Where does a gynecologist work? Gynecologist appointment
Gynecologist
If you need an appointment with a gynecologist in Moscow, contact Family Doctor JSC. Paid gynecologists are accepted in all clinics of our Network. The examination is carried out in the most patient-friendly manner. Modern and effective diagnostic methods are used, including video colposcopy, computed tomography, hysterosalpingography, Ultrasound of the pelvic organs. Our own laboratory allows us to carry out all the necessary laboratory tests efficiently and quickly. Analysis results the patient can see in his personal account on our website. If necessary, surgical treatment is performed (surgery on the uterine appendages, removal of benign tumors, etc.). Operations are performed in the company’s high-tech divisions – the Hospital Center and the Surgical Hospital.
What does a gynecologist treat?
Gynecologist is a specialist in the field of women's reproductive health. The quality of life of every woman largely depends on the health of her genital area. The task of a gynecologist is to prevent the development of pathologies, treat emerging diseases, and restore reproductive function (in case of infertility).
Scheduled and preventive visits to the doctor
Planned and preventive observation by a gynecologist
Since many diseases of the female genital area are asymptomatic in the early stages, doctors make an appointment with a gynecologist without waiting for complaints to appear. By being seen by a good specialist, you can save yourself from many problems.
Brings its own difficulties puberty. During this period, a teenage girl may need to consult a pediatric gynecologist.
Entering into sexual activity brings new risks: the likelihood of sexually transmitted diseases increases; A frivolous attitude towards contraception poses a significant threat to health.
At planning pregnancy It is highly advisable to undergo a high-quality examination and eliminate possible threats to the normal bearing of the child.
From the beginning of pregnancy itself, a woman is under special medical care. You can choose pregnancy management program“Trust”, which is offered by JSC “Family Doctor”. The program includes all necessary analyzes and studies. You can connect to the “Trust” program starting from any trimester.
Women over 35 years of age I need an annual appointment with a gynecologist. Age-related changes are a favorable factor for the development of many gynecological diseases, including such dangerous ones as genital cancer. Observation by a gynecologist will allow you to detect diseases in the early stages and begin their timely treatment.
During menopause the doctor will help eliminate the most unpleasant manifestations of menopausal syndrome and restore quality of life.
Treatment in acute cases
When do you need to see a gynecologist?
An appointment with a gynecologist is necessary in case of symptoms indicating diseases of the genital organs. Such symptoms may include pain in the lower abdomen, especially associated with menstruation or sexual activity, menstrual irregularities, itching and burning in the genital area, pain during urination or sexual intercourse, atypical discharge from the genitals and bleeding.
Gynecologist is a doctor who monitors the condition of the female genital organs, as well as identifies and treats diseases characteristic only of the female body. Very often, his area of competence includes obstetrics - monitoring the dynamics of processes that occur in a woman’s body during pregnancy, and the condition of her genital organs at this time, as well as in the postpartum period. To determine the objective condition of the genital organs of the youngest patients, a visit to a pediatric gynecologist may be necessary.
The examination, as a rule, begins with a conversation, during which the doctor finds out whether the patient has any complaints and measures her blood pressure. First, the gynecologist will examine the external genitalia and the development of the woman’s mammary glands in order to timely identify possible pathologies. If necessary, the gynecologist can refer the patient for additional examination to a consultation with a mammologist (a doctor who specializes in diagnosing diseases of the mammary glands) or for a mammogram. Then the examination will continue on a special gynecological chair.
A mandatory procedure during a visit to a gynecologist is taking a smear for analysis. Moreover, such a smear will be taken from a child or a young girl only from the outer labia. The doctor examines virgins through the anus, inserting a finger there and feeling the internal genital organs. Women who are sexually active are examined using special mirrors. Such mirrors can be either metal or plastic (disposable). This way the doctor can see the condition of the cervix and assess the vaginal environment. Next, the gynecologist, using rubber gloves, enters the vagina and palpates the pelvic area, determining the condition of the genital organs located there: the appendages (they are also sometimes called the ovaries), fallopian tubes and uterus. At the same time, the doctor takes a smear from the cervix for analysis, the result of which can be found out in a few days. If necessary, the gynecologist can send the patient for an ultrasound examination of the pelvis.
How to find a good gynecologist?
A good gynecologist is a doctor who will help diagnose and solve the problem in the shortest possible time at minimal cost. The experience of patients who have already been treated by this doctor will help you in choosing the best doctor. Carefully read the reviews about the doctor, his experience and specialization.
