Dr. José D. Eugenio-Colón - DrEndometriosis

Dr. José D. Eugenio-Colón - DrEndometriosis • Partner, CEC
• Board Certified ObGyn
• Fellowship-Trained, High-Volume Endometriosis & Minimally Invasive Gynecologic Surgeon

* Medical Doctor, Obstetrics and Gynecology

Specialty in Diseases and Conditions
-Abnormal Menstrual Bleeding
-Abnormal Uterine Bleeding
-Dysmenorrhea
-Endometriosis
-Fibroids And Leiomyoma
-Heavy Menstrual Bleeding
-Menorrhagia
-Myomas
-Ovarian Cysts
-Pelvic adhesions
-Pelvic Disorders
-Uterine Fibroids

Treatment & Services
-Alternatives To Hysterectomy
-Hysterectomy
-Hysteroscopy
-Laparoscopic Hysterectomy
-Laparoscopic myomectomy
-Laparoscopic Surgery
-Minimally Invasive Gynecologic Surgery
-Minimally Invasive Surgery
-Operative Hysteroscopy
-Robotic assisted gynecologic surgery

Memberships
-American Association of Gynecologic Laparoscopists
-American College of Obstetricians and Gynecologists
-American Medical Association

12/02/2026

can come back after surgery — and when they do, it’s not your fault.

Recurrence can happen if:
• The cyst wall wasn’t completely removed
• Deeper wasn’t fully addressed
• Hormonal stimulation continues
• The surgical technique didn’t prioritize full

An endometrioma isn’t just a cyst.
It’s a sign of more complex disease.

The goal isn’t simply draining it.
It’s treating endometriosis thoughtfully,
preserving ovarian tissue,
and reducing the need for repeat surgeries.

***ESPAÑOL***

Los endometriomas pueden reaparecer después de la cirugía — y cuando ocurre, no es tu culpa.

La recurrencia puede suceder si:
• La cápsula del quiste no se removió por completo
• No se trató la endometriosis profunda asociada
• Persiste la estimulación hormonal
• La técnica quirúrgica no priorizó la completa

Un endometrioma no es solo un quiste.
Es un indicador de enfermedad más compleja.

El objetivo no es simplemente drenarlo.
Es tratar la endometriosis de forma integral,
preservar el tejido ovárico y
reducir la necesidad de cirugías repetidas.

At the  we do not claim that diet cures   — but it can be a meaningful component of overall symptom management by reduci...
11/02/2026

At the we do not claim that diet cures — but it can be a meaningful component of overall symptom management by reducing systemic inflammation and improving digestive comfort.

It’s a process - dietary changes take time, experimentation, and sometimes professional support to find what works best for each person.

***ESPAÑOL***

No afirmamos que la dieta cure la endometriosis, pero puede ser un componente importante del manejo general de los síntomas, al reducir la sistémica y mejorar el bienestar digestivo.

Los alimentos que consumes pueden aumentar o disminuir la inflamación en tu cuerpo, y la inflamación es un factor clave en el y las molestias asociadas a la endometriosis.

Es un proceso - los cambios en la alimentación requieren tiempo, experimentación y, a veces, apoyo profesional para encontrar lo que mejor funcione para cada persona.

👉🏻 Prioriza alimentos ricos en omega-3 como salmón salvaje, nueces y semillas, y utiliza aceites como el de oliva o aguacate; evita aceites vegetales altamente procesados.

👉🏻 La fibra soluble proveniente de frutas, legumbres y semillas favorece la digestión y el equilibrio hormonal al ayudar al cuerpo a eliminar el exceso de estrógeno.

👉🏻 Snacks empaquetados, bebidas azucaradas, frituras, granos refinados y aditivos se asocian con mayor inflamación y pueden empeorar los síntomas.

👉🏻 Prioriza frutas, vegetales frescos e ingredientes no procesados constituye la base de una alimentación antiinflamatoria.

👉🏻 Muchas personas con endometriosis notan que al reducir el gluten disminuyen el dolor y los síntomas digestivos; un estudio citado mostró mejoría del dolor con una dieta libre de gluten.

👉🏻 Los productos de soya altamente procesados pueden ser difíciles de digerir y potencialmente inflamatorios o moduladores del estrógeno.

👉🏻 En algunas personas, los lácteos contribuyen al dolor y la distensión abdominal; alternativas como leche de almendra, coco o arroz pueden ayudar, y el calcio puede obtenerse de otros alimentos o suplementos.

👉🏻 El alcohol y la cafeína pueden ser inflamatorios para muchas personas y detonar síntomas.

09/02/2026

Georgia House Bill 94 (2025-2026 Regular Session)

It requires state-regulated health insurance plans in Georgia to cover standard fertility preservation services when a medically necessary treatment — such as chemotherapy for cancer, or treatment for sickle cell disease or lupus — may directly or indirectly impair fertility.

These services may include: egg freezing, s***m freezing, embryo freezing, as well as related evaluations and medications (with some limits on coverage and storage).

This law expands access to fertility preservation for people undergoing treatments that could harm their future reproductive potential — helping people protect their chances of having biological children later in life rather than waiting until fertility is already compromised.

06/02/2026

During , hormonal changes — especially high progesterone and suppressed cycles — can quiet symptoms for some. But this is a temporary effect of the pregnancy hormones, not a change in the disease itself. Once menstrual cycling returns postpartum, lesions often become active again and symptoms can recur.

