DISEASES
Endometriosis: Relief from Pain, Hope for Your Future
Endometriosis relief & Fertility preservation — Trusted by women worldwide
Dr. Lucas Minig – Minimally Invasive Surgery Expert Care for Chronic Pelvic Pain, Heavy Periods & Endometriomas
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You deserve answers—and relief—today
Endometriosis affects up to 10% of women of reproductive age worldwide — yet it remains underdiagnosed and often misunderstood across the great majority of women worldwide
The relentless cycle of pain—from crippling menstrual cramps to chronic pelvic discomfort—can leave you feeling trapped in your own body. Heavy bleeding can disrupt work and social life; pain during intimacy may strain relationships; and the fear of infertility can cast a shadow over your future plans.
If you’ve tried over-the-counter painkillers, heat pads, or alternative therapies without lasting improvement, it’s time for a definitive approach.
Whether you are based in Europe, the North America, Latin America, or elsewhere, our clinic welcomes patients globally who are searching for better solutions.
At our Valencia clinic, Dr. Lucas Minig and his multidisciplinary team bring together the latest in minimally invasive surgery (over 95% of procedures) with evidence-based medical management, nutritional guidance and psychological support. We offer seamless support for patients who travel internationally for treatment.
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FREE Endometriosis Guide
Learn more about your symptoms, options and how you can manage your endometriosis today.
What is endometriosis?
Endometriosis occurs when tissue similar to the endometrium (the lining of the uterus) grows in places it shouldn’t—most commonly on the ovaries (forming endometriomas, or “chocolate cysts”), the pelvic peritoneum, bowel, or bladder. Each month, these ectopic implants respond to hormonal cycles, bleeding internally, causing inflammation, scar tissue, and adhesions. Over time, this creates a persistent source of pain and can interfere with organ function and fertility.
Patients from around the world trust our expertise to treat even the most complex cases that local providers may not manage.
What causes endometriosis?
Although the precise cause remains unclear, research suggests multiple interacting factors:
Retrograde Menstruation: Menstrual blood flows backward through the fallopian tubes into the pelvic cavity, carrying endometrial cells that implant on other tissues.
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- Genetic Predisposition: A family history of endometriosis significantly increases risk—look out if your mother, sister, or aunt experienced severe menstrual pain.
- Immune Dysregulation: A weakened immune response may fail to clear displaced endometrial cells, allowing implants to proliferate.
- Coelomic Metaplasia: Pelvic cells may transform into endometrial-like tissue under certain stimuli.
Recognizing these underlying mechanisms helps us craft a treatment plan targeting both symptoms and root causes—rather than merely masking pain.
Patients from around the world trust our expertise to treat even the most complex cases that local providers may not manage.
Recognize the symptoms early
Early detection drives better outcomes. Persistent symptoms warrant evaluation—even if they seem “normal” for you. Watch for:
- Severe Menstrual Cramps
“My cramps felt like someone was repeatedly punching my lower back.” - Chronic Pelvic Pain occurring between periods.
- Pain During Intimacy
“I dreaded connection because it always hurt afterward.” - Heavy or Irregular Bleeding that soaks through pads or disrupts sleep.
- Bowel & Bladder Discomfort
– Painful bowel movements, diarrhea, constipation, or frequent urination. - Fertility Challenges
– Difficulty conceiving despite trying for several months.
Patients from around the world trust our expertise to treat even the most complex cases that local providers may not manage.
How we diagnose—fast & precise
- Comprehensive Consultation: We begin by deeply listening—your personal story, pain timeline, menstrual history, and family-planning goals.
- Advanced Imaging: Transvaginal ultrasound and high-resolution MRI reveal endometriomas and deep infiltrating lesions that might be missed on routine scans.
- Gold-Standard Laparoscopy: A minimally invasive “keyhole” surgery allows direct visualization, biopsy, and RADICAL removal of lesions in the same procedure, reducing recovery time and providing immediate relief.
Your personalized & multidisciplinary treatment pathway
We personalize every step — whether you are local or traveling from overseas.
Our team coordinates closely with international patients to minimize travel stays and ensure fast, streamlined care.
No two people—and no two diagnoses—are exactly the same. That’s why we take the time to understand your stage, your goals, and your vision for the future, including fertility and quality of life. You are not a case—you are a person. And your care plan will reflect that.
- Medical Management
- Hormonal Therapies:
- Combined oral contraceptives to stabilize hormone fluctuations.
- GnRH analogues for short-term “medical menopause,” easing severe cases.
- Pain Relief & Rehabilitation:
- NSAIDs for inflammation control.