We ask all patients who make an appointment with a gynecologist on our portal: “Would you recommend this doctor to your friends?” This indicator is one of the most important when forming a doctor’s rating. Therefore, we can safely recommend doctors with maximum ratings and a large number of positive reviews.
Our advantages:
- PROMOTION appointment and examination by a gynecologist + overview video colcoscopy (without description) 1200 rubles
- Urgently tests on the day of treatment from 20 minutes to 1 day
- Close 5 minutes from Varshavskaya and Chistye Prudy metro stations
- Comfortable We work every day from 9 to 21 every day (including holidays)
- Anonymously!
A gynecologist is a specialist in the field of clinical medicine. A gynecologist specializes in the diagnosis, treatment and prevention of the female reproductive system. It is no secret that family planning has always been the main prerogative of the positive development of society. Today, the gynecologist at the Private Practice clinic can offer the most comprehensive pregnancy management program. Obvious advantages are an experienced “unlimited” specialist, a personal obstetrician and gynecologist, and comfort achieved by the absence of queues, confidentiality and the ability to get everything in one place!
Gynecologists of the medical clinic "Private Practice" are specialists of the highest category and candidates of medical sciences. Gynecologist appointments are available seven days a week and on holidays at a time convenient for you. You can make an appointment with a gynecologist by calling 8-499-317-29-72. The clinic also sees a gynecologist-endocrinologist.
Gynecology is one of the main areas of our Clinic, therefore our gynecologists will provide you with comprehensive and professional medical care on the following issues:
- Diagnosis and treatment of sexually transmitted infections (chlamydia, ureoplasmosis, gardnerellosis, mycoplasmosis, etc.)
- Management of pregnancy. Prenatal care, detection of maternal and fetal diseases. Preparing for childbirth.
- Diagnosis and individual solution to infertility problems. Conducting tests for compatibility with a partner.
- Test for leakage of amniotic fluid.
- Treatment of viral infections: cytomegalovirus, herpes virus, papillomavirus.
- Selection of modern individual methods of contraception.
- Consultation and observation of women in the postpartum period.
- Treatment of menstrual irregularities, dysfunctional uterine bleeding.
- Solving the problems of menopausal syndrome.
- Examination and treatment for endocrine disorders of the female reproductive system. The full range of studies of sex hormones and thyroid hormones.
- Cervical erosion: diagnosis, treatment.
- Uterine fibroids: diagnosis, treatment, observation.
- Endometriosis: diagnosis, treatment, observation.
- Cystic changes in the ovaries: diagnosis, treatment, observation.
- Leukoplakia of the female genital organs: diagnosis, treatment, observation.
- Female sexual disorders.
- Operations:
- Diagnostic curettage of the uterine cavity.
- Diathermocoagulation (DTC) of the cervix.
- Taking biopsies and aspirates from the uterine cavity.
- Insertion/removal of uterine devices and much more...
Consultation with a gynecologist at the gynecological clinic "Private Practice" is conducted anonymously for all patients. We accept patients from all districts of Moscow and from other regions. We are located at the Varshavskoye Shosse metro station (7 minutes on foot).
On the basis of the gynecological departments of the City Clinical Hospital No. 31, a clinic of the Department of Obstetrics and Gynecology of the Russian National Research Medical University has been established.
Gynecology of City Clinical Hospital No. 31 is rightfully considered one of the best in Moscow. All types of conservative and surgical treatment of any gynecological diseases are used. Hysteroscopic and laparoscopic diagnostics are possible, and surgical treatment using these methods makes it possible to speed up the recovery period as much as possible and is the most gentle for patients.
Since 2004, the hospital has firmly established a modern organ-saving method of treating uterine fibroids and adenomyosis - uterine artery embolization.
Detailed information
General information
Head of Department No. 1 - Doctor of Medical Sciences, Professor E.N. Kauhova.
Senior nurse of the department - Yu.N. Tarasova.
Head of Department No. 2 - Ph.D. O.I. Mishieva.
Senior nurse - N.G. Kosolapova.
In two gynecological departments of the hospital, all types of conservative and surgical treatment are successfully used, including for the following diseases:
- uterine bleeding of the reproductive, perimenopausal periods, menopausal periods;
- cervical diseases;
- physiology and pathology of the postmenopausal period;
- intrauterine pathology (uterine fibroids, adenomyosis, endometrial polyps, endometriosis, synechiae, foreign bodies);
- ovarian formations in patients of different age periods
- inflammatory diseases of the internal genital organs.
