Dr. Sean Copson
Dr. Sean Copson
Dr. Sean Copson – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Sean Copson is a dedicated endometriosis specialist based in West Perth, Western Australia. Known for his compassionate approach, Dr Sean Copson provides personalized care tailored to each patient’s needs. His expertise in gynecology and minimally invasive surgery ensures that patients receive the most effective treatments for managing endometriosis, including medications like progesterone-only pills, COCP, Zoladex, NSAIDs, and TCAs.
Dr Sean Copson believes in a holistic, multidisciplinary approach to care. He recognizes that endometriosis requires not only surgical intervention but also comprehensive management, especially for patients experiencing persistent pain after surgery. His treatment plans involve collaboration with pain specialists, physiotherapists, and other healthcare providers to improve the patient’s overall well-being. With Dr Sean Copson, patients can trust that their care will be customized to address the unique aspects of their condition and help them achieve the best possible outcomes.
City: West Perth, Western Australia
Philosophy:
Coelomic metaplasia, immunological, and genetic
Medication:
Approach to Persistent Pain After Surgery:
Dr. Ioannis Koutoukos
Dr. Ioannis Koutoukos, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Athens, Attica, Greece
Philosophy?
Migration
Medication:
Herbals, hormonal, letrozole
Approach to Persistent Pain After Surgery:
Dr. Whitney Ann Barnes
Dr. Whitney Ann Barnes
Dr Whitney Barnes – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Whitney Barnes MD is a compassionate and skilled endometriosis specialist based in Lawrenceville, Georgia. Patients seeking expert care often turn to Dr. Whitney Barnes for her individualized, whole-person approach to treatment. Dr Whitney Barnes MD is known for helping patients understand the complex nature of endometriosis while offering effective, tailored solutions to manage symptoms and improve quality of life.
Specializing in wide excisional surgery, Dr Whitney Barnes MD treats both visible and microscopic disease, ensuring a more thorough and lasting outcome. She works closely with each patient to develop personalized medical plans that may include non-narcotic pain relief, hormonal therapies, and mental health support. For those experiencing persistent pain after surgery, Dr Whitney Barnes MD provides a multidisciplinary care plan involving physical therapy, diet, and pain specialists. Her thoughtful and evidence-based approach empowers patients to take control of their health with confidence and clarity.
City: Lawrenceville, Georgia
Philosophy:
Medication: Medication is tailored to each patient, taking into account their unique medical circumstances and indications. This personalized approach considers factors such as the patient’s current health status and past medical history, prior experiences with medications, and individual management goals. I utilize non-narcotic pain relief medications such as NSAIDS, gabapentinoids, and SNRI/SSRI medications for central pain desensitization and hormonal regulation when appropriate. Every medication option is presented to the patient along with a thorough explanation of its intended goal and potential risks. This process is done in close collaboration with the patient, respecting the patient’s preferences and addressing the patient’s needs.
Approach to Persistent Pain After Surgery: Similar to my approach to treating endometriosis, my approach to managing persistent pain after surgery is personalized. Before proceeding with surgery, I engage in individualized patient counseling to review the risk of persistent or recurring pain. This approach recognizes that for some patients, endometriosis excision surgery is a single facet within a broader spectrum of care that may involve central and peripheral pain management, pelvic floor physical therapy, gastroenterology, pain management specialists, and dietary modifications. My ultimate goal is to alleviate the patient’s symptoms and improve the patient’s quality of life.
Dr. Laurence Orbuch
Laurence Orbuch, M.D., FABOG
Dr Laurence Orbuch – Endometriosis Specialist, Gynecologist
Summary: Dr Laurence Orbuch is a highly respected endometriosis specialist in Los Angeles, known for his comprehensive and compassionate approach to care. Patients seeking expert treatment often turn to Dr Orbuch for his deep understanding of the complex, multifactorial nature of endometriosis. As Dr Laurence Orbuch explains, the condition is influenced by genetic, environmental, and autoimmune factors, requiring a personalized, whole-body approach to healing.
At his Los Angeles practice, Dr Orbuch specializes in excision surgery and works closely with pain management specialists to develop tailored treatment plans. These may include anti-inflammatory medications, neuromodulators, vaginal suppositories, and trigger point injections. His approach extends beyond surgery, addressing coexisting conditions like pelvic floor dysfunction, GI issues, and mental health. With years of experience, Dr Laurence Orbuch offers thoughtful, evidence-based care that empowers patients to improve their quality of life with confidence and clarity.
City: Los Angeles, California
Philosophy: I believe that the origins of endometriosis lie in the metaplasia theory and can also be influenced by genetic predisposition and environmental factors, and toxins, which can promote its evolution. Endometriosis is also an inflammatory condition, with autoimmune elements as well, which predisposes these patients to sensitivity to other inflammatory triggers. It is therefore important to counsel these patients on how to improve their environment in regards to the foods they eat, products they use, and habits that can better serve them. My approach to treating these individuals encompasses a holistic evaluation and streamlining of all aspects of their health and daily life.
