Brittany (30) from Herndon, Virginia had been trying to conceive for four years before coming to CIGC for minimally invasive cyst removal. During surgery, it was discovered she had also been suffering from endometriosis and bowel adhesions. Endometriosis is known to cause infertility as endometrial tissue can affect the ovaries and quality of eggs, and can create toxicity in the lining. After GYN surgery, Brittany got pregnant within a month.

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“My daughter is 3 years old now. She is happy, healthy and perfect. It brings tears to my eyes just thinking about the carefulness of the surgery, and being able to keep my ovary and returning to normal within days. I didn’t think that I would end up keeping my ovary and didn’t know if I could ever get pregnant on my own. When that test came back positive my world changed all for the better.” Brittany said.

Read about her journey in this recent blog on Dr. Paul MacKoul’s TumblrBrittany’s Story: Pregnant At Last After Endometriosis Surgery

CIGC surgeons use the advanced DualPortGYN technique to perform procedures like cyst removal, endometriosis excision, hysterectomy a.o. The approach is minimally invasive, with only two 5 mm incisions and 1 week recovery time. You can read additional patient feedback on our website in the patient spotlight section, or online on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

To book a consult with a CIGC physician, call 888-SURGERY or contact us online.

Endometriosis affects millions of women, and for many it takes years to get diagnosed. The primary symptom of endometriosis is intense pelvic pain with the menstrual cycle, which can be constant, or it can progress. Women who suffer with severe symptoms every month have a hard time at home, work or school, and they are often seen as unreliable. It can become difficult to explain to teachers or bosses why you repeatedly need time off for a few days each month.

Girl suffering menstrual pains lying on the bed at home

Endometriosis pain is often confused with regular menstrual cramping and symptoms are dismissed in doctor’s offices. The longer it takes to get a diagnosis & treatment, the more damage can occur. Endometriosis causes inflammation and scarring which primarily affects the pelvis, but lesions can spread to other areas of the body. It takes an experienced specialist to recognize the signs and to deliver a proper diagnosis. Thorough excision of all instances of endometriosis is essential to alleviate symptoms and achieve long-term relief.

ENDOMETRIOSIS FACTS

  • It is fueled by estrogen.
  • It primarily creates lesions within the pelvic cavity, but has also been found in other areas of the body like the abdominal cavity, the lungs and the brain.
  • Endometriosis can be deep within the tissue and it can affect nerves.
  • Lesions must be thoroughly removed through excision to alleviate symptoms.
  • Endometriosis can cause pelvic adhesions and cysts to develop.

DIAGNOSIS & TREATMENT

Why some women develop endometriosis and others do not is a mystery. That makes it harder for general medical practitioners to diagnose the condition early, which is important in order to minimize the damage to the reproductive system. Endometriosis specialists have a more complete understanding of the disease, the symptoms, and the damage it can cause.

Endometriosis excision removes the instances of endometriosis. Deep removal of affected tissue is required in order to eliminate the potential for regrowth and to achieve long-term relief. If resection of endometriosis is not thorough or it is performed incorrectly, surgery can actually make the condition worse. At CIGC, minimally invasive resection of endometriosis is performed using the DualPortGYN approach.

THE DUALPORTGYN DIFFERENCE

The DualPortGYN approach was developed by CIGC minimally invasive GYN surgeons Natalya Danilyants MD and Paul MacKoul MD and it uses just two 5 MM incisions. The surgeon who operates is able to see the entire pelvic cavity in order to achieve thorough removal so all instances of endometriosis are removed. The incisions are located in the midline of the abdomen and pelvis, avoiding the muscles, which reduces post-operative pain. Women go home the same day and are usually back to work within 1 week after DualPortGYN surgery.

BOOK A CONSULT

Call 888-SURGERY or contact us online to schedule an appointment with an endometriosis specialist at CIGC. Women who reside outside the Washington DC area travel to CIGC for GYN surgery: learn about our travel program. You can read about our patients’ experience on our website here or on doctor review websites:  Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

Follow Us On Social Media:

Dr. Danilyants on LinkedIn | Dr. Baxi on LinkedIn | Dr. MacKoul on LinkedIn
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Dr. Danilyants on Twitter | Dr. MacKoul on Twitter | Dr. Baxi on Twitter

Endometriosis symptoms can start as early as teen years and are often dismissed by medical professionals. It currently takes an average of 10 years for a woman to get diagnosed. Talking about the condition to increase awareness and educate the medical community is essential to help women manage the disease. Early diagnosis is important to help achieve a better quality of life and maintain the ability to conceive. Although there is no cure, hysterectomy has proven to alleviate symptoms and is often considered as treatment.

