Advertising on the portal

Obstetrician-gynecologist, I qualification category. Job description. Obstetricians-gynecologists: the path to the profession

Thank you for your request.

Need additional information?

Didn't find the answer to your question?

Leave a request and our specialists
will advise you.

Thank you for your request.
Your application has been accepted. Our specialist will contact you shortly

Diagnosis of gynecological diseases

Possibilities modern gynecology have expanded significantly with the advent of new diagnostic methods.

Now the examination of the patient is accompanied not only by palpation and an objective examination of the doctor, but also by various diagnostic procedures for visualization and assessment of the condition of those areas reproductive organs, which are hidden from the eyes and hands of the gynecologist. Modern examinations differ in accuracy and information content. It is thanks to high-tech equipment and laboratory analysis methods that the frequency full recovery at gynecological diseases has increased significantly.

IN medical center"SM-Clinic" correct diagnosis gynecological pathologies are given a separate important role. Only based on the results of high-precision studies will the doctor be able to select effective treatment. Our center has implemented modern technologies, which facilitate the collection of information about the disease and increase the chances of successful treatment. SM-Clinic has its own laboratory, which allows you to obtain objective results in the shortest possible time.

Advisory diagnostic method

If you experience pain in the lower abdomen, uncharacteristic vaginal discharge, itching or burning sensation in the intimate areas, disruptions of the menstrual cycle, a consultation with a gynecologist is indicated. Already at this stage, the diagnostic process begins - collecting complaints, anamnesis and conducting a gynecological examination.

The gynecological chair is equipped so that the specialist can objectively assess the condition of the woman’s genital organs. Upon examination and palpation, the doctor may suspect an inflammatory process, the appearance of neoplasms, the presence infectious process etc. Inspection is necessary and extremely important stage diagnostics, during which the doctor differentiates the pathology and prescribes clarifying studies.

The gynecological office at the SM-Clinic is equipped with last word technology. Thanks to special lighting, the doctor will notice even initial changes in the mucous membranes. The use of disposable sterile instruments provides additional protection against infectious diseases. The experience and accuracy of a specialist is the key to comfort during the examination and the formation of a trusting relationship with the patient.

Hardware diagnostics in gynecology

We use only modern and most informative diagnostic methods in the field of gynecology. This ensures high accuracy of the results obtained, as well as cost savings for our patients. Each informative research reduces the need for other types of diagnostics and the need to repeat them. The following methods are performed at SM-Clinic:

  • Video colposcopy – hardware examination of the vagina and cervical canal. It is carried out using digital optical equipment with the image displayed on a monitor. If necessary, the doctor makes tests to identify areas of mucosal cell dysplasia and other pathologies. The procedure is painless.
  • Hysteroscopy. Examination of the uterine cavity using a hysteroscope. Allows you to assess the condition of the endometrium and the mouths of the fallopian tubes. If necessary, minor operations (dissection of adhesions, removal of polyps) are immediately performed during diagnosis. Diagnosis is performed under anesthesia.
  • Hysterosalpingography. An X-ray type of examination that allows you to evaluate the shape and size of the uterus, the condition of all layers of the myometrium, as well as patency fallopian tubes. Digital equipment for x-ray examination at SM-Clinic minimizes radiation exposure and allows you to obtain high-quality images.
  • Ultrasound. Often used in gynecology, it is a safe and painless diagnostic method. Reveals various diseases and provides additional information about character pathological process. Ultrasound is widely used to monitor pregnancy.

To diagnose complex diseases, doctors at our clinic prescribe the most informative methods - computer and magnetic resonance imaging.

Laboratory tests for the most effective treatment

In gynecology, staging correct diagnosis can't do without laboratory tests. Laboratory diagnostics provide clarifying information and are very important in the process of selecting treatment. In gynecology they actively use:

  • detection of infection using the polymerase method chain reaction– sets a specific infectious cause inflammatory process, provides information about the nature of the pathogen;
  • smears - examination of vaginal and cervical canal secretions to determine the qualitative and quantitative composition of the microflora;
  • bacterial cultures - allow you to determine the sensitivity of pathogenic microflora to antibiotics, on the basis of which therapy is selected;
  • determination of hormone levels - used to identify the causes of infertility, hormone-dependent tumors, dysfunctional disorders of hormone-producing organs;
  • cytological examination of biopsy specimens - used to identify atypical cells in the biomaterial;
  • assessment of the level of tumor markers – used for a comprehensive assessment of the risk of developing a malignant process in the body;
  • level analysis human chorionic gonadotropin– used to diagnose pregnancy in case of questionable ultrasound results.
    •

– It takes a lot of time and effort to train a real doctor. In addition, an individual approach is important here. This is especially true for obstetricians and gynecologists. It is difficult to prepare for this profession, because it is a very broad subject: there are normal physiology, and pathology, and emergency branches of medicine, i.e. An obstetrician-gynecologist must also be a physiologist (meaning work on preventive direction), and a specialist in surgical branches of medicine and emergency assistance. After all, such a doctor is responsible for two lives - mother and child.

