Dr. Chauncey Stokes
Dr. Chauncey Stokes
Dr Stokes OBGYN – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist
Summary: Dr Stokes OBGYN is a respected gynecologist and minimally invasive surgeon based in Lansdowne, VA, offering expert care to patients facing endometriosis and chronic pelvic pain. As an experienced OB GYN in Lansdowne, VA, Dr Chauncey Stokes combines surgical skill with a deep understanding of the complex nature of endometriosis. Practicing near Virginia Heart in Lansdowne, Virginia, he performs advanced excision surgery and provides comprehensive, compassionate care.
Dr Chauncey Stokes believes emotional support is essential to long-term healing. He incorporates oral contraceptives, antiestrogen medication, antidepressants, and neuromodulators into his treatment plans, tailoring care to each patient’s needs. When pain persists after surgery, he evaluates psychological and lifestyle factors and may include dietary changes, counseling, and exercise. Dr. Stokes, OBGYN is committed to helping patients reclaim quality of life through thoughtful, individualized care and evidence-based therapies.
City: Lansdowne, Virginia
Philosophy: Please refer to the uploaded document for further discussion. In short, I believe that endometriosis starts with the early development of the embryo. We can operate and remove endo, but understanding the origin is still perplexing. With more genetic research, we may have better answers to the question. For now, extensive excision seems to afford the best relief in the short term. Long-term relief usually requires more aggressive surgical intervention. For most patients, they have had their children. For others, they have been so debilitated by the disease that they opt for aggressive therapy at the exclusion of childbearing. Emotional/psychological support during the management of this disease is crucial to success because of its chronicity.
What type of surgery do you perform for endometriosis?: Excision
Medication: Oral contraception, antiestrogen meds, antidepressants, gabapentin, and Lyrica. I typically offer the younger females a trial of oral contraceptives followed by antiestrogen medication. I will add antidepressants and neuromodulators as needed, especially if the initial regimen is not sufficient. Counseling and relaxation techniques are considered as an adjuvant to the medical therapy, just to get some relief
Approach to Persistent Pain After Surgery: I initially use a questionnaire to help determine if patients have had sexual abuse and other psychological factors that may play into the overall management. If they are positive, I may refer them out for further evaluation or before initiating medical treatment. I advise weight loss for those women with increased BMI. I try to avoid chronic pain clinics due to the concern about addiction. I have used them in the past when major meds for management have been unsuccessful. I have those who have used acupuncture, but the results have been unpredictable. Exercise can be beneficial, along with alterations in diet. I work with a nutritionist to assist with developing anti-inflammatory diets. The truth is that some of these patients are difficult to manage, and we have little left once we have exhausted surgical and medical treatments. The initial questionnaires do help us to delineate those who may be difficult to treat. We try to set expectations and promote small successes as a step in the right direction.
Dr. Anshumala Shukla Kulkarni
Dr. Anshumala Shukla Kulkarni
Anshumala Shukla Kulkarni – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Anshumala Shukla Kulkarni is a compassionate endometriosis specialist based in Mumbai, Maharashtra, with expertise in gynecology and minimally invasive surgery. Her approach to treating endometriosis is rooted in understanding the complexities of immune dysregulation and coelomic metaplasia, which play key roles in the development of the condition. Anshumala Shukla offers a variety of treatment options tailored to each patient’s needs, including low-dose oral contraceptive pills to reduce the risk of recurrence after surgery and progesterone therapy for patients who are not ready for surgery or have minimal symptoms.
When addressing persistent pain after surgery, Dr Kulkarni takes a thorough, patient-centered approach. She recommends re-evaluating imaging to rule out other causes of symptoms and revisiting surgery if there is no improvement with medical management. Dr Anshumala Shukla focuses on providing comprehensive care to enhance her patients’ well-being and quality of life.
City: Mumbai, Maharashtra
Philosophy: Immune dysregulation, coelomic metaplasia
Medication: Low-dose oral contraceptive pills for post-operative long-term reduction of recurrence, progesterone for post-operative or those not willing to undergo surgery, young patients with minimal symptoms
Approach to Persistent Pain After Surgery: Relook imaging, rule out other causes for symptoms, relook surgery if no response to medical management.
Dr. Joseph Chen
Dr. Joseph Chen
Dr Joe Chen – Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
Summary: Dr Joseph Chen, also known as Dr Joe Chen or Chen Joseph, is a skilled endometriosis specialist in Oakland, California, offering expert care for patients dealing with this complex condition. With a deep understanding of extra-pelvic endometriosis, Joseph Chen MD believes in addressing multiple theories of endometriosis origins, including retrograde menstruation, colemic transformation, and lymphatic dysregulation. His holistic approach to treatment includes excisional surgery in Omaha, NE, along with systemic and localized progestin suppression to manage symptoms and prevent recurrence.
Dr Joe Chen also ensures comprehensive care by screening for additional pain triggers such as neuropathic pain, IBS, and pelvic floor dysfunction. His approach to persistent pain after surgery involves careful reevaluation and collaboration with the patient to decide whether further excision surgery is necessary. With his expertise and personalized care, Dr Joseph Chen strives to improve his patients’ quality of life and fertility outcomes.
City: Oakland, California
Philosophy: As a provider who sees and addresses extra-pelvic endometriosis on a consistent basis, I am a believer that many of the origin theories, including retrograde menstruation, Mullerian and colemic transformation, as well as dysregulation of lymphatic transportation, are all relevant causes for this chronic condition. We know that premenstrual, postmenopausal, and non-female cases of endometriosis do occur, and thus, we need to be cognizant of the challenges regarding the current understanding of this disease.
Medication: I will routinely use progestin components for systemic suppression, as well as localized progestin protection for pain control. I routinely encourage patients to consider the use of systemic progestin suppression to prevent recurrence following excisional surgery – an approach that I have seen tremendous success in.
Approach to Persistent Pain After Surgery: Similar to my presurgical approach, I will often reevaluate to determine if the other pain triggers following surgery have been addressed. With patients who desire future fertility, repeating imaging and further systemic suppression are important to prevent worsening symptoms. With careful counseling and detailed discussion about the risks, benefits, and alternatives for reoperation, can we consider repeating the excision surgery.
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. Alejandro González
Dr. Alejandro González, an expert in endometriosis specializing in gynecology and minimally invasive surgery. Gain insights into pelvic endometriosis, fertility, and treatment options.
Dr. Ana Gabriela Sierra Brozon
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-
Approach to Persistent Pain After Surgery: If the patient persists with neurological alterations, I perform an extensive neuropelviology evaluation and interconsultation with pain management specialists.
Dr. Abdala Karame
Dr. Abdala Karame, Endometriosis Specialist
City: Maracaibo, Venezuela