Pleasant young woman smiling on white wall with copy space

CIGC patients have shared feedback about their experience online, on doctor review sites (Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews) and on our website here. Read their stories:

“You have to take your healthcare into your own hands. When you struggle through multiple doctors and can’t find any answers, it’s important to find a specialist.” said Michelle, who had minimally invasive endometriosis excision and laparoscopic hysterectomy. You can read her story here.

“I had a complete laparoscopic hysterectomy. After surgery with Dr. Danilyants I could tell this time was different. Nothing is slowing me down now, it doesn’t seem like I’m juggling a lot of things. I feel jubilant! Now, I can do anything! ” said Dorran, after her surgery with Dr. Natalya Danilyants. You can read her story here.

“In October 2013 I had my last surgery to remove scar tissue and endometriosis excision to prepare for IVF. I look over to my son Landon right now tearing up and smiling. We are beyond blessed with a beautiful healthy baby boy.” said Janelle, who was able to conceive after minimally invasive endometriosis excision. You can read her story here.

To speak about your options with an endometriosis specialist at CIGC Paul MacKoul MD or Natalya Danilyants MD, call 888-SURGERY or reach out onlineMinimally invasive hysterectomy as well as resection of endometriosis is performed at CIGC using the innovative DualPortGYN technique, with two 5 mm incisions and 1 week recovery time. Women travel from around the country and around the world through our travel program, for these advanced surgical techniques.

 

Endometriosis affects over 5 million women in the US alone, but it is still greatly misunderstood by patients and doctors. There is a need for better medical training in recognizing the symptoms and providing treatment that is thorough and efficient. Often is it up to the patient to be their own best advocate and keep looking for answers, and this can be a long and painful journey.

Addressing symptoms early is essential when it comes to this debilitating disease. Endometriosis has no cure, but it can be managed in order to achieve a better quality of life, and the ability to conceive. Take a look at these helpful facts to learn about the symptoms, and options for diagnosis and treatment.

ENDOMETRIOSIS SYMPTOMS

  • Endometriosis symptoms include pelvic pain, heavy bleeding, bloating and fatigue, difficulty urinating or having a bowel movement, and even difficulty getting pregnant or carrying a pregnancy to term.
  • Endometriosis pain can start as early as teen years (see Teen Health: What Severe Period Pain Could Really Mean) or as late as after menopause due to pelvic adhesions from endometriosis (see Dorran’s story).
  • There are various stages for endometriosis, from small deposits of endometriosis to the entire pelvis being stuck together. The stage though is not directly correlated with the pain. What is important is to diagnose and remove endometriosis, and then either treat with medical suppression, or try to become pregnant if the patient is looking to conceive.


GETTING DIAGNOSED

  • Symptoms are often dismissed as common or misdiagnosed by untrained professionals. It takes an average of 10 years for a woman to get diagnosed with endometriosis.
  • Endometriotic lesions are very small and they can’t be seen with imaging studies, such as ultrasound or CT scan. Exceptions to this are if endometriotic cysts are present in the ovaries.
  • A definitive diagnosis can only be made with diagnostic laparoscopy. This procedure 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.


ENDOMETRIOSIS TREATMENT

  • There is no cure for endometriosis, but it can be managed medically, surgically, or with a combination of both.
  • Endometriosis excision preserves the uterus, tubes & ovaries for women who wish to maintain fertility, or who have milder disease. Complete removal of all instances of endometriosis is essential for long-term relief, and medical management can extend the length of pain control.
  • A minimally invasive hysterectomy with removal of both ovaries has been shown to alleviate many symptoms, particularly if the endometriosis is localized to the uterus. This is only effective if resection of endometriosis is performed simultaneously and all instances of endometriosis are removed.
  • Pelvic adhesions are common with endometriosis patients. If they are removed incorrectly, they can reform and create additional pain. Unless seen by a specialist first, it is very common for endometriosis patients to have increased pain from surgery performed incorrectly.

More on endometriosis treatment on InnovativeGYN.com

BOOK A CONSULT

At CIGC, minimally invasive endometriosis excision and laparoscopic hysterectomy is performed using the DualPortGYN technique, with two 5 MM incisions and 1 week recovery time. To schedule an appointment with an endometriosis specialist of CIGC Rupen Baxi MDNatalya Danilyants MD or Paul MacKoul MD, call 888-SURGERY or contact us online.

The Center for Innovative GYN Care has offices in Bethesda, MD, Annapolis, MD and Reston, VA. Out-of-town patients can travel to Washington DC for minimally invasive GYN surgery: discover the CIGC travel program.