During the first 5 years of study at the institute, an obstetrician-gynecologist receives basic education, and specialization begins in the sixth year of study; This is the so-called subordination, its duration is 1 year. After graduation, the student becomes a doctor and can work independently, for example, in antenatal clinic. However, most doctors, after completing their subordination, continue their education in internship (1 year) and/or residency (2 years). A doctor is admitted to residency on a competitive basis based on the results of an exam. During this period of study, the aspiring doctor is assigned to a more experienced specialist, and he supervises his work. A young doctor leads patients and learns to operate, but under the guidance of his supervisor, and he does not have the right to sign his own signature (along with him medical documents it must be signed by the curator and/or head of the department). If a novice doctor is on duty, then if an emergency occurs difficult situation, in which his qualifications are insufficient, a more experienced doctor will always help with advice - even while at home. So gradually the young doctor becomes a mature specialist. But life shows that this requires at least 10 years practical experience. In addition, a doctor cannot be trained once and for a lifetime, since medicine is developing very quickly. In Europe, a midwife studies for 6 years, and an obstetrician-gynecologist has a 10-year education: 6 years of basic course and 4 years of internship.

After residency, a doctor can also enter graduate school on a competitive basis. Its duration is 3 years. Postgraduate studies are aimed at training scientific personnel; there is less practice, and most of the time is spent working on a dissertation. The graduate student also treats patients, but mainly on his own topic.

After graduation, the doctor is issued a certificate as an obstetrician-gynecologist, and every 5 years it is confirmed after free continuing education courses and a certification exam. In addition, a doctor can take paid courses and participate in paid seminars.

There is also a category system. The second category is assigned after 2-3 years practical work, after 5-7 years the doctor has the right to receive the first category, and after 10 years of practical activity - the highest. To receive highest category the doctor must write a special paper. It indicates the knowledge and skills that he possesses; part of the work should be research. A doctor of the highest category working in a hospital must operate in full, have skills such as hysteroscopy, master laparoscopic techniques, and have some knowledge of ultrasound. A doctor of the highest category working in a antenatal clinic, of course, cannot operate, but he knows the whole spectrum gynecological diseases, knows issues related to family planning and prevention of abortion, substitution hormonal therapy etc.

Thus, it turns out that a doctor becomes a specialist – formally and actually – within 10 years after graduation. In Europe, there is no practice of dividing qualifications, but everyone knows that a doctor gains real experience within 10 years of work.

So, the path to becoming a doctor is very long: it usually consists of 8 years of study (institute + residency) and 10 years of work. Thus, if a woman has the opportunity to choose a doctor, then, in addition to the usual search method by asking her friends, she should focus on the doctor’s medical experience and place of work. The status of a candidate of medical sciences in some cases should not play a decisive role, since, as mentioned above, the period of postgraduate study often enriches the doctor’s experience in a purely narrow field of medicine.

– What about midwives? Is their preparation as serious?

– Midwives have a special status among other representatives of nursing staff. They are specially trained at the paramedic level 2 . If the nurse fully carries out the doctor’s orders, then the midwife and paramedic have the right to act independently. The midwife graduates from a special paramedic school, the course of study lasts 4 years, she has quite wide range preparation. She not only cares for pregnant women and delivers babies, but in some cases also treats gynecological patients.

– Can everyone work as an obstetrician-gynecologist? Are there any medical restrictions?

– Absolute limitation – mental illness. Examinations of medical staff are carried out regularly, and if the doctor reveals contagious disease, such as syphilis, gonorrhea, it cannot work until it is cured, which should be monitored by repeated examination.

– What are there? gynecological departments and what would you advise a woman who is faced with choosing an institution providing gynecological care?

– Gynecological departments are divided into two categories: those working in emergency rooms and those that are hospitalized in in a planned manner. But any gynecological department is a surgical department, so they carry out surgical operations. Women are hospitalized in gynecological departments with the most different problems: with infertility, inflammatory processes, with endometriosis, with complications after abortions, IUDs are also installed and removed ( intrauterine contraception) etc. In other words, such a department has no specialization. Only in some hospitals (in Moscow this is gynecological hospital No. 5) there are several specialized departments: a department for early pregnancy ( spontaneous interruption pregnancy early stages, abortions), department of conservative methods and operational department. But such narrow specialization branches are rare. Basically, gynecological departments are part of multidisciplinary hospitals. Obstetrics and gynecology clinics are called obstetrics and gynecology departments or centers at medical educational institutions. These are departmental clinics, where the head of the department is subordinate to the professor, who organizes the life of the department in such a way as to optimally ensure the learning process for students.

In clinics, the training process is carried out in parallel with the process of treating patients. If a medical institution is not called a clinic, but it has a department of obstetrics and gynecology, then this means that they are simply adjacent on the same territory. In such an institution, the head of the department reports not to the professor, but to the city health department. The departments there are in a subordinate position and do not decide anything independently. The life of the departments is geared only to treatment.

If a woman has a choice of which institution - clinical or city ​​hospital– seek help, then, without a doubt, you should prefer a clinic. Firstly, the clinics have a double staff (training staff + treatment staff). Secondly, the clinic’s staff are doctors who, in their work with patients, rely not only on their practical skills and experience, but also on the latest scientific developments.

– What criteria should be used to choose a place for childbirth?

– As in the whole world, it is better to choose maternity ward multidisciplinary hospital or hospital. In my opinion, you shouldn’t choose a separate maternity hospital, because it’s good there as long as the birth is going well... In Moscow, only 7 obstetric institutions are combined with multidisciplinary hospitals. This combination, in my opinion, is absolutely justified. Because if doctors are urgently needed - not gynecologists, for example a blood transfusion specialist or vascular surgeon, they will be able to help promptly only if they are in the same hospital. This does not mean that they replace obstetricians, just that doctors of different specializations work together, complementing each other. In a separate maternity hospital there are no such specialists.

