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Read CIGC Patient Stories from Northern Virginia

November 23, 2016 // Posted in: Featured, Patient Spotlight

nova-patient-storiesNorthern Virginia minimally invasive GYN surgeons Paul MacKoul MDNatalya Danilyants MD and Rupen Baxi, MD have welcomed patients with complex conditions like fibroids and endometriosis from around DC and around the world. With offices conveniently located in Reston, VA and Rockville and Annapolis, Maryland, many of the thousands of women they have treated come from the Northern Virginia area.

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The Invisible Illness: Endometriosis Stigma

November 18, 2016 // Posted in: Advocacy, Featured, In The Press



The debilitating pain caused by endometriosis can strain relationships. Women with endometriosis are often seen as unreliable. As an invisible condition, it becomes more difficult over time to explain to teachers or bosses why you are unable to attend class for a few days each month or repeatedly need time off of work.

While the disease itself is unpredictable, it is essential for women to have support to minimize the psychological effects and to seek effective surgical treatment. There are organizations that help women with endometriosis with emotional support and provide educational resources. Endometriosis Foundation of America, Endometriosis Research Center, Endo Support and The Endometriosis Network Canada are groups that focus solely on helping women with endometriosis find the right care, offer support networks, and raise funds for research.

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Healthy In Time For The Holidays! Treat Your GYN Condition

November 14, 2016 // Posted in: Conditions, Procedures

holiday-2016There is still time to take care of yourself before the holidays, so you can enjoy every moment. If you are worried about going through another holiday season having to cancel events, or missing out on family time, because of abnormal bleeding or pelvic pain, now is the time to see the minimally invasive GYN specialists at The Center for Innovative GYN Care.

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A Q&A On Endometriosis And Adenomyosis With Dr. Rupen Baxi, MD

November 11, 2016 // Posted in: Conditions, Doctors, Featured

dr-rupen-baxi-mdThe difference between endometriosis and adenomyosis is important to understand. Both of these GYN conditions can cause debilitating and disruptive symptoms. It takes a highly trained surgical specialist to relieve these symptoms with minimally invasive treatment that is safe and effective. Women should know that with advanced surgical techniques at The Center for Innovative GYN Care recovery after a GYN procedure is much faster, and no hospital stay is required.

CIGC’s fellowship trained minimally invasive GYN surgeon Dr. Rupen Baxi, MD talks about the difference between endometriosis and adenomyosis, symptoms to watch for and the right minimally invasive treatment to alleviate pain.

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Anemia: The Life-threatening Risks of Blood Loss From Fibroids

October 26, 2016 // Posted in: Advocacy, Featured, Fibroids, In The Press


Anemia is a common term heard in doctor’s offices, but the risks of anemia are rarely explained in detail. Generally, a patient may feel a little fatigued, or have difficulty focusing on a task for very long. As a society, we are all overworked and overwhelmed by distractions, so it isn’t uncommon to dismiss these symptoms. However, when the fatigue is unrelenting, and a good night’s sleep doesn’t clear the cobwebs, it’s important to know that if you are suffering from anemia, ignoring the symptoms can have serious consequences.

Heavy bleeding from GYN conditions is common, especially for women who have fibroids. Excessive blood loss can lead to iron-deficient anemia, and if the cause of the heavy bleeding is left to worsen, depleted iron reserves in the blood can become life-threatening.

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October 17, 2016 // Posted in: DualPortGYN, Featured

Closeup of a worried couple in a conversation with a doctor

Hearing the word hysterectomy from a doctor can sound like a death knell to some women. Much of that has to do with misinformation about what a hysterectomy is and how removing organs affects the body, but for many women, the idea of any kind of surgery is deeply upsetting.

There are long held beliefs about what will happen after removing a uterus. While many of these are myths, they can create fear and confusion, making the decision even harder. It is important for a surgeon to listen closely to the concerns of a patient and explain what happens, what organs are being removed and how hormones will be affected. For example, many women are unaware that the ovaries produce the hormones associated with menopause. If left in tact, the patient should not experience early menopause, and the symptoms associated with menopause after surgery.