Main types of surgical treatment:
- diagnostic laparoscopy;
- abdominal sectioning and laparoscopic operations including amputation and hysterectomy;
- abdominal sectioning and laparoscopic operations on the appendages;
- vaginal extirpations;
- plastic vaginal surgeries, including for uterine prolapse and prolapse of the vaginal walls;
- laparoscopic surgeries for the treatment of infertility;
- laparoscopic organ-saving operations for tubal pregnancy; restoration of pipe patency;
- hysteroscopic treatment of intrauterine pathology;
- electrosurgical, laser and thermal ablation of the endometrium, embolization of the uterine arteries.
The motto of the team of gynecological departments is
warm and attentive attitude towards patients.
The clinic receives dozens of letters of gratitude. The implementation of high-tech methods is carried out by the doctors of City Clinical Hospital No. 31 in close professional contact with the staff of the department.
General information
- Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian National Research Medical University - Doctor of Medical Sciences, Academician of the Russian Academy of Sciences, member of the presidium of the board of the Russian Society of Obstetricians and Gynecologists, chairman of the presidium of the Moscow Society of Obstetricians and Gynecologists, member of the New European Surgical Academy (NESA), member of the International Federation of Obstetricians and Gynecologists ( FIGO)- Kurtser Mark Arkadievich— student of the founder and honorary head of the department — Savelyeva Galina Mikhailovna, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Honored Scientist, Vice-President of the Russian Association of Obstetricians and Gynecologists, Head of the Department of Obstetrics and Gynecology of the Faculty of Pediatrics from 1971 to 2017.
Currently, the clinic’s achievements are associated with performing a wide range of laparoscopic therapeutic and diagnostic interventions on the pelvic organs. Over the past 20 years, one of the department’s employees, Doctor of Medical Sciences, Professor Sergei Vyacheslavovich Shtyrov a school of endoscopic gynecology was created on the basis of 31 hospitals.Professor Valentina Grigorievna Breusenko- founder of the hysteroscopic method in City Clinical Hospital No. 31. At the present stage, with the introduction of hysteroresection, laser ablation and thermal ablation of the endometrium, the arsenal of hysteroscopic operations performed has been significantly expanded. Since 2004, the hospital has firmly established a modern organ-saving method of treating uterine fibroids and adenomyosis - uterine artery embolization. Over the past 5 years, cooperation with the department has allowed practicing doctors to defend 4 doctoral and 38 candidate dissertations. Currently, a grant has been received to carry out scientific research on the topic “Early diagnosis of ovarian cancer.” To the employees of the department: Academician of the Russian Academy of Medical Sciences G.M. Savelyeva, professors V.G. Breusenko, S.V. In 2003, Shtyrov was awarded the Russian Government Prize for the development and implementation of endoscopic methods of diagnosis and treatment in gynecology.
- Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian National Research Medical University - Doctor of Medical Sciences, Academician of the Russian Academy of Sciences, member of the presidium of the board of the Russian Society of Obstetricians and Gynecologists, chairman of the presidium of the Moscow Society of Obstetricians and Gynecologists, member of the New European Surgical Academy (NESA), member of the International Federation of Obstetricians and Gynecologists ( FIGO)- Kurtser Mark Arkadievich— student of the founder and honorary head of the department — Savelyeva Galina Mikhailovna, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Honored Scientist, Vice-President of the Russian Association of Obstetricians and Gynecologists, Head of the Department of Obstetrics and Gynecology of the Faculty of Pediatrics from 1971 to 2017.
General information
Uterine artery embolization (UAE) is one of the modern areas of surgical treatment of uterine diseases, which consists of puncture of the artery on the thigh, catheterization of the uterine vessels and the introduction of particles of a special embolization drug.
Symptomatic or growing uterine fibroids
- Size up to 20 weeks of pregnancy in the absence of significant pathology of the cervix, endometrium and ovaries.
- In patients interested in pregnancy, with a confirmed role of uterine fibroids in the pathogenesis of infertility or with a high risk of miscarriage, when it is impossible to perform a safe myomectomy.
- As preparation for myomectomy or hysteroresectoscopy.
Intense uterine bleeding of various etiologies, when other treatment methods are impossible or are associated with a real threat to the patient’s life.
When determining indications for UAE for fibroids, the motivation of patients is important: the patient’s strong desire to preserve the uterus, avoid surgery, interest in pregnancy.
Uterine artery embolization (UAE) is performed in:
General information
Robotic surgery is a new, high-tech type of minimally invasive surgery, which consists of surgical intervention through small incisions on the patient’s skin and the ability to operate remotely. This ensures minimal trauma, faster recovery, reduces the patient's length of stay in the hospital, and minimizes the likelihood of further complications.