– How officially do midwives conduct home births?

- According to the law, anyone medical staff, including midwives and doctors, cannot provide planned medical care pregnant women outside medical institutions. A particular woman retains the right to invite a midwife or doctor to her home, but this is done unofficially. But if a complication occurs during childbirth, the medical staff present at the birth will incur criminal liability, because according to the law it is impossible to provide obstetric care at home. Although in Moscow a project of such an option for obstetric care is ready for implementation, when from maternity hospital A special team consisting of a doctor, midwife and anesthesiologist goes to the woman’s home.

0.1. The document comes into force from the moment of approval.

0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.3. The document has been approved: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.4. Periodic verification of this document is carried out at intervals not exceeding 3 years.

1. General provisions

1.1. Position "Obstetrician-gynecologist I" qualification category" belongs to the category "Professionals".

1.2. Qualification requirements- complete higher education(specialist, master's degree) in the field of training "Medicine", specialty "General Medicine". Specialization in the specialty "Obstetrics and Gynecology" (internship, specialization courses). Advanced training (advanced courses, internships, pre-certification cycles, etc.). Availability of a medical specialist certificate and a certificate of assignment (confirmation) of the 1st qualification category in this specialty. Work experience in the specialty for more than 7 years.

1.3. Knows and applies in practice:
- current legislation on health care and regulatory documents regulating the activities of governing bodies and health care institutions, the fundamentals of law in medicine, the organization of obstetric and gynecological care;
- rights, duties and responsibilities of an obstetrician-gynecologist;
- performance indicators of obstetric and gynecological institutions and departments;
- work of medical advisory and medical and social expert commissions;
- modern classification gynecological diseases;
- topographic anatomy, normal and pathological physiology woman's body;
- physiology and pathology of pregnancy, childbirth and postpartum period;
- basics of hematopoiesis and hemostasis, water-electrolyte metabolism and acid-base balance of blood, immunology and pharmacology;
- general and special methods examinations that are used in obstetrics and gynecology;
- modern methods prevention, diagnosis, treatment, rehabilitation and medical examination of obstetric and gynecological diseases, prevention unwanted pregnancy;
- modern methods of childbirth;
- prevention of miscarriage and post-term pregnancy, resuscitation, intensive care newborns;
- modern techniques performing obstetric and urgent care gynecological operations and manipulations, as well as resuscitation;
- principles of preoperative preparation of patients and postoperative monitoring of them;
- identification, monitoring, treatment of pregnancy complications and postpartum rehabilitation;
- rules of asepsis and antiseptics;
- basics of pharmacotherapeutic methods used in obstetrics and gynecology;
- basics of prevention and timely diagnosis malignant neoplasms;
- clinic, causes, diagnosis, methods of treatment of infectious diseases and " acute abdomen" in gynecology, acquired immunodeficiency syndrome (AIDS), venereal diseases etc.;
- issues of sexopathology;
- basics of endocrinology, urology, surgery, gynecological oncology;
- basic methods of physiotherapy and physical therapy, used in obstetrics and gynecology;
- design rules medical documentation;
- modern literature in the specialty and methods of its generalization.

1.4. Appointed to a position and dismissed from a position by order of the organization (enterprise/institution).

1.5. Reports directly to _ _ _ _ _ _ _ _ _ _ .

1.6. Supervises the work of _ _ _ _ _ _ _ _ _ _ .

1.7. During absence, he is replaced by a person appointed to in the prescribed manner, which acquires the corresponding rights and is responsible for the proper fulfillment of the duties assigned to it.

2. Characteristics of work, tasks and job responsibilities

2.1. It is guided by the current legislation of Ukraine on health care and regulations that determine the activities of governing bodies and health care institutions, the organization of obstetric and gynecological care to the population.

2.2. Provides pregnancy diagnostics, monitoring of pregnant women, obstetric care, early detection complications of pregnancy and childbirth, treatment and supervision of women in labor; organizes and conducts clinical examination of gynecological patients.

2.3. Applies modern methods of prevention, treatment and rehabilitation within his specialty; masters all methods of outpatient and inpatient treatment, full volume surgical interventions, including hysterectomy, ligation of the inferior arteries, microsurgical and plastic surgeries.

2.4. Provides emergency and emergency medical care to obstetric and gynecological patients.

2.5. Monitors adverse reactions/effects of medications.

2.6. Provides consultations on referrals from doctors of other specialties, including at home.

2.7. Conducts work ability assessments.

2.8. Plans work and analyzes its results.

2.9. Maintains medical documentation.

2.10. Adheres to the principles of medical deontology.

2.11. Contributes legal protection women in accordance with current legislation.

2.12. Supervises the work of nursing staff.

2.13. Takes an active part in disseminating medical knowledge among the population and conducting mass preventive examinations.

2.14. Constantly improves his professional level.

2.15. Knows, understands and applies current regulations relating to his activities.

2.16. Knows and complies with the requirements of regulations on labor protection and environment, complies with the standards, methods and techniques of safe work performance.

