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1. Investigation and procedures
     The German Diagnostic Center offers a wide range of procedures and medical investigations for women, from simple pelvic examination to some complex surgeries. Among them are:
 
CONSULT OF THE GYNECOLOGIST involves a discussion with your gynecologist; you will be asked about your health condition, health problems you have had, disorders that you are dealing with at the moment, the purpose of your visit to the doctor, etc. During the discussion you will communicate to your gynecologist correct and full data on diseases and administered treatments. Then, the vaginal examination with valve or vaginal speculum follows, because the doctor needs sample laboratory material (Papanicolaou smear, vaginal discharge, cervical culture, etc.). The third consult stage involves vaginal tact, which is carried out at the end of the consult, so that the doctor can find out the condition of the internal genital organs (uterus, ovaries and fallopian tubes). Gynecological examination can cause a slight discomfort, but it is harmless and painless. Theoretically, it is recommended to be carried out in the middle of your cycle, i.e. 7-10 days after the end of the period.
 
COLPOSCOPY is an investigation that allows the visualization of the vagina, cervix and changes that occur at their level. The procedure is carried out using a colposcope, an instrument similar to the microscope. Colposcope zooms the image by about 10-40 times, and is connected to a computer; the doctor can better examine all tissue changes that occur. Together with Papanicolaou smear test, colposcopy provides accurate data on the risk of cervical cancer, and its development stage. It is recommended, primarily, to the women, who have received abnormal result of the smear cytology. Colposcopy is painless, does not require special preparation or hospitalization and is carried out under anesthesia so that daily activities will not be disrupted. The examination takes an average of 10-15 minutes.
 
VAGINAL FLORA ON PAPANICOLAOU TEST is a test that allows microscopic examination of cells of vaginal discharge. It is a simple procedure. The doctor takes such a sample, places it on a glass slide and sends it to the laboratory for examination. Due to this procedure, the doctor will know if the cervix and vagina have pathogenic microorganisms. The investigation will be carried out if there are suspected precancerous lesions or cervix cancer. It is necessary to carry out vaginal flora test at least every two years.
 
CELL SMEAR is the same Papanicolaou test. If during the vaginal flora examination the doctor takes the samples of vaginal discharge, for the cell smear he will investigate directly the cells from the cervix and cervical canal. The doctor will place the samples on a spatula and take it to the laboratory for examination. Papanicolaou smear test is the main investigation which can determine with maximum accuracy the presence/absence of cervical cancer or precancerous conditions. Given that at the beginning, cervical cancer shows no symptoms, it does not hurt or give any sensations; any atypical/pathological changes of cervical cells can be detected just by examining the cytological smear. The Papanicolaou smear test should be carried out beginning with the age of 25.
 
INTRODUCTION AND REMOVAL OF COPPER-BEARING INTRAUTERINE DEVICE – Copper-bearing intrauterine device is a small device that is placed in uterus and is useful if you do not want children in the near future. The conducted studies showed that a copper-bearing intrauterine device provides certainty of 96% against an unwanted pregnancy. Copper-bearing intrauterine device is no more dangerous than other contraceptive methods. Copper-bearing intrauterine device shall be introduced and removed only by a gynecologist, and the latter can determine the type of device suitable for you. The procedure will take, on average, 10 minutes and does not cause pain or discomfort. If you are afraid of pain, you can also request a local anesthesia. The device is usually removed under local anesthesia.
 
INCISION OF BARTHOLIN’S GLAND – Bartholin’s gland has a pea shape and is located on each side of the vaginal opening. This gland is responsible for the secretion of vaginal fluid required for lubrication. Generally, these two small glands cannot be seen or felt, but if the channels that join these glands and vagina become clogged, Bartholin’s glands can reach the size of a walnut or an orange. In such cases, the treatment with antibiotics or minor surgery (incision) is required.
 
