Institute For Fibroid Therapy

In the video above, Dr. Banooni discussed ovarian cysts
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I have been a patient of Dr. Banooni’s for close to ten years now. He has performed four surgeries and delivered my son. I can’t imagine going to anyone else!
— Amy G.
Wonderfull doctor. Great bedside matter. Honest and straightforward. Doesn’t waste your time.
— Christina V.
I changed doctors as soon as I became pregnant based on a recommendation from another doctor that Dr. Banooni was one of the best obgyns in LA. I am a little older for a first time mom, and have been dedicated to my career. I was looking for someone I could trust, who would not rush through my appointment and whom I could feel comfortable around. I have had a wonderful experience and would highly recommend Dr. Banooni.
— Jessica H.

It all started when...

Dr. Peyman Banooni, MD, an OB-GYN located in Beverly Hills, CA dedicated his career to caring for women of all ages.  Dr. Banooni earned his medical degree from the University of California- San Diego in 1999 and he completed his OB/GYN residency at Cedars-Sinai Medical Center in June 2003.

Dr. Banooni has lived in Los Angeles for the majority of his life. He maintains that his life's best accomplishment is one that he shares with his lovely wife and being the parents to three amazing young children.

Dr. Banooni discusses myosure procedure for fibroids and polyps

Dr. Banooni has developed a very rich relationship with Cedars Sinai Medical Center, serving on their “Medical Executive Committee” and being a contributing member of their “Centers of Excellence for Minimally Invasive Gynecological Surgery.” Dr. Banooni is also very dedicated to successful hospital delivery outcomes and is a member of the “Performance Improvement Committee,” a departmental committee focused on improving patient outcomes with regard to delivery and care.




Ovarian Cysts

What are Ovarian Cysts?

Ovarian cysts are fluid-filled sacs which have formed in or on the ovaries. Frequently cysts are benign, or non-cancerous, and many will dissipate on their own. However, some cysts can cause pain, and though it is rare, some may be cancerous. Some women’s ovaries produce multiple small cysts, which is known as polycystic ovary syndrome and this can cause problems within the ovaries and when trying to become pregnant.

What Causes Ovarian Cysts?

Commonly, ovarian cysts are caused by:

Hormonal Issues- Medications which assist with ovulation and hormonal fluctuations can cause functional cysts which usually dissipate.

Pregnancy- Early on during pregnancy, a cyst forms to assist the fetus while the placenta is forming. Typically, these cysts disappear, however if they persist they made need to be removed.

Severe Infections in the Pelvis- When an infection spread to the ovaries or fallopian tubes it can cause cysts.

Endometriosis- Women who have been diagnosed with endometriosis may develop cysts called endometriomas which attach to the ovary and form a growth. These cysts can be very painful.

How are Ovarian Cysts Treated?

Cysts which do not go away, grow in size, cause pain, or look unusual on an ultrasound may need to be removed via surgery. It is estimated that approximately, 5-10% of women undergo surgery to remove a cyst. If surgery is required to remove a cyst, it may be performed one of two ways:

Laparoscopy- This type of surgery is used for smaller cysts which look benign and is performed by making a small incision near the patient’s navel.

Laparotomy- If the cyst is larger or looks cancerous, the doctor may use this method. During this surgery a larger incision is made and the cyst is tested for cancerous tissue. If the cyst is cancerous it is possible that the ovary and other tissues may also need to be removed.



What are Uterine Fibroids?

Uterine fibroids are muscular tumors which develop within the wall of the uterus. Typically, fibroids are benign or non-cancerous. Fibroids often present as single tumors or many spread throughout the uterus. The size can range from that of a small seed to as large as a grapefruit, however this is rare. Approximately 20 to 80% of women develop fibroids by the time they are 50. Women can experience no symptoms at all or they can experience pain caused by larger fibroids.

What Causes Fibroids?

The exact cause of fibroids is unknown and it is believed that multiple factors can play a role. It is known that hormonal fluctuations can affect the development of fibroids and it may be genetic. Fibroids respond to the levels of estrogen and progesterone in a woman’s body and can grown excessively during pregnancy and shrink once a woman hits menopause. 

How are Fibroids Treated?

When women begin to experience symptoms because of the presence of fibroids doctors can treat them with either medication or surgery. Which treatment is used will depend on if the woman wishes to become pregnant, the size and location of the fibroids, and the woman’s age. If the symptoms occurring are mild, doctors may prescribe medications to treat the fibroid. Typically, birth control medications are used to help control the symptoms as well as over-the-counter pain medications.

