GYN conditions like fibroidsendometriosispelvic adhesionsuterine polyps or inflammation of the fallopian tubes (hydrosalpinx) can affect a woman’s ability to conceive and carry to term. Many suffer through difficulty getting pregnant or miscarriages only to realize that they have a gynecologic condition that could have been treated. A fertility evaluation by a GYN specialist early on can often make all the difference and pave the way to a healthy and successful pregnancy.


At CIGC we partner with reproductive endocrinologists to ensure patients have the best possible care from surgery to fertility treatments. Some women are actually able to conceive naturally after minimally invasive infertility surgery at CIGC.


INFERTILITY & FIBROIDS

Uterine fibroids can significantly affect pregnancy rates and are a very common cause of infertility. Letting fibroids grow can create severe GYN symptoms like abnormal bleedingpelvic pain, bloating and uterine distortion and can actually put women at a higher risk for a hysterectomy. Fibroid removal surgery increases the success rates of spontaneous pregnancy, intrauterine insemination, and in vitro fertilization.


INFERTILITY & ENDOMETRIOSIS

Endometriosis can affect fertility in multiple ways. The body responds to endometriosis by releasing excess inflammatory cells, which can cause pain, or create pelvic adhesions preventing conception. The inflammatory cells can potentially affect sperm function or impair the function of the fallopian tubes. The surgical management of endometriosis can be difficult and complex. Learn about endometriosis treatment to improve fertility.


INFERTILITY & HYDROSALPINX

The inflammation of the fallopian tubes is known as hydrosalpinx, a condition where fluid swells the tubes, making it difficult for women to get pregnant. There are multiple causes of inflammation like pelvic infections or fibroids obstructing the tubes or prior surgery causing scarring to the tubes. If the tubes are blocked most fertility doctors recommend IVF to bypass them. Learn more about the function of the fallopian tubes.


INFERTILITY & UTERINE SCARS/POLYPS

Many patients have had surgery to the uterus that results in the formation of scar tissue in the uterine cavity, which can prevent the implantation of the embryo. Removal of the scar tissue by a minimally invasive GYN specialist can allow for pregnancy to occur. Learn about removing scars or polyps from the uterus to improve pregnancy rates.

BOOK A CONSULT

At The Center for Innovative GYN Care, our advanced laparoscopic techniques are designed to provide safe and efficient minimally invasive treatment, with recovery in days rather than weeks. To get an evaluation with a CIGC specialist Dr. Paul MacKoul MD or Dr. Natalya Danilyants MD, call 888-SURGERY or contact us online. CIGC has offices in Bethesda, MD, Annapolis, MD and Reston, VA. Patients who reside outside the area travel to Washington DC for minimally invasive GYN surgery through our travel program.

CIGC Patients Get Pregnant After Infertility Surgery For Fibroids & Endometriosis

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If you are planning to conceive and struggle with GYN issues like abnormal bleeding or pelvic pain, you should see a GYN specialist. Conditions like fibroidsendometriosispelvic adhesionsuterine polyps, uterine septum and inflammation of the fallopian tubes can affect your ability to conceive and carry to term.  Many women suffer through difficulty conceiving and miscarriages or early delivery and discover they were dealing with a GYN condition that could have been treated.

babyshoes_fbkThere are minimally invasive GYN techniques that make it possible for women to recover sooner than with open, more invasive procedures. CIGC minimally invasive GYN surgeons Natalya Danilyants and Paul MacKoul have developed innovative approaches to treat many of the causes of infertility, with faster recovery and less pain.

Read about addressing GYN conditions and making sure the uterus is a healthy place for a baby to grow: Address GYN Conditions & Welcome a Baby in the New Year

CIGC specialists partner with reproductive endocrinologists and OB/GYNs to ensure that our patients get the best care. Women who’ve had trouble conceiving naturally, or with IUI or IVF treatments should consider getting a fertility evaluation. To schedule your appointment, call 888-SURGERY or contact us online. You can also get to know CIGC physicians through online patient reviews: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews

 

woman-recovering-at-home(cut)Advancements in minimally invasive GYN surgery have led to a significant increase in outpatient procedures. A lot of these procedures are performed in ambulatory surgical centers (ASCs), providing high quality outpatient surgical and preventive care at a much lower cost. A growing trend over the last decade has been the decline in inpatient hospital stays, which carry more risks & costs and offer no benefit to the patient over outpatient procedures.

At The Center for Innovative GYN Care all gynecologic procedures are performed in outpatient settings, either at a state-of-the-art ASC or at a hospital depending on each patient’s needs. CIGC fellowship trained minimally invasive GYN surgeons, Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD provide highly personalized attention and care.

