Delaying Fibroids & Endometriosis Treatment Can Be Dangerous

Uterine fibroids can be unpredictable. They can continue to grow, and in some cases grow very large, very fast. Removing them when they are smaller can help preserve a woman’s fertility, but will also result in a faster recovery for the patient. The larger the fibroid, the more damage to the uterus.WTOP-January-FB-image.png

With endometriosis, the condition can cause a lot of damage to the reproductive system, if left untreated. We’ve seen countless patients who’ve been told for years, that their pain is in their head. We all need to think more about what the patient is experiencing with these conditions, and the risks they face with surgery when their condition is allowed to go unchecked.

Read more in this recent CIGC article, shared by WTOP:
The silence & stigma of period pain: fibroids, endometriosis can destroy a woman’s life.

To get in touch with an advanced CIGC surgical specialist Dr. Natalya Danilyants or Dr. Paul MacKoul, call 888-SURGERY, or reach out online. Women residing outside the Washington DC area, who consider traveling for advanced GYN surgery, can look into CIGC’s travel program.



UFE Is A Risk For Women With Large Fibroids

Women who struggle with fibroid symptoms often look for non-invasive treatment methods, it is however important to know the risks associated with every procedure.

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Embolization, when used on large fibroids, is less efficient, and can even be dangerous. It can result in die-off and expulsion of the fibroid tumor, which can lead to an infection. Also, fibroids shrink only about 30-46% following uterine fibroid embolizatin (UFE), which may not be enough for large fibroids to alleviate symptoms. In several studies, response to embolization was not as effective in patients with fibroids greater than 8 cm, and additional therapy was needed. Women are still at risk for having a hysterectomy following UFE treatment for large fibroids.

Additional information is available in this recent article provided by The Center for Innovative GYN Care and shared by WTOP:
Hysterectomy may still be required after an embolization procedure.

Alternatively, myomectomy and hysterectomy procedures remove fibroids entirely, offering fewer post-operative complications. CIGC founders Dr. Natalya Danilyants and Dr. Paul MacKoul have developed the advanced LAAM myomectomy surgery to thoroughly remove even large fibroids with only 2 small incisions. The advanced DualPortGYN hysterectomy, also developed by CIGC physicians, is definitive fibroid treatment with two 5 mm incisions. Most women recover in less than 2 weeks following LAAM, and in 1 week following DualPortGYN surgery.

Myomectomy and hysterectomy patient reviews are available on the CIGC blog in the patient spotlight section, as well as on doctor review sites: Dr. Natalya Danilyants reviews | Dr. Paul MacKoul reviews.

To schedule an appointment with a CIGC surgical specialist, call 888-SURGERY or reach out online. Women residing outside the Washington DC area can look into our travel program.


GYN Surgery Recovery Depends on the Physician You Choose

Gynecologic conditions are very common. Fibroids affect up to 80% of all women, and endometriosis affects 1 in 10. When it comes to treating complex GYN conditions, surgery may be recommended as a definitive treatment, or to achieve temporary relief from symptoms. All surgical procedures are NOT the same. It’s important to understand your physician’s surgical approach, and how it impacts recovery, in order to make the right decision when choosing a surgeon.



When it comes to surgical treatment of complex GYN conditions such as fibroids, endometriosis, and adenomyosis, women should seek a specialist for optimal care. While the GYN condition may be diagnosed at your OBGYN’s office, it’s important to remember the regular OBGYN is not a surgical specialist. It is always ok to seek a surgical specialist for minimally invasive treatment of GYN conditions, and continue to be cared for by your regular OBGYN following surgery.

A former patient recently shared on Google her experience with GYN surgery at CIGC:

“My top rated OBGYN had me at a full [open] surgery with a 6-8 week, out of work recovery. So I started looking around. I ended up canceling my surgery with my OBGYN, and it was WELL worth it. Results? I walked a mile and a half just 7 days after surgery. I honestly couldn’t be happier.”


As a patient, it is important to find out which surgeon has specialty training. Finding that surgeon will make all the difference in your recovery, pain levels, and your return to feeling normal again as soon as possible. Surgical GYN specialists focus 100% on gynecologic surgery, which is why they are better equipped to perform advanced minimally invasive procedures, with superior patient outcomes.

CIGC surgical specialists perform advanced laparoscopic procedures only, leading to 1-2 weeks recovery times for patients, vs 2-4 weeks with robotic surgery, and 6-8 weeks with open procedures.

