Endometriosis is a systemic, inflammatory and neurofunctional diseasenot a "menstrual pain." EndoLATAM articulates centers, ambassadors and legislators so that every patient on the continent can access the same standard: expert endomapping, classification #ENZIAN, pain phenotyping, complete excision surgery and a team multidisciplinary that measures its results.
Is he patient? Make the 2-minute quick self-assessment and know what to ask your team →The classic figure of "1 in 10" was born when the diagnosis required laparoscopy and biopsy. Today there is no Latin American study of its own which measures the actual incidence of the disease: the network intends to generate it.
In Latin America, patients have been passing through emergencies, general gynecology, gastroenterology and urology for years. Each consultation treats a symptom and none of them integrate the disease. The result is diagnostic delay, incomplete surgeries, Central awareness not recognized and reproductive decisions made with half the information. And the region still doesn't know how many patients have: the prevalence of 1 in 10 was estimated at the time the diagnosis was made by laparoscopy and biopsywith an expert image the real denominator is unknown and no study of Latin America He's measured it.
If your center already measures these indicators, it is part of the solution. If not yet, the network provides the instrument.
The EndoLATAM model is not a surgical technique: it is an architecture of attention. The complete excision of all affected compartments In a single surgical time it's the standard and around it we organize a team that phenotipates pain, protects function and measures results. The disease resolution and functional restoration they are the goal, the symptomatic management and the failure we are trying to eradicate. On the net No one operates alone: centers and specialists always work in multidisciplinary teams and are bound to publish your incidents, complications, PROMs and results.
The EndoLATAM network is against ablation (coagulation, vaporization or "burning" the lesions) as treatment of endometriosis. The ablation leaves disease under the surface, prevents histological confirmation and is associated with more recurrence and more reinterventions. No modern and serious group, no center of excellence, uses it. If a patient is offered ablation, the network's recommendation is to seek a second opinion in a center that practice complete excision with multidisciplinary equipment.
Full and born alive. In 100 operated infertile patients, 50 achieved spontaneous conception and 40 a living child in the first year and complete excision increased by 4.1 (95% CI 1.1- 14.9) the probability of living birth. The authors recommend looking for an expert surgeon in excision techniques.
Nguyen et al., J Minim Invasive Gynecol 2025, 32: 718-724Excision against ablation of endometrioma. Less endometrioma recurrence (37% after ablation vs. 5-17% after excision), less re-interventions (OR 0.16, 32% vs 3-16%), less recurrence of dysmenorrhea (OR 0.25) and dispareunia (OR 0.09). Spontaneous pregnancy a year with clear difference (OR 1.27, low certainty).
Kalra et al., Cochrane Database Syst Rev 2024, CD004992Laparoscopic surgery and pregnancy. To face laparoscopies only diagnosed, laparoscopic treatment increases the rate of viable intrauterine pregnancy (OR 1.89, 95% CI 1.25-2.86, 3 ACE, 528 women, moderate certainty).
Bafort et al., Cochrane Database Syst Rev 2020, CD011031Histological recurrence after prior ablation. In women reintervened by endometriosis, the recurrence confirmed by histology was greater when previous surgery had been ablation (ASRM I-II: 84.8% vs 63% after excision, p = 0.04). The authors' conclusion: excision is the preferred surgical approach.
Histologic-proven recurrence after previous ablation vs excision · J Minim Invasive Gynecol 2021 (AAGL summary)NRS, CSI, PCS, PHQ-9, GAD-7, EHP-30, FSFI, ICIQ-SF, GSRS, BPI before the first consultation.
Map by compartments with complete #ENZIAN classification, including intestinal, urinary and nervous involvement.
Nociceptive, neuropathic, nociplastic or mixed, pelvic floor assessment and central awareness.
It secates anatomical indication of temporary urgency and defines who operates and how and with what equipment.
Neuromodulation, physiotherapy, mental health, nutrition and fertility strategy (AMH, preservation) before operating.
A surgical time, all compartments, colorectal, urological and neuropelic equipment available.
PROMs T1 (3 m) and T3 (12 m), recurence, intestinal and urinary function, fertility, EndoLATAM registration.
The complete protocols (admission, image, committee, surgery, follow-up) are available for the adhesion centers.
No deep endometriosis surgery begins without a complete map. The EndoLATAM protocol combines MRI with endometriosis protocol y expert transvaginal ultrasound (intestinal preparation, slide sign, rectal muscle assessment, ureters and kidneys) to describe each compartment with the classification #ENZIANincluding the commitment intestinal, urinary, nervous and extrapelvic. A "normal" ultrasound without this protocol does not rule out deep disease.
