Dr. Nadim Hawa

Patient Feedback

Patterns Across Patient Feedback

Endometriosis Focus

A Stated Endometriosis Focus Within a Broader General Practice

Dr. Hawa is a general obstetrics and gynecology physician who has developed a specific focus on endometriosis and excision surgery within a broader minimally invasive gynecology practice. The endometriosis work is organized under a branded service line, the Endometriosis and Fibroid Advanced Treatment Center, which operates out of the same Leesburg office as the Capital Women's Care practice rather than a separate location.

Listings appear on iCareBetter as an endometriosis excision specialist and on the Nancy's Nook provider list. Alongside endometriosis, the practice continues to treat fibroids, adenomyosis (endometrial tissue growing into the muscle of the uterus), pelvic organ prolapse, ovarian cysts, and general obstetric and gynecologic care. In practical terms, endometriosis is a stated primary interest, but it sits inside a general practice rather than a dedicated endometriosis-only center.

Multidisciplinary Approach

Colorectal Collaboration and Pelvic Floor Therapy

For cases that reach beyond the reproductive organs, there is a documented pattern of collaborating with colorectal surgeons. Patient accounts and the practice describe joint procedures with named colorectal specialists for bowel involvement, including bowel resection performed during the same surgery, and general surgeons for appendix or umbilical disease.

Pelvic floor physical therapy is treated as a core part of recovery rather than an afterthought, and patients describe being connected with pelvic floor therapists experienced in endometriosis. The iCareBetter listing describes a multidisciplinary surgical team. Patients with significant bowel or bladder symptoms may want to confirm in advance which specialists would be involved in their own case, since at least one account describes a bowel specialist not being included after imaging was read as clear.

Diagnosis Methods

Physical Examination First, With Imaging as Support

Diagnosis routinely includes an in-office physical examination, and multiple accounts note that surgery is not scheduled without one. A pelvic examination has been described as the first step in identifying nodules, with ultrasound and MRI used to look for endometriomas and deeper disease before surgery. Accounts also describe a willingness to take symptoms seriously and move toward diagnostic surgery even when a patient has no prior surgical confirmation and imaging is not definitive, which reflects an understanding that standard imaging often misses endometriosis. Patients who are earlier in the diagnostic process can ask how imaging results would factor into the decision to operate in their situation.

Educational Presence

Surgery-Video Channel Plus Institution-Produced Content

Public educational content falls into two categories. The material run directly by the surgeon is centered on operating footage: a personal YouTube channel and a surgery-video page on the practice site host recordings of gynecologic procedures, many of them endometriosis cases. Content produced by the hospital and practice includes an Inova patient-education video on minimally invasive gynecologic surgery featuring several of the group's surgeons, and an Inova Loudoun community lecture on the signs, symptoms, and treatment of endometriosis. A personal Instagram account exists but is set to private, so it is not publicly viewable. Published research is focused on fibroids, hysterectomy, and surgical education rather than endometriosis. In an interview on a separate subject, self-promotion online was described as something to avoid, which fits the limited independent social media footprint alongside the surgery-video channel.

Post-Surgical Care

Follow-Up Documented, With Gaps Noted for Distant Patients

After excision, an intrauterine device, or IUD, is typically offered, and when a patient wants birth control it is often placed during the same surgery. Follow-up appointments after surgery are documented, and several accounts describe post-operative visits with the surgeon directly, including for patients who traveled from out of state.

At the same time, some patients who live far away noted that they would have valued additional follow-up visits beyond the standard surgical checks, since the practice is not close enough to serve as their regular gynecologist. Clear public information on the standard follow-up schedule, and on how long patients continue to be seen after surgery, was not found. These are useful details to confirm directly, especially when traveling a long distance for care.

Philosophy and Fit

Excision as the Goal, With Suppression Viewed as Symptom Control Only

Dr. Hawa's stated view is that endometriosis does not have a single cause and does not behave the same way in every patient, so treatment is tailored to what is found. Medication and hormonal suppression are described as tools that can ease symptoms but do not treat the underlying disease, on the reasoning that deeper lesions produce their own estrogen and inflammation. GnRH agonists and antagonists, a class of hormone-suppressing drugs that includes Lupron, are described as harmful and are not used.

Complete removal of disease through excision is presented as the goal, with pelvic floor therapy regarded as equally important as surgery for lasting recovery. When pain persists after surgery, a second excision is generally advised, per his iCareBetter profile. Patient self-education is encouraged, including through community resources such as Nancy's Nook. Patients whose main priority is avoiding repeat surgery, or who cannot use hormonal options, may want to discuss how persistent pain would be managed in their specific case before committing.