Why Choose Endometriosis Excision Over Other Treatments?

May 27, 2016

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Learn Why It Is Better To Choose Endometriosis Excision With A Minimally Invasive GYN Specialist


Women who suffer with endometriosis often have long, painful journeys to getting a proper diagnosis. The perception of pain as a natural part of monthly periods has affixed itself into the consciousness of so many people, including medical professionals, that far too often women believe it is something they have to accept as part of life. Pelvic pain is not normal, so when a period makes it impossible for a woman to get out of bed, or double over in agony, there is something physically wrong that needs to be addressed by a minimally invasive GYN specialist.

Symptoms are often dismissed: pelvic painheavy bleeding, fatigue, bloating. The more complicated symptoms include difficulty urinating or having a bowel movement, and even difficulty getting pregnant or carrying a pregnancy to term.

Another reason why it can take so long for a diagnosis is that endometriosis mimics many other conditions, and can often be misdiagnosed as digestive problems like Crohns or irritable bowel syndrome.

Why choose minimally invasive endometriosis excision over medical therapy only or laparoscopic hysterectomy?

Endometriosis excision preserves the uterus, tubes & ovaries for women who wish to maintain fertility, or who have milder disease. The Center for Innovative GYN Care specialists Dr. Paul MacKoul MD, Dr. Natalya Danilyants MD and Dr. Rupen Baxi MD are advanced trained minimally invasive GYN surgeons who specialize in endometriosis excision, fibroid removal, hysterectomy, ovarian cystectomy, pelvic adhesion removal as well as diagnosing GYN conditions that are often overlooked by general practitioners.

Endometriosis can exist for over a decade and may cause extensive damage to the organs in the pelvis or throughout the abdomen. Complete removal of all instances of endometriosis is essential for long-term relief, and medical management can extend the length of pain control. While there is no cure for endometriosis, a minimally invasive hysterectomy with removal of both ovaries has been shown to alleviate many symptoms, particularly if the endometriosis is localized to the uterus. However, this is not effective unless endometriosis excision is performed simultaneously. If endometriosis remains, it can continue to cause pain.

Excision improves pain (80 percent of women reported improvement in their symptoms six months after surgery), but it does not cure endometriosis. Forty to 80 percent of women will have a recurrence of pain within two years of surgery.

In addition, since pelvic adhesions are common with endometriosis patients, it is essential that these are removed by a specialist. If removed incorrectly they can reform and create additional pain. Unless seen by a specialist first, it is very common for endometriosis patients to have increased pain from surgery performed incorrectly. If mistakes are made, or if lesions are left behind, it can actually make a patient’s condition worse.


Minimally invasive GYN surgeons are trained to diagnose and stage endometriosis. These are specialists who only focus on treating complex GYN conditions like endometriosis, pelvic adhesions, fibroids, adenomyosis, ovarian cysts & pelvis masses, and who specialize in performing excision or resection of endometriosis and pelvic adhesions. It is essential that women suffering with endometriosis symptoms find an GYN specialist.

Though awareness is growing, endometriosis is still not well understood by many doctors, so choosing an endometriosis specialist for your excision is essential.

Dr. MacKoul and Dr. Danilyants developed DualPortGYN a minimally invasive technique used for minimally invasive endometriosis excision. At CIGC, this procedure uses only two 5MM incisions, one at the belly button, and another at the bikini line so patients have a better overall recovery and return home the same day. All procedures are performed in an outpatient setting.

Visit one of our offices to learn more about endometriosis excision in Rockville, MD, Annapolis, MD and Reston, VA.


The CIGC state-of-the-art specialists are available at three locations in the DC metro area. Virginia patients can visit the Reston, VA location, and Saturday appointments are available. Maryland offices are located in Rockville, MD and Annapolis, MD.

GYN surgical specialists can often see women sooner because they are focused entirely on surgery. Each patient gets detailed, in depth attention from Dr. Natalya Danilyants and Dr. Paul MacKoul. This personalized care helps patients understand their condition and the recommended treatment so that they can have confidence from the very start. Our surgeons have performed over 20,000 GYN procedures and are constantly finding better ways to improve outcomes for patients.

Book a consultation today with Paul MacKoul MD, or Natalya Danilyants MD

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Even if you are not from the DC area, many patients travel to The Center for Innovative GYN Care for our groundbreaking procedures. We treat women from around the world who suffer from complex GYN conditions.

Learn more in our travel program.

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