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Kia’s Adenomyosis Pain Felt Like Being Stabbed Every Month

October 17, 2016 // Posted in: Featured, Fibroids, Patient Spotlight

kia-at-the-beach-cropped“I just wanted to be free from feeling trapped,” said Kia. “Every month, I felt like a prisoner. I had so many problems since my mid-30s and on. I had heavy menstrual cycles, passing huge clots, and I was severely anemic. I had to have an iron transfusion two times. I was losing so much blood, even in between periods. I had to wear Depends because the bleeding was so bad. The doctors thought I had fibroids. I went to a doctor for uterine artery embolization (UAE) and he sent me for an MRI that showed I had adenomyosis. I had never heard of that before.”

Kia wanted to find the best hysterectomy specialist, and started doing Google searches for women’s care. She discovered The Center for Innovative GYN Care and Dr. Paul MacKoul, MD and did extensive research on CIGC and Dr. MacKoul before making a decision.

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Incision Placement In Laparoscopic GYN Surgery Reduces Pain

October 4, 2016 // Posted in: DualPortGYN, Featured, LAAM, Techniques

dualportgynIn minimally invasive GYN surgery, incision placement and size plays a significant role in patient recovery time. When incisions and instruments have to pass deep within the muscle they take a long time to heal. However, strategic incision placement through the midline of the abdomen bypasses muscle, allowing for a faster recovery with minimal pain.

The Center for Innovative GYN Care co-founders developed the DualPortGYN technique and LAAM technique to take advantage of these types of incisions, as well as leverage advanced minimally invasive techniques for controlling blood loss and mapping of the pelvic cavity for clear visualization. Combined, small incisions, retroperitoneal dissection and uterine artery occlusion (or ligation) make treating complex conditions like an enlarged uterus, fibroids, ovarian cysts, pelvic adhesions, and endometriosis possible.

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Leslie W., CIGC Minimally Invasive Myomectomy with Natalya Danilyants

September 29, 2016 // Posted in: Featured, Fibroids, Medical Travel, Patient Spotlight

leslie-img_0246“Initially, I was going to go through a regular gynecologist, I was prepped to have the surgery, but I was told the surgery would be 3 hours, the incisions would be large, and I would have a 6-8 week recovery. I wasn’t too pleased with that. They also told me that if I bled too much, they would have to do an emergency hysterectomy. I wasn’t too receptive to that.”

Leslie discovered The Center for Innovative GYN Care and chose Dr. Natalya Danilyants, MD as her minimally invasive fibroids specialist.

“I was very receptive to Dr. Danilyants. She was attentive and made me feel comfortable with the whole process. She made me feel like she was on board in understanding where I was in regards to not wanting a hysterectomy.”

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A Minimally Invasive Hysterectomy Improves Options for Menopause

September 23, 2016 // Posted in: Featured, In The Press


A new, comprehensive study by scientists at the Institute of Cancer Research in London followed 39,000 women on hormone therapy for 6 years showed that estrogen-only therapy showed no overall increase in breast cancer risk compared with women who had never used HRT. This type of therapy can be safely prescribed to women who no longer have a uterus. However, those using combined HRT, a combination of estrogen and progestogen, had a 2.7 times greater risk than non-users, significantly higher than previously reported. This is the type of hormone therapy that can be prescribed to women who have not had a hysterectomy. Estrogen-only therapy can negatively affect the uterus and requires progesterone to balance out the effects. Estrogen therapy alone can increase the risk of uterine cancer.

The implications for women who have GYN conditions that would benefit from a minimally invasive hysterectomy are now two-fold. In addition to treating a condition like fibroids, or adenomyosis, a hysterectomy opens a woman up to a safer form of HRT when she reaches menopause.

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