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Planning For A New Addition In The New Year?

A Fertility Evaluation By a Minimally Invasive GYN Specialist Before Conceiving Can Increase Your Chances of a Healthy Pregnancy

fertility evaluation

GYN conditions like fibroids, endometriosis, pelvic adhesionsuterine polyps, uterine septum, and inflammation of the fallopian tubes (hydrosalpinx) can affect the healthy trajectory of a pregnancy. Many women who feel they are ready to start a family have difficulty conceiving, suffer through multiple miscarriages, or deliver early putting the mother and baby at risk.  And many of those discover that they have a GYN condition that could have been treated. The emotional toll on a woman or couple trying to conceive can be painful.

If these conditions are identified and treated early there is a greater chance of conceiving and carrying a child to term. If surgery is necessary, minimally invasive GYN techniques make it possible for many women to begin starting their family sooner than with open, more invasive procedures.

Women who have had trouble conceiving naturally, or with IUI or IVF treatments should consider getting a fertility evaluation. The advanced trained minimally invasive GYN surgeons Dr. Paul MacKoul MD, and Dr. Natalya Danilyants, MD at The Center for Innovative GYN Care have developed techniques to treat many of the causes of infertility, with faster recovery times.

Treating GYN Conditions That Affect Fertility at The Center for Innovative GYN Care

Fibroids large or small, no matter the location can be removed safely with the LAAM-BUAO technique. This groundbreaking technique uses just 2 small incisions. Using one 5MM incision at the belly button and an inch and a half incision at the bikini line, the CIGC specialists are able to remove all fibroids and repair the uterus by hand. This ensures the womb is strong enough to hold a growing baby.

Endometriosis (the presence of endometrial tissue located outside of the womb), hydrosalpinx (fluid-filled fallopian tubes), or pelvic/intrauterine adhesions (usually occurs after surgery, trauma, infection, or as a result of endometriosis) are conditions that can all be treated with DualPortGYN. DualPortGYN uses 2 tiny 5MM incisions, one each at the belly button and the bikini line. Retroperitoneal dissection and temporary occlusion of the uterine artery make CIGC procedures for fertility possible. These are techniques used by CIGC surgeons that allow them to clearly see the entire pelvic cavity. All of the vital structures can be protected so that each GYN procedure can be performed safely, efficiently and thoroughly in an outpatient setting. Resection of endometrial implants, resection of pelvic adhesions, and other procedures are performed with a clear path, so that all of the vital structures can be avoided.

Hysteroscopy is used for two additional conditions, uterine polyps (excess growth of the lining of the womb) and uterine septum (a wedge-like wall at the top of the womb). Hysteroscopy procedures use a thin camera that is inserted into the vagina, and are also performed in an outpatient setting.

Infertility Treatments Are An Investment

The investment in fertility treatments can be very expensive. The average cost of a treatment is $12,000, and with additional medicine needed, the costs can climb up to $25,000. As families consider expanding, it is wise to make sure that the uterus is a healthy place for a baby to grow.

When a GYN condition is resolved prior to beginning treatments, IVF success rates are higher, and often fewer are needed. In many cases, after surgery, couples are able to conceive naturally.

Choosing a Minimally Invasive GYN Surgeon To Partner With Your OB/GYN

Getting started on this journey can be both exciting and emotional. At CIGC, our minimally invasive GYN surgeons partner with reproductive endocrinologists and OB/GYNs to ensure you are receiving the most thorough care. We will take care of your surgery and your regular OB/GYN will take care of your pregnancy. Once you are on your way to a healthy pregnancy, your OB/GYN will be your partner through the rest of your journey, ensuring that your little one has a great start.

At The Center for Innovative GYN Care, our groundbreaking minimally invasive GYN procedures are designed to diagnose your situation and help you start your family with as short a recovery period as possible.


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 Dr. Paul MacKoul, MD or Dr. Natalya Danilyants, MD.


Dr. Paul MacKoul Reviews

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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.