-----

Durante el embarazo, los cambios hormonales, especialmente los niveles altos de progesterona y la supresión de ciclos, pueden aliviar los síntomas en algunas mujeres. Sin embargo, esto es un efecto temporal de las hormonas del embarazo, no un cambio en la enfermedad en sí. Una vez que se reanuda el ciclo menstrual después del parto, las lesiones de endometriosis suelen reactivarse y los síntomas pueden reaparecer.

06/02/2026

Endometriosis behind the Liver!!!
Congratulations you’re not crazy!!!

First of all you need to know that YOUR PAIN IS REAL. It’s not in your head, it’s not an exaggeration, and it’s not some...
04/02/2026

First of all you need to know that YOUR PAIN IS REAL. It’s not in your head, it’s not an exaggeration, and it’s not something you’re supposed to just “push through.” If you’ve been told it’s normal, minimized, or brushed off, that can leave deep scars—but it doesn’t make your experience any less valid. You deserve to be heard, believed, and cared for. Answers may take time, but your pain has always mattered, and it always will. 💛

***ESPAÑOL***

ENDOMETRIOSIS:
la brecha diagnóstica

Recibir un diagnóstico puede llevar años.
Y casi nunca es por una sola razón.

LOS SÍNTOMAS SE NORMALIZAN
• El dolor menstrual se minimiza.
• Se dice que es “normal” o “parte de ser mujer”.

SÍNTOMAS INESPECÍFICOS
• Dolor pélvico, intestinal, lumbar, fatiga, infertilidad.
• Se confunde con otras condiciones.

FALTA DE CONCIENCIA MÉDICA
• Los síntomas se tratan por separado.
• No se conecta el cuadro completo.

IMÁGENES “NORMALES”
• Ecografías y resonancias pueden no mostrar la enfermedad.
• Esto retrasa el diagnóstico.

DIAGNÓSTICO TARDÍO
• La cirugía no siempre se indica a tiempo.
• Las hormonas pueden ocultar síntomas.

SESGO DE GÉNERO
• El dolor se minimiza.
• El inicio en la adolescencia suele ignorarse.

03/02/2026

Serious skills, human energy — perfectly balanced.

02/02/2026

is reason enough to investigate.
Symptoms are reason enough to treat.
And should never have to be “at risk” before care begins.

Early diagnosis of is not about rushing decisions — it’s about protecting an individual’s future.

27/01/2026

Severe period pain in is not something to “wait out.”

often begins in adolescence, and when it’s ignored or minimized, the disease can quietly progress.
becomes chronic.
continues.
School, sleep, sports, and mental health take the hit — all during years that are meant for growth, not survival.

𝐖𝐡𝐞𝐧 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐢𝐬 𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐞𝐝, 𝐞𝐱𝐩𝐞𝐫𝐭 𝐞𝐱𝐜𝐢𝐬𝐢𝐨𝐧 𝐛𝐲 𝐚 𝐡𝐢𝐠𝐡-𝐯𝐨𝐥𝐮𝐦𝐞, 𝐬𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐳𝐞𝐝 𝐭𝐞𝐚𝐦 𝐨𝐟𝐟𝐞𝐫𝐬 𝐭𝐡𝐞 𝐛𝐞𝐬𝐭 𝐜𝐡𝐚𝐧𝐜𝐞 𝐟𝐨𝐫 𝐝𝐮𝐫𝐚𝐛𝐥𝐞 𝐫𝐞𝐥𝐢𝐞𝐟, 𝐥𝐞𝐬𝐬 𝐫𝐞𝐩𝐞𝐚𝐭 𝐬𝐮𝐫𝐠𝐞𝐫𝐲, 𝐚𝐧𝐝 𝐚 𝐡𝐞𝐚𝐥𝐭𝐡𝐢𝐞𝐫 𝐥𝐨𝐧𝐠-𝐭𝐞𝐫𝐦 𝐨𝐮𝐭𝐜𝐨𝐦𝐞.

26/01/2026

Early diagnosis of in teens matters — a lot.

At this age endo will often go unrecognized.
and pain can quietly worsen over time.
It isn’t about rushing into surgery; it’s about understanding what’s happening and choosing the right care before symptoms become life-limiting.

When surgery is truly needed, can be very helpful.
It focuses on completely removing lesions and is best done by a high-volume surgeon working with a multidisciplinary team. This approach helps reduce ongoing inflammation, improve , and lower the chances of disease progression or repeat surgeries later on.

Not every needs surgery — but every teen deserves to be taken seriously.

22/01/2026

We DO NOT ❤️ !!! Just so we are clear, it’s my honor to serve my pts with dignity and compassion but I absolutely HATE that is has to get this bad for doctors to refer pts to centers of expertise !! It’s like women have to prove through suffering that their pain is real !!!!

20/01/2026

If you’ve ever been told it’s “not that bad,” if you’ve questioned yourself because tests came back normal, or if you’ve learned to downplay your symptoms just to get through the day — this is for you.

Living with and/or means navigating pain that isn’t always visible, predictable, or easy to explain. That doesn’t make it imagined. It doesn’t make you dramatic. And it doesn’t mean you’re overreacting.

has a way of making people doubt themselves — especially when they’re repeatedly dismissed or misunderstood. But that disrupts your life, your energy, your relationships, or your sense of safety in your own body is real, whether or not it shows up on a scan.

You don’t need to prove your experience to deserve care.
You don’t need the “right” words to be taken seriously.
And you’re not losing your mind for wanting answers.

Trusting your body is not weakness.
It’s awareness.

Dirección

Santo Domingo

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