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February 3, 2017 // Posted in: Conditions, Featured

Getting your period each month can be stressful enough. When abnormal bleeding occurs, discovering the cause can add another layer of anxiety.

Heavy bleeding can be embarrassing and problematic. On a day to day basis, the possibility of having to change clothes or be caught without tampons or pads can force restrictions on what women can plan for themselves. Many women ask themselves, when it comes to abnormal bleeding: when should I worry?

“Any abnormal changes to a menstrual cycle, including heavy bleeding or pelvic pain should be taken seriously,” said Rupen Baxi, MD. “There are several treatable conditions that can cause heavy blood loss, and if left untreated can lead to anemia and other dangerous conditions.”

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Fast Facts About Pelvic Pain: Common GYN Conditions

January 31, 2017 // Posted in: Conditions, Featured

woman in pain orange water bottleMultiple GYN conditions can cause pelvic pain. This quick fact sheet is a primer to help women seek treatment when the pain begins to overtake their lives. Ignoring the pain, or soldiering through it can actually cause long-term damage. If you suspect you have one of the conditions below, it is important to see a minimally invasive GYN specialist. Read more about fibroids, endometriosis, adenomyosis, and ovarian cysts.

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Cervical Health Awareness Month: Plan Your Annual Well Woman Visit

January 26, 2017 // Posted in: Conditions, Featured

January is Cervical Health Awareness Month.

Cervical cancer is preventable, and highly treatable if caught early. While the National Cervical Cancer Coalition works throughout the year to help women take advantage of screenings that can detect early signs of cervical dysplasia (abnormal cell growth) or cancer, January is designated as Cervical Health Awareness Month.

Over the last 30 years, the cervical cancer death rate has gone down by more than 50 percent. Annual Well Woman visits are to be credited as increased use of screening tests during these exams finds changes in the cervix, known as dysplasia, before cancer develops, or can find cervical cancer early while it has a higher cure rate.

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Fibroid Removal Surgery Made Getting Pregnant Possible for Tiffani

January 19, 2017 // Posted in: Featured, Patient Spotlight

In 2012, Tiffani D. (Fort Washington, MD), was a deputy digital director for a political campaign, and while filming a video she was running, she fell into a huge sinkhole while carrying her equipment. It was that accident that led to her ultimately discovering she had fibroids.

“I think my bags acted as a cushion. My body literally slammed into the concrete. I heard a bunch of people gasping behind me. I continued on with the shoot, in a whole other zone, I was so pumped up on adrenaline. Four or five hours later, my back was burning. I went to the ER and had a x-ray. I had a hip contusion, some chest contusions, and other muscular bruises. Eventually all of those went away, but after the end of the campaign, I came back home. I was lugging my bags at the airport, and I tried to lift it and I felt something rip. I managed to get home. I signed up to talk to a couple of doctors. They set me up for physical therapy. As I was doing the therapy I started bleeding which went on for about a month. I went to see a gynecologist.”

Tiffani discovered that she had fibroids, and that the prescribed physical therapy put her in a position that caused extreme pain.

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Revolutionary Benefits of Smaller Incisions for Fibroid Removal

January 5, 2017 // Posted in: Featured, LAAM, Procedures

As technology improves, highly skilled minimally invasive GYN surgeons can perform complex procedures using increasingly smaller incisions.

Through years of training and experience, the GYN surgical specialists at The Center for Innovative GYN Care have developed advanced laparoscopic techniques for hysterectomy, myomectomy, ovarian cystectomy, endometriosis excision, and removal of pelvic adhesions (scars). The advantage of surgery at CIGC is the use of the smallest incisions possible with remarkable results, including an ultra-minilaparotomy

Dr. Rupen Baxi, MD explains the use of an ultra-minilaparotomy for the removal of fibroids of almost any size using the LAAM technique developed by the CIGC specialists.

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CIGC Patient Testimonials: 2016 Highlights

December 28, 2016 // Posted in: Featured, Medical Travel, Patient Spotlight

In 2016, more than 2,000 women had a minimally invasive procedure with our advance trained specialists. For many women, they suffer for years with treatable GYN conditions. At CIGC, our mission is to help improve the lives of women so they can live their lives to the fullest. That means state-of-the-art surgical techniques, and personalized care in advanced facilities with our fellowship-trained laparoscopic surgical specialists.

