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.

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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.

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.

A common approach to managing fibroids is the “watch and wait method. This is in fact an outdated philosophy as letting fibroids grow can increases the risks of miscarriages and infertility as well as severe GYN symptoms like abnormal bleedingpelvic pain, bloating and uterine distortion. Large fibroids can even put women at risk for a hysterectomy.

The location of the fibroid, and not its size, is the key factor when it comes to fertility. Fibroids growing within the uterine lining, or developing within the muscle, can distort the uterine cavity. The result is often difficulty conceiving and a higher risk of miscarriage.

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Current advancements in minimally invasive GYN surgery make it possible to safely remove fibroids with only 2 small incisions and repair the uterus by hand to ensure it heals properly for future fertility. The innovative LAAM technique was developed at CIGC by surgical specialists Paul MacKoul MD and Natalya Danilyants MD.

Find out more about the connection between fibroids and fertility and the risks of delaying fibroid treatment in Dr. MacKoul’s recent Tumblr blog: Letting Fibroids Grow Can Lead To Infertility.

Visit InnovativeGYN.com to learn about CIGC’s groundbreaking surgical techniques: LAAM and DualPortGYN and call to schedule your appointment today. See what other patients have to say on doctor review sites: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews.

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

 

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