Surgery can also be necessary if the symptoms are moderate or severe. Surgical procedures such as myomectomies and hysterectomies can be performed where either the affected tissue is removed or the entire uterus is removed. The lining of the uterus can also be removed during an endometrial ablation or the fibroids themselves can be either frozen or electrocuted or the blood flow to the fibroid can be severed. Talk to your doctor to determine what, if any, action is needed.

 Watch Dr. Banooni discuss and perform the MyoSure procedure, a safe and effective way to remove uterine fibroids, on this page above.  

Abnormal Pap Smear

What Does It Mean When Your Pap Smear is Abnormal?

A pap smear allows doctors to view the cells from a woman’s cervix and determine if there are any issues present. When a pap smear is returned as abnormal it means that the cells collected have shown some abnormal changes and they could be cancerous.

What Causes Cells to Appear Abnormal?

Cells collected from the cervix can be affected by a variety of conditions. The most common results include cells which fall into three categories irregular or irritated, precancerous, and cancerous. Irregular or irritated cells can be caused by inflammation, which is usually caused by an infection, or hyperkeratosis, which is the presence of dried skin cells which usually result from using or cervical cap or diaphragm. Precancerous cells are just that, cells which appear to be in the stages just before being deemed malignant or cancerous. These cells, in addition to cells which may be irritated, will usually require further testing. Cancerous cells can also be found and this condition will require testing and usually a treatment or procedure to examine and/or remove the cells.

What Treatments Are Used for Abnormal Cells?

Treatment for abnormal cells will depend on what is found during the exam. If the cause of the abnormal reading is an infection or irritation, then a prescription could be given by the doctor for antibiotics, anti-inflammatories, or another form of medication. If the cells are precancerous the doctor will need to examine them and perhaps perform a biopsy. When a biopsy reveals the cells to be cancerous or if cancerous cells were found during the initial exam the doctor will most likely recommend that the tissue is removed during surgery. If the cancerous tissue is larger more invasive surgeries may be required. Your doctor will discuss any and all options available with you should there be abnormal cells present. 


Essure Sterilization

What is Essure® Sterilization?

Essure® sterilization is a non-surgical procedure used to prevent pregnancy. This procedure acts a permanent form of birth control and is an FDA-approved procedure which has proven to be 99% effective. Since the procedure is not a surgical operation there is a low recovery time and can be completed in a doctor’s office in approximately 10 minutes.

How does Essure® Work?

The Essure® insert is placed into each fallopian tube by a doctor and remains there permanently. These small inserts work with a woman’s body to create a natural barrier which keeps sperm from reaching the woman’s eggs. While the natural barrier is forming, another type of birth control must be used. Once the barrier is formed, which is confirmed by your doctor, you can rely on the inserts as your only form of birth control. The inserts themselves are designed to bend and move with the shape of your body. Additionally, because the inserts are placed into the fallopian tubes via the natural pathways of the cervix and vagina, no incisions are required. 

What Concerns Should I Know About?

As with any type of birth control, the Essure® inserts are not 100% effective and it is important to remember that while the barrier is building to use a back-up form of birth control. This form of birth control also does not protect against HIV or other sexually transmitted diseases. This form of birth control is permanent and is only right for those women who no longer wish to have children or know for sure that they don’t want children at all. You will also want to determine if you have a nickel allergy, if you are currently pregnant, if there are any infections present, or if you have an allergy to contrast dye. As with all forms of birth control, talk to your doctor before proceeding. 


Irregular and Heavy Periods

What are Irregular and Heavy Periods?

Heavy periods are defined as those where abnormal bleeding occurs, about 80 cc or over 5 tablespoons. The major concern with heavy bleeding is the increased risk of developing anemia. While heavy or irregular bleeding during menstruation is not typically a sign of a serious illness in most women, those experiencing these symptoms over the age of 40 could be suffering from cancer of the endometrium or lining of the uterus. Irregular bleeding is defined as an unpredictable or fluctuating menstrual cycle. Many factors can contribute to irregular periods including age, use of oral contraceptives, thyroid disease, and practically any chronic illness.

What Causes Irregular and Heavy Periods?