- Pelvic floor physical therapy to release muscle tension and improve function.
“Together, we’ll choose the regimen that best aligns with your symptom severity and life goals.”
- Hormonal Therapies:
- Minimally Invasive Surgery
- Laparoscopic Lesion Excision: Precise removal of implants while sparing healthy tissue.
- Endometrioma Cystectomy: Removes ovarian cysts (“chocolate cysts”) without sacrificing ovarian reserve.
- Robotic-Assisted Resection: Enhanced dexterity for complex, deep infiltrating disease.
With over 95% of our procedures done laparoscopically or robotically, you benefit from smaller incisions, less pain, and a quicker return to daily life.
- Multidisciplinary Support
- Fertility Counseling: Strategies to maximize natural conception or prepare for assisted reproductive technologies.
- Pain Management Team: Customized programs including acupuncture, and mind–body techniques.
- Emotional & Nutritional Guidance: Diet plans to reduce inflammation and counseling to navigate the psychological impact of chronic disease.
- Psychological Support: We can help you manage the mental side of endometriosis.
Our approach is NOT “just surgery”.
We believe in treating the whole woman — reducing inflammation, protecting fertility, and restoring quality of life.
Recovery & healing roadmap
Many of our global patients return home within days of surgery. Your aftercare is supported through virtual check-ins and local care coordination.
Days 1
Walk same day, light pain, short stay (most travel home in 5–7 days after surgery)
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Days 10–12
Return to light activity/work, home recovery with virtual follow-up; and direct access to Dr. Minig 24/7
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Weeks 2–4
Normal activities resume according with level of pain; discomfort fades. Back to full routines, including exercise
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6+ Months
Major symptom relief. Many patients conceive naturally or via assisted reproduction techniques.
Ongoing
Annual ultrasounds help monitor for recurrence
Our international care team will stay connected to you through every stage — even after you return home.
Nutrition & lifestyle tips
An anti-inflammatory lifestyle enhances treatment success:
- Anti-Inflammatory Diet: Emphasize omega-3 rich foods (salmon, flaxseed), antioxidants (berries, leafy greens), and minimize processed sugars and red meats.
- Gentle Exercise: Yoga, swimming, and walking promote pelvic circulation and reduce muscle tension.
- Stress Management: Daily meditation, guided breathwork, or support groups to lower cortisol and pain perception.
Small, incremental changes lead to lasting relief and improved quality of life.
Why choose Dr. Minig & our team
More than a clinic — we are your international partner in healing.
With over 20 years experience treating global patients, we offer personalized surgical care and full logistical support for those traveling to Valencia.
- Specialized Expertise: Dr. Minig is a gynecologic oncologist with advanced training in complex endometriosis. Extensive specialized oncology training in the main medical centers in Italy and the United States
- Minimally Invasive Excellence: Over 95% of our surgeries utilize laparoscopic or robotic techniques.
- Individualized Care: We align treatment with your pain tolerance, fertility desires, and lifestyle.
- Whole-Woman Approach: From surgery to nutrition and emotional well-being, we support every facet of your health.
- Industry-Leading Research & Innovation
- Global Reach: Personalized logistical support for international patients
“Dr. Minig’s expertise let me restart my workouts just two months after surgery—without fear of a bulge returning.”
— Marta S., Valencia
International patient welcome
Whether you’re in Europe, North America, or beyond, our clinic offers:
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Tele-Consultations in English, Spanish and Italian
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Concierge Travel Assistance for visas, lodging, and local transportation
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Flexible Scheduling to accommodate your time zone
Patient success story
Endometriosis occurs when tissue similar to the endometrium (the lining of the uterus) grows in places it shouldn’t—most commonly on the ovaries (forming endometriomas, or “chocolate cysts”), the pelvic peritoneum, bowel, or bladder. Each month, these ectopic implants respond to hormonal cycles, bleeding internally, causing inflammation, scar tissue, and adhesions. Over time, this creates a persistent source of pain and can interfere with organ function and fertility.
Will treatment affect my fertility?
Our goal is to control endometriosis while preserving or improving fertility. Many patients conceive naturally after lesion excision.
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Can endometriosis recur after surgery?
Our goal is to control endometriosis while preserving or improving fertility. Many patients conceive naturally after lesion excision.
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Is “medical menopause” the only hormonal option?
Our goal is to control endometriosis while preserving or improving fertility. Many patients conceive naturally after lesion excision.
Ready for Relief? Let’s talk.
Whether you want our symptom kit, the patient guide, or to speak directly with Dr. Minig, we’re here for you.