Recovering from minimally invasive GYN surgery in the comfort of your home means reducing the risks of infection as well as the overall cost of surgery. Learn more about the benefits of minimally invasive GYN surgery in outpatient settings in this recent Tumblr blog: Paul MacKoul MD Explains the Benefits of Outpatient GYN Surgery

When you are ready to go over your options, call 888-SURGERY or contact us online to book a consult. If you are an out-of-town patient, visit our travel program page.

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Gwen T, fibroids patient at The Center for Innovative GYN Care, had minimally invasive fibroid surgery 4 years ago and feels great speaking about it now. She says she can’t even see where her incisions were and you would never know she had fibroid surgery. Gwen was happy to share her experience with us and talk about how she’s been feeling since.

Back in 2011, Gwen had a fibroid the size of an orange, causing her pelvic pain that she had struggled with for years.

“Every month I would suffer with pain around my menstrual cycle, but it wasn’t in my pelvis. I was getting pain in my hip and my back. There were times I couldn’t get out of bed. At the time I didn’t know what it was, but it was affecting my lifestyle, crippling me.”

Dr. Paul MacKoul performed laparoscopic hysterectomy using DualPortGYN, an innovative surgical technique that uses only two 5mm cosmetically placed incisions. The scars are practically invisible after healing.

“I have no scars. Some women are scared about big scars, but patients considering surgery need to know that I had no drainage, and went home with 2 small bandages. I was back to work in four days. I work as an office manager in a doctor’s office, and it’s light duty, and low stress, so I had no problem returning to work earlier than planned. I’m looking forward to wearing a bikini some day!”

Many women find they have the drive to pursue new activities after recovering from GYN surgery. Following her DualPortGYN hysterectomy, Gwen found the energy to further her education.

“Since my surgery, I was able to get my Masters of Arts Degree and am a licensed Clinical Christian Counselor, with 4 board certifications. I’m pursuing a Ph.D in 2016.”

After minimally invasive GYN surgery at CIGC, many of our patients engage in new activities, travel to places they have always wanted to visit and take more time to spend with their families and loved ones.

DualPortGYN

If you are dealing with abnormal bleeding or pelvic pain, contact us to schedule an appointment and go over your options. CIGC minimally invasive GYN surgeons Paul MacKoul MD and Natalya Danilyants MD have performed over 20,000 GYN procedures and are constantly finding better ways to improve outcomes for patients. To see feedback from other CIGC patients, read online patient reviews: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews.

Recent study shows more than 500,000 women undergo a hysterectomy every year and 1 in 3 is expected to have a hysterectomy by age 60. Too often, women are only given the option of an open hysterectomy for GYN conditions, although new minimally invasive techniques exist. 60% of all hysterectomies are still open abdominal procedures and robotic GYN surgery is becoming more and more common.

Open and robotic hysterectomy procedures are not in the best interest of the patient. Open surgeries have larger incisions, that are more painful, patients require hospital stay for up to a week, and their recovery times are up to 2 months. Robotic GYN procedures have up to 5 larger incisions and post-operative recovery can take up to 1 month.

DualPortGYN_PaulMacKoul

It is important that women are aware of all surgical options when it comes to their gynecologic procedure. Advanced minimally invasive techniques, providing better results, are available. Surgical specialists of CIGC Dr. Natalya Danilyants and Dr. Paul MacKoul have developed DualPortGYN, a groundbreaking GYN technique that makes it possible to perform hysterectomies using only 2 tiny incisions. Learn more about the benefits of this approach on Dr. MacKoul’s Tumblr.

Get to know CIGC physicians through online patient reviews: Dr. Paul MacKoul Reviews|Dr. Natalya Danilyants Reviews

Women dealing with fibroids often choose to delay surgery due to fear of open procedures or risks associated with robotic surgery and power morcellators. It is essential that patients do their own research to identify all possible options for gynecologic care. Learning the facts about fibroid surgery and available procedures can help avoid unnecessary pain and get you back on your feet sooner.

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3 ESSENTIAL FACTORS IN FIBROID SURGERY:

  • The fibroids themselves:The size, number and location of fibroids determine the type of surgery. Fibroids can occur anywhere in the uterus, most develop from the muscle or myometrium, while cervical fibroids are quite rare.
  • The patient’s future plans: The most definitive fibroid removal surgery is hysterectomyas fibroids often return after surgery. If childbearing is still desired and retaining the uterus is important to the patient, a myomectomy is recommended. It is essential for women who are intending to retain their uterus to have the most minimally invasive myomectomy possible, as the probability of these women requiring subsequent fibroid removal surgery is very high.
  • The surgeon’s skill:Minimally invasive fibroid removal is possible even for women dealing with large fibroids or many fibroids. Fibroid surgery does not have to be limited to open or robotic procedures.