3. Rights

An obstetrician-gynecologist of the first qualification category has the right to:

3.1. Take action to prevent and correct any violations or non-compliances.

3.2. Receive all social guarantees provided for by law.

3.3. Request assistance in the performance of their official duties and the exercise of their rights.

3.4. Require the creation of organizational and technical conditions necessary for the performance of official duties and the provision necessary equipment and inventory.

3.5. Get acquainted with draft documents relating to its activities.

3.6. Request and receive documents, materials and information necessary to fulfill their job duties and management orders.

3.7. Improve your professional qualifications.

3.8. Report all violations and inconsistencies identified in the course of its activities and make proposals for their elimination.

3.9. Familiarize yourself with the documents defining the rights and responsibilities of the position held, and the criteria for assessing the quality of performance of official duties.

4. Responsibility

An obstetrician-gynecologist of the first qualification category is responsible for:

4.1. Failure to fulfill or untimely fulfillment of the requirements set forth herein job description obligations and (or) non-use of granted rights.

4.2. Failure to comply with internal labor regulations, labor protection, safety regulations, industrial sanitation and fire protection.

4.3. Disclosure of information about an organization (enterprise/institution) related to a trade secret.

4.4. Failure to comply or improper fulfillment of internal requirements regulatory documents organization (enterprise/institution) and legal orders of management.

4.5. Offenses committed in the course of their activities, within the limits established by the current administrative, criminal and civil legislation.

4.6. Causing material damage to an organization (enterprise/institution) within the limits established by current administrative, criminal and civil legislation.

4.7. Illegal use of granted official powers, as well as their use for personal purposes.

This job description has been automatically translated. Please note that automatic translation is not 100% accurate, so there may be minor translation errors in the text.

Instructions for the position " Obstetrician-gynecologist, 1st qualification category", presented on the website, meets the requirements of the document - "DIRECTORY OF Qualification Characteristics of Workers' Professions. Issue 78. Healthcare. (As amended in accordance with orders of the Ministry of Health No. 131-O dated June 18, 2003, No. 277 dated May 25, 2007, No. 153 dated March 21, 2011, No. 121 dated February 14, 2012)", which approved by order Ministry of Health of Ukraine 03.29.2002 N 117. Agreed by the Ministry of Labor and social policy Ukraine.
The document status is "valid".

Preface to the job description

0.1. The document comes into force from the moment of approval.

0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.3. The document has been approved: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.4. Periodic verification of this document is carried out at intervals not exceeding 3 years.

1. General provisions

1.1. The position "Obstetrician-gynecologist of the 1st qualification category" belongs to the category "Professionals".

1.2. Qualification requirements - complete higher education (specialist, master's degree) in the field of training "Medicine", specialty "General Medicine". Specialization in the specialty "Obstetrics and Gynecology" (internship, specialization courses). Advanced training (advanced courses, internships, pre-certification cycles, etc.). Availability of a medical specialist certificate and a certificate of assignment (confirmation) of the 1st qualification category in this specialty. Work experience in the specialty for more than 7 years.

1.3. Knows and applies in practice:
- current legislation on health care and regulatory documents regulating the activities of governing bodies and health care institutions, the fundamentals of law in medicine, the organization of obstetric and gynecological care;
- rights, duties and responsibilities of an obstetrician-gynecologist;
- performance indicators of obstetric and gynecological institutions and departments;
- work of medical advisory and medical and social expert commissions;
- modern classification of gynecological diseases;
- topographic anatomy, normal and pathological physiology of the woman’s body;
- physiology and pathology of pregnancy, childbirth and the postpartum period;
- basics of hematopoiesis and hemostasis, water-electrolyte metabolism and acid-base balance of blood, immunology and pharmacology;
- general and special examination methods that are used in obstetrics and gynecology;
- modern methods of prevention, diagnosis, treatment, rehabilitation and medical examination of obstetric and gynecological diseases, prevention of unwanted pregnancy;
- modern methods of childbirth;
- prevention of miscarriage and post-term pregnancy, resuscitation, intensive care of newborns;
- modern methods of performing obstetric and urgent gynecological operations and manipulations, as well as resuscitation;
- principles of preoperative preparation of patients and postoperative monitoring of them;
- identification, monitoring, treatment of pregnancy complications and postpartum rehabilitation;
- rules of asepsis and antiseptics;
- basics of pharmacotherapeutic methods used in obstetrics and gynecology;
- basics of prevention and timely diagnosis of malignant neoplasms;
- clinic, causes, diagnosis, methods of treatment of infectious diseases and “acute abdomen” in gynecology, acquired immunodeficiency syndrome (AIDS), sexually transmitted diseases, etc.;
- issues of sexopathology;
- basics of endocrinology, urology, surgery, gynecological oncology;
- basic methods of physiotherapy and physical therapy used in obstetrics and gynecology;
- rules for processing medical documentation;
- modern literature on the specialty and methods of its generalization.

1.4. An obstetrician-gynecologist of the first qualification category is appointed to the position and dismissed from the position by order of the organization (enterprise/institution).

1.5. An obstetrician-gynecologist of the first qualification category reports directly to _ _ _ _ _ _ _ _ _ _ .

1.6. An obstetrician-gynecologist of the first qualification category supervises the work of _ _ _ _ _ _ _ _ _ _ .

1.7. During absence, an obstetrician-gynecologist of the first qualification category is replaced by a person appointed in accordance with the established procedure, who acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.

