With 12 years of experience in Obstetrics and Gynecology, working predominantly in a resource-limited facility with a high obstetric workload, my experience in adenomyosis and endometriosis has developed within the scope of available resources.

For adenomyosis, I have experience with both conservative medical and surgical management, with treatment individualized according to symptoms, age, fertility wishes, severity and response to treatment.
My experience with endometriosis has been more limited. The surgical cases encountered have mainly been large ovarian endometriomas requiring laparotomy.

I have also identified and referred patients with suspected or extensive endometriosis, particularly complex cases, to specialized centres for further evaluation and management. This experience has strengthened my ability to individualize treatment, preserve fertility where possible, recognize complex disease, and make appropriate referrals when specialized services are required.individualized, patient-centred management.