Benefits of Robotic Surgery
The da Vinci Si robot does not perform operations on its own, contrary to popular belief. But thanks to remote control and high-quality visualization, it allows the operating surgeon to make more precise movements and eliminates hand tremors. That is, the robot follows all the movements of the surgeon, and it is not able to move or program itself.
These factors create ideal conditions for the surgeon and facilitate complex laparoscopic operations. As a result of the maximum precision of even very complex instrument movements, thanks to excellent image quality and the ability to perform surgery in small and difficult-to-reach areas, the length of hospital stay for patients is reduced, they feel less pain, lose less blood, have a better aesthetic result, undergo faster rehabilitation and return to work sooner. everyday life.
Robotic surgeries in gynecology, City Clinical Hospital No. 31
In the 70-80s, the widespread introduction of laparoscopy into clinical practice began, which was associated with the advent of fiber optics and special instruments. As a result, not only the quality of diagnosis has improved, but also some interventions on the abdominal organs have become possible. By the way, in our country, the experience of using laparoscopy in gynecology was summarized in 1977 in the monograph by G.M. Savelyeva - Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, professor and our doctor, under whose leadership the first operation was performed in our hospital after its opening in 1970.
At the moment, almost all gynecological operations are performed using laparoscopy and a robot. Robotic surgery in gynecology is one of the fastest growing fields and is used in the treatment of all benign and malignant gynecological diseases. Our gynecologists perform operations on women with the problem of genital prolapse (prolapse), including pelvic floor support (promontofixation using a mesh implant), removal of myomatous nodes (myomectomy) with preservation of the uterus, panhysterectomy with lymph node dissection. Thus, operations previously performed laparoscopically can now be reliably performed robotically.
Surgery for uterine fibroids and ovarian tumors
Today, endoscopic operations are routinely performed regardless of the size of the uterus. Depending on the location of the myomatous nodes and their number, removal can be done with small incisions and without resorting to open surgery. In this case, uterine fibroids, regardless of their size, are removed from the abdomen in small sections using a marcellator.
Radical hysterectomy (removal of the uterus) is a classic and effective method of treating cancer of the uterus and appendages at the initial stage. Robot-assisted surgery makes it minimally invasive, with less blood loss and hospitalization time.
Experience in performing robotic operations in City Clinical Hospital No. 31
At the moment, in City Clinical Hospital No. 31, robotic operations of varying complexity using the da Vinci robotic system are carried out on a regular basis.
Today, gynecological robotic surgeries include removal of ovarian tumors, myomectomies, promontofixations, total and partial hysterectomies, treatment of endometriosis, as well as treatment of endometrial and ovarian cancer.
General information
Laparoscopy is an endoscopic method of emergency and elective surgery. It allows you to examine the internal organs of the abdomen through a small hole in the abdominal wall. The inspection is carried out using an optical tube. After 2-3 other punctures, the necessary manipulations with the organs are performed. Laparoscopy is practically bloodless and low-traumatic.
At the origins of laparoscopic gynecology in Russia is Academician of the Russian Academy of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty of the Russian State Medical University Galina Mikhailovna Savelyeva. Every laparoscopy specialist rightfully calls her your Teacher.
The range of surgical interventions performed using laparoscopic access is wide: gynecological operations, cholecystectomy and hernioplasty, gastrectomy, pancreaticoduodenectomy and operations on the colon and rectum.
General information
Ectopia of the cervix (also Ectopia of the cervical epithelium, Pseudo-erosion of the cervix, Cervical erosion, Endocervicosis) is the location of the columnar epithelium lining the canal of the cervix on its vaginal surface, which outwardly looks like a red spot around the external opening of the canal. Ectopia occurs in approximately half of women of reproductive age and almost never occurs in women over 40 years of age.
General information
Hysteroscopy is an examination of the walls of the uterine cavity using a hysteroscope, followed by (if necessary) diagnostic and surgical procedures. Hysteroscopy allows you to identify and eliminate intrauterine pathologies, remove foreign bodies, take tissue biopsies, and remove endometrial polyps.
Indications for the diagnostic procedure are:
- Anomalies of uterine development.
- Bleeding in postmenopause.
- Infertility.
Indications for the surgical procedure are:
- Submucosal uterine fibroids.
- Intrauterine septum.
- Intrauterine synechiae.
- Endometrial polyp.
- Endometrial hyperplasia.
Contraindications are:
- Recent or existing inflammatory process of the genital organs at the time of the study.