2. Characteristics of work, tasks and job responsibilities

2.1. It is guided by the current legislation of Ukraine on health care and regulations that determine the activities of governing bodies and health care institutions, the organization of obstetric and gynecological care to the population.

2.2. Provides pregnancy diagnosis, monitoring of pregnant women, obstetric care, early detection of complications of pregnancy and childbirth, treatment and supervision of women in labor; organizes and conducts clinical examination of gynecological patients.

2.3. Applies modern methods of prevention, treatment and rehabilitation within his specialty; masters all methods of outpatient and inpatient treatment, the full range of surgical interventions, including hysterectomy, ligation of the hypochondrial arteries, microsurgical and plastic surgeries.

2.4. Provides emergency and emergency medical care to obstetric and gynecological patients.

2.5. Monitors adverse reactions/effects of medications.

2.6. Provides consultations on referrals from doctors of other specialties, including at home.

2.7. Conducts work ability assessments.

2.8. Plans work and analyzes its results.

2.9. Maintains medical documentation.

2.10. Adheres to the principles of medical deontology.

2.11. Promotes legal protection for women in accordance with current legislation.

2.12. Supervises the work of nursing staff.

2.13. Takes an active part in disseminating medical knowledge among the population and conducting mass preventive examinations.

2.14. Constantly improves his professional level.

2.15. Knows, understands and applies current regulations relating to his activities.

2.16. Knows and complies with the requirements of regulations on labor protection and environmental protection, complies with the norms, methods and techniques for the safe performance of work.

3. Rights

3.1. An obstetrician-gynecologist of qualification category I has the right to take actions to prevent and eliminate cases of any violations or inconsistencies.

3.2. An obstetrician-gynecologist of the first qualification category has the right to receive all social guarantees provided for by law.

3.3. An obstetrician-gynecologist of the first qualification category has the right to demand assistance in the performance of his official duties and the exercise of his rights.

3.4. An obstetrician-gynecologist of the first qualification category has the right to demand the creation of organizational and technical conditions necessary for the performance of official duties and the provision of the necessary equipment and inventory.

3.5. An obstetrician-gynecologist of the first qualification category has the right to get acquainted with draft documents relating to his activities.

3.6. An obstetrician-gynecologist of qualification category I has the right to request and receive documents, materials and information necessary to fulfill his job duties and management orders.

3.7. An obstetrician-gynecologist of qualification category I has the right to improve his professional qualifications.

3.8. An obstetrician-gynecologist of the first qualification category has the right to report all violations and inconsistencies identified in the course of his activities and make proposals for their elimination.

3.9. An obstetrician-gynecologist of the first qualification category has the right to familiarize himself with documents defining the rights and responsibilities of the position held, and criteria for assessing the quality of performance of official duties.

4. Responsibility

4.1. An obstetrician-gynecologist of the first qualification category is responsible for failure to fulfill or untimely fulfillment of the duties assigned by this job description and (or) non-use of the granted rights.

4.2. An obstetrician-gynecologist of the first qualification category is responsible for non-compliance with internal labor regulations, labor protection, safety precautions, industrial sanitation and fire protection.

4.3. An obstetrician-gynecologist of the first qualification category is responsible for disclosing information about an organization (enterprise/institution) that is a trade secret.

4.4. An obstetrician-gynecologist of the first qualification category is responsible for failure to comply or improper fulfillment of the requirements of internal regulatory documents of the organization (enterprise/institution) and legal orders of management.

4.5. An obstetrician-gynecologist of the first qualification category is responsible for offenses committed in the course of his activities, within the limits established by the current administrative, criminal and civil legislation.

4.6. An obstetrician-gynecologist of the first qualification category is responsible for causing material damage to an organization (enterprise/institution) within the limits established by the current administrative, criminal and civil legislation.

4.7. An obstetrician-gynecologist of the first qualification category is responsible for the unlawful use of the granted official powers, as well as their use for personal purposes.

The daughter underwent the Hydrosonography procedure and it was discovered that no fluid had entered the right and left paraovarian and retrouterine spaces. What does this mean and how dangerous is it? Is laparoscopy necessary?

Hello! Unfortunately, we do not comment on survey results in absentia. In order for you to receive correct assessment your condition, the diagnostic results should be interpreted by the doctor who prescribed you this examination. If you want to hear the opinion of an independent doctor, then the consultation must be face-to-face so that the doctor has the opportunity to obtain an objective assessment of your condition. You can contact our multidisciplinary center. Get more detailed information, and you can also make an appointment by calling 8-495-223-22-22 from 08.00 to 23.00 daily. Thank you for your request.

Hello! Is it possible in your clinic to terminate a pregnancy at 20 weeks for medical reasons?

Hello! Our clinic does not perform abortions at 20 weeks, only up to 12 weeks of pregnancy. Best regards, On Clinic.

What is included and how it happens medical abortion? Is hospital required?

Hello. A medical abortion includes a doctor’s consultation, ultrasound, pharmaceuticals, and separate tests. The hospital is recommended only by a doctor in conjunction with current state. Gynecologists of our center will provide you with a face-to-face consultation necessary help. You can make an appointment by phone. 8 495 223 22 22 from 08.00-23.00 daily. Thank you for your request.