What type of surgery do you perform for endometriosis?:
Excision
Medication: I utilize anti-inflammatory medications such as ibuprofen and Celebrex, as well as neuromodulators, pregabalin, and gabapentin. I also recommend compounded vaginal suppositories containing Valium, Baclofen, and Lidocaine. In addition, some patients also benefit from trigger point nerve injections. The use of any and all medications is carefully tailored and managed by the pain management physicians I work closely with.
Approach to Persistent Pain After Surgery: Treatment of all co-existing pain generators must be focused both pre- and post-surgery. Treating the chronic centralized pain, tight pelvic floor muscles, GI and Urologic issues, coexisting autoimmune and other conditions, nutrition, mental health conditions, counseling, etc.
Dr. Luis Fernando García
Dr. Luis Fernando García, M.D.
Dr Fernando Garcia – Endometriosis Specialist
Summary: Dr Fernando Garcia is a trusted endometriosis specialist based in San Pedro Garza García, Nuevo León. Known for his compassionate care and clinical expertise, Dr Fernando Garcia offers a comprehensive, patient-first approach to managing endometriosis. With a deep understanding of the condition’s multifactorial origins—including Sampson’s theory, coelomic metaplasia, and lymphatic dissemination—Dr Fernando Garcia combines medical and surgical options tailored to each patient’s unique needs.
He specializes in excision surgery and often recommends oral contraceptives, progestins, and nonsteroidal anti-inflammatory medications as part of a well-rounded treatment plan. For patients experiencing persistent symptoms after surgery, Dr Fernando Garcia collaborates with a multidisciplinary team, including pain management experts and pelvic floor physiotherapists, to provide lasting relief and improve quality of life. Patients benefit from his warm, personalized approach and commitment to evidence-based care at every stage of their journey.
City: Nuevo León, San Pedro Garza García NL
Philosophy: Multifactorial. Sampson´s theory, chelomic methaplasia, hematologic and linfatic disseminatio
What type of surgery do you perform for endometriosis? Excision
Dr. José Eugenio Colon
Dr. Paul Tyan
Dr. Paul Tyan, M.D.
Dr Paul Tyan – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr Paul Tyan is a leading endometriosis specialist and minimally invasive gynecologic surgeon based in Arlington, VA. Known for his patient-centered approach and deep expertise, Dr. Tyan brings clarity and compassion to those navigating the complexities of endometriosis. Patients searching for experienced care often turn to Paul Tyan, or Dr Paul Tyan, for his commitment to evidence-based, individualized treatment plans. With a strong foundation in the latest research, including genetic and epigenetic insights, Dr Tyan endometriosis care emphasizes early intervention and holistic pain management.
He specializes in excision surgery and integrates hormonal therapies, physical therapy, and medication tailored to each patient’s needs. Whether you’re exploring treatment for deeply infiltrative endometriosis or managing persistent pain after surgery, Dr. Paul Tyan offers thoughtful, comprehensive support. With Dr Tyan endometriosis care, patients receive both advanced clinical knowledge and the compassionate guidance they deserve.
City: Arlington, VA, USA
Philosophy: In its most basic definition, endometriosis is the presence of endometrial cells (that form the inner lining of the uterus) outside the uterus. In some patients, those ectopic cells can produce an inflammatory response that is at the origin of various cascades that can lead to pain or scarring. There are multiple proposed theories about the origin of endometriosis. The only certainty is that the origin of endometriosis is multifactorial.
The retrograde menstruation or implantation theory is one of the initial principles of the pathogenesis of endometriosis;however, it has been challenged as the single cause for several years, as evidenced by the occurrence of symptomatic endometriosis in premenarchal and postmenopausal women. Also, by the fact that nearly all patients will have retrograde menstruation, but not everyone has endometriosis.
Most recently, we have had significant advances in the genetic and epigenetic theory of endometriosis. The clonality of endometriosis lesions and the cancer-driver genes that have been identified in deeply infiltrative endometriosis lesions shed light on the genetic component of the disease. Recent work on the epigenetic factors linked to external conditions affecting pluripotent cell behavior in the setting of endometriosis is a promising field set to unveil exciting information.
Keeping up to date with the intricacies of the pathogenesis of endometriosis is crucial to my clinical practice. Many patients will be counseled over the years that surgery is unnecessary at that blocking the menstrual cycle or hormonal suppression is sufficient for “curing” endometriosis. Explaining to patients the complex nature of the disease and the necessity of early intervention, especially in the deeply infiltrative endometriosis subtype, could be a crucial factor in decreasing morbidity and improving the quality of life of my patients.
What type of surgery do you perform for endometriosis?:
Excision
Medication: I recommend a combination hormonal contraceptive (birth control) for post-surgical suppression. In cases where a combination option is contraindicated, I recommend a progesterone-only option.
