Dr. Patrick Yeung Jr.

Patient Feedback

Patterns Across Patient Feedback

Endometriosis Focus

Endometriosis and Fertility as the Sole Focus of the Practice

Endometriosis is the exclusive focus of this practice. After roles directing endometriosis centers at Duke University and Saint Louis University, the RESTORE Center for Endometriosis was founded in St. Louis to concentrate entirely on excision surgery and restorative fertility care. Public materials describe surgical excision of endometriosis as an exclusive focus rather than one service among many, with the stated aim of removing the disease at its root rather than managing symptoms over time. The practice reports a high surgical volume, with around 4,000 endometriosis surgeries over more than 15 years, and treats both early and advanced disease. Patients travel from across the country and internationally for care.

Multidisciplinary Approach

Collaboration with Colorectal and Urologic Surgeons and Pelvic Floor PT

The practice is described as a referral center for advanced and deep infiltrating endometriosis, working with colorectal surgeons and urologists for complex cases. Bowel cases are handled together with a colorectal surgeon during the same surgery, a pattern reflected in multiple patient accounts. Pelvic floor physical therapy is described as part of the broader pelvic pain program, and one account describes being guided through pelvic floor therapy as part of an extended treatment plan. Nancy's Nook notes that two surgeries may be scheduled in cases involving the bowel, and recommends asking for details before surgery.

Diagnosis Methods

Symptom-Based Evaluation and Skepticism of Imaging to Rule Out Disease

Public lectures place heavy weight on symptoms in identifying likely endometriosis, including a set of screening questions about pain severity, missed school or work, emergency room visits without a diagnosis, and lack of relief from hormonal treatment. The stated view is that endometriosis is widely underdiagnosed and that standard staging does not correlate well with symptoms. A symptom-based screening tool for early-stage disease has been published. In-office ultrasound is used during evaluation. One account submitted to this directory notes that the in-office ultrasound did not detect disease that other specialists later found, so patients earlier in the diagnostic process may want to ask how imaging is weighed against symptoms.

Educational Presence

Active Public Education, Research, and Conference Presence

There is a substantial public-facing presence focused on endometriosis education. A personally run Instagram account is active and focused largely on endometriosis, covering topics such as the limits of hormonal suppression, underdiagnosis, and the case for excision over medication. Podcast appearances include the Dr. Brighten show, the Hormone Genius podcast, and the Natural Womanhood podcast, several discussing a complete-excision approach. Lecture material and videos on endometriosis diagnosis and treatment are available publicly.

Published endometriosis research includes a landmark study on complete excision in teenagers questioning the need for postoperative hormonal suppression, a review of laparoscopic management of endometriosis in patients with pelvic pain, and a long-term study on repeat-surgery rates after excision. The teenager study was co-authored with surgeons from the Center for Endometriosis Care, the same program where the endo-excision training took place. Credited with more than 50 peer-reviewed papers overall, with endometriosis and adhesion prevention as recurring themes.

Conference and community engagement includes presenting at an Endometriosis Foundation of America medical conference and chairing the Reproductive Surgery and Endometriosis Special Interest Group within the AAGL. Listings appear on iCareBetter in the excision surgery category, the Endometriosis Foundation of America website, and the American End of Endo Project directory. Professional memberships include the AAGL, the American College of Obstetricians and Gynecologists, the World Endometriosis Research Foundation, and several fertility-care and faith-based medical organizations.

Post-Surgical Care

Follow-Up Reported as Responsive in Many Accounts and Lacking in Others

Patient accounts describe a post-operative appointment soon after surgery, sometimes the next day, and a practice of recording the surgical findings for patients to review during recovery. Many accounts describe the team as accessible afterward and responsive to questions that came up during healing, including follow-up during a holiday week in one account. The stated position is that routine hormonal suppression is not recommended after surgery when complete excision is believed to have been achieved, and several accounts describe no pressure to start or stop birth control.

Other accounts describe a different experience after surgery. Some report follow-up handled by a nurse practitioner rather than the surgeon, and several describe returning pain that was minimized rather than investigated. No public information has been found on standard follow-up timing or how long patients are seen after surgery, so these are useful questions to ask directly before proceeding.

Philosophy and Fit

Complete Excision, Faith-Based Practice, and Restorative Fertility Over IVF

The stated philosophy centers on complete excision as the goal, described as a one-and-done approach aimed at removing all disease in a single surgery and avoiding repeated operations. Public statements reject the retrograde menstruation theory of endometriosis and the idea that hysterectomy or medically induced menopause treats the disease. Hormonal suppression is described as symptom relief that does not address the disease itself, and is rarely used or recommended. A long-term database is cited in support of a low repeat-surgery rate, alongside a stated shift toward investigating other sources of pain before assuming endometriosis has returned.

The practice is openly faith-based and oriented toward restorative reproductive medicine. Memberships include a pro-life obstetrics and gynecology association and a Catholic medical association, and in vitro fertilization is not supported within the practice, though patients pursuing IVF elsewhere are still cared for. NaProTechnology and restorative surgery are offered as an alternative path for fertility. Patient accounts describe religious decor in the office and prayer offered before surgery. Some patients find this meaningful and others may not, so fit on this point is worth weighing directly.