1.
T H E C E N T E R F O R
I N N O V A T I V E G Y N C A R E
Suffering From Pelvic Pain?
Relieve Your Symptoms with Minimally Invasive GYN Surgery

2.
Pelvic Pain: Potential Causes
Up to 16% of women experience chronic pelvic pain, but only 1/3 seek medical care.
Women with CPP need to seek a specialist in diagnostics and treatment. For complex
GYN conditions, the wrong treatment can actually make some conditions worse.
 ENDOMETRIOSIS
Endometriosis is the presence of endometrial tissue outside of the uterus and it is
the most common cause of pelvic pain. Minimally invasive endometriosis removal
is possible through procedures that preserve the uterus, tubes, and ovaries,
however a hysterectomy may be required.
 FIBROIDS
Fibroids are benign tumors that may grow very large and can affect urinary and
bowel function. Acute pain can occur with degeneration, twisting, or expulsion of
the fibroid through the cervix. Fibroids can be surgically removed through
myomectomy or hysterectomy.
 ADENOMYOSIS
Adenomyosis is the presence of endometrial tissue in the uterine wall and causes
heavy bleeding and pain with menstruation. The only adenomyosis surgery that
cures this condition is a hysterectomy.
GYN conditions that may be causes of CPP include:

3.
Pelvic Pain: Potential Causes
 PELVIC ADHESIONS
Dense adhesions from infection, endometriosis, or prior surgery can cause chronic
pelvic pain. Laparoscopic resection of adhesions is the preferred method due to
less pain, faster recovery, and less risk of new adhesions.
 OVARIAN CANCER
Malignant tumors, the majority developing from cells in the lining of the ovary.
Ovarian cancer stage is determined surgically and is usually the initial step in
treatment followed by chemotherapy and, in some cases, radiation.
 INTERSTITIAL CYSTITIS
Also known as painful bladder syndrome (PBS), interstitial cystitis is a chronic
inflammatory condition that can increase the need to urinate frequently. Therapies
vary by the risk of adverse reactions and the invasiveness of the treatment.
Other GYN conditions that may be causes of CPP include:
The Center for Innovative GYN Care specialists provide innovative
minimally invasive options for treatment of pelvic pain like laparoscopic
myomectomy, laparoscopic hysterectomy or laparoscopic resection of
endometriosis and pelvic adhesions. Learn more on InnovativeGYN.com

4.
Minimally Invasive GYN Surgery at CIGC
 Laparoscopic GYN surgeons at The Center for Innovative GYN Care treat pelvic pain
through innovative minimally invasive procedures, far superior to the alternatives:
DualPortGYN
This surgical approach uses only 2 tiny incisions to treat all GYN conditions
and it is the least invasive GYN surgery available in the world today.
LAAM
This is the safest laparoscopic fibroid removal surgery with preservation of
the uterus for fertility and it only uses 2 small incisions.

5.
Find Out More
Lisa’s story | Joyce’s story | Beth’s story
Learn more about pelvic pain and innovative surgical
techniques for minimally invasive GYN surgery:
DualPortGYN | LAAM
Patient Stories:
Read about minimally invasive GYN
surgeon of CIGC, Dr. Paul MacKoul, MD:
About Dr. Paul MacKoul, MD
Dr. Paul MacKoul Reviews
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