Hello! Please help me figure it out: during the ultrasound, the gynecologist said that the endometrium was thickened. It has a thickness of 7.5 and increases in a certain place to 10 mm. (This is 7-8 days from the start of menstruation). The doctor insists on a uterine biopsy. Is this really necessary? Or is this thickness within normal limits? (I’m 40 years old, nothing bothers me, I had a colposcopy and everything is fine)

Hello! The question of the appropriateness of this manipulation cannot be decided in absentia. Data from anamnesis, clinical picture, examination, additional methods instrumental and hardware diagnostics. To get advice from a highly qualified specialist, you can contact our clinic. Reception is conducted by doctors of the highest category, candidates and doctors of medical sciences with extensive experience. Make an appointment with a gynecologist for convenient time and day you can call 8-495-223-22-22. We will be happy to help you!

Hello! I ask you to please advise me. I am 31 years old, height 173, weight 60 kg. I have not given birth, I had an abortion 7 years ago. On at the moment menstrual cycle normal. The problems are: 1) for 4 years now I have had pain in the lower right abdomen, and often in the lumbosacral region of the back on the right. The tests are normal, both smears and ultrasounds, it hurts CONSTANTLY, but it gets worse during PA and after lifting minor weights and walking. Gynecologists do not make a single diagnosis, they treated with everything possible, hormones, etc., in general - CPP of unknown origin. And two years ago they did diagnostic laparoscopy, and they found endometriosis and adhesions on it, removed the adhesions, cauterized the foci of endometriosis, prescribed Visanne for six months, it didn’t work for me (there was blood on it constantly for two months), and I was transferred again to Duphaston, and again no sense, the pain did not go away even after the operation - it remained there in the same place. They also sent me to other doctors: a urologist, a neurologist, a gastroenterologist - well, I probably have everything like everyone else - colitis, and a couple of protrusions in lumbar region, which, in my opinion, cannot cause constant pain in the stomach. Neurologists have also prescribed me sooo many different antidepressants and antipsychotics over the years, which do not help me. And yes, by the way, I have also been tormented by constant headaches for 3 years now. What do you think about this? Problem 2) About a year ago, discomfort appeared in the vagina and its vestibule - in the form of pinching, including during sexual intercourse, i.e. sex life it is impossible to lead. I took all the smears, found: gardnerella and eubacterium - more than 10 to 4 degrees, was treated, all the symptoms remained the same, two weeks after treatment I took smears again, no gardnerella, eubacterium remained, again treatment, again the symptoms did not go away. And it's been like that for a year! I’m being treated - I’m passing, I’m being treated - I’m passing. I've probably already tried the whole pharmacy. My husband also had a smear test - everything was clear for him, and he actually never had any complaints. What to do next? Some kind of vicious circle. Problem 3) My period began on August 8 this month, and on August 12 discomfort began on the left side of the lower abdomen, which turned into pain, which continues to this day. Also on the morning of August 8, before the onset of menstruation, I did an ultrasound of the pelvis, which found small cyst on the left ovary, and the ultrasound specialist said to redo the ultrasound on the 7th day of the cycle, that perhaps she would go away after her period on her own. Tell me what should I do now? Thank you in advance for your answer!

Hello! Unfortunately, we do not have sufficient information on your condition, so we cannot comment on your situation in absentia. You should ask your attending physician any questions you have. However, you have the right to independent consultation with another specialist, but this consultation can only be face-to-face so that the doctor can receive all necessary information about your health condition for an expert opinion. You can receive such advice at an appointment with specialists at our clinic. You can find out more detailed information and also make an appointment by calling 8-495-223-22-22 daily from 08.00 to 23.00. Sincerely, On Clinic!

Good afternoon
I have been taking the COC Jess for the second month, I fell ill with a sore throat, and was prescribed Ceftriaxone.
On the 12th day of the cycle I had an unprotected PA, I’m still doing injections.
Tell me, does the effect of Jess decrease with this antibiotic?
What is the probability of getting pregnant?

Hello! We recommend that you ask your question to the doctor who prescribed treatment with this antibiotic. When prescribing a drug, the doctor must take into account its interaction with other medicines which the patient takes. To diagnose the likelihood of pregnancy, we recommend consulting with a gynecologist in person. If you wish, you can make an appointment with the specialists of our center by calling 8-495-223-22-22. Sincerely, On Clinic!

Hello.
I am interested in removing a uterine polyp (0.5) with a laser from August 26th. to 29.08. Cost of polypectomy. Necessary tests.

Hello! Unfortunately, our clinic does not perform laser removal endometrial polyps. Best regards, On Clinic.

Hello! DEKA's innovation is an innovative method of treating women's reproductive system and vaginal atrophy: in addition to improving the aesthetic aspect, the new treatment method allows us to solve and prevent many problems that arise before and during menopause. Conducted this procedure once every 45 days. For older ladies, 3 procedures are recommended - the number of procedures depends not on age, but on the presence of indications and contraindications. For younger ladies, 1-2 procedures - the number depends on the indications and contraindications. Everything is determined by the doctor during a face-to-face consultation, after an examination. The effect lasts for life, if after the procedure the woman does not give birth or undergo surgery. You can find out more detailed information and also make an appointment by calling 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!

Discharge yellow cereal. How to treat?

Hello! Before prescribing treatment, it is necessary to find out the nature of the discharge. Consult a gynecologist, go full examination. After production final diagnosis You will be prescribed medications. Absentee treatment is not prescribed. You can contact our multidisciplinary center. Get advice from an experienced specialist. Undergo full diagnostics using the most modern equipment in short terms. We invite you to our clinic. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!