Recovery from DualPortGYN or LAAM procedures are so remarkable, our patients love to share their stories, and we are honored to have them.

These are some of the highlights from the past year.

Read all of the CIGC Patient Spotlight stories.

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DualPortGYN Outpatient Hysterectomy | Heather’s Story

December 22, 2016 // Posted in: Fibroids, Patient Spotlight

Heather W., Arlington, VA was diagnosed with four small to medium-sized fibroids in 2011, the largest being about golf ball sized. Even then, she was considering a hysterectomy, but choosing the right procedure was important.

“My doctor suggested doing a bikini cut hysterectomy and stated that was the only method that would work since I have fibroids. Other treatment methods were suggested, such as fibroid removal, injecting pellets into them to stop the bloodflow, and at the time the experimental method of blasting them with MRI waves (which wasn’t covered by my insurance and was being tested at University of Virginia. I was interested in the hysterectomy since it is a permanent solution to the fibroids. I never wanted to have children, however I did not want to get a bikini cut hysterectomy. So I went the least invasive route and treated my fibroids with my birth control pills.”

That was until she found CIGC and Dr. Paul MacKoul, MD.

“Dr. MacKoul is amazing. I don’t think amazing even covers it. He did a fantastic job with my surgery. He did an excellent job explaining the procedure and addressing any concerns. He also explained the differences between the other methods available and the methods CIGC uses. He is a fantastic surgeon. I am so thankful that I found him and was able to get my surgery done by him and CIGC.”

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Adenomyosis: When Period Pain Is More Than It Should Be

December 21, 2016 // Posted in: Featured, In The Press


If left untreated, some GYN conditions can lead to long-term damage. There are conditions that are not well understood by many physicians, and can be difficult to diagnose. Adenomyosis is a painful and complex gynecological condition that can be difficult to detect. An ultrasound is insufficient to detect the disease in the uterus. In many cases, an MRI can detect adenomyosis, but if it is small and diffuse, it may not appear on any imaging, and can only be diagnosed during surgery. The only cure is a hysterectomy.

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DualPortGYN Hysterectomies Leave No Visible Scars

December 13, 2016 // Posted in: Featured, Patient Spotlight, Procedures

Recovery from a gynecological procedure depends on the skill of the surgeon, the type of surgery, and the size and number of the incisions. As minimally invasive techniques become more advanced, incisions can be incredibly small. If placed strategically, that means that the incisions will not be visible once they heal.

DualPortGYN® was developed by the CIGC specialists Dr. Paul MacKoul, MD and Dr. Natalya Danilyants, MD. DualPortGYN minimally invasive hysterectomy procedures are performed in an outpatient setting, so women can return home the same day. Incisions are tiny, and placed in cosmetically appealing locations. One 5 mm incision is placed at the belly button, and another 5 mm incision is placed at the bikini line, so they are practically invisible after they heal. These incisions go through the midline, not through muscle, so recovery is faster. The incisions from a DualPortGYN procedure are so small, that in many cases, CIGC patients are back to work in less than a week, and scars are practically invisible within 1 to 2 months.

A DualPortGYN hysterectomy has a fast recovery, with most patients are back to their lives in 7 days.

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Minimally Invasive Fibroid Removal Benefits at CIGC

December 9, 2016 // Posted in: Featured, Fibroids

There is no reason to live with the symptoms of fibroids. Many of the women who seek fibroid removal live with them for years as their periods become increasingly more disruptive with heavy bleeding, bloating or pelvic pain. When women experience pelvic pain (or back or leg pain) that coincides with a menstrual cycle, it can be an indication of a fibroids.

After being diagnosed with fibroids, a common and now out-of-date recommendation by many in the medical industry is to watch and wait. Watching and waiting can lead to major problems when it comes to getting pregnant and carrying a baby to term. Fibroids can grow very large, very fast, and distort the uterus. Large fibroids require an advanced trained specialist to remove laparoscopically. This means many women resort to invasive open procedures, with no guarantee that the uterus will be salvageable without seeking a specialist.

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