The overall health of a woman can greatly impact her period in terms of irregular cycles and heavy bleeding. Another common cause of irregular and sometimes heavy bleeding is the presence of a fibroid. A fibroid is a muscular tumor which occurs in the uterine wall and is typically benign. Many time the fibroids can be treated with a hysteroscopy or laparoscopic procedure where the fibroid is frozen or electrically destroyed. However, some fibroids may need to be removed completely and the lining of the uterus or the uterus itself may need to be removed.

What Treatments Are Used?

Treatment for irregular or heavy periods traditionally begins with the use of anti-inflammatory medications prior to and during menstruation and can reduce blood loss approximately 30% on average. Oral contraceptives, or birth control pills, can also help to reduce the bleeding and make periods more regular as well. If the above actions are not helping or if child bearing is complete or unwanted, hormonal treatments are commonly used in addition to a procedure which removes or thins the lining of the uterus, endometrial ablation, or a hysterectomy can be performed which removes the uterus altogether.



How Do I Choose an Obstetrician?

Choosing an obstetrician or OB/GYN is important to every pregnancy. Obstetricians are trained to treat a number of women’s health care concerns as well as any complications which may arise during the pregnancy or birth. When choosing an obstetrician, it is important that you find someone you are comfortable with and who has the proper training to assist you throughout the entire process. Scheduling a consultation with the doctor is a good way to determine if you will be comfortable with the doctor. During the consultation ask numerous questions, especially about any type of preexisting condition you may have, such as diabetes, and regarding any special instructions or requests which you have for how the labor and delivery will be handled.

How Do I Make Sure I Have a Healthy Pregnancy?

Eating healthy and maintaining safe activities levels during pregnancy are very important factors to ensuring a healthy pregnancy. When pregnant, sticking to a balanced diet is the best way to receive the nutrients and vitamins you need. While vitamin supplements are available, pregnant women should only take them under the direction of their health care provider and it is important to remember that supplements, such as prenatal vitamins, do not replace a balanced diet but work hand in hand with one. It is also important to remember to engage in moderate activity as recommended by your doctor. 

What Happens During a Prenatal Exam?

During the prenatal exam many routine health care checkup items will be completed, such as blood work, urine samples, and your weight and blood pressure will be monitored. As time goes on, the doctor or obstetrician will monitor both yours and your baby’s heart rate and usually ultrasounds will be performed to view the baby’s progress. These basic prenatal checkups will continue throughout the pregnancy and ensure that it is progressing as it should.


Pelvic Pain

What Does Pelvic Pain Mean?

Pelvic pain refers to pain experienced in the lowest part of the abdomen and is more common among women. Most types of pelvic pain can be classified based on when it occurs, if the woman is pregnant, and what other symptoms are associated with the pelvic pain. Many cases can be treatment with traditional pain medications, however some conditions may require additional treatment. Pelvic pain also typically derives from one if the following organs:

The bowel

The bladder

The uterus

The ovaries

The fallopian tubes

What Causes Pelvic Pain?

Pelvic pain can be caused by numerous conditions and is either acute or chronic. Acute pains describe pains which are only now being experienced and chronic pains describe pains which are reoccurring. A variety of conditions can cause pelvic pain including:


Rupture of Cysts

Premature Labor

Ectopic Pregnancy

Placental Abruption

Period Pains

Pelvic Inflammatory Disease







What Treatments Are Used?

In order to determine the nature of the pelvic pain, the doctor may ask you a series of questions. The doctor will also most likely need to examine you. Based on the finding of the examination and the answers to your questions, the doctor may need to do further investigation or may recommend a variety of treatments. If the pain is caused by an infection of some sort, antibiotics or medications may be prescribed. If there is a concern for a miscarriage or ectopic pregnancy an ultrasound may be performed and you may need to under go surgery. Laparoscopic surgeries are also commonly employed when the doctor needs to view what is going on inside the pelvic area. This surgical procedure allows the doctor to look inside your abdomen by using a camera which is inserted through small incisions near the belly button. If you are concerned about any type of pelvic pain, it is best to consult a physician before the condition worsens.


Laparoscopic Surgery

What is Laparoscopic Surgery?

Laparoscopic Surgery is a procedure in which short, slender tubes or trochars are inserted into the abdomen through very small incisions. The incisions are usually near the patient’s navel. Through the trochars long, narrow instruments are inserted and used to manipulate, sew, and cut tissue. During the surgery, carbon dioxide is used to inflate the abdomen and give the surgeon room to work. To view the interior of the abdomen, a camera is inserted through one of the trocars. Laparoscopy is commonly performed under general anesthesia and typically the recuperation period is approximately two to three weeks.

