If you have suffered from pelvic pain for an extended period of time without knowing the cause, a diagnostic laparoscopy might be indicated. Women who are misdiagnosed can go through several rounds of wrong treatment, costing them time, money and possibly even worse consequences on their overall health.

If a patient has endometriosis, which is the most common cause of chronic pelvic pain, diagnostic tools like ultrasound, CT or MRI may not be able to detect the nature or severity of the condition. A diagnostic laparoscopy allows for a small thin camera to be inserted into the abdomen where the entire pelvis can be inspected and suspicious lesions can be resected for a diagnosis.

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MANAGEMENT OF ENDOMETRIOSIS

Endometriosis is a unique GYN condition, hard to manage medically. Management of pain from endometriosis can be done with the help of with analgesics and hormonal suppression, which is used to treat symptoms. This however does nothing to improve fertility, treat adhesions, or resolve endometriomas.

GYN surgery is the most definitive treatment for endometriosis. The diagnostic laparoscopy will be able to determine how far the condition has spread. Surgical management can be done through endometriosis resection  (also known as endometriosis excision) to improve symptoms or hysterectomy for the best long-term pain control.

Depending on the severity of the condition and the patient’s desire to preserve fertility, hysterectomy does not have to be the only option. Endometriosis removal is conservative surgery, focusing on removing endometriosis and improving symptoms, while preserving the uterus, tubes and ovaries as much as possible. This approach improves pain, but it does not cure endometriosis.

Hysterectomy with or without removal of the ovaries is for women who do not desire fertility or for women for whom conservative surgery has failed. Performing a hysterectomy will remove the uterus, and can often prevent endometriosis from returning. However, if the endometriosis has spread beyond the immediate pelvic area, or if endometriotic lesions or endometriomas are missed, there is a chance that it will continue to spread.

EARLY DETECTION & ENDOMETRIOSIS SURGERY

Endometriosis is a painful and complicated GYN condition. Getting diagnosed early is important and for patients who are found NOT to have endometriosis, the diagnostic laparoscopy may help avoid a long course of medical therapy directed toward the wrong diagnosis.

When dealing with endometriosis, surgical management by fellowship trained minimally invasive GYN surgeons is important to ensure a complete procedure with a full recovery. CIGC endometriosis specialists Dr. Paul MacKoul, MD or Dr. Natalya Danilyants, MD have performed over 20,000 GYN procedures, with remarkable results.

Book a consult today and go over your options for minimally invasive endometriosis removal or minimally invasive laparoscopic hysterectomy to relieve your symptoms. Out-of-town patients can benefit from groundbreaking procedures at The Center for Innovative GYN Care through our travel program.

LEARN ABOUT CIGC

Dr. Paul MacKoul Background | Dr. Paul MacKoul Reviews

Dr. Natalya Danilyants Background | Dr. Natalya Danilyants Reviews

CIGC Patient Story: Endometriosis

Minimally Invasive Endometriosis Surgery Gives Beth Her Life Back

CIGC Patient Story: Fibroids

After Sophisticated Surgery for Large Fibroids, Joyce Neal Gets Back to Work Quickly and Becomes a Mom

CIGC Patient Story: Ovarian Tumor

Welcoming a Baby after Minimally Invasive GYN Surgery

 

Choosing the right surgeon is one of the big decisions a patient will make once diagnosed with uterine or endometrial cancer. It is important to know that a skilled laparoscopic GYN specialist can perform minimally invasive surgical procedures that lead to a much faster recovery and less pain. The sooner a patient recovers from surgery, the sooner she can begin additional therapies. Ensuring that all stages of treatment and recovery are well managed results in a better overall experience, limiting pain and complications that can make the process so much more difficult to go through.PaulMacKoul_PercentageOfTime

ABOUT UTERINEAND ENDOMETRIAL CANCERS

Cancers can occur in either layer of the uterus: the body – called the myometrium or the lining – called the endometrium. Cancers are defined both by their type and location. Per the American Cancer Society, the 2 main types of cancer of the uterus are: uterine sarcomas, which start in the muscle layer or supporting connective tissue of the uterus and endometrial carcinomas, which start in the cells of the inner lining of the uterus.

MINIMALLY INVASIVE SURGERY FOR UTERINE CANCER PATIENTS

Trained laparoscopic specialists at The Center for Innovative GYN Care perform minimally invasive procedures that result in short or no hospital stay at all, with a fast recovery and minimal pain. As recovery is faster with the innovative DualPortGYN technique by Dr. Paul J. MacKoul MD, patients feel less sick post-surgery, which helps greatly create an optimistic outlook.

With all the changes the body goes through during cancer therapies, patients can have some peace of mind knowing that CIGC techniques help them walk away with minimal scarring. Feeling better physically and mentally has a great impact on making the whole process more tolerable.

There are many different types of treatment depending on the stage and grade of cancer. CIGC surgeons will assess and choose the best option and will help you fully understand your condition and treatment plan. Learn more about highly trained GYN surgical specialists from real patients: Dr. Paul MacKoul Reviews | Dr. Natalya Danilyants Reviews. Call 888-SURGERY or go online to schedule an appointment today.

Every woman is different, and treatment for menopause symptoms aren’t one size fits all

During perimenopause and menopause, choosing the right treatment can help to alleviate some uncomfortable symptoms. For many women, simple lifestyle modifications can be very helpful (dressing in layers, plenty of air circulation, and use of vaginal lubrication), but for others, hormone replacement therapy (HRT) may be more effective.

Depending on your age and whether or not you have had a partial or full hysterectomy, when deciding on hormone replacement therapy, it should be tailored to your unique needs. Estrogen-only HRT is safer than combination HRT, but should only be taken by women who have had a hysterectomy. Estrogen causes the lining of the uterus to thicken, without the balancing effects of progesterone. This can increase the risk for endometrial cancer. Women who have a uterus must have HRT as an estrogen and progesterone combination.

Menopause symptoms can be debilitating for some women. Working closely with your doctor, it’s best to understand YOUR personal risks, so that you can make the most informed decision.

Additional resources for understanding menopause symptoms and reviewing treatment options

Mayo Clinic

http://www.mayoclinic.org/diseases-conditions/menopause/basics/symptoms/con-20019726

Cleveland Clinic

http://my.clevelandclinic.org/health/diseases_conditions/hic-what-is-perimenopause-menopause-postmenopause

WebMD

http://www.webmd.com/menopause/guide/menopause-basics

CIGC Specialists can help women who have begun menopause (either naturally or due to a hysterectomy) understand their specific needs, and create the right treatment plan.

Book a consultation with Paul MacKoul MD, Natalya Danilyants MD, or Britton Chahine MD, advanced laparoscopic surgeons at The Center for Innovative GYN Care.

Get to know more from real patient reviews on Dr. Paul MacKoul, Gynecologist in Bethesda.