- Progressive pregnancy.
- Profuse uterine bleeding.
- Cervical stenosis.
- Common cervical cancer.
- Common infectious diseases in the acute stage (influenza, pneumonia, pyelonephritis, thrombophlebitis).
- The patient is in serious condition with diseases of the cardiovascular system, liver, and kidneys.
Indications for the diagnostic procedure are:
- Submucosal uterine fibroids.
- Intrauterine septum.
- Intrauterine synechiae.
- Endometrial polyp.
- Endometrial hyperplasia.
- Removing remnants of the intrauterine contraceptive device.
Indications for the surgical procedure:
- Suspicion of internal endometriosis of the uterine body, submucosal fibroids, synechia (adhesions) in the uterine cavity, remnants of the fertilized egg, cervical and endometrial cancer, endometrial pathology, perforation of the uterine walls during abortion or diagnostic curettage.
- Suspicion of uterine malformations.
- Menstrual irregularities in women of childbearing age.
- Anomalies of uterine development.
- Bleeding in postmenopause.
- Infertility.
- Control examination of the uterine cavity after surgery on the uterus, in case of miscarriage, after hormonal treatment.
This is a doctor who deals with diseases of the female reproductive system. SM-Clinic welcomes leading gynecologists from Russia and Moscow, doctors of the highest qualification category.
When is it necessary to visit a gynecologist?
It is necessary to visit a gynecologist for preventive purposes once a year. This will help identify diseases in the early stages, which often occur without symptoms. Also, the help of a gynecologist may be required if certain signs are present, including:
- pain in the lower abdomen;
- irregular monthly cycle, changes in the nature of menstruation;
- inability to become pregnant for one year or more with regular sexual activity;
- the need to select contraceptives;
- burning of the genitals, change in color, smell of discharge;
- unpleasant sensations during menopause: burning and hot flashes, high blood pressure, etc.
How is an appointment with a gynecologist carried out?
At the appointment, the gynecologist asks the patient about complaints and symptoms, studies the patient’s medical documents, and conducts an examination. For this purpose, the latest diagnostic equipment is used, thanks to which the specialist has the opportunity to most accurately assess the state of health of the internal organs. Based on the results obtained, a treatment regimen is drawn up.In addition, during the appointment, the gynecologist may take a smear and prescribe a number of additional examinations.
Diagnostics
Gynecologists at SM-Clinic diagnose diseases of the female reproductive system using different methods. Patients are prescribed:- Ultrasound of the pelvic organs- this method is used to assess the condition of the ovaries, fallopian tubes, uterus, cervix; Ultrasound during pregnancy allows you to monitor the development of the fetus;
- blood test for sex hormones- the level of hormones such as estrogen, progesterone, prolactin, testosterone, FSH, LH is very important when assessing menstrual irregularities, infertility, endometriosis, mastopathy;
- pregnancy diagnosis, which includes an ultrasound of the pelvic organs and a blood test for the level of the “pregnancy hormone” hCG (human chorionic gonadotropin);
- rapid diagnosis of infections using PCR- sexually transmitted infections are often the cause of inflammatory diseases of the pelvic organs, so it is necessary to identify the causative agent of the disease as quickly as possible in order to prescribe the correct treatment;
- colposcopy- examination of the entrance and inner surface of the vagina, as well as the cervix using a special device - a digital video colposcope. This technique allows the gynecologist to obtain an enlarged image of the internal organs on the monitor screen, identify foci of pathological processes and more accurately make a diagnosis;
- hysteroscopy- examination of the uterine cavity using an optical probe, which is inserted through the cervix. The procedure is non-traumatic and allows the doctor to conduct a detailed examination. If necessary, during hysteroscopy, the doctor can remove polyps and separate intrauterine adhesions. It is performed under local or general anesthesia.
- biopsy followed by cytological examination- this diagnostic procedure helps determine the presence/absence of cancer cells in a particular tissue of the body;
- tubal patency study(hysterosalpingography (HSG)) - prescribed in case of suspected obstruction of the fallopian tubes, polyps, endometrial growths, and uterine malformations. The essence of the study is that a contrast agent is injected into the uterus, and then X-rays are taken; the procedure is painless;
Comprehensive diagnostics "Check Up".
Typically, a gynecologist prescribes several types of tests in order to diagnose the cause of the disease as accurately as possible. You can undergo a comprehensive examination and take all tests at once thanks to the “Check Up” programs operating at SM-Clinic. Gynecology". You will save not only time, but also money.
More information about the current Check Up programs. Gynecology".