Fellowship trained surgeons of CIGC Natalya Danilyants MD and Paul MacKoul MD have developed an innovative fibroid removal procedure, taking the best of open and laparoscopic procedures, without the use of a robot or power morcellator. LAAM myomectomy  uses 1 tiny incision at the belly button for a laparoscope, and a slightly larger incision, about an inch and a half at the bikini line. The surgeons are able to feel and remove all of the fibroids and patients generally recover in 10 days to 2 weeks.

Find out more about LAAM and women who have had large fibroids removed with this groundbreaking procedure:

Sherri’s Story: Traveling for Fibroid Surgery
Jenny’s Story:
Remove Large Fibroids Safely

Call 888-SURGERY or contact us online to schedule an appointment and go over your options for gyn care. Out-of-town patients can benefit from innovative GYN surgery in the DC area through the CIGC travel program.

LEARN ABOUT CIGC

Why We’re Different
Dr. Paul MacKoul Background | Dr. Paul MacKoul Reviews
Dr. Natalya Danilyants Background | Dr. Natalya Danilyants Reviews

Before minimally invasive techniques, GYN surgery took a huge toll on a woman’s body. Patients expected recovery from gynecologic surgery to take 2 months or longer. As surgical approaches have improved, post-op recovery has been reduced to weeks vs months.  At The Center for Innovative GYN Care, surgical specialists have gone even farther, helping patients return to their normal lives in days.

Not all physicians devote time to train in minimally invasive laparoscopic techniques. Many doctors choose to remain in their comfort zone and still perform open surgeries. Finding a surgeon who focuses on minimally invasive GYN procedures is imperative to a better, faster recovery.

CIGC fellowship trained specialists have redefined minimally invasive GYN surgery to 2 small incisions for all procedures. This means patients can often have surgery and go home the same day. They return to their normal lives within days rather than weeks after the procedure. Cancer patients are able to begin additional therapies sooner and with a positive outlook that comes with faster recovery. Choosing highly-trained surgeons who specializes in advanced laparoscopic surgeries can mean relief not only of pain, but of worry.

CIGC minimally invasive GYN surgeons NEVER perform open or robotic-assisted surgery. The extended recovery times associated with open or robotic procedures take precious time away from your complete recovery. These procedures also come with potential complications due to a more invasive type of surgery. Learn more about why laparoscopic trumps robotic in GYN surgery.

INNOVATIVE SURGICAL TECHNIQUES AT CIGC

The Center for Innovative GYN Care specialists Dr. Natalya Danilyants, MD and Dr. Paul MacKoul, MD have developed advanced minimally invasive techniques to treat fibroidsendometriosis, pelvic massesabnormal bleedingpelvic pain, and cancer.

DualPortGYN is most effective, least invasive GYN surgery available worldwide. Using only 2 cosmetically placed 5mm incisions and a technique called retroperitoneal dissection to completely identify the pelvis, CIGC surgeons can provide better surgical outcomes and faster recovery for most GYN conditions.

DualPortGYN

LAAM is the most minimally invasive myomectomy and the safest fibroid removal surgery, with preservation of the uterus. It can be performed via 2 small incisions on any patient regardless of fibroid size, number, or location and most are done in an outpatient setting.

LAAM

Learn as much as you can about the different gynecological procedures available to you, so that when you choose your surgeon, you understand the procedure and recovery times, as well as potential complications. For many patients, knowing that they can get back to their lives faster can change their entire outlook on surgery.

BOOK A CONSULTATION:

We want to make resolving your GYN pain a priority so that you can get back to living your life. Book a consultation with advanced surgical specialists of CIGC to go over your options. You can learn more about us from our former patients who have shared their positive feedback online: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

CIGC PATIENT STORIES:

Joyce’s Story: Fibroids
Emily’s Story: Endometriosis
Susan’s Story: Adenomyosis

TRAVEL PROGRAM

We treat women from all around the world, suffering from complex GYN conditions. Even if you are not from the DC area, you can still benefit from groundbreaking procedures at CIGC: learn about our travel program.

If you have suffered from pelvic pain for an extended period of time without knowing the cause, a diagnostic laparoscopy might be indicated. Women who are misdiagnosed can go through several rounds of wrong treatment, costing them time, money and possibly even worse consequences on their overall health.

