Gynecology

Diagnosis and treatment of gynecological diseases

Gynecology is a branch of medical science dealing with the study, diagnosis, treatment and prevention of diseases of the female reproductive system.

Women’s sexual health is a multi-component and complex system that constantly needs to be maintained in balance. Regular hormonal and age-related changes, pregnancy and many other factors directly affect it. This big world is studied by science – gynecology.

IVMED clinic offers the opportunity to use the services of highly professional gynecologists.

How is the examination by a gynecologist conducted?

A gynecologist’s examination takes place in a private office, not less than 35-45 minutes. First of all, the doctor just talks to the woman, finds out her complaints and collects an anamnesis. The doctor is interested in general health, details about the menstrual cycle, the number of pregnancies and childbirths, sexual life, and other information useful in establishing a diagnosis.

After that, the doctor asks the patient to sit in the gynecological examination chair. The gynecologist examines the labia, vulva, clitoris and skin around the genitals, and evaluates the discharge, сonducts a bimanual examination, by which the doctor palpates the cervix, uterus and appendages to assess consistency and the presence of neoplasms.

Next, vaginal speculums are inserted into the vagina to visualize the cervix. The doctor examines the mucous membrane of the cervix, its consistency, color and the presence of erosions, neoplasms or injuries. Also, the gynecologist takes a smear for the examination of the vaginal environment and a smear for cytology from the cervix.

Diagnostics and treatment of gynecological diseases

After review and examination, the doctor determines which laboratory and instrumental studies must be carried out and develops the tactics of treatment.

There are such laboratories studies as:

  • Smear for cytology
  • Tests for sexually transmitted infectious diseases
  • The level of sex hormones: estrogens, progesterone, prolactin and others
  • Human papillomavirus test

In the case of pathology the other specialized analyzes may also be used.

There are such instrumental methods:

  • Ultrasound: abdominal and transvaginal
  • Colposcopy
  • Metrosalpingography
  • Biopsy

During endoscopic research methods, the doctor can take some cells from the cervix, uterus or appendages for cytohistological examination.

Sometimes it is necessary to use X-ray methods, CT or MRI with contrast.

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After the patient has passed the examination, all the results come to her attending physician, who prescribes the treatment.

In most cases, if the disease is determined at the early stage, conservative treatment methods can be implemented with:

  • Anti-inflammatory drugs
  • Hormone therapy
  • Antibiotics
  • Vitamin therapy
  • Physiotherapy

But there are cases when it is necessary to use the operational methods. Such methods can be used:

  • Laparoscopy – minimally invasive method
  • Laparotomy – large incision
  • Hysteroscopy – through vaginal endoscopic treatment

The method of treatment, its duration, etc., is determined by the gynecologist.

Prevention of gynecological diseases

Like any disease, gynecological diseases are much easier and cheaper to prevent than to carry out full-fledged treatment. Therefore, it is important to carry out preventive actions. Every woman under 40 should be examined once a year, older patients – once every 6 months. Thus, you can determine the disease at the early stages, which will help treat it much faster and without consequences.

Also, to maintain the health of the reproductive system, in addition to regular examinations, a woman must adhere to the following recommendations:

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  • Monitor personal hygiene. Use products only for intimate hygiene, which don’t dry the skin
  • In case of changing a sexual partner, use only barrier methods of contraception
  • Monitor your own menstrual cycle and, in case of failure, consult a doctor
  • Timely treat inflammation and infectious diseases
  • Do not self-medicate

Remember that a woman’s sexual health affects her general condition, as well as reproductive function and the ability to have healthy children. After all, many diseases can lead to infertility or health problems for the child.

Team of doctors

Sylaiev Vadym Ihorovych

Obstetrician-gynecologist of the IVMED Clinic
Clinical practice since 2018

Nikitina Anastasiia Serhiivna

Medical Director of the clinic IVMED Zhytomyr, obstetrician-gynecologist of the highest category
clinical practice since 2010

Strelko Halyna Volodymyrivna

chief physician, obstetrician-gynecologist of the highest category, doctor of medical sciences, reproductologist
Medical practice since 2004