Dr. Alberto Jose De Abate Julio, Endometriosis Specialist
City: Panama City, Panama
Philosophy of Endometriosis Care: Epigenetic theory
What type of surgery do you perform for endometriosis: Excision
Medication: Dienogest; Oral Contraceptive; Mirena IUDI recommended as a first-line treatment of endometriosis with physical exercise and diet. To all patients for 3-6 months. If the pain does not improve. I am sending the presurgical study to program the Surgery.
Approach to Persistent Pain After Surgery: It depends. Pelvic Physical therapy; pain medications; amitriptiline.