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Don’t Waste Time With the Wrong Diagnosis: Pelvic Pain

PMS Pain

There are many possible causes of GYN pelvic pain and that can make diagnosing your specific condition difficult unless you are seeking an opinion from a specialist. It is important to assess a woman’s situation thoroughly, so that the diagnosis is made early. Getting the right diagnosis early can save time and money, bypassing the trial and error approach many doctors have to take. The minimally invasive GYN specialists at CIGC are experts who will ensure that your condition is diagnosed correctly out of the gate. They are also highly trained to treat patients effectively to relieve the pain.


Laparoscopic procedures for pelvic pain treatment are far superior to the alternatives. Laparoscopic procedures have a short recovery period, minimal scarring, and minimal discomfort, meaning you are back on your feet quickly. At CIGC we have developed techniques that redefine minimally invasive. DualPortGYN and LAAM techniques both use 2 tiny incisions. DualPortGYN can be used to treat all GYN conditions. LAAM is an innovative myomectomy technique that brings the best of laparoscopic and open procedures to thoroughly remove all fibroids of any size from the uterus, while ensuring the uterus can be reconstructed for fertility.


  • Pelvic adhesions require advanced GYN surgical expertise. They are usually caused by multiple pelvic/abdominal surgeries, infection or endometriosis. Laparoscopic resection of adhesions is the preferred method due to less pain, faster recovery, and less risk of new adhesions compared to open surgery.
  • Adenomyosis can cause debilitating pain and severe menstrual bleeding for some women. While it is not cancerous or pre-cancerous, the only surgery that can cure it is a hysterectomy.
  • Endometriosis can cause severe pain with every monthly cycle. Endometriosis occurs when the endometrium (uterus lining) grows beyond the uterus. There is no cure for endometriosis. Laparoscopic resection of endometriosis, if performed by a specialist, and all of the instances are removed, is one way of controlling the pain for a period of time. However, many women have recurrences over the course of their childbearing years. For women who have completed childbearing or in cases of severe endometriosis, removal of the uterus and ovaries is an effective option.
  • Pelvic/Ovarian Mass: In most cases, ovarian cysts are small, harmless & produce no symptoms. However, immediate attention is needed if they get larger, if they twist (torsion), or if they burst. A pelvic mass is a general term. It can be cystic (cystadenoma), solid (fibroma), or both (dermoid). A pelvic mass can be benign or malignant. An ovarian cystectomy refers to the removal of an ovarian cyst or tumor while preserving the ovary. The preservation of the ovary depends on several factors, including the age of the patient, the size of the mass, whether there is any viable ovary remaining, and the possibility of malignancy.
  • Fibroids: Fibroids are non-cancerous growths that originate from the muscle of the womb. They affect 80 percent of ALL women, and some patients suffer from heavy bleeding & pain. The removal of fibroids (myomectomy) or removal of the uterus (hysterectomy) are surgical treatment options.

Pelvic Pain is debilitating and for many women, not something that is easy to discuss. We want to make resolving your GYN pain a priority so that you can get back to living your life. Book a consultation with Dr. Paul J. MacKoul, MD or Dr. Natalya Danilyants, MD.

CIGC travel program

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.