Why is Laparoscopic Surgery Used?

Laparoscopic surgery is used because it allows patients to recover more quickly and post-surgical pain is reduced. The benefits of laparoscopic surgery include:

Shorter Hospital Stays

Shortened Recovery Times

Smaller Scars

Less Internal Scarring

Patient can Return to Activities Sooner

What Conditions is Laparoscopic Surgery Used to Treat?

Commonly, laparoscopic surgery is used to treat fibroids, ovarian cysts, removal of cancerous tissue in the uterus, ovaries, cervix, and fallopian tubes, and to treat endometriosis. A laparoscopy is performed to treat small ovarian cysts which are believed to be benign and it is frequently used to treat larger fibroids by using freezing or electrical techniques to destroy the fibroid. Additionally, laparoscopic surgery is used for endometriosis and is the most common procedure used to diagnose the condition. During this procedure the doctor will look for the presence of atypical endometriosis lesions and endometriomas, adhesions, as well as scarring. The surgery is common performed under an outpatient basis, however an overnight stay or a prolonged stay may be recommended depending on the complexity or duration of the surgery itself. Some pain after the laparoscopic procedure is common, however if the pain is severe it is wise to consult your doctor.

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Peyman Banooni M.D



Fellow American College of Obstetrics and Gynecology, 2006
Cedars-Sinai Medical Center, OB/GYN residency, Completion June, 2003
University of California, San Diego, M.D. degree, June 1999
University of California, Los Angeles, Bachelors of Science in Biology,
Summa Cum Laude, College Honors, June 1995

2010-pres Voted member Cedars Sinai Medical Center Medical Executive Committee
2008-pres Cedars Sinai Medical Center Performance Improvement Committee
2008-pres Member of Cedars Sinai Center for Minimally Invasive Gynecologic Surgery
2007-2008 Cedars Sinai Medical Center Performance Improvement Committee
Member Medical Leadership Conference
Cedars Sinai Alumni Association- Secretary
UCLA Medical Students Core Clerkship Teaching Award

2004-2006 Cedars Sinai Alumni Association- Treasurer
IAMA Board of Directors

1999-2003 Society of Laparoendoscopic Surgeons Outstanding Laparoendoscopic Resident Surgeon
Chief Resident, Cedars-Sinai Medical Center
Resident Research presentation: “Eight-Year experience with management of monoamniotic twins”
AMA Physician Recognition Award
Cedars-Sinai Award of recognition
PCX (Patient care expert) advisory committee
Wyeth ACOG Conference Resident Reporter

1998- Organizer for second year medical student elective: “Pathophysiologic Correlates to the Physical Examination”
Achievement Rewards for College Scientists (ARCS) Foundation Scholarship
Mackenzie Scholarship
Hillyer Scholarship

1997- Speaker at American Federation for Medical Research Annual Western Student Medical Research Forum, “Minimal Access Surgery for Staging of Pancreatic Cancer,” Carmel, California.
Achievement Rewards for College Scientists (ARCS) Foundation Scholarship

1996- Speaker at the First Annual Conference of the Committee on Iranian Jewish Oral History, “Jews in Iran (1800 to present),” January 13-15, 1996, Simon Wiesenthal Center, Los Angeles, California
NIH- Children’s Hospital of Los Angeles/USC Summer Oncology Fellowship
California Academy of Family Physicians Family Medicine Preceptorship Program
Betty Ford Center at Eisenhower Summer Institute for Medical Students Internship
1996 McGraw Hill Award for Achievement and Contribution
Achievement Rewards for College Scientists (ARCS) Foundation Scholarship

1992-95 Biology Departmental Honors
Dean’s Honors List for 8 quarters at UCLA
UCLA Medical Center Auxiliary Volunteer Scholarship
UCLA Presidential Undergraduate Fellowship

9/01 – 6/03 Eight year experience with management of monoamniotic twins, Dr. Neil Silverman, Dept of Ob/Gyn, Cedars-Sinai Medical Center
8/98 – 6/99 Demographics, risk factors, prenatal diagnosis, and short and long term outcomes of fetuses diagnosed with Gatroschisis, Dr. Thomas Kelly, Department of Reproductive Medicine, University of California San Diego, School of Medicine
6/96 – pres Minimal access surgery for staging of pancreatic cancer, Dr. Dilip Parekh, Department of Surgery, University of Southern California, School of Medicine
9/92 – 4/95 HIV tropism and Alternate vectors for gene therapy, Dr. Irvin Chen, Director of UCLA AIDS Institute, Department of Microbiology and Hematology & Oncology- University of California Los Angeles, School of Medicine
9/91 – 6/92 Department of Pathology- Dr. Anthony Verity, Chief of Department of Pathology, University of California Los Angeles, School of Medicine

