Programming and Investment

08:15-08:35

Dr Giuliano Borrelli

Current Concepts of Endometriosis

What is and what is not | Current nomenclatures | Relation of the main Theories of Origin with findings of the disease | Symptoms and Relationship to Surgical Findings | influencing factors

08:35-08:55

Dr. Juliana Sperandio

Initial assessment

Standardized history and targeted physical examination

08h55-09h15

Nutritionist Cristiane Sales

Intestinal health of patients with endometriosis: what can be altered?

Intestinal symptoms and dysfunctions are extremely common in patients. The intestines play a fundamental role in several aspects that impact the health of women with endometriosis: hormonal, immunological, inflammatory and emotional. What are the main points of attention in these patients?

09h05-09h25

Physiotherapist Bruna Chamma

The pelvic floor in patients with endometriosis: pain and dysfunction.

Pelvic floor pain and dysfunction are extremely common in patients, but few know how to assess it. Tips & Tricks for evaluating the pelvic floor and the main dysfunctions (muscular, urinary, evacuatory and sexual).

09h25-09h45

Dr. Alexandra Raffaini

Chronic pain: symptom or disease?

Not all pain felt by the patient is a symptom of endometriosis. In cases of chronic pelvic pain, we almost always have other components, such as neuropathic and nociplastic pain. What signs are indicative of this pain component? How to identify and target these patients?

09h45-10h00

Discussion and questions from the audience

10h20-10h40

Dr. Luciana Chamie

Diagnostic Imaging: Transvaginal Ultrasonography and Magnetic Resonance with Bowel Preparation

Advantages and limitations of the methods; when to prioritize one over the other

10h40-11h00

Dr Leandro Accardo Mattos

Treatment planning based on the imaging exam - what information cannot be missing from the report?

What information from the exams changes the conduct and clinical and surgical planning, in addition to pre-, peri- and postoperative care.

11h00-11h20

Dr. Talitha Alves

What to do and what not to do in assessments?

Patients with endometriosis usually arrive at the office weakened, and many with negative past experiences. Tips on what to do in the assessment and especially what not to do and not to say to them.

11h20-11h40 

Dr. Jordana Diniz

The role of the gynecologist as a "conductor" or gatekeeper

How to evaluate all these aspects of a patient with endometriosis in an objective and welcoming way? How to prioritize and conduct the evaluation and treatment of patients within the multidisciplinary approach?

11h40-12h00

Philip Cipolla

Digital marketing in healthcare (Future Marketing)

Digital marketing is now a necessary path for any healthcare professional and clinics. What needs to be considered in the elaboration and strategy of digital marketing? Is it just social media?

12h00-12h30

Debate: Multidisciplinary follow-up - utopia or is it possible to make it feasible?

Much is said about the multidisciplinary follow-up of patients with endometriosis. We know how beneficial it is for patients, but also for us health professionals. How to make it possible in practice?

12h30-14h00

Lunch

14h00-14h20

Dr. A.S. Lucas Yamakami

How can endometriosis affect female fertility, and how to assess ovarian reserve?

Address the main influencing factors in fertility (tubal/peritoneal, ovarian reserve, oocyte quality, endometrial receptivity)

14h20-14h40

Dr. Renato Tomioka

The role and limits of reproductive medicine in patients with endometriosis and infertility.

What are the situations in which IVF should be prioritized in the treatment of patients with infertility and endometriosis? What are the limits?

14h40-15h00

Dr. Rodrigo Fernandes

The role and limits of surgery in patients with endometriosis and infertility.

What are the situations in which surgery for endometriosis should be prioritized in the treatment of patients with infertility and endometriosis? What are the limits?

15h00-15h50

Discussion of clinical cases and debates

Clinical cases to be discussed between speakers and audience

4:10-4:30 p.m.

Dr. Talitha Alves

The Endometriosis and Lifestyle Approach Pyramid

The treatment of endometriosis, in general, can follow a reasoning starting from measures that benefit all patients until individualization. Addressing the importance of lifestyle (explaining how each pillar can influence endometriosis and pain) and the steps of more complex therapeutic options.

16h30-16h50

Dr. Juliana Sperandio

Updates on drug treatment

Drug treatments play an important role in the treatment of endometriosis. What are the contemporary options for drug treatment? When to use each one? Present eligibility rationale.

16h50-17h10

Dr. William Kondo

When to consider surgical treatment?

Main indications for surgical treatment in patients with endometriosis.

5:10-5:30 p.m.

Dr. Thiers Soares

Is robotic surgery future or reality?

The evolution of surgical tools has been constant in recent years. Does robot-assisted minimally invasive laparoscopic surgery have advantages in the surgical treatment of endometriosis?

5:30-6:00 p.m.

Debate | Discussion of Clinical Cases