Removal of Bartholin's gland? What method and what cost?

Hello! All treatment methods are used. The technique is selected by the doctor during a face-to-face consultation. Enucleation (removal) of a Bartholin gland cyst from RUB 35,000. We offer operative gynecology in full. Our clinic employs experienced surgeons with extensive experience. Surgical rooms are equipped with the most modern surgical equipment from the world's leading manufacturers of medical equipment, there is a comfortable day hospital. You can find out more detailed information and also make an appointment by calling 8-495-223-22-22 daily from 07.00 to 23.00 hours. Sincerely, On Clinic!

Hello!
At 9-10 weeks, she was kept in storage - there was brown discharge, an ultrasound showed a contraction of the cervix to 31 mm and opening of the internal pharynx. Actovegin and noshpa were dripped. Now we support Utrozhestan, Duphaston, and also magnesium B6. Now I am 11 weeks old, according to ultrasound the cervix is ​​36 mm, the pharynx is closed, the placenta (chorion) is 11 mm along the anterior wall. In a week there will be a 500 km trip. Are there risks and what is better to choose - a car or a train? Thank you!

Hello! Regarding your question, you should either talk in detail with your doctor, or contact (in person) another specialist for clarification. Unfortunately, we do not have sufficient information on your condition, so we have no right to recommend anything. We invite you to our center. You can make an appointment with a specialist by phone on any day and time convenient for you: 8-495-223-22-22 from 08.00 to 23.00 hours. Sincerely, On Clinic!

When is it better to take hCG sexual intercourse was 3 ago

Hello! 7-10 days from the expected day of conception. We invite you to our center. The clinic has its own modern laboratory. Contact phone number 8-495-223-22-22 from 07.00 to 23.00 hours. We are waiting for your call.

I was diagnosed with endometrial hyperplasia; according to ultrasound, the endometrium of the uterus was 21 mm. I am 62 years old. I haven’t had my period for 10 years, 6.07. it was a mess. I passed all the tests, but the diagnosis was scheduled only for July 22. You can somehow calm yourself down: check the endometrial cells for atypicality and how quickly, please answer.

Hello! In our clinic, the necessary examination and treatment can be completed as soon as possible. If necessary - on the day of application. The clinic is open seven days a week from 8 a.m. to 9 p.m. We have our own laboratory, medical equipment latest generation, modern operating rooms, comfortable hospital. You can get detailed information and sign up for the clinic by calling 8-495-223-22-22. We will be happy to help you!

They suspect thrush and have told you to get tested, is it necessary? Is it possible to prescribe treatment online?

Hello! Treatment is prescribed after receiving the examination results and clarifying the phase of the disease. Treatment of thrush (candidiasis) is complex, it usually includes the use antifungal drugs(systemically and locally), anti-inflammatory drugs, immunomodulators, vitamins. You can contact our multidisciplinary center. Get advice from an experienced specialist. Undergo full diagnostics using the most modern equipment in a short time. We invite you to our clinic. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!

Hello!
Interested in choosing a contraceptive method?
What tests need to be done for this in your clinic and what will be the final cost?
Thank you!

Hello. Regarding your question, you should contact your obstetrician-gynecologist. Come to our center for routine examinations. OnClinic has all the conditions, its own laboratory, and general practitioners. You can make an appointment and ask questions by phone. 8 495 223 22 22 from 08.00 to 23.00 daily. Thank you for your request.

Hello! I am 17 years old. On June 23 there was sexual contact. I'm a virgin. There was an eruption, but it didn’t hit me, it hit the sofa. I got scared and left. Deg took Postinor according to the instructions. There were side effects (dizziness, nagging pain in the abdomen), but after 2 weeks (July 7), dark brown spotting (not abundant) without odor began. I read that this is the norm, but tell me, why did it start after 2 weeks? Is this the norm? I'm very worried!! And am I pregnant? I’m very worried. Your period should start in 3 days

Hello! It is difficult to comment on your case in absentia. Only a gynecologist can exclude or confirm the fact of pregnancy after an in-person examination and diagnosis. To avoid possible complications, you should not take medications without a doctor’s prescription. Means and methods of contraception should be selected only together with an experienced gynecologist, who will first conduct an examination and give recommendations taking into account the characteristics of your body. We recommend that you contact gynecologists at On Clinic. The doctor will help clarify your condition and also give appropriate recommendations. We will be happy to help you! Make an appointment by phone: 8-495-223-22-22 from 08.00 to 23.00 daily. We are waiting for your call!

Can you remove the IUD?

Hello! Removal of an intrauterine contraceptive device (IUD) spiral from 2000 rub. depending on the difficulty category. We invite you to our center. Our center employs experienced specialists. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!

Do you carry out IVF?

Hello! Unfortunately, we do not have such a service. The clinic provides preparation for IVF and pregnancy management after embryo transfer. Best regards, On Clinic.

Is it possible to shift the menses of the day by 4?

Hello! Delaying the onset of menstruation is only possible if you regularly take hormonal contraceptives. You should not start taking these medications on your own, without a preliminary examination by a gynecologist. If you wish, you can contact a gynecologist for an individual face-to-face consultation. You can make an appointment with a doctor by calling 8-495-223-22-22. We will be happy to help you!

