Paul MacKoul MD

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.”

Robotics infographicHow can you determine if your surgeon has the best experience to perform the best hysterectomy procedure that will minimize your recovery time, overall pain and get you back to yourself faster? These are some basic questions you need to ask your surgeon before your hysterectomy, and the answers that should help set a threshold for what you will accept.

Azundai CAzundai C., CIGC Minimally Invasive Fibroid Removal Patient

“I had been diagnosed with fibroids in August of 2012, and had just moved back from the west coast,” said Azundai. “My nurse practitioner told me that I didn’t need to have surgery. We’d just watch and wait. I changed my diet to help with the symptoms, and to bring energy, and raise my iron levels. Three and a half years I waited.”

before and after“My fibroid took me by surprise. I had already had a myomectomy when I was in my late 20’s, so I thought I knew what to expect if they were to come back. I was wrong. My fibroid turned out to be the size of 2 healthy babies. I feel very lucky, and am extremely glad I chose to have CIGC and Dr. Paul J. MacKoul, MD perform my surgery.”

It is common for women who have fibroids to have them return after removal. It is also common for doctors to see overweight patients and overlook an actual condition, allowing it to get progressively worse over time. It was estimated that Temple’s fibroid had been growing for 3 years.

If you have ever wanted to know what it is like to recover in 2 weeks or less after a minimally invasive hysterectomy at CIGC, Temple kindly documented her experience so others can truly see how fast she started to feel like herself again.

Lena Dunham TwitterIn the recent announcements of Lena Dunham and Halsey about how pain from endometriosis has had a huge impact on living their lives, medical professionals have come out to comment on the condition, but there is a lot of outdated information they are sharing that will do more harm than good for women who are seeking treatment.

Endometriosis has no cure. It is a condition that can be effectively treated by an experienced specialist with medical therapy (including pain medication and hormone therapy), and surgery (primarily endometriosis excision, also known as resection, and resection of pelvic adhesions that often form in response to the inflammation).

Women with this disruptive condition looking for relief must find an experienced endometriosis expert to perform thorough removal of all instances of the lesions. This specialist should also be an expert in pelvic adhesion removal. Any lesions or adhesions left behind can continue to cause severe pain. If endometriosis is left behind, it can continue to spread.

FullSizeRender-5Michelle sought a CIGC specialist for minimally invasive endometriosis excision after three other doctors were unable to diagnose her.

For nearly 3 years, Michelle had progressively worse bleeding with her cycle, and not in the usual way. Rectal bleeding is not usually considered a sign of a gynecological condition, but it her case, it coincided with every monthly period. Even with that clue, her doctors dismissed it.

Michelle consulted three different doctors: a general practitioner, a gastroenterologist and an OB/GYN, none of whom recognized the signs of endometriosis. It took a lot of missteps before finding a specialist to perform what would be a life-changing minimally invasive endometriosis excision.

drs bethesda mag smallerIf you have tried to navigate the healthcare industry online to find a new personal doctor, dentist, eye doctor or specialist of any kind, it can be daunting. Your health is everything. Being nervous about choosing the right medical professional is to be expected.

At The Center for Innovative GYN Care, our minimally invasive GYN surgeons take pride in creating a patient experience that establishes a partnership from the beginning. In addition to understanding your condition, and having the skill and experience necessary to treat it, Dr. Natalya Danilyants, MD and Dr. Paul J. MacKoul, MD take into consideration patients plans for the future, especially when it comes to personal health concerns or fertility. They take the time to explain exactly what is happening in a thorough and personalized consultation, and then discuss options for treatment.

“Our focus allows us to provide the highest level of skill to each patient,” said Dr. Paul MacKoul, MD. “When it comes to performing GYN surgery, women need to look for minimally invasive outpatient options, and seek a second opinion. Too many doctors are recommending surgery that would be performed as open or robotic procedures. These require a hospital stay and have lengthy recoveries; they are more expensive, and they offer no benefit to the patient. CIGC specialists provide advanced minimally invasive surgical procedures in an outpatient setting so that patients can have the best possible option for their condition. They return to their own homes the same day with much less pain, and eliminate the need for a hospital stay and all of the negatives associated with that.”

fibroid surgery“You would never know I had surgery,” said Gwen T, fibroids patient at The Center for Innovative GYN Care. “You can’t even see where the incisions were. Even speaking about it four years later, it makes me happy.”

In 2011, Gwen consulted Dr. Paul MacKoul about the pelvic pain that coincided with her monthly cycle. Describing her symptoms, Dr. MacKoul realized that she most likely had fibroids pinching a nerve. An ultrasound confirmed it.