Prof. Dr. Mauricio Abrão
CRM-SP 52.842
Gynecology and Endometriosis
Comprehensive gynecological care
Advanced gynecology: complete care through every stage of life
A 360-degree approach to women's health that considers symptoms, medical history, lifestyle, prevention and personal goals to build an individualized care plan.
In-person care in São Paulo and teleconsultations for patients in other cities, provinces, states and countries.
Integrated gynecological care
Medicina da Mulher brings together specialists to support women's health, from prevention and symptom assessment to the treatment of gynecological conditions.
When needed, care may include endometriosis, human reproduction, urogynecology and gynecological surgery.
What is advanced gynecology?
Advanced gynecology is an approach that looks beyond an isolated complaint. The consultation considers symptoms, health history, menstrual cycle, sexual health, fertility, daily habits and stage of life.
The goal is to understand each patient as a whole, request tests only when indicated and coordinate care with other professionals whenever this may improve health and well-being.
When should you seek a gynecological assessment?
A consultation may be part of preventive care or help investigate changes and symptoms affecting comfort, daily life or quality of life.
- Routine care and review of recommended screening.
- Changes in the menstrual cycle or unexpected bleeding.
- Severe cramps, pelvic pain or persistent discomfort.
- Pain during sex or changes in sexual health.
- Contraceptive or reproductive planning.
- Symptoms during the transition to menopause.
- Discharge, itching, odour or recurrent infections.
- Questions about vaccines, prevention or intimate health.
- Follow-up for a diagnosed gynecological condition.
Symptoms may have different causes. A medical assessment helps determine the appropriate investigation.
What is assessed during the consultation?
History and symptoms
Current concerns, menstrual cycle, personal and family history, medications, previous tests and effects on daily life.
Stage of life and goals
Adolescence, reproductive years, pregnancy plans, contraception, perimenopause and menopause require different guidance.
Habits and well-being
Sleep, nutrition, physical activity and sexual and emotional health may be considered when relevant.
Physical examination
May be performed when indicated, with informed consent and respect for the patient's comfort.
Additional tests
Laboratory or imaging tests may be requested selectively based on the consultation findings.
Individualized plan
Options are discussed clearly so care reflects the patient's needs, preferences and goals.
Prevention and care throughout life
Gynecological follow-up helps organize preventive care according to age, history, sexual health and individual risk factors.
The timing of visits and tests is not the same for everyone and should be determined with the clinician.
How are treatments chosen?
Care depends on the cause of symptoms, diagnosis, stage of life and the patient's goals. Not every concern requires medication or surgery.
Guidance and follow-up
Lifestyle guidance, clinical observation and periodic follow-up may be part of the plan.
Clinical treatment
Medication or hormonal therapy may be considered based on indications, benefits, risks and preferences.
Procedures and surgery
In selected situations, procedures or gynecological surgery may be discussed after a detailed assessment.
How does the care journey work?
Listening and assessment
Understanding concerns, medical history and personal priorities.
Focused investigation
Clinical examination and review or request of tests when needed.
Plan and follow-up
Shared decisions about treatment, follow-up and complementary referrals.
In-person care and teleconsultations
Medicina da Mulher provides in-person care in São Paulo and teleconsultations for patients elsewhere. A virtual visit can help review symptoms and tests and organize next steps. A physical examination or in-person testing may be recommended in some situations.
Learn more about our international patient service.
Frequently asked questions about advanced gynecology
It considers the main concern together with medical history, stage of life, habits, sexual health, fertility and personal goals. Other specialties may participate when appropriate.
No. Gynecological visits are also important for prevention, contraception, reproductive planning, vaccination guidance and care through different life stages.
Bring recent reports, your medication list and information about previous treatments if available. The care team can advise whether other tests are needed.
Not necessarily. An examination is performed when indicated and with consent. The need depends on the reason for the visit and the clinical assessment.
Yes. Perimenopause and menopause symptoms, bone health, sexual health and treatment options can be assessed individually.
In many cases, yes. A teleconsultation can organize the history, review tests and guide next steps. The team will recommend in-person care when needed.
Gynecological care that considers the whole person
Book an assessment to discuss prevention, symptoms, tests and care suited to your stage of life.