Dr. David Rosen
Dr. David Rosen, M.B., B.S.,
Dr. David Rosen – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr David Rosen gynaecologist is a highly skilled endometriosis specialist based in Kogarah, NSW, Australia. With extensive experience in treating endometriosis, Dr. David Rosen gynaecologist, provides individualized care, focusing on excision surgery to remove all deposits rather than relying on less effective treatments like diathermy. His approach is designed to address the unique needs of each patient, ensuring the best possible outcomes.
For treatment, Dr David Rosen utilizes a range of therapies including OCP, progesterone IUDs (Mirena), and GnRH analogs (Zoladex), along with laparoscopy when necessary. He collaborates with pelvic floor physiotherapists and pain specialists to help manage chronic pain, offering a multidisciplinary approach to care.
As a dedicated gynaecologist, Dr David Rosen provides ongoing support through regular follow-ups and personalized pain management plans to improve quality of life for his patients.
City: Kogarah, NSW, Australia
Philosophy: The cause of endometriosis is unknown – deep infiltrating disease arising from the uterosacral ligaments and incorporating the ovaries and bowel shows a very different natural history to peritoneal gunpowder or vesicular deposits yet both can cause severe symptoms in women. Accordingly, each patient is approached individually however the overarching philosophy is extensional surgery to remove all deposits (versus “diathermy to endometriosis” which can often leave deep deposits of endometriosis especially in the Pouch of Douglas)
Medication:
Approach to Persistent Pain After Surgery: Endometriosis represents a chronic disease and I believe that pain pathways are laid down over years, like a highway of stimuli from the source in the pelvis, to the sensory cortex and back to the pelvis. As such, it is not unusual to experience recureent symptoms in the same areas as the initial presentation, even if the stimulus is minor. Whilst all physicians hope that their patients experience rapid and permanent relief from excising disease, I am aware of the concept of visceral sensitization and the strategies needed to reduce chronic pain symptoms for this group of women. Accordingly all endometriosis patients are reviewed annually until they feel they no longer need to be seen, offered hormonal therapy following surgery if fertility is not immediately desired and then work as a team to strategize the best plan for chronic pain sufferers, often involving clinicians listed below..
Dr. Jessica Kresowik
Dr. Jessica Kresowik, Endometriosis Specialist, Minimally Invasive Gynecologic Surgeon, Reproductive Endocrinologist
City: Iowa City, Iowa, USA
Dr. Jordan Klebanoff
Dr. Jordan Klebanoff, M.D.
Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon
Summary: If you’re seeking expert care for endometriosis, Dr Jordan Klebanoff is a trusted specialist dedicated to helping women improve their quality of life. As both a gynecologist and minimally invasive surgeon, Dr Klebanoff brings deep expertise and compassionate care to each patient he treats in Philadelphia, PA.
Dr Klebanoff understands that endometriosis is a complex condition with many possible causes, including embryologic, genetic, and environmental factors. He specializes in wide excision surgery, which aims to remove even microscopic disease and offer lasting relief.
For patients who aren’t considering surgery, Dr Jordan Klebanoff offers personalized medical management, including non-narcotic pain relief and hormonal therapies. He also works closely with pelvic floor physical therapists, pain specialists, and gastroenterologists to provide a comprehensive, patient-centered approach to care before and after surgery.
City: Philadelphia, PA, USA
Philosophy: I believe that we have an incomplete understanding of the origins of endometriosis, however, that the theory of retrograde menstruation as the sole explanation falls well short of describing this complex disease. My belief is that there are likely many factors to explain this disease embryologic, genetic, environmental, etc. The theory that I believe most completely and rationally explains this disease process is an issue during embryologic development. This is why I believe excision surgery most thoroughly improves quality of life. Wide excision surgery will remove microscopic disease whereas localized excisions or ablation can fall short.
Medication: For patients not immediately, or ever, interested in surgery I will utilize non-narcotic pain medications and hormonal regulation where appropriate. Whether or not I recommend hormonal suppression, most often with an oral progestin, following excision surgery is based on individual patient preference and expectation. My typical counseling for patients is that whether it be medical management or surgical management my mission will always be to continue to improve quality of life in any way that I can.
Approach to Persistent Pain After Surgery: My approach to persistent symptoms following surgery is consistent to my approach before surgery. Because pain from endometriosis is often multifactorial I work closely with pelvic floor physical therapists, pain management specialists, sexual medicine providers, and gastroenterologists both before and after surgery. My counseling of patients for any symptoms after an excision surgery patients can depend on the specific symptom or what therapies have previously been tried and failed.
Dr. Soorena Fatehchehr
Dr. Soorena Fatehchehr, M.D.
Dr Soorena Fatehchehr – Endometriosis Specialist, UroGynecologist, Minimally Invasive Gynecologic Surgeon
Summary: Dr Soorena Fatehchehr, MD, is an experienced endometriosis specialist and urogynecologist in Long Beach, CA. Dr. Fatehchehr focuses on minimally invasive techniques for treating endometriosis, including excision surgery, and emphasizes the importance of individualized care. His approach to pain management post-surgery involves a combination of pelvic floor physical therapy, Botox injections, pain psychology, and relaxing exercises like yoga. For patients dealing with persistent pain, Dr. Fatehchehr recommends imaging and, in some cases, a second surgical look. He often starts treatment with temporary ovarian suppression using birth control pills, particularly after excising ovarian endometriomas. Whether you’re seeking expert care for endometriosis or need ongoing support, Dr. Soorena Fatehchehr offers a comprehensive, patient-centered approach to help you on your journey to better health.
City: Long Beach, CA, USA
Philosophy: Excision of endometriosis
Medication: Temporary ovarian suppression with birth control pills after excision of ovarian endometrioma
Approach to Persistent Pain After Surgery: It depends on the timeline of the persistent pain, location and severity: Usually 3 months post op: Pelvic floor physical therapy, Botox injection to the pelvic floor, pain psychologist, pain management, relaxing work out including yoga. If the pain persists for a year then imaging and possible second look.
Dr. Sylvia Mechsner
Dr. Sylvia Mechsner, Endometriosis Specialist, Gynaecologist, Minimally Invasive Gynecologic Surgeon
City: Berlin, Germany
Dr. Jean-Philippe Estrade
Dr. Jean-Philippe Estrade, Endometriosis Specialist, Gynaecologist, Minimally Invasive Gynecologic Surgeon
City: Marseille, France
Dr. Afchine Fazel
Dr. Afchine Fazel, Endometriosis Specialist, Gynaecologist, Minimally Invasive Gynecologic Surgeon
City: Paris, France
Dr. Olivier Donnez
Dr. Olivier Donnez, Endometriosis Specialist, Gynaecologist, Minimally Invasive Gynecologic Surgeon
City: Avignon, France
Dr. Arnaud Wattiez
Dr. Arnaud Wattiez, Endometriosis Specialist, Gynaecologist, Minimally Invasive Gynecologic Surgeon
City: Dubai, UAE
Mr Haider Jan
Mr Haider Jan, Endometriosis Specialist, Gynecologist, Minimally Invasive gynecologic Surgeon
Mr Ahmed El Gohari
Mr Ahmed El Gohari, Endometriosis Specialist, Gynecologist, Minimally Invasive gynecologic Surgeon
City: Kent, England
Mr Denis Tsepov
Mr Denis Tsepov, Endometriosis Specialist, Minimally Invasive gynecologic Surgeon
City: London, England
