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?

She's a portrait of pure content

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.

Girl suffering menstrual pains on the bed

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.

Adenomyosis Symptoms: How To Relieve The Pain

Adenomyosis can be difficult to detect. It’s a complex GYN condition and symptoms are often debilitating. Pain can be severe and menstrual bleeding is heavy for some women. It is however one of the conditions that can be difficult to diagnose as it is not well understood by many physicians.


An MRI can often detect adenomyosis. An ultrasound can also be used, but it is less sensitive than an MRI. If the adenomyosis is small and diffuse, it may not appear on any imaging, and can only be diagnosed during surgery. As this is a disease of the uterus, the only definitive cure is hysterectomy.

Women often suffer through the pain thinking it’s normal, which creates barriers to treatment. It’s important to speak with a specialist about these symptoms as they can be relieved.


Heavy menstrual bleeding from adenomyosis is not only disruptive, it is dangerous as it can cause anemia. The dangers of anemia include life-threatening complications such as congestive heart failure, arrhythmia, and/or heart attack. You can learn more about the risks here.

Adenomyosis is contained within the uterus and the only definitive treatment is hysterectomy. Women who want to preserve fertility can temporarily manage adenomyosis symptoms with medication. Most of the time however these are not very effective, especially when the adenomyosis is extensive.

Learn more in this Q&A with Dr. Natalya Danilyants: Adenomoyosis Pain: What Women Need To Know.


Minimally invasive hysterectomy, as definitive treatment of adenomyosis, relives symptoms with minimal scarring and fast recovery. CIGC surgeons Rupen Baxi MD, Natalya Danilyants MD and Paul MacKoul MD perform hysterectomy surgery using the DualPortGYN technique. It is a superior approach using two 5 mm midline incisions, and post-operative recovery is 1 week.

When it comes to lesser known GYN conditions like adenomyosis, women should seek a specialist for optimal care. A minimally invasive hysterectomy should be performed by a skilled laparoscopic surgeon who is fellowship trained on advanced techniques to prevent damage to the delicate structures in the pelvic cavity. Standard laparoscopic or robotic hysterectomies have a higher risk of damage to ureters, bowel and blood vessels.


To schedule an evaluation with a CIGC specialist, call 888-SURGERY or reach out online. Women travel from around the country and around the world for CIGC’s innovative procedures: learn about our travel program.

Patient stories from women who found relief after minimally invasive GYN surgery at CIGC are available on our website here and on doctor review sites: Dr. Rupen Baxi Reviews | Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

New Study Shows Menopause Symptoms Can Be Safely Managed With Estrogen Therapy

Menopause symptoms can be incredibly disruptive and many women are reluctant to undergo a hysterectomy out of fear of menopause. It’s important that women know: menopause symptoms can be managed. A recent study demonstrates estrogen therapy can be safely used post-hysterectomy, as long as it is not combined with progesterone.


Estrogen-only therapy can be safely prescribed to women who’ve had a hysterectomy as it shows no overall increase in breast cancer risk compared with women who had never used HRT. Women using a combination of estrogen and progestogen therapy, had a 2.7 times greater risk than non-users, significantly higher than previously reported.

This is an important factor for older women with fibroids who often believe a myomectomy is a preferable and less invasive procedure than a hysterectomy, which isn’t true. Learn more in this article shared by WTOP News:
A Minimally Invasive Hysterectomy Improves Options For Menopause Symptoms

To schedule an appointment with a CIGC physician Dr. Paul MacKoul MD or Dr. Natalya Danilyants MD and discuss minimally invasive treatment for complex GYN conditions, call 888-SURGERY or contact us online. At The Center for Innovative GYN Care, hysterectomy surgery is performed using the DualPortGYN technique, with two 5 MM incisions and recovery in 7-10 days.

LAAM: A Better Minimally Invasive Myomectomy

CIGC surgeons developed a safer approach to laparoscopic myomectomy with an advanced surgical technique called LAAM. This innovative approach makes it possible for all women to be candidates for minimally invasive GYN surgery with only 2 small incisions, regardless of the size, location or number of fibroids. Women suffering with fibroids, who no longer wish to preserve fertility, or whose fibroids have created extensive distortion to the uterus, are better candidates for a DualPortGYN hysterectomy.

Read testimonials from CIGC patients after minimally invasive fibroid removal with LAAM:

Rashetta’s Story: Minimally Invasive Removal of Large Fibroids is Possible
Sherri’s Story: Traveling For Minimally Invasive Fibroid Surgery
Azundai’s Journey: Finding The Best Fibroid Removal Surgery

To speak with a CIGC minimally invasive GYN surgeon Paul MacKoul MD or Natalya Danilyants MD about your fibroid removal surgery, call 888-SURGERY or contact us online. More patient feedback is available on doctor review sites: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews.




Think Twice Before Getting UFE To Treat Fibroids

Uterine fibroid embolization (UFE) is a non-invasive method to treat fibroids that many women consider. It is a procedure performed by radiologists who insert a small catheter into the large vessel in the groin, and then they find and block with plastic particles the vessels that feed the fibroids. Women who want to become pregnant should know: UFE has limitations and may have long-term effects on fertility.


UFE is a good approach to control bleeding, but in younger patients the long-term control of fibroids is very limited. Additional fibroids can grow or the fibroid that was embolized can reestablish blood supply. We highly recommend to women who are told they can get embolized and still want babies, to reconsider the approach because it can affect implantation of the embryo into the lining of the uterus, where the baby grows. With fibroid treatment, it’s important to preserve the blood supply and it’s also important to preserve the lining of the uterus.

According to UpToDate®, the premier evidence-based clinical decision support resource, there is an adverse effect on women who have become pregnant after having UFE:
“A systematic review and several case series of pregnancies following UFE or UAE have reported adverse outcomes including miscarriage, preterm delivery, placental problems, and malpresentation.”

Safe fibroid removal, that does not affect fertility, can be achieved with laparoscopic myomectomy using the LAAM technique. This approach was developed by CIGC surgeons Paul MacKoul MD and Natalya Danilyants MD and it takes the best elements of both laparoscopic and open approaches for myomectomy. It is safer than open or robotic procedures, and more effective than UFE at preserving the uterus for fertility. With 2 small incisions, one 5MM incision at the belly button and a 1.5 inch incision at the bikini line, fibroids of any size, number or location can be removed.

Learn more about the risks of UFE and safer treatment for fibroids in this WTOP News article:

Women With Fibroids Should Think Twice Before Getting UFE


If you would like to get a GYN evaluation for your fibroid symptoms, call 888-SURGERY or contact us online. CIGC has offices in Bethesda, MD, Annapolis, MD and Reston, VA. Patients who reside outside the Washington DC area travel to CIGC through our travel program.


The Center For Innovative GYN Care: Who We Are
Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews
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