ENDOMETRIOSIS
Modern treatment of endometriosis
Endometriosis is a complex condition that can cause pelvic pain, infertility, and recurrent discomfort. Correct diagnosis and a multidisciplinary approach are essential to reduce symptoms, improve quality of life, and restore reproductive health.
Multidisciplinary approach to endometriosis at Metropolitan Hospital
Endometriosis is a complex and often underdiagnosed gynecological disease, in which endometrial tissue grows outside the uterus, causing inflammation, pelvic pain, digestive or urinary disorders and, in many cases, difficulty conceiving. For many patients, the correct diagnosis is delayed for years, and the treatment applied does not reflect the true severity or extent of the disease. Metropolitan Hospital has become a reference center in the treatment of endometriosis through international expertise, interdisciplinary collaboration and minimally invasive surgical techniques.
Treatment coordination is carried out by Prof. Dr. Jörg Bernhard Engel, a university professor with over 25 years of experience in gynecological and oncological surgery, trained in top university centers in Germany. Considered a European benchmark in the treatment of endometriosis, Prof. Dr. Engel comes specifically to Romania to treat moderate and severe cases, using the same modern laparoscopic protocols and techniques applied in major German medical centers. His expertise in deeply infiltrative endometriosis, fertility preservation and reproductive surgery offers patients precise and safe solutions, adapted to the stage of the disease.
The interventions are carried out together with a dedicated multidisciplinary team:
– Dr. Eva Velten, gynecologist specialized in oncological surgery;
– Dr. Madalina Popescu, specialist in obstetrics-gynecology with a specialization in infertility;
– Dr. Octavian Popescu, a general surgeon with expertise in oncological, colorectal and proctology surgery — essential in cases of endometriosis with intestinal involvement.
For complex cases, Metropolitan Hospital hosts International Commission on the Treatment of Endometriosis, which analyzes each medical file and establishes the optimal strategy: drug treatment, advanced laparoscopic intervention, combined approaches or assisted reproduction solutions.
Patient evaluation includes specialized gynecological consultation, transvaginal ultrasound, pelvic MRI for lesion mapping, and, if necessary, diagnostic laparoscopy. Treatment is personalized, focused on reducing pain, limiting recurrence, protecting fertility, and improving quality of life, with long-term monitoring and constant support.
Patient-centered care
The patient experience is our priority: accurate assessment, clear communication, and ongoing support. We offer a simple, professional, and safe medical journey — from diagnosis to recovery — in a comfortable environment and with the necessary guidance every step of the way.
Modern treatments
Endometriosis requires a complete evaluation and a treatment plan tailored to the stage of the disease and the patient's goals. We offer modern diagnostics, drug treatment, advanced laparoscopic interventions and fertility solutions, integrated into a coordinated medical pathway.
Complete evaluation and diagnosis
• Transvaginal and abdominal ultrasound
• Pelvic MRI for lesion mapping
• Minimally invasive diagnostic laparoscopy
Drug treatment
• Combined-customized schemes
• Anti-inflammatories to reduce pain
• Long-term management of recurring symptoms
Advanced laparoscopic surgery
• Treating adhesions and restoring pelvic anatomy
• Management of deep infiltrative endometriosis
• Interventions with rapid recovery, minimally invasive
Fertility and assisted reproduction
• Fertility preservation plans
• In vitro fertilization (IVF) for cases associated with infertility
• Interdisciplinary coordination with reproductive medicine
Post-operative monitoring and care
• Assessing symptom recurrence
• Adaptation of long-term treatment
• Support for complete recovery
The medical process in 3 simple steps
A clear, efficient and safe medical flow, so that each patient can easily understand and go through the stages of treatment.
Initial assessment
Personalized therapeutic plan
Fast recovery and maximum comfort
FAQ
1. What are the first symptoms of endometriosis?
2. Intense menstrual pain, persistent pelvic pain, discomfort during sexual intercourse, cyclical digestive symptoms or fertility problems.
3. Does drug treatment cure endometriosis?
4. When is surgery necessary?
5. Does endometriosis affect fertility?
6. What does laparoscopic surgery involve?
7. Can endometriosis come back after treatment?
8. What can I do between appointments to manage symptoms?
Why Metropolitan Hospital
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Address
Bucharest, Romania
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Mon. – Fri.: 09:00–17:00
Cardiology – 0726.297.272
Mon. – Fri.: 08:00–20:00
Orthopedics – 0746.223.500
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