Archives

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3 years ago

Mr Hassan Morsi

Mr Hassan Morsi, Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

City: West Midlands, England

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3 years ago

Dr. Mohamed Mabrouk

Dr. Mohamed Mabrouk, Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

City: Cambridge, England

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3 years ago

Mr. Vasileios Minas

Mr. Vasileios Minas, Endometriosis Specialist, Gynecologist, Consultant Gynaecologist and Laparoscopic Surgeon

City: Chertsey, England

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3 years ago

Mr. Thomas Aust

Mr. Thomas Aust, Endometriosis Specialist, Consultant Gynecologist, Minimally Invasive Gynecologic Surgeon

City: Wirral, England

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3 years ago

Mr. Andrew Pickersgill

Mr. Andrew Pickersgill, Endometriosis Specialist, Consultant Gynaecologist and Laparoscopic Surgeon

City: Manchester, England

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3 years ago

Mr. Shaheen Khazali

Mr. Shaheen Khazali, Endometriosis Specialist, Consultant Gynaecologist and Laparoscopic Surgeon

City: London, England

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3 years ago

Mr. David Rowlands

Mr. David Rowlands, Endometriosis Specialist, Gynecologist, Consultant Gynaecologist and Laparoscopic Surgeon

City: Wirral, England

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3 years ago

Dr. Edmond Edi Osagie

Dr. Edmond Edi Osagie, Endometriosis Specialist, Consultant Gynaecologist and Laparoscopic Surgeon

City: Manchester, England

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3 years ago

Mr Peter Barton-Smith

Mr Peter Barton-Smith, Endometriosis Specialist, Consultant Gynaecologist and Laparoscopic Surgeon

City: London, England

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3 years ago

Dr. Manuel Lopez

Dr. Manuel Antonio Lopez de la Torre, M.D.

Dr Manuel Lopez – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

Summary: If you’re looking for expert care in endometriosis, Dr Manuel Lopez is a trusted and compassionate specialist dedicated to helping women live healthier, more comfortable lives. Many patients first discover Dr. Manuel Lopez while searching for top gynecologists under names like Manuel Lopez MD San Antonio or Doctor Manuel Lopez, drawn by his excellent reputation. Though based in Guadalajara, Jalisco, Mexico, Dr. Manuel A Lopez MD San Antonio TX is well known to U.S. patients who travel for his expert care in minimally invasive gynecologic surgery.

Dr. Lopez takes a thoughtful, individualized approach to endometriosis, grounded in both medical science and empathy. He draws on a range of theories, including celomic metaplasia, retrograde menstruation, lymphatic and vascular dissemination, and embryonic origins, as well as genetic and immunological factors, to inform his care.

For treatment, Dr. Lopez typically begins with combined progestins, followed by pure progestins if needed, and rarely, GNRH analogues with add-back therapy. Pain is managed with COX inhibitors, NSAIDs, smooth muscle relaxants, and supportive treatments like multivitamins.

What truly sets Dr. Manuel Lopez apart is his conservative and holistic approach to surgery, which is only recommended for about 30% of patients. His multidisciplinary team includes experts in colorectal surgery, fertility, urology, physical therapy, psychology, nutrition, pain management, and sexology to ensure patients receive well-rounded care.

City: Guadalajara, Jalisco, Mexico

Philosophy: 

Ivanoff- Meyer( Celomic Metaplasia)
Sampson ( Retrograde Menstruation)
Halban ( Linfatic disemination)
Sampson ( Vascular Disemination)
Ricklenhausen and Russell (Embrionary remains)
+ Mechanical transplant, Genetic and inmumonolical Theories.

Medication: 

1st line combined Progestins
2nd line when not tolerated, pure progestins
3rd line GNRH analogues + addback therapy (very rare)
Pain Management: COX, NSAIDs, smooth muscle relaxant, multivitamins

Approach to Persistent Pain After Surgery:

When needed, the treatment always starts BEFORE the surgery, and SURGERY is indicated only in approximately 30% of our total amount of patients. Generally, most of the indications for surgical procedures depend on adhesions, anatomical changes due to nodules or adhesions, deep infiltrating nodules affecting the organs functional tissue(Muscular layers), adenomyosis. We always perform an integral follow-up on patients. Our clinic is constituted by multiple specialties, and we derive before surgery to the affected areas to deep study. When the symptoms continue, depending on the area, they get treated by whoever is demanded (Colo- proctology, Fertility, Urology, Physical Therapy, Psychology/Psychiatry, Nutrition, Pain specialist, Sexology).