Follow Us On Social Media:

Paul MacKoul MD on Facebook
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Rupen Baxi MD on Facebook

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Many of our patients travel from out-of-town and from out-of-country for advanced minimally invasive GYN surgery at CIGC. Women who don’t have minimally invasive treatment options for their GYN condition closer to home can now benefit from CIGC’s groundbreaking techniques through our travel program. Innovative procedures like DualPortGYN and LAAM were developed by Paul MacKoul and Natalya Danilyants to improve surgical outcomes for patients and to help them recover faster.

GYN surgery for complex conditions like large fibroids and extensive endometriosis is now possible with only 2 small incisions and recovery in less than 2 weeks. Many times women are recommended open or robotic surgery and this is not longer necessary with advanced laparoscopic techniques.

CIGC-Travel-Map-Web

We want to make traveling for GYN surgery from long distances as seamless as possible. Read about CIGC’s travel program and contact us online or at 888-SURGERY to book an appointment. CIGC has offices in Rockville, MD, Annapolis, MD and Reston VA.

You can get to know us better on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

Follow Us On Social Media:

Paul MacKoul MD on Facebook | Natalya Danilyants MD on Facebook
Paul MacKoul MD on Twitter | Natalya Danilyants MD on Twitter
Paul MacKoul MD on LinkedIn | Natalya Danilyants MD on LinkedIn

Many CIGC patients struggling to conceive have found that GYN surgery for conditions like fibroids or endometriosis can often clear the path to motherhood. Fibroids affect up to 80% of women and they can interfere with a woman’s ability to conceive and carry to term. Endometriosis affects more than 5 million women in the U.S. and it is the leading cause of female infertility. Fertility investments can be expensive and it is important to diagnose and treat GYN conditions early in order to prevent future damage.

CIGC patients have agreed to share their stories and talk about their journey to motherhood.  Ljubica got pregnant naturally after LAAM myomectomy; and Janelle got pregnant with IVF after minimally invasive endometriosis excision. Read their inspiring stories and learn more about GYN conditions affecting fertility in in Dr. Paul MacKoul‘s Tumblr blog: CIGC Patients Get Pregnant After Infertility Surgery For Fibroids & Endometriosis

If you would like to get a GYN evaluation with a CIGC specialist, call 888-SURGERY or contact us online. To learn about CIGC and our innovative approach to infertility surgery, visit InnovativeGYN.com and read online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

Follow Us On Social Media:

Paul MacKoul MD on Facebook | Natalya Danilyants MD on Facebook
Paul MacKoul MD on Twitter | Natalya Danilyants MD on Twitter
Paul MacKoul MD on LinkedIn | Natalya Danilyants MD on LinkedIn

 

Women are often misdiagnosed for years and go on to struggle with GYN symptoms affecting their everyday life because they are not properly addressed. Symptoms like severe pelvic pain and abnormal GYN bleeding that can be concerning to a woman, are often dismissed by medical professionals as normal. If a GYN condition is present and causing concerning symptoms, it should be diagnosed and treated early, before more damage occurs.

Dismissed GYN symptoms

Certain symptoms are normal within a specific range, but when you feel like they are causing too much discomfort and pain, it’s time to see a GYN specialist. If you feel your concerns are real, but have been dismissed, be proactive about your GYN health and get a second opinion. Look out for signs of abnormal bleeding and pelvic pain that could indicate a condition.

The right minimally invasive treatment can get women their energy back, prevents future damage and many times clears blocked paths to motherhood. Learn more about what is normal and what is not when it comes to GYN health in this recent blog Dismissed GYN Symptoms: What Are They Really Saying About Your GYN Health?

At CIGC fellowship trained GYN surgeons Natalya Danilyants MD and Paul MacKoul MD perform innovative GYN procedures using only 2 small incisions. Patients recover faster due to the minimally invasive approach and are back to themselves in days rather than weeks. To schedule an appointment with a CIGC physician, call 888-SURGERY or contact us online.  You can get to know us better on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

CIGC patient Michelle had been struggling with rectal bleeding with her cycle before coming to see us. Her symptoms were getting progressively worse for nearly 3 years. She saw  a general practitioner, a gastroenterologist and an OB/GYN and none of them was able to recognize the signs of ‪endometriosis. They dismissed her symptoms and could not provide treatment. Michelle was in great pain, feeling hopeless and desperate.

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At a very low point, she heard HOT 99.5 DJ Danni Starr talk about CIGC and decided to call right then. She scheduled her consult with The Center for Innovative GYN Care endometriosis specialist Dr. Paul MacKoul who performed minimally invasive endometriosis excision using DualPortGYN. Read Michelle’s full story on Paul MacKoul’s Weebly.