Select the extension by compartment (0 = absent, 1 < 1 cm, 2 = 1-3 cm, 3 > 3 cm for A, B and C and for P and O: 1 < 3 cm, 2 = 3-7 cm, 3 > 7 cm). Fates in order left / right. The resulting code is the common language that the network requires in all derivation.
Educational tool to standardize the language of the report. It does not replace the evaluation with an expert image or the decision of the multidisciplinary committee.
The acquisition protocol (MRI sequences, intestinal preparation for US, reporting template) is delivered to radiologists and ecographists of the network.
The image says where the lesion is and the phenotype says why it hurts. The pain of endometriosis progresses with peripheral sensitization, central y nociplastic. Operating on a patient with a predominantly nociplastic pain phenotype without prior stabilization perpetuates pain; leaving deep nociceptive disease untreated can make pain chronic. That is why pain phenotyping (using validated instruments and assessment of the pelvic floor) is a mandatory step in the protocol.
Protocol operating thresholds: CSI ≥ 40 indicates moderate central sensitization (≥ 60 severe); PCS ≥ 20 indicates clinically significant pain catastrophizing; NRS ≥ 7 indicates severe pain. The sliders are educational: they illustrate the logic but do not replace clinical assessment.
Educational guidance based on thresholds of the EndoLATAM protocol. The therapeutic decision is taken by the multidisciplinary committee with the patient.
The phenotyping algorithm and the instruments (CSI, PCS, EHP-30 and the rest of the T0 set) are part of the network protocol package.
Alone five countries of the region have an existing comprehensive national endometriosis law: Panama (2021), Colombia (2023), Peru (2023), Paraguay (2024) y Uruguay (2024). The rest of the region relies on declarative laws, subnational rules, stalled bills, or no specific legislation. Each country profile links to its official source; anything that could not be verified is marked accordingly. A regional model law does not yet exist through PAHO or PARLATINO, so EndoLATAM proposes one.
| Country | National law | Type | explicit coverage | Labour protection | Patient registration | National Day | Trust |
|---|
Source: EndoLATAM documentary review of official gazettes, legislative portals, and health ministries, current through October 5, 2026. “Explicit coverage” means a legal mandate or specific national technical standard; “Employment protection” means a rule recognizing accommodations, disability leave, or job protection related to endometriosis, not necessarily additional paid leave.
Built about what already works under the laws of Panama, Colombia, Peru, Uruguay and Paraguay and about what none still requires: standards of complete excision, certified centers and public results. A text put forward as revised by the network's legal committee and will be published on this platform at the end of consultation with patient associations.
With effects on coverage, disability and labour and educational protection.
Sampling of every patient with chronic pelvic pain or infertility; endomapping (MRI + US expert) financed prior to any surgery.
Complete removal, colorectal and urological surgery, pain therapy, physiotherapy, mental health, nutrition and fertility in all public and private providers.
Volume credit, equipment, endomapping, phenotyping and production of results and guaranteed referral of complex cases.
Registration of patients with complete phenothiping, #ENZIAN, recurrence, fertility and complications, published annually.
Reasonable adjustments, recognition of disability, freedom from dismissal and justified absences in education.
Compulsory undergraduate training and specialties, annual campaigns (14 March) and specific budget with impact assessment.
Are you a legislator, an adviser or a patient association? The network provides the basic text, regional evidence and technical accompaniment.
EndoLATAM is a community of certified endometriosis specialists integrating gynecology and surgery with minimum invasion, image, colorectal surgery, urology, neuropelviology, anesthesia and pain, pelvic floor physiotherapy, mental health, nutrition and reproductive medicine. The board brings together its members by country and the centers are attested by measurable results: PROMs, recurrence, fertility, complications and time to diagnosis.
Two Baseline articulate the network: Doyenne Institute (Mexico City), with three designations SRC Master Surgeon verified in complex and multidisciplinary care of endometriosis, creator of the block technique for deep disease with intestinal involvement, affiliated to the International Society of Neuropelveology (ISON) and attested by the College of Disney Knowledge and ALGIA (Pereira, Colombia), advanced gynaecological laparoscopy unit and pelvic pain directed by Dr. Juan Diego Villegas- Echeverri. Around them, the centers where the members of the board attend. A non-negotiable rule: no center or network specialist works aloneand multidisciplinary equipmentand each center publish your incidents, complications, PROMs and results. Touch a point on the map to see the center, its credits (with source) and its equipment.
You can also touch a country on the map to see its specialists. The results highlight the cities with known headquarters.
