pelvic floor physical therapy, and administering trigger point or Botox injections. She also uses non-opioid pain medications and advanced imaging to guide further treatment, always focusing on personalized, compassionate care.

City: Princeton, New Jersey, USA

Philosophy of Endometriosis Care: The theory of endometriosis that I believe makes the most sense is that endometriosis likely originates during embryologic development either through coelomic metaplasia or embryonic cell remnants. This explains how endometriosis can be seen in non-menstruating patients and areas outside the abdominopelvic cavity.

What type of surgery do you perform for endometriosis: Excision

Medication: I will use hormonal medications such as the levonorgestrel IUD, combined oral contraceptive pills, Depo-Provera, or norethindrone for patients who are not interested in surgical treatment or to prevent recurrence after surgical excision in select patients.

Approach to Persistent Pain After Surgery: For patients who have undergone complete surgical excision of endometriosis and continue to report symptoms, I will often explore other pain generators. I do refer patients to pelvic floor physical therapy and perform pelvic floor trigger point and Botox injections, as well as abdominal wall injections to treat myofascial pain. I will also prescribe non-opioid, centrally acting pain medications for patients with very challenging-to-treat pain. If I suspect that the patient’s endometriosis has returned, I will often order imaging in the form of an MRI and potentially offer repeat surgery in appropriate and select patients.

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9 months ago

Dr. Gabriel Corona

Dr. Gabriel Corona

Dr Gabriel Corona – Endometriosis Specialist

Summary: Dr Gabriel Corona is a leading endometriosis specialist based in León, Guanajuato, Mexico. Known for his thoughtful and science-based approach, Dr Gabriel Corona views endometriosis as a multifactorial condition, drawing from theories like coelomic metaplasia, Mullerianosis, and embryonic remnants to guide care. He specializes in excision surgery, offering a precise and effective method for managing endometriosis.

Doctor Gabriel Corona supports his surgical care with personalized medical and nutritional treatment plans, often including Dienogest, a levonorgestrel IUD, and supplements such as Omega-3, magnesium, and vitamins E, D, and folic acid. For patients dealing with persistent pain after surgery, he often recommends pelvic floor physiotherapy alongside medications like amitriptyline or gabapentin. Dr Gabriel Corona is deeply committed to long-term patient well-being and takes a holistic, compassionate approach to care that empowers patients through every stage of recovery.

City: León, Guanajuato, Mexico

Philosophy of Endometriosis Care: Multifactorial, Chelomic Metaplasia, Mullerianosis, Embrionary remanins

What type of surgery do you perform for endometriosis: Excision

Medication: Dinogest, Levonogestrel IUD, Omega 3, Magnesium, Vitamin. E and D, Vitamins/Folic Acid

Approach to Persistent Pain After Surgery: Pelvic Floor Physiotherapy, Amitriptyline, Gabapentin

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9 months ago

Dr. Carlos Eduardo Alcivia Smith

Dr. Carlos Eduardo Alcivia Smith 

Dr Carlos Alcivia –  Endometriosis Specialist

Summary: Dr Carlos Alcivia, is a dedicated endometriosis specialist based in Querétaro, Mexico. With a deep understanding of the embryological and metaplastic origins of endometriosis, he prioritizes thorough excision surgery to address the root of the disease. His patient-centered approach combines evidence-based medical treatments, such as Dinogest, Levonorgestrel IUDs, and targeted supplements—with holistic strategies for long-term relief. Dr Carlos Eduardo Alcivia Smith also addresses persistent pain post-surgery through a tailored plan that includes physiotherapy, anti-inflammatory nutrition, and high-dose omega-3, magnesium, and vitamins D and E. He collaborates with pain and mental health specialists to ensure patients receive comprehensive care. Known for his compassionate and informed care, Dr Carlos Alcivia empowers each patient on their path to better health and quality of life.

City: Querétaro, Mexico

Philosophy of Endometriosis Care: Embryological and Metaplasia.

What type of surgery do you perform for endometriosis: Excision

Medication: Dinogest, Levonogestrel IUD, Omega 3, Magnesium, Vit. E and D, Vitamins/Folic Acid

Approach to Persistent Pain After Surgery: 6 Months of Dinogest, Physiotherapy, Nutritional Interventions with an Anti-Inflammatory Diet, and Management with Megadoses of Omega-3 Acids, Magnesium, Vitamin D, and Vitamin E. As well as inter-consultations with an Algology specialist and a psychiatrist.

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11 months ago

Dr. Liliana Puycan

Dr. Liliana Puycan

Dr Liliana Puycan – Endometriosis Specialist

Summary: Dr Liliana Puycan is a dedicated endometriosis specialist based in Lima, Peru. With a patient-centered approach, Dr Liliana Puycan focuses on the coelomic metaplasia and immunological theories, emphasizing how inflammation and immune responses contribute to endometriosis. She combines expert excision surgery with holistic care that includes progestin or bioidentical hormone therapy, lifestyle changes, and anti-inflammatory nutrition. Dr Liliana Puycan takes a comprehensive view of treatment, before and after surgery, encouraging physical activity, reduction of endocrine disruptors, and management of visceral fat to address hyperestrogenism and improve long-term outcomes. Her commitment to whole-patient care and thoughtful attention to individual needs makes Dr Liliana Puycan a trusted resource for those navigating the complexities of endometriosis.

City: Lima, Peru

Philosophy of Endometriosis Care: The theories of endometriosis that focus my treatment are the theory of coelomic metaplasia and the immunological theory since I think that the disease grows or proliferates in an inflammatory-immune environment, originating in certain patients susceptible to the disease.

What type of surgery do you perform for endometriosis: Excision

Medication: I begin treatment with the use of progestins and/or bioidentical progesterone, in addition to changes in nutrition and lifestyle to reduce the inflammatory effect of the disease.

Approach to Persistent Pain After Surgery: Before the surgical treatment, I made sure that the patient had already started a complete diet and physical activity regimen, which would continue postoperatively. Understanding the importance of reducing the intake of endocrine disruptors and reducing the percentage of visceral fat that leads to hyperestrogenism is essential for the long-term management of this type of patient.

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11 months ago

Dr. Carlos Andrés Contreras Gutierrez de Piñeres

Dr. Carlos Andrés Contreras Gutierrez de Piñeres, Endometriosis Specialist

City: Envigado, Colombia

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11 months ago

Dr. Andre Saute

Dr. Andre Saute, Endometriosis Specialist

City: Porto Alegre, Brazil

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11 months ago

Dr. Alexandre Amaral

Dr. Alexandre Amaral, Endometriosis Specialist

City: São Paulo, Brazil

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11 months ago

Dr. Alejandro Ruben Sosa

Dr. Alejandro Ruben Sosa, Endometriosis Specialist

City: Cordoba, Argentina

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