CERVIX DIATHERMOCOAGULATION, also called “Electrocautery” is a surgery trough which the diseased cervix tissue is burned with electricity. Electrical cautery is carried out by means of the electric catheter. Later, 10-12 days after the surgery the formed cuticle falls. Cervix diathermocoagulation shall be carried out in the first days after menstruation and does not require anesthesia. However, there are certain cases when the procedure is prohibited: pregnancy, fever and inflammation of the reproductive system. After diathermocoagulation the woman will abstain from sex for about 4-6 weeks and visit the gynecologist for repeated control.
 
ABDOMINAL ECHOGRAPHY OF PELVIC ORGANS is an extremely useful method of investigation without health risks, a noninvasive procedure due to which the doctor can view with the highest precision the condition of a woman’s reproductive organs such as uterus, fallopian tubes, ovaries, cervix and bladder. Synonymous with ultrasound, echography is harmless, because it uses ultrasounds. For women, abdominal echography is used to detect the cause of any abdominal troublesome pains, to elucidate the origin of vaginal bleeding, infertility, to study the shape of the uterus, endometrial thickness, ovaries’ size, especially in case of a suspicion of tumors or cysts in the uterus or ovaries. For pregnant women, the method is used to monitor the progress of pregnancy and fetus’ condition.
 
TRANSVAGINAL ECHOGRAPHY is also a very useful method of investigation for detecting eventual pelvic diseases. Unlike pelvic echography, which uses the transducer and a special gel applied on the skin, transvaginal echography consists in the introduction of a tube into the vagina so that the doctor can view the internal organs much better. Transvaginal echography is not painful; usually, the women feel just a little passing discomfort.
 
FOLLICULOMETRY, also known as “control of the ovary operation”, is a method by which the doctor can determine the ovulation, check the sizes and stages of follicles’ growth, endometrial thickness, etc. Folliculometry is carried out by an echography specialist, obstetrician or gynecologist. Several transvaginal echographies will be carried out within 10 days to monitor the dynamic growth of ovarian follicles. The procedure may be carried out several months in a row, if required. It is recommended to women suffering from hormone infertility.
 
DIAGNOSIS AND TREATMENT OF MENOPAUSE
If you have pre-menopausal condition, and the symptoms such as irregular menstrual periods, hot flashes, sweating and headache cause you great discomfort, visit the gynecologist. Menopause increases the possibility that you might develop osteoporosis, cervix cancer, infarction or stroke. That is why hormone replacement treatment with estrogen is essential. The gynecologist will determine the exact dose of required hormones, which once administered, will eliminate all the symptoms of menopause.
 
PREPARATION FOR PREGNANCY
Specialists recommend preparing for pregnancy approximately 6 months before conceiving. When you come to the gynecologist, he/she will provide you with the list of tests and investigations to be carried out, and establish a vital regime system to be followed, for you to have a healthy pregnancy and baby. Also, during the visit to the gynecologist, you will discuss all aspects of the woman’s history of family chronic diseases. If tests reveal some health disorders, you will be recommended the right treatment to get pregnant.
 
DOUBLE AND TRIPLE SCREENING TESTS
Double and Triple Tests are the two most important genetic analyses recommended to pregnant women. The two analyses detect the risk of giving birth to a child suffering from chromosomal abnormalities. For maximum efficiency, Double Test will be carried out between 11-13 weeks of pregnancy, and Triple Test –15-18 weeks. Double and Triple Tests are recommended to all pregnant women, regardless of age. In particular, the analyses are recommended to women, who are exposed to tobacco smoke, diabetes mellitus or other serious chronic disease. Recommendation applies especially to women over the age of 35 years. The older the mother, the higher is the risk of having a baby with genetic disorders. If the doctor detects that the child suffers from a genetic disease, the couple will decide: to interrupt the pregnancy or to give birth to a sick child. The test does not require special preparation.
 
     However, you can address the German Diagnostic Center if you do not manage to have children. Center specialists and available modern equipment, will help you learn precisely which health disorder of the woman or the man is the cause for infertility.
 
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Infoline and Appointments
84 00 00
bd. Negruzzi 4/2
realizat de DQ Team