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

Endometriosis Specialist, Gynecologist, Minimally Invasive Gynecologic Surgeon

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 indication for surgical procedures depend on adhesions, anatomical changes due to nodules or adhesion, 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).

Qualifications
Specialties
  • <ul > <li >Endometriosis Excision Surgery</li> <li >Pelvic Endometriosis</li> <li >Fertility and Endometriosis</li> <li >Endometrioma</li> <li >Bowel Endometriosis</li> <li >Bladder & Urinary Endometriosis</li> </ul>
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