To get evaluated by a minimally invasive GYN specialist at CIGC, call 888-SURGERY and schedule an appointment or contact us online. Women travel from all over the country for CIGC’s advanced GYN procedures. Get to know us better on InnovativeGYN.com and through online patient reviews: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.

You know how important your GYN health is. When struggling with GYN conditions and looking for the best treatment, it’s important to find the right specialist that you can fully trust. Women have access to so many great resources now, starting with recommendations from family and friends, to online sources like doctor review sites, to social media and insurance websites.

Once you have scheduled your first consult, don’t hesitate to ask questions and fully express your concerns. If you are not happy with the information you were provided or the approach that was explained to you, don’t be afraid to walk away and get a second opinion. It is important that you are comfortable with your doctor and trust him or her completely.

Find out more in this recent Tumblr blog: How To Research Your Doctor: Dr. Natalya Danilyants & Dr. Paul MacKoul Patient Reviews

CIGC Patients Lisa Sherri Rashetta Fbk

If you are suffering from symptoms like abnormal bleeding and pelvic pain, consider getting an evaluation with CIGC’s surgical specialists: Dr. Paul J. MacKoul and Dr. Natalya E. Danilyants. Advances in GYN surgery now allow for safe & efficient procedures to be performed in outpatient settings with minimally invasive approach, and excellent surgical outcomes.

Call 888-SURGERY or contact us online when you would like to schedule your consult.

2015 has been a remarkable year for The Center for Innovative GYN Care. Many of our patients have shared their experience dealing with complex GYN conditions and finding relief after minimally invasive GYN surgery. As we look back, we are amazed by how many lives have changed for the better and we are so grateful for their continued support in helping others find us. Thank you to all of our patients!

CIGC PATIENTS OF 2015


Heidi

HEIDI, DUALPORTGYN HYSTERECTOMY

At a routine checkup, Heidi was given the diagnosis of potentially cancerous fibroids. She was frightened as she was recommended a complete hysterectomy with robotic surgery, using power morcellation. Heidi decided to seek a second opinion and could not believe she found something so drastically better at CIGC. Read Heidi’s story.


Helene

HELENE, LAAM MYOMECTOMY & ENDOMETRIOSIS EXCISION

Helene has struggled with fibroids for over 20 years, suffering from painful periods and extreme bleeding, as well as back pain, pelvic pain and headaches from anemia. After multiple prior surgeries, nothing ever worked. She decided to try fibroid removal surgery with the LAAM procedure at CIGC. Watch Helene’s video.


Ljubica-and-Aleksandra

LJUBICA, INFERTILITY SURGERY

For several years, Ljubica and her husband had tried fertility treatments unsuccessfully and after 3 failed attempts, they were starting to get discouraged. It turned out she required surgery to remove a fibroid and uterine polyp before beginning IVF. Ljubica had a LAAM procedure for her fibroid and a subsequent polyp removal. She got pregnant naturally shortly after the procedure. Read Ljubica’s story


Rashetta2

RASHETTA, LAAM MYOMECTOMY

Rashetta found out she had fibroids in college. For years, she saw the same doctor who advised to wait and watch, only her pain got progressively worse. The fibroids continued to grow and she actually had a date scheduled to have a hysterectomy, which she cancelled. Rashetta met with Dr. Paul MacKoul and ended up getting the LAAM procedure.  Read more of Rashetta’s story in this Blog and in The Baltimore Times


Gwen-t

GWEN, DUALPORTGYN HYSTERECTOMY

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


TRAVEL PATIENTS

Patients travel from all around the country for CIGC’s advanced minimally invasive procedures. So many women have complex GYN conditions that require a specialist, but very few can perform minimally invasive surgery. Read some of our travel patient stories from women who have traveled for surgery with Paul MacKoul MD and Natalya Danilyants MD:

Sherri, New York, NY: Traveling for Fibroid Surgery with Dr. Paul MacKoul

Jenny, Wisconsin: Remove Large Fibroids Safely

Beth, Leesburg,VA: On the Other Side of Endometriosis Pain

BOOK A CONSULT

Get to know us better on InnovativeGYN.com where you can learn about CIGC’s groundbreaking minimally invasive techniques. When you are ready to schedule your appointment and go over your options with an advanced surgical specialist, call 888-SURGERY or contact us online. For more patient feedback, visit online doctor review sites: Dr. Paul MacKoul ReviewsDr. Natalya Danilyants Reviews.