Hello! I am 17 years old. On June 23 there was an unprotected PA via anal hole. I'm a virgin. There was an ejaculation, but he managed to pull it out and everything ended up on the sofa. But I got scared and drank it right away. Day "Postinor" as per instructions. There were side effects (dizziness, nagging pain in the abdomen), dark green calv mixed with regular (brown), but it went away. Now, on July 7 (2 weeks later), spotting dark brown discharge began, not copious. I read that this is the norm. Tell me, is this so? And could it be pregnancy? I'm worried! Your period should start in 5 days.

Hello. In your case, pregnancy is excluded. For competent consultation and selection of contraception, you can contact a gynecologist at our center. Make an appointment by phone: 8-495-223-22-22.

Delayed. I live in PA. There was an unprotected contact. On what day is it better to take hCG test? How much does it cost?

Hello! An hCG blood test is taken 7-10 days after the expected conception. Our clinic has the latest technical facilities and a modern laboratory, which allows us to carry out comprehensive examination. You can find out more detailed information and also sign up for tests by calling 8-495-223-22-22 daily from 07.00 to 23.00. We will be happy to provide you with qualified assistance!

Is there an increase in leukocytes in a smear? Is this dangerous?

Hello! Elevated white blood cells can talk about inflammatory process. If deviations from the norm are detected, further examination is recommended. And a face-to-face consultation with a gynecologist. We invite you to our center. Our center employs experienced specialists. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 08.00 to 23.00 daily. We are waiting for your call!

Hello. My mother (65 years old) had an endometrial polyp removed several years ago. In early spring, during a routine examination, he was found again in the same place. The doctor said to watch until the fall, and then they might have an operation to remove it. Please tell me, is it possible to take her to relax at the seaside before the operation (in September) (we don’t plan to sunbathe under the scorching sun)? Or are travel abroad not recommended for such diagnoses? Thank you.

Hello. Any recommendations are given only by the doctor in conjunction with clinical picture illness or current condition. If you want to hear the opinion of our doctor, the consultation must be face-to-face so that the doctor has the opportunity to obtain an objective assessment of your health. You can contact our multidisciplinary center. You can make an appointment by phone. 8 495 223 22 22, from 08.00 to 23.00 daily. Thank you for contacting us.

Good afternoon. Can a mucous plug come out mixed with blood? And is it possible to continue treatment with Terzhinan after its withdrawal?

Hello. Any changes in drug prescriptions are recommended only by a doctor in conjunction with the clinical picture of your disease or current condition. If you want to hear the opinion of our doctor, the consultation must be face-to-face so that the doctor has the opportunity to obtain an objective assessment of your health. You can contact our multidisciplinary center. You can make an appointment by phone. 8 495 223 22 22, from 08.00 to 23.00 daily. Thank you for contacting us.

Hello, at 37.3 weeks of pregnancy, the length of the cervix was determined to be 10mm and the v-shaped opening of the internal os was 8mm. Since the city is small and there are no competent specialists, a problem has arisen, some doctors say that it’s time to give birth, others say that there’s nothing left to do but walk and walk. I don’t know who to listen to.

Hello. Unfortunately, we do not comment on survey results in absentia. The diagnostic results should be interpreted by the doctor who prescribed this examination for you. If you want to hear comments from an independent doctor, the consultation must be face-to-face so that the doctor has the opportunity to get an objective assessment of your condition. You can contact our multidisciplinary center. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 08.00 to 23.00 daily. Thank you for your request.

Where the anus has formed, should I see a gynecologist? Do you remove it with a laser?

Hello! IN in this case Consultation with a coloproctologist is required. In our center, this specialist accepts. If we're talking about about condylomas, then our center presents laser vaporization genital warts(group of condylomas). We invite you to our clinic. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 08.00 to 23.00 daily. We are waiting for your call!
, June 12, 2019

Hello. You should discuss this issue with the doctor who is caring for your pregnancy. We don't have complete information about your health status, development and course of pregnancy. If you wish, you can contact an obstetrician-gynecologist at On Clinic for independent advice or diagnosis. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. Sincerely, On Clinic!

Good afternoon
An endometrial polyp was discovered. Please tell me if it is possible to remove it laser method at your clinic. If possible, how to get an appointment with a doctor, what tests need to be taken, how long you will need to stay in the clinic, the cost of services. Thank you in advance for your answer.

Sincerely,
Snezhina

Hello. To clarify the scope of the operation, a face-to-face consultation with a gynecologist is necessary. Polyps are removed in our center. Only the doctor will answer after the examination to clarify the scope of the tests. The cost of the operation is from 35,000 rubles. OnClinic has all the conditions for examination, its own laboratory, and general practitioners. We invite you to our clinic. You can make an appointment by phone. 8 495 223 22 22 from 08.00-23.00 daily. Thank you for your request.

Hello, I'm 13 weeks pregnant. Ureaplasma parvum was detected in the 4th degree. Tell me how to treat?

Hello! We do not prescribe treatment in absentia. The question of the need and timing of treatment during pregnancy is decided strictly individually only during a face-to-face consultation. Drugs are also selected individually based on the results laboratory diagnostics taking into account the sensitivity of microorganisms to them. You should contact your obstetrician-gynecologist to prescribe treatment and do not look for an answer on the Internet. Take care of yourself! Best regards, On Clinic.