I recommend treatment with an SSRI, SNRI, or GABA-Analog for patients with central sensitization due to chronic pain secondary to endometriosis.
For patients with pelvic floor tension myalgia, I recommend physical therapy, various muscle relaxers, and trigger point injections or nerve blocks in warranted conditions.
Treatment plans tend to be individualized based on the patients’ presenting symptoms, surgical management, and postoperative course.
Approach to Persistent Pain After Surgery: For some patients, endometriosis excision is sufficient for complete symptomatic relief. However, some patients will still have symptoms after surgery. It is crucial to counsel patients before surgery that endometriosis excision is only one aspect of a comprehensive management plan that should involve central and peripheral pain management, pelvic floor physical therapy, and dietary modification.
Dr. Miguel Luna Russo
Dr. Miguel Luna Russo, Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
City: Cleveland, Ohio, United States
Dr. Benjamin Beran
Dr. Benjamin Beran, Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
City: Milwaukee, Wisconsin, USA
Dr. Stephanie Delgado
Dr. Stephanie Delgado, Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
City: Miami, Florida, USA
Dr. Nicholas Hazen
Dr. Nicholas Hazen, M.D.
Dr Nicholas Hazen – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr Nicholas Hazen MD, a renowned endometriosis specialist and gynecologist based in Washington DC, USA, is dedicated to providing personalized care for women dealing with endometriosis. Dr Hazen understands that the disease process is still not fully understood, and he combines scientific evidence with personal experience to tailor treatment for each patient. When surgery is required, he favors an excisional approach with wide margins to ensure the best possible outcomes.
In managing endometriosis, Dr Nicholas Hazen MD uses a range of treatments, including progestational agents, GnRH antagonists, NSAIDs, and gabapentinoids. He emphasizes a holistic approach, recognizing the importance of diet and mental health in managing pain. For patients experiencing persistent pain after surgery, Dr. Hazen customizes treatment plans to meet each individual’s needs, working closely with them to extend pain relief and improve quality of life.
City: Washington DC, USA
Philosophy: I believe there is still more that is unknown than known about the disease process of endometriosis. Quality scientific evidence supports multiple current etiologies, suggesting that endometriosis is not a simple process with a simple solution. My approach to surgical treatment is based on my most up to date understanding of the disease process, in combination with my personal experience caring for patients along their unique health journeys. When surgery is warranted, I favor an excisional approach with wide margins to include both visible and surrounding microscopic disease. In my experience, this leads to the best outcomes for patients.
Medication: The choice of medication for the management of endometriosis is an extremely individual one. Finding the best fit for a patient requires reviewing both their current status and past history very thoroughly, including their previous experiences, the evolution of their symptoms, and their individual management goals. In my practice, I most commonly prescribe progestational agents but often recommend GnRH antagonists. The current literature shows that suppression results in decreased return of pain and symptoms following endometriosis surgery, and I often recommend and manage post-surgical resection hormonal suppression. I use non-narcotic medications such as NSAIDS for the treatment of pain and gabapentinoids and SNRI/SSRIs for central sensitization. I believe that diet and mental health also play an important role in the body’s pain response to endometriosis.
Approach to Persistent Pain After Surgery: I believe there is no single “right” approach to addressing continued pain after surgery. Every patient is different, and so is each surgery, so it is critical to individualize treatment plans based on a patient’s unique needs. It has been widely shown that for the majority of patients, the pain relief experienced from surgery is unfortunately only temporary. In the continued care of my patients, my goal is always to work together to extend pain relief as long as possible and minimize impacts and disruptions to the patient’s life going forward.
Dr. Ulises Armando Menocal Tavernier
Dr Ulises Armando Menocal Tavernier
Dr Ulises Armando Menocal Tavernier – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr Menocal is a highly skilled endometriosis specialist and gynecologist based in Morelia, Michoacán, Mexico. As a minimally invasive gynecologic surgeon, Dr Menocal provides personalized and compassionate care to women suffering from endometriosis. His approach to the condition is grounded in the coelomic metaplasia theory and the endometrial stem cell recruitment theory, which helps inform his treatment strategy.
Dr Ulises Armando Menocal Tavernier utilizes a range of treatments, including combined oral contraceptives for young women and Dienogest following surgery, to manage symptoms and improve quality of life. For patients with persistent pain after surgery, Dr. Menocal follows a multidisciplinary approach, collaborating with nutritionists, psychologists, and pelvic rehabilitation specialists. In some cases, he may recommend a second-look laparoscopy to assess the effectiveness of treatment.
City: Morelia, Michoacan, Mexico
Philosophy: Coelomic metaplasia
Medication: Combined oral contraceptives in young women for a period of 6 months up to 5 years
Approach to Persistent Pain After Surgery: Patients will remain in a multidisciplinary approach with a nutritionist, psychologist, and pelvic rehabilitation. And in some patients, we will perform a second-look laparoscopy.
