Comprehensive Women’s Care with Dr. Cielo Gnecco: Minimally Invasive OB-GYN Surgery & Reproductive Health
Author(s): Scott Douglas Jacobsen
Publication (Outlet/Website): A Further Inquiry
Publication Date (yyyy/mm/dd): 2025/09/30
Dr. Cielo Gnecco, MD, is a board-certified obstetrician and gynecologist at Orlando Health Women’s Institute Center for Obstetrics & Gynecology in Kissimmee, Florida. She provides comprehensive care for women from adolescence through menopause, specializing in gynecologic surgery, minimally invasive procedures, and robotic-assisted techniques. Dr. Gnecco has expertise in managing both low-risk and high-risk pregnancies, as well as family planning. She is passionate about guiding women through all stages of reproductive health, with a focus on personalized care and long-term wellness.
In this interview with Scott Douglas Jacobsen, Gnecco emphasizes lifestyle changes, precision surgery, and early detection to support long-term women’s health. She also helps patients navigate perimenopause and menopause with tailored hormonal and non-hormonal treatments. Her practice combines advanced medical techniques with compassionate, personalized care across every stage of a woman’s reproductive life.
Scott Douglas Jacobsen: What are the benefits of choosing minimally invasive gynecologic surgery?
Dr. Cielo Gnecco: Minimally invasive surgery carries several benefits, especially for patients. With this type of surgery, we are able to do smaller incisions, which result in less pain and scarring. Patients tend to have a much quicker recovery, with much shorter hospital stays. These surgeries tend to allow patients to be discharged home on the same day of surgery. As incisions are also smaller, there is less blood loss during the surgery and less risk for infections.
Jacobsen: How does robotic-assisted surgery improve outcomes?
Gnecco: This type of surgery improves outcomes as it allows for enhanced precision, control and better visualizations. It allows us to perform complex surgeries that would have otherwise been open procedures with bigger incisions, more blood loss, and a higher risk of infections. Patients also have faster recovery and are able to recover at home.
Jacobsen: What are the differences between low-risk and high-risk pregnancies?
Gnecco: Low risk pregnancies are those in which the mother and fetus have no major medical issues or complications. These pregnancies have a greater chance of progressing smoothly, with fewer interventions needed. On the contrary, high risk pregnancies are those in which there are complications or underlying health conditions, such as gestational diabetes, hypertension, or a history of preterm labor. These pregnancies require closer monitoring and may need special care or interventions to manage risks.
Jacobsen: Why is family planning important?
Gnecco: Family planning and getting proper care prior to pregnancy ensures that couples conceive knowing they are doing everything necessary to have a healthy pregnancy. Planned pregnancies tend to have better outcomes and less risk of adverse events. Family planning also allows for prevention of unwanted pregnancies and for patients to be able to plan when they would like to conceive.
Jacobsen: How can OB-GYNs support women through the stages of perimenopause?
Gnecco: OB-GYNs can support women through any stage of life. We are able to manage symptoms related to perimenopause, to give them advice on what to do with certain changes that come with age, including those physical but also those emotional changes. We are able to provide counseling, medical treatment, and to ensure that they are up to date with preventative measures.
Jacobsen: What about menopause?
Gnecco: Menopause is also a big part of our practice as OB-GYNs. We are able to provide hormonal and non-hormonal treatment for those symptoms of menopause. We are able to evaluate and treat issues like hot flushes, issues with bone health, vaginal dryness, and emotional and psychological support.
Jacobsen: What are effective treatment options for polycystic ovary syndrome (PCOS)?
Gnecco: The most important part of treating PCOS is to guide patients with lifestyle changes. It is important to implement a healthy diet, exercise, and to manage certain conditions that can be common with PCOS (like diabetes and obesity). Other effective treatments include oral contraceptives, certain medications to regulate menses, and different medications that can help patients conceive in the case of presence of irregular ovulation.
Jacobsen: What lifestyle changes can help reduce the risks of infertility in women with PCOS?
Gnecco: Patients with PCOS can improve fertility and reduce complications by making several lifestyle changes. These include maintaining a healthy weight, regular exercise, a balanced diet, stress management, and also by getting care to control pre-existing conditions like diabetes and obesity.
Jacobsen: Why is regular OB-GYN care essential?
Gnecco: OB-GYN care is essential for prevention. It allows for early detection of health issues, including STIs, risk of cervical cancer, and breast or ovarian cancer. It allows for prevention and education on reproductive health and different stages of a women’s reproductive life, including perimenopause and menopause. OBGYN care is also important to monitor pregnancies, ensuring that both mother and baby are progressing well and detecting potential risks early.
Jacobsen: Thank you for the opportunity and your time, Cielo.
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