Innovations in GYN Care: An Interview with Authority Magazine on the Future of Healthcare

In a recent Q&A with Authority Magazine writer Christine D. Warner, I discuss the lack of expertise when it comes to minimally invasive GYN surgery as well as the potentially adverse outcomes women may face as they seek to heal from complex GYN conditions.

Future of HealthCare PJM_compressed

In the U.S., the OBGYN generalist is the patient’s “go to” source for GYN surgery. Patients build a “bond of trust” with their OB, and when surgery is needed, that trust translates into the same OB performing surgery. But is that OB really a surgical expert, and one that can provide the best possible care?

During my residency training, this problem became clear. Many of the OBGYNs responsible for training me were having difficulty. If a bladder was inadvertently injured — call the Urologist. The bowel was “stuck” to the uterus — call the General Surgeon. The patient had large fibroids and was bleeding during a myomectomy, or there was extensive Endometriosis making every pelvic organ including the uterus, tubes and ovaries adherent to each other — call the GYN Oncologist. It was obvious that the GYN Oncologist was indeed the OBGYN’s surgeon, and was often “on call” for difficult cases that the OBGYN could not handle. As I began to see GYN Oncologists at work, I realized I had no choice but to try and become one of them. I focused the remainder of my residency on surgery as much as I could, and moved on toward a fellowship program in GYN Oncology.

Read the full Q&A with Medium Magazine author Christine D. Warner: The Future of Healthcare: “A New Way to Perform Laparoscopic Surgery” with Dr. Paul MacKoul

Advanced laparoscopic procedures provided by CIGC Co-founders Dr. Natalya Danilyants and Dr. Paul MacKoul, help women recover faster after GYN surgery, with less pain. To schedule an evaluation, give us a call at 888-SURGERY or reach out online. Patient testimonials are available on the CIGC website, and on doctor review sites: Natalya Danilyants, MD Reviews | Paul MacKoul, MD Reviews.


There Are 12 Days Left in Endometriosis Awareness Month. Do You Have All The Facts?

Imagine living with debilitating and disruptive pain for up to 10 years before a doctor accurately diagnoses what is happening to you. For nearly 300 million women worldwide, this is what it’s like living with endometriosis.

March is Endometriosis Awareness Month, and women everywhere should get the facts about endo pain and how to find relief. Early detection and intervention can minimize the pain and damage endometriosis can cause.

Endo Awareness Month Blog 1200x628

Endometriosis is more than just painful or heavy periods; it occurs when endometrial cells implant in other parts of the body outside of the uterus, causing painful inflammation and bleeding that coincides with a woman’s period. These cells have been found on the bowel, in the lungs, even in the brain.

The only way to diagnose endometriosis it is through laparoscopy, a procedure by which an endoscope, or small camera, is inserted into the pelvic cavity via a small incision. Removing endometriomas requires the skill of an advanced-trained GYN laparoscopic specialist who can repair delicate structures in the uterus, bowel, or other areas of the pelvic cavity.

Although there is currently no cure for endometriosis, relief from endo pain is possible with the GYN specialists at CIGC.

Read more about endometriosis treatment success stories and treatment options in this recent CIGC article: March Is Endometriosis Awareness Month

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.

Nurse Practitioner Abayomi Walker joins The Center for Innovative GYN Care

We are pleased to welcome nurse Abayomi Walker to our Rockville, MD office at The Center for Innovative GYN Care. Ms. Walker has the experience, empathy and expertise that will help our team provide women with excellent 360 gynecologic care, including follow-up from the CIGC laparoscopic surgical care that reduces the risk of complications, and allows for a faster recovery at home. She is a valuable addition to our team. Read more in this PR Newswire press release.


CIGC’s advanced procedures treat complex GYN conditions with exclusive laparoscopic techniques, helping women recover faster, and return to their lives sooner. Patient feedback is available in the Patient Testimonials section of the CIGC website, and on doctor review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

To schedule an appointment with nurse Walker, or CIGC surgical specialists Dr. Natalya Danilyants and Dr. Paul MacKoul, reach out to our Patient Relations Coordinators at 888-SURGERY or online. Women residing outside the Washington DC area, can look into CIGC’s travel program.

Treat GYN Conditions That Affect Fertility, Before IVF

Complex gynecologic conditions can affect fertility in women. Treating underlying causes such as fibroids and endometriosis, before undergoing IVF, can improve outcomes. In many cases, removing these barriers can also help some women get pregnant naturally.


It is imperative that expensive fertility treatments are predicated by a thorough medical review of a mother, surrogate or donor. Both parents should undergo appropriate testing, but if underlying conditions like fibroids, polyps, or endometriosis, or physical abnormalities like uterine septum are not treated in advance, there is an increased likelihood of a failed pregnancy, or risk of pre-term birth. Partnering with a GYN surgical specialist to correct these obstacles can ensure candidates for fertility treatments are given every opportunity to make their investment count.

Read more in this recent CIGC article, share by WTOP:
Fertility clinic investors are banking on multi-cycle IVF treatments

CIGC co-founders Dr. Natalya Danilyants and Dr. Paul MacKoul have innovated advanced laparoscopic techniques for the surgical management of complex GYN conditions. The exclusive LAAM and DualPortGYN procedures help women achieve relief faster, and get back to their lives sooner.

To get in touch with a CIGC surgical specialist, call 888-SURGERY or reach out online. CIGC patient feedback is available in the patient testimonials section of our website, and on third party review sites: Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.

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.

May-2018-WTOP-FB-Image (1)

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.