Comparison of the Safety of a Unique Intravenous Iron Preparation (XXX) Versus Oral Iron in the
Treatment of Iron Deficiency Anemia Secondary To Heavy Uterine Bleeding

2006-2009 WYETH Los Angeles, CA
A Double-Blind, Randomized, Placebo and Active-controlled Efficacy and Safety study of XXXX Drug For Prevention of endometrial Hyperplasia And Prevention of Osteoporosis in Postmenopausal Women

2005-2009 BERLEX Los Angeles, CA
A Multicenter, Double-Blind, Randomized, Parallel-Group Placebo-Controlled, 7 Cycle Duration (196 days), Phase 3 Study of Oral XXXX Tablets for the Treatment of Dysfunctional Uterine Bleeding

Comparison of the Safety of a Unique Intravenous Iron Preparation (XXX) Versus Oral Iron in the Treatment of Iron Deficiency Anemia Secondary To Heavy Uterine Bleeding

Banooni P, Graupe M, Silverman N. Eight Year Experience with Management of Monoamniotic Twins. Paper in preparation.

Banooni P, Rickman L, Ward D. Potts Puffy Tumor Related to Use of Intranasal Amphetamine. JAMA. Vol 283(10): 1293, March 8, 2000.

Planelles V, Bachelerie F, Haislip A, Banooni P, and Chen I. Fate of Human Immunodeficiency Virus Type I Provirus in Infected Cells: a role for vpr. Journal of Virology, Sept. 1995, pp.5883-5889.

Banooni P, Simnegar S. Terua: The History of Contemporary Iranian Jews, History of Jews in Iran (1500 to present), Chapter 2: pp. 13-43, Publishings of Center for Iranian Jewish Oral History, Los Angeles, California, October 1996.

Banooni P, Graupe M, Silverman N. Eight Year Experience with Management of Monoamniotic Twins. Poster presentation. ACOG Annual Clinical Meeting.
New Orleans. April, 2003.

Banooni P, Visaya L, and Parek D. Minimal Access Surgery for Staging of Pancreatic Cancer. Abstract presented at American Federation for Medical Research Annual Western Student Medical Research Forum. Carmel,
California. February, 1997.

Planelles V, Bachelerie F, Haislip A, Banooni P, and Chen I. The Fate of HIV-1 Proviral DNA in Infected Cells. Abstract presented at First West Coast Retrovirus Meeting.
Irvine, California. October, 1994.

Planelles V, Bachelerie F, Haislip A, Banooni P, and Chen I. The Fate of HIV-1 Proviral DNA in Infected Cells: A Novel Role for vpr. Abstract presented at Annual UCLA AIDS Symposium.
Santa Monica, California. November, 1994.

The Society of Laproendoscopic Surgeons
North American Menopause Society
Cedars Sinai Alumni Association
Phi Beta Kappa Honors Society


Cedars Sinai Medical Center
California Hospital



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Essure birth control: a novel approach
Dr Banooni is great. He’s calm and answers all questions very clearly. I always leave appointments feeling much better about things that worry me as a first time mom.
— Chanel K.
I do not know where to start when talking about De Banooni. The man is just awesome, the best doctor you can ever dream to have. Dr. Banooni is kind, knows his job very well, and goes many extra miles to make you comfortable and understand every step. I am 45 years old and this was my first pregnancy; naturally, I was scared and anxious but Dr. Banooni answered all my questions and explained to me everything I needed to know with great patience and kindness. However big a problem seemed to me, Dr. Banooni had the ability to make it weight like a feather. Whenever I called, Dr. Banooni always called me back. The day of my delivery Dr. Banooni was off, but he came especially for me when I requested him. And I was not surprised to hear all of my nurses say how kind he is and how lucky I was to have him as my doctor. I recommend Dr. Banooni to every woman who needs the best of the best Gynecologist. Thank you Dr. Banooni for your great help and attention during my pregnancy, and in delivering my miracle baby.
— Aminata D.

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