Documentally verified locations and credits at 5-oct-2026 (public spots from Spring Review Corporation 2022-2026, official center sites, endolatam.org directory). Only centers with institution or town supported by source are shown and 43 members with no published institution do not appear on the map but do appear on the directory. CRS does not publish a consultative directory: an unannounced designation may be missing and information about its co-ordination.
Source: endolatam.org Medical Directory (accessed October 5, 2026) and Instagram @endolatam. Photographs and contact details were published by the network; each member may request updates through regional coordination.
Today: Doyenne Institute (CDMX, SRC Master Surgeon × 3, creator of block technique, ISON, College of Disney Knowledge) and ALGIA (Pereira). Red-verified SRC Master Surgeon Designations: Dr. Ramiro Cabrera Carranco (2), Dr. Ana Gabriela Sierra Brozzo (1) and Dr. José D. Eugenio-Colón (5).
EndoLATAM certification is not declared, is demonstrated. Each center works in multidisciplinary equipment and publishes, with a verifiable academic identity, its Casualistic, complications, PROMs and their surgical and reproductive results. Examples of ORCID records of network surgeons:
0000-0003-3823-32830000-0003-2857-99340000-0002-1903-11600000-0002-3184-8229ORCID records verified at 6 -oct-2026 at orcid.org. Rejected publications from PubMed (6-oct-2026) are referred to as an example of co-production, but have been referred to as an exhaustive list.
Hospital centers, surgeons, radiologists and ecographists, physiotherapists, mental health and nutrition professionals, scientific societies, patient associations and legislative teams. When sending, the form generates a structured request that you can copy and send to regional coordination.
Regional coordination EndoLATAM
Email: contacto@endolatam.net
Telephone: +52 55 5470 2598
This mail and telephone are exclusively for professional administration and contact (centers, specialists, societies, legislators and the press). No care or guidance is provided to patients through this route: patients should contact the specialists of the directory directly.
For reference to complex cases (intestinal, urinary, nervous or extrapelvic involvement), and prior incomplete surgeries, and severe notiplastic phenotype), indicate them at the request type.
The network grows by certification, not by marketing: each center that enters is committed to measuring and publishing.
Homogenization is built by training each link of the route with the same standard: who makes the image, who phenises pain, who operates, who rehabilitates and who measures. Programmes common curriculum, evaluation of skills and link to the EndoLATAM cohort. Dates, headquarters and quotas are published on this platform and in @endolatam with each call.
Surgical Immersion with complete excision with colourrectal, uropelic and uropelic equipment, committee, endomapping planning and monitoring of results.
Acquisition protocol, slide sign, rectal muscle assessment, ureters and kidneys, report template #ENZIAN and surgical correlation.
Peripherical, central and nociplastic sensitification; T0 instruments; pelvic neuropathic pain (cyatic, pounding, shutting) and criteria for indication and surgical deviation.
Evaluation of hypertonia and trigger points, presurgical preparation and functional rehabilitation (intestinal, urinary, sexual) integrated into the 7-step route.
Real biopsyco-social impact: PHQ-9 and GAD-7 with risk flags, catastrophication, trauma, sexuality and perioperative accompaniment.
Ovarian Reserve (AMH, AFC) interpreted in endometriomas, EFI-Plus, maintenance and surgical sequence -assisted reproduction; IVF isn't automatic.
The programmes are opened by call to the network centers and individual professionals.
The pain that prevents working, studying or having sex is not normal and is not "part of being a woman." You are entitled to an expert image diagnosis, a complete plan and a team that measures if you are improving. This section translates the existing laws and the EndoLATAM standard into concrete actions.
Answer these summary questions of the instruments used by the network (NRS, CSI, PCS, PHQ-9, GAD-7, EHP-30, FSFI, ICIQ-SF, GSRS). The result tells you if there is a alarm signal and what questionnaires and studies to ask your team or a network expert. It is not a diagnosis: it is the way to get to the consultation with the correct information.
0 of 7 criteria met
Search the network by country.
Use the membership directory and center map of this page: they are organized by country, with reference headquarters and verified credits.Ask the 7 questions on the list.
A center of excellence answers them all without being upset and if an answer is "no need," get a second opinion.Take your previous studies.
Previous surgeries (reports and video if any), images and hormonal treatments received.If your case is complex, ask for reference.
Intestinal, urinary or nervous commitment, incomplete surgeries or widespread severe pain require certified center.Know your rights.
If you live in a country with law, demand it. If you do, your patient association and network can accompany the legislative process.If you are a patient or family member, check with the members directory by country and contact the specialist directly, and the institutional phone and mail of the network are for professional contact only. The network doesn't replace your treating equipment but helps them find the right one.