Dr. Aaron Parry, II, MD, FACOG
Dr. Aaron Parry, II, MD, FACOG
Dr. Aaron Parry, II, MD, FACOG, Endometriosis Specialist
Summary:
Dr. Aaron R. Parry, II, MD, FACOG is an experienced endometriosis and minimally invasive gynecologic surgery specialist based in Summerville, South Carolina, USA. His philosophy of endometriosis care is grounded in the coelomic metaplasia theory, recognizing endometriosis as a complex, multifactorial disease rather than one solely explained by retrograde menstruation. This perspective guides his diagnostic evaluation and long-term, individualized treatment planning.
Dr. Parry performs excision surgery for endometriosis, the gold standard for surgical management, with extensive expertise in laparoscopic and robotic-assisted techniques. He holds an ABOG Focused Practice Designation in Minimally Invasive Gynecologic Surgery (MIGS) and has completed advanced robotic training, with over 800 minimally invasive and robotic gynecologic procedures performed. His approach emphasizes meticulous surgical excision combined with thoughtful postoperative management to reduce recurrence and address coexisting gynecologic conditions.
Dr. Parry recommends a broad, individualized medication strategy for the treatment and management of endometriosis. First-line therapies include non-steroidal anti-inflammatory drugs (NSAIDs), progestins, and oral contraceptives, with strong preference for oral progestins and progestin-containing IUDs for both medical management and postoperative suppressive therapy. GnRH antagonists are used selectively, primarily for patients who have not responded to other medical treatments, and gabapentin is incorporated infrequently for neuropathic pain. His care is evidence-based, patient-centered, and focused on improving long-term symptom control and quality of life.
Philosophy of Endometriosis Care: Coelomic metaplasia theory of endometriosis
What type of surgery do you perform for endometriosis: Excision
Medication: I recommend a wide of medications in the treatment and management of endometriosis. First line therapies are non-steroidal anti-inflammatory drugs, progestins, and oral contraceptives. I strongly encourage oral progestins and progestin containing IUDs for medical treatment and post operative suppressive therapy. GnRH antagonists are used in my practice as well although not as commonly. I will use these medications when a patient did not respond to other medical therapies in the past. Further, I will incorporate gabapentin for neuropathic pain infrequently as well.
Approach to Persistent Pain After Surgery: Once a physician-patient relationship is made, I continue to follow my patients throughout their life, navigating this chronic disease. I strongly recommend post operative suppressive therapy with either OCPs, progestins (of various forms) and GnRH antagonists. I commonly will use what a patient has tolerated in the past to guide my therapy. Although I strongly recommend post operative therapy, I do respect the decision of the patient if she does not want post operative therapy. If symptoms recur post operatively, I will continue to evaluate for other causes of pelvic pain as well as make the appropriate referrals to urology, gastroenterology or pain management as needed. I commonly recommend post operative pelvic floor physical therapy before and after excision surgery, along with dietary counseling to avoid triggers of symptoms.