Another CIGC patient shared on Google:

“CIGC is amazing! I had my hysterectomy on my birthday and I am recovering very well! I was back to work and activities only a week after the surgery. I only have one visible incision and it so tiny and the other two incisions are navel and bikini cut so it’s not visible. When deciding on a hysterectomy make sure you are 100% percent comfortable with your surgeon. I had to find CIGC on my own because I wasn’t comfortable with my doctor doing it. Best decision I’ve ever made!”


CIGC founders Dr. Natalya Danilyants and Dr. Paul MacKoul developed advanced laparoscopic techniques using only 2 small midline incisions. Due to this advanced surgical approach, women recover in less than 2 weeks after surgery, with less complications and pain.

Fertility sparing LAAM myomectomy uses one 5 mm incision at the belly button and one 3 cm (1.5 in) incision at the bikini line, and women are usually back to work in 10-14 days. The DualPortGYN procedure is used for hysterectomy, endometriosis excision, resection of pelvic mass and other complex GYN conditions, and women recover in 7-10 days.

For more patient feedback, visit our patient spotlight section and online doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.


To get in touch with a CIGC patient relations coordinator, call 888-SURGERY or reach out online. Women travel to the Washington DC area for advanced GYN surgery from across the country and around the world: learn about CIGC’s travel program.

Akena’s Journey: Fibroids & Hysterectomy Surgery

Fibroids often run in families, and they have been shown to affect African American women more severely. CIGC patient Akena shared her journey dealing with fibroid symptoms, and looking to find relief.


“In 2002/2003 my periods became really heavy and the cramping was unbearable. The fibroids actually became palpable to me. I could feel them. Fast forward 3-4 years later, in 2007 my fibroids had gotten so large that I had to have a myomectomy. I wanted the opportunity to have kids. It was an open procedure because my fibroids were so large. My gynecologist at the time told me I wasn’t a candidate for a laparoscopic procedure because they wouldn’t be able to get all of them.” said Akena.

“I think I was told that fibroids could come back, and pretty quickly. In 2010 the fibroids returned. The cramps got heavier, the bleeding got heavier. I knew they were going to be a problem and they are only going to get bigger.”

“I really wanted kids. Sometime last year, I started looking into my fertility. I went back to the same OB/GYN. He checked my ovarian reserve, which was really low. I went to a specialist. Over time, my ovarian reserve got worse. At this point. I hear the radio ad. I was so disappointed in my OB/GYN and discouraged by my fertility specialist. I needed to try something else. That’s when I reached out to The Center for Innovative GYN Care.”


By the time Akena reached out to CIGC, her fibroids had severely grown and her symptoms had worsened. She went through a fertility screening again, to test her ovarian reserve.

“The results of my test were not what I wanted to hear. My uterus was essentially non-existent. The fibroids were pressing on my bladder and would engulf it if I didn’t take care of this. Dr. MacKoul was honest, saying the likelihood that you are going to be able to get pregnant on your own is very, very low. Finally, I’m coming to terms with the fact that he is right.”

“I had surgery at the end of summer. I got up the evening after my surgery, moving slowly, of course, but I was able to move around without assistance. I could concur with a lot of the stories that have already been told by other CIGC patients.”

“I realized having a hysterectomy was the best option for my particular situation. I had to shelve the fact that I’m not going to have a kid that comes from my own body. The fibroids were so large and affecting other things on the inside that he also had to remove an ovary.”


“My recovery has been amazing. The incisions are small, and it was nothing like having an open procedure. I’m very lucky to have a partner now who is supportive and who wants to get through this together. And he allowed me the space to get through this on my terms. I would wish and hope that any woman has the same support system I do, and to have such a supportive team throughout the surgical process.”


CIGC advanced laparoscopic specialists Dr. Paul MacKoul and Dr. Natalya Danilyants, and CIGC-trained physician Dr. Rupen Baxi have provided minimally invasive surgical treatment for thousands of fibroid patients.

LAAM myomectomy is a uterus sparing procedure, performed on patients who are able to retain fertility. CIGC surgeons use 2 small incisions to remove fibroids any number and size. Women recover faster, with less pain, and are usually back to work in less than 2 weeks.

DualPortGYN hysterectomy is definitive fibroid treatment. CIGC specialists use two 5 mm incisions to remove the uterus, and women recover in 1 week.