If a patient has endometriosis, which is the most common cause of chronic pelvic pain, diagnostic tools like ultrasound, CT or MRI may not be able to detect the nature or severity of the condition. A diagnostic laparoscopy allows for a small thin camera to be inserted into the abdomen where the entire pelvis can be inspected and suspicious lesions can be resected for a diagnosis.

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MANAGEMENT OF ENDOMETRIOSIS

Endometriosis is a unique GYN condition, hard to manage medically. Management of pain from endometriosis can be done with the help of with analgesics and hormonal suppression, which is used to treat symptoms. This however does nothing to improve fertility, treat adhesions, or resolve endometriomas.

GYN surgery is the most definitive treatment for endometriosis. The diagnostic laparoscopy will be able to determine how far the condition has spread. Surgical management can be done through endometriosis resection  (also known as endometriosis excision) to improve symptoms or hysterectomy for the best long-term pain control.

Depending on the severity of the condition and the patient’s desire to preserve fertility, hysterectomy does not have to be the only option. Endometriosis removal is conservative surgery, focusing on removing endometriosis and improving symptoms, while preserving the uterus, tubes and ovaries as much as possible. This approach improves pain, but it does not cure endometriosis.

Hysterectomy with or without removal of the ovaries is for women who do not desire fertility or for women for whom conservative surgery has failed. Performing a hysterectomy will remove the uterus, and can often prevent endometriosis from returning. However, if the endometriosis has spread beyond the immediate pelvic area, or if endometriotic lesions or endometriomas are missed, there is a chance that it will continue to spread.

EARLY DETECTION & ENDOMETRIOSIS SURGERY

Endometriosis is a painful and complicated GYN condition. Getting diagnosed early is important and for patients who are found NOT to have endometriosis, the diagnostic laparoscopy may help avoid a long course of medical therapy directed toward the wrong diagnosis.

When dealing with endometriosis, surgical management by fellowship trained minimally invasive GYN surgeons is important to ensure a complete procedure with a full recovery. CIGC endometriosis specialists Dr. Paul MacKoul, MD or Dr. Natalya Danilyants, MD have performed over 20,000 GYN procedures, with remarkable results.

Book a consult today and go over your options for minimally invasive endometriosis removal or minimally invasive laparoscopic hysterectomy to relieve your symptoms. Out-of-town patients can benefit from groundbreaking procedures at The Center for Innovative GYN Care through our travel program.

LEARN ABOUT CIGC

Dr. Paul MacKoul Background | Dr. Paul MacKoul Reviews

Dr. Natalya Danilyants Background | Dr. Natalya Danilyants Reviews

CIGC Patient Story: Endometriosis

Minimally Invasive Endometriosis Surgery Gives Beth Her Life Back

CIGC Patient Story: Fibroids

After Sophisticated Surgery for Large Fibroids, Joyce Neal Gets Back to Work Quickly and Becomes a Mom

CIGC Patient Story: Ovarian Tumor

Welcoming a Baby after Minimally Invasive GYN Surgery

 

Every woman is different, and treatment for menopause symptoms aren’t one size fits all

During perimenopause and menopause, choosing the right treatment can help to alleviate some uncomfortable symptoms. For many women, simple lifestyle modifications can be very helpful (dressing in layers, plenty of air circulation, and use of vaginal lubrication), but for others, hormone replacement therapy (HRT) may be more effective.

Depending on your age and whether or not you have had a partial or full hysterectomy, when deciding on hormone replacement therapy, it should be tailored to your unique needs. Estrogen-only HRT is safer than combination HRT, but should only be taken by women who have had a hysterectomy. Estrogen causes the lining of the uterus to thicken, without the balancing effects of progesterone. This can increase the risk for endometrial cancer. Women who have a uterus must have HRT as an estrogen and progesterone combination.

Menopause symptoms can be debilitating for some women. Working closely with your doctor, it’s best to understand YOUR personal risks, so that you can make the most informed decision.

Additional resources for understanding menopause symptoms and reviewing treatment options

Mayo Clinic

http://www.mayoclinic.org/diseases-conditions/menopause/basics/symptoms/con-20019726

Cleveland Clinic

http://my.clevelandclinic.org/health/diseases_conditions/hic-what-is-perimenopause-menopause-postmenopause

WebMD

http://www.webmd.com/menopause/guide/menopause-basics

CIGC Specialists can help women who have begun menopause (either naturally or due to a hysterectomy) understand their specific needs, and create the right treatment plan.

Book a consultation with Paul MacKoul MD, Natalya Danilyants MD, or Britton Chahine MD, advanced laparoscopic surgeons at The Center for Innovative GYN Care.

Get to know more from real patient reviews on Dr. Paul MacKoul, Gynecologist in Bethesda.