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3 years ago

Dr. Jaime Ocampo

Dr. Jaime Ocampo, M.D.

Jaime Ocampo – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

Summary: Dr Jaime Ocampo is a leading endometriosis specialist and minimally invasive gynecologic surgeon in Daly City, CA. With years of experience at Kaiser, Dr. Ocampo provides compassionate, evidence-based care tailored to each patient’s unique condition and goals. Jaime Ocampo MD focuses on treating endometriosis through a combination of hormone therapy and surgical options, always considering fertility as part of the care plan.

Dr. Ocampo often recommends progesterone-based treatments like Aygestin or Dienogest for symptom management, and he performs precise excision surgery when necessary. He also addresses persistent pelvic pain with a comprehensive approach that includes pelvic floor care. Patients trust Jaime Ocampo for his clear communication, thoughtful treatment planning, and commitment to long-term wellness.

City: Daly City, CA, USA

Philosophy: The most accepted mechanism by which endometriosis occurs is retrograde bleeding. It is certainly possible that most endometriosis happens through this process but the coelomic mutation is also a possible mechanism. Surgical treatment is tailored to the patient’s need and whether they have deep infiltrating endometriosis, ovarian endometriosis, or adenomyosis. Also, fertility is an important factor when deciding on treatment.

Medication: I think the data is better on progesterone treatment. In the United States Aygestin is available but also I use Dienogest. I sometimes use depo lupron but less and less as the side effect profile o progesterone is better.

Approach to Persistent Pain After Surgery: I think persistent symptoms many times point to somatic pelvic floor pain which goes hand in hand with endometriosis. Of course, recurrences occur and I think hormonal treatment is important.

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3 years ago

Dr. Luky Satria

Dr. Luky Satria, M.D.

Jakarta Doctor, Dr Luky Satria – Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

Summary: Dr. Luky Satria is a highly respected Jakarta doctor specializing in endometriosis care and minimally invasive gynecologic surgery. Patients seeking expert, compassionate care often turn to Dr. Luky Satria for a personalized treatment plan that balances medication, surgery, and fertility considerations. His approach begins with hormonal therapy to manage endometriosis-related pain, reserving surgery for cases where medication is ineffective or when fertility outcomes can be improved.

Known for his thoughtful and evidence-based methods, Dr. Satria carefully evaluates each patient’s condition using imaging tools like ultrasound or MRI to guide the next steps. Postoperative care often includes continued hormonal treatment to reduce recurrence and support long-term well-being. As a trusted Jakarta doctor, Dr. Luky Satria is committed to delivering thorough, respectful care to every patient, tailoring his approach to meet their individual health and fertility goals.

City: Jakarta, DKI Jakarta, Indonesia

Philosophy: Probably multifactorial, coelomic metaplasia and retrograde menstruation combined with genetic-epigenetic factor

Medication: I use medication/ hormonal (progestin or LNG IUS) as the first-line treatment for endometriosis-associated pain, when the hormonal failed then complete excision surgery will be done. I also give hormonal treatment to patients waiting for surgery.

Hormonal treatment is also given to post-operative patients who don’t seek fertility to reduce recurrence risk.

I only do surgery for patients with endometriosis-associated infertility if there is still a big possibility the patient can conceive naturally. If the chance to conceive naturally is low then the patient should go straight to ART.

Approach to Persistent Pain After Surgery: Systematic mapping with ultrasound (or MRI when needed) will be done to search for residual lesions (due to incomplete surgery) or de novo lesions. Surgery will be done when we find DIE lesions, but if it is ovarian lesions (endometrioma), I will suggest hormonal treatment or ART since repeat surgery of recurrent endometrioma will give a bad prognosis in ovarian function, especially in subfertility patients.

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