To schedule an appointment with Natalya Danilyants MD, Paul MacKoul MD or Rupen Baxi MD, call 888-SURGERY or submit this form online. Women have traveled to CIGC for advanced GYN surgery from 46 states and 30 countries. Learn about our travel program. For patient feedback, visit the patient spotlight section on our website, or doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

Join CIGC At The 2017 DC Walk of Hope

Join the movement at the 2017 DC Walk of Hope to raise awareness about infertility. We see so many women struggle for years with infertility, or miscarriages, often due to a treatable GYN condition. Come meet The Center for Innovative GYN Care at the event and learn about advanced treatment options.


The DC Walk of Hope will take place on Saturday, October 14th at the National Harbor in National Harbor, MD, 9am to 11am. The event is hosted by RESOLVE: The National Infertility Association. You can visit the event page here:

CIGC is a proud sponsor of the event. At The Center for Innovative GYN Care, we treat complex GYN conditions like large fibroids or extensive endometriosis, which can lead to infertility. CIGC founders Dr. Natalya Danilyants and Dr. Paul MacKoul and CIGC-trained physician Dr. Rupen Baxi use advanced laparoscopic techniques to remove fibroids and endometriosis, and women recover in days vs weeks. Many of our patients are able to conceive naturally after GYN surgery.

To book a consult with an advanced surgical specialist at CIGC, call 888-SURGERY or reach out online. For patient feedback visit: CIGC Patient Spotlight | Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews | Dr. Rupen Baxi Reviews.

Understanding the True Effects of Hysterectomy Surgery

About 33 percent of women have a hysterectomy by the time they are 60. During this operation, all or part of the uterus is removed. Although hysterectomies are common, many women are unaware what the procedure implies. With a standard hysterectomy, the ovaries are preserved – only the uterus is removed. More in this blog from Dr. Natalya Danilyants: Your Hysterectomy Surgery: What About The Ovaries?

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Understanding the Uterus and Ovaries

In the female body, the uterus allows the safe and healthy growth of a fetus. However, only the ovaries are involved in the production of eggs and hormones. This means a hysterectomy surgery does not typically impair hormonal health of otherwise-healthy women.

Hysterectomy surgery may be recommended as definitive treatment for complex GYN conditions such as fibroids and adenomyosis. With the DualPortGYN procedure, developed by CIGC founders Dr. Paul MacKoul and Dr. Natalya Danilyants, women find immediate relief from symptoms, and are usually back to work within 7-10 days. Find patient feedback here: Looking For A Top Hysterectomy Surgery: Women Talk About DualPortGYN.

Get Help from an Experienced CIGC Specialist

For more information, call 888-SURGERY or contact us online. We also encourage our new patients to read online feedback on doctor review sites: Dr. Paul MacKoul Reviews, Dr. Natalya Danilyants Reviews, Dr. Rupen Baxi Reviews . If you aren’t located near our Maryland or Virginia offices, consider taking advantage of our travel program.


The Benefits of Minimally Invasive Fibroid Removal at CIGC

Fibroids can cause long, uncomfortable periods with painful cramps and very heavy bleeding. Some women suffer for years before they get diagnosed and start looking for treatment.

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What Are Fibroids?

Fibroids are noncancerous tumors that originate in the muscle of the uterus. Family history, obesity, and early onset of puberty can all make the condition more likely. 80% of all women have fibroids in their womb.

The Benefits Of Minimally Invasive Fibroid Surgery

Sometimes, fibroids can appear without presenting any symptoms. By the time a diagnosis is made, they may have grown, multiplied, and worsened significantly. In the past, women often left fibroids untreated because of the risks involved in fibroid removal surgery. With today’s advancements, women have better options for minimally invasive fibroid removal.

CIGC founders Natalya Danilyants MD and Paul MacKoul MD have perfected groundbreaking, minimally invasive approaches to fibroid removal. The innovative LAAM approach for minimally invasive myomectomy is performed using only 2 small incisions, and women recover in less than 2 weeks. Minimally invasive hysterectomy as definitive fibroid treatment is performed with the advanced DualPortGYN technique, and most women recover in 1 week.

Both these procedures offer significant benefits to the patient:

  • Women recover faster, with less pain.
  • Both procedures are outpatient, and patients get to recover in the comfort of their home.
  • The 2 small incisions are cosmetically appealing and are barely visible once they heal.

Schedule An Evaluation

The sooner you get treatment for fibroids, the more likely you are to make a complete recovery with minimal complications. To get help from experts, call 888 –SURGERY or book a consultation online at the Center for Innovative GYN Care – the recognized provider of life-changing minimally invasive surgery.

Women travel from across the country and around the world for CIGC’s innovative procedures. Learn about our travel program. For patient CIGC testimonials, visit our patient spotlight section or online doctor review sites: Dr. Rupen Baxi Reviews | Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.