Endometriosis patients face barriers to treatment with high out-of-pocket surgery costs

This article is sponsored by The Center for Innovative GYN Care

Waiting for treatment for endometriosis can prolong painful cycles, and many women are convinced that the only way to find relief is to pay tens of thousands of dollars out-of-pocket for surgery. Endometriosis is a condition that is misunderstood, even by OBGYNs. Endometriosis excision is the gold standard procedure for treating the condition, a technique that requires extensive training to perform. Selecting an endometriosis specialist is important for a thorough diagnosis, surgical treatment and long-term maintenance, but that can come at a steep cost if the provider does not accept health insurance.

“When it comes to this complex gynecological condition, finding a GYN specialist who is an expert in localized endometriosis excision and who can perform necessary bowel, bladder and ureter repairs is essential,” said Rupen Baxi, MD. “However, choosing a specialist should not evoke concerns about medical bankruptcy. Specialist providers who do not accept insurance are known to charge thousands of dollars above actual surgery costs, and patients are so desperate for relief, they are willing to mortgage their houses.”

Endometriosis experts understand how symptoms are linked and know exactly how to treat them effectively,” said Dr. Paul MacKoul, MD. “Superior minimally invasive endometriosis excision is covered by most major insurance. Ensuring access, the best endometriosis excision specialists are able to put patients first.”

Dr. MacKoul continues: “Incorrect removal of endometriosis can cause additional problems. This isn’t a condition that can be treated in an OBGYN office visit. Minimally invasive endometriosis excision is a specialty procedure that requires expert surgical precision as well as knowledge of techniques to prevent future scarring. It also requires an understanding of the patient’s long-term plans for fertility. Radical stripping of endometriosis can damage the delicate reproductive organs, which can be avoided with advanced laparoscopic surgical techniques.”

Pain Is Not Normal: Diagnosis Delays Compound Endometriosis Damage

On average, it takes between 7 to 10 years for a woman with endometriosis to get a proper diagnosis. In that time, the disease can cause damage to the reproductive system, and negatively affect other systems in the pelvis. Inflammation that occurs monthly can create scar tissue which can make organs stick together. These adhesions can cause difficulty going to the bathroom, pain during sex, and infertility.

“It is common for women to associate monthly pain with a menstrual cycle as normal,” said Natalya Danilyants, MD. “Knowing the difference between mild cramping and pain that requires days in bed, time away from school or work, and the need for high dose painkillers can help patients document their condition over time. The longer a woman suffers with endometriosis, the likelihood of extensive damage to her reproductive organs increases. We want to provide information and tools for women to get an earlier diagnosis so that treatment can begin right away.”

Finding the right specialist often requires having an advocate. Sometimes, that’s the patient herself. For younger women or teens, it may not be clear that the monthly pain is abnormal.

For the millions of women, and especially young teenage women, who suffer each month with moderate to severe pelvic pain associated with their menstrual cycles, the vast majority have been told that it is normal. They have been told this by their doctors, their relatives, their teachers, and the media. Products to alleviate period-related cramping, pain, and headaches all underscore the inevitability of suffering.


March is Endometriosis Awareness Month. Throughout the year, millions of women around the world who struggle with the symptoms of endometriosis work to find a cure for the disease. In March, yellow ribbons signify the call to action by others to support their calls for more research, better treatments and education about how the disease impacts their lives.

Until there is a cure for endometriosis, choosing a minimally invasive GYN specialist for comprehensive treatment is essential for the best patient results.

The Center for Innovative GYN Care (CIGC) is dedicated to providing information and materials for women to help navigate the complicated healthcare system. The CIGC surgeons advocate on behalf of women suffering with endometriosis. Their minimally invasive surgical specialists have seen firsthand the pain and anxiety that women from around the world face before getting a proper diagnosis, evaluation and treatment. The CIGC practice believes that removing barriers to surgery includes making it accessible and affordable, including accepting most major insurance plans.

The CIGC specialists developed DualPortGYN for laparoscopic endometriosis excision. Two 5 mm incisions (one placed at the belly button and one is placed just above the pubic bone) make it possible for women to recover from surgery in a week or less.

CIGC minimally invasive GYN surgical specialists Dr. Paul MacKoul, MD and Dr. Natalya E. Danilyants, MD developed their advanced GYN surgical techniques using only two small incisions with patients’ well-being in mind. Dr. Rupen Baxi, MD is a minimally invasive GYN specialist at CIGC with extensive fellowship training and a respected speaker and researcher. Book a consultation at The Center for Innovative GYN Care or call 888-787-4379.

More from WTOP

Log in to your WTOP account for notifications and alerts customized for you.

Sign up