Welcome to our office—we look forward to working with you on your concerns about endometriosis. This condition can be a problem with severe cramps, premenstrual spotting, irregular bleeding, loss of work and/or fertility issues.
Expectations:
1. First visit—careful history and ordering of labs and US and review of prior testing.
Begin Creighton Method Charting or Kindara app; serial urine hormone profile with Mira machine.
Initial lab panel including thyroid test.
2. Second visit—review of results and physical exam and cultures and dynamic US by Dr. K
3. Third visit-
start CPRT (prog support);
NSAIDs,
Lysteda support for heavy bleeding;
sometimes Orilissa if pregnancy not desired;
if pregnancy desired—often Clomid after results reviewed.
Physical therapy regimen
Vitamin and diet support and analysis
4. First 1-3 months will be frequent visits to assess and reassess treatments and successes.
5. 4th month-in some cases, the progress may be a little slow-then we will plan together a presurgical MRI and discuss Robotic Excision of Endometriosis Surgery
Please bring us your questions—and a family member if you wish. See you soon-Dr K.