Abnormal vaginal bleeding is caused by benign abnormalities of the uterus or cervix including fibroids, polyps, adenomyosis, and infection. Occasionally, malignant and premalignant conditions such as endometrial hyperplasia, endometrial carcinoma, and cervical carcinoma can be the cause. Innovative techniques like DualPortGYN developed by CIGC surgeons Paul MacKoul MD and Natalya Danilyants MD make it possible to safely treat complex GYN conditions, using only 2 tiny incisions.