Gynecology is the science of the structure and function of woman’s organism, its peculiar features, women’s diseases, and their prevention, diagnostics and treatment. Gynecology comprises also obstetrics. Gynecologists deal with a large variety of problems and conditions, such as menstrual disorders, contraceptives, infectious diseases, incontinence, infertility and tumors. Below we describe some of the most common gynecological problems and procedures.
One of the main activities of gynecologists is prescribing hormone treatment. This includes counseling on the topic of contraception (anti-baby pills) and their prescription, but also prescribing hormone replacement therapy for women in menopause to improve their life quality and lower the risk of developing osteoporosis.
Infertility treatment is sometimes considered almost synonymous with in vitro fertilization (IVF), but actually the first step in the treatment of infertility is finding out the reasons of infertility and eliminating these reasons. In some cases, however, it is necessary to use IVF. Intracytoplasmic sperm injection (ICSI) is one of the subtypes of IVF, used primarily in case of male infertility. During the ICSI procedure, one sperm is selected from the semen sample and injected directly into the egg. The fertilized egg is incubated for a couple of days and the embryo(s) received as a result of this process are then transferred into the uterus. The remaining embryos are frozen for later use. IVF is the most often used infertility treatment method in the world, used primarily in case of female infertility. Compared to the ICSI procedure, the first part is different – by means of hormone therapy, a so-called superovulation is induced in the woman. Later, eggs are aspirated from the mature follicles under anesthesia with ultrasound-guided needles, and fertilized with sperms obtained from a man.
Gynecological tumors can be both benign and malignant. Therefore, their diagnostics and treatment methods also vary widely. For malignant gynecological tumors, chemotherapy and/or radiation therapy are often used in addition to surgical interventions. As the functioning of the female reproductive organs influences the whole organism, including mental health, it is important to notice and manage the hormonal disorders that often appear after treatment. Screening programs for cervical cancer and breast cancer to discover the malignancy as early as possible are very common.
Ultrasound is one of the most frequently used diagnostical methods in gynecology. Sound waves above 20,000 hertz enable to visualize the inside of the human body. By means of ultrasound it is even possible to measure the speed of blood flow in major blood vessels.
Laparoscopy is an endoscopic surgical method. It is a procedure, whereby special instruments and a camera are inserted in the abdominal cavity through small incisions. Nowadays, many gynecological procedures can be done laparoscopically, such as removing adhesions, certain uterine myomas, ovarian cysts, and lesions of endometriosis, stopping a hemorrhage, or performing sterilization. Ovarian drilling, a procedure performed in case of infertility caused by polycystic ovaries, is also performed laparoscopically. Furthermore, it is possible to check laparascopically by using contrast medium, whether the fallopian tubes are passable and intact. Compared to open surgery, after laparoscopic procedures the recovery is faster and the scars much smaller.
Laparotomic surgery, during which a longer incision is made in the abdominal area, offers better access to the abdominal cavity. Laparotomy is quite often used in cases when the disease process is not well understood and there is hope that open surgery will shed light on diagnosis.
Hysteroscopy is a diagnostic and treatment method at the same time, which enables to observe the uterine cavity from inside. During the procedure, a special instrument and a camera are inserted in the uterus to observe the inside of the uterus, identify possible reasons for the disease, and perform treatment at once, if necessary.
Ovarian and Fallopian Tube Surgery19 clinics
Laparoscopic ovarian and fallopian tube surgery or adnexal surgery is a specific type of minimally invasive surgery for freeing the tube or ovary from adhesions to reduce pain or improve fertility, remove ovarian cysts, opening the tube to remove an abnormality e.g. ectopic pregnancy etc. It is performed under the general anesthesia.
Hysteroscopy is minimally invasive inspection of the uterine cavity by means of a special camera-guided endoscope called hysteroscope. Hysteroscopy is useful for diagnosing and specifying the causes of several problems and diseases such as heavy menstrual or postmenopausal bleeding, recurrent early pregnancy loss and infertility. Hysteroscopy is performed under general anesthesia.
Hysteroscopy with a surgical procedure4 clinics
Hysteroscopy is minimally invasive inspection of the uterine cavity by means of a special camera-guided endoscope called hysteroscope. During the hysteroscopic procedure it is possible to detect and immediately resolve intrauterine pathologies, take tissue samples (biopsies) and remove foreign bodies, polyps and small myomas. Hysteroscopy is usually performed under general anesthesia.
Diagnostic laparoscopy2 clinics
Diagnostic laparoscopy is the most informative diagnostic method in gynecology nowadays. During the procedure, a thin tube with camera (laparoscope) and a laparoscopic hook for manipulating the camera are gently guided through small incisions in the skin into the abdominal cavity. The equipment allows the doctor to observe the reproductive organs (uterus, fallopian tubes, ovaries) in detail and, if necessary, take tissue samples (biopsy) or immediately apply surgical treatment. Diagnostic laparoscopy is performed under general anesthesia.
Gynecologist’s consultation213 clinics
A gynecologist is a specialist in the female reproductive system and breasts who performs gynecological examinations of genital organs, helps to select an appropriate contraceptive, and plan and monitor pregnancy. If necessary, the gynecologist also performs ultrasound examinations and suggests additional analyses, such as PAP test, STD (sexually transmitted diseases) tests or hormone level measurements. Gynecologists also deal with the diagnosis and treatment of women’s infertility. It is advisable to visit a gynecologist regularly at least once every 1–2 years.