Examination in gynecology

Hysteroscopy is an examination during which a doctor through the vagina, enters the uterine cavity small camera, which allows him to inspect the inner surface of the uterus and cervix and, if necessary, to carry out some minor surgery (e.g. removal of polyps), without incisions and sutures.

What is a hysteroscopy?

Your doctor may order a hysteroscopy to identify the causes of such symptoms as:

• Irregular or very heavy bleeding from the vagina

• Difficulty conceiving a child (infertility), and also for the treatment of

• The remnants of the placenta in the uterus after birth;

• Adhesions in the uterine cavity (intrauterine synechia); 
• Removal of fibroids and polyps of the uterus.
  

How to prepare for hysteroscopy?

Before the hysteroscopy your doctor may prescribe a General gynecological examination in the mirrors, which will allow him to inspect the vaginal walls and the vaginal portion of the cervix.

Laparoscopy

What is laparoscopy?

Laparoscopy today is one of the most common modern diagnostic (and in some cases therapeutic) procedures for examination of abdominal cavity organs. Laparoscopy is a surgical method of research. In the abdominal cavity is made by a few (often two) tiny cuts, then pumped the air. Through one incision is used the device — a laparoscope (a thin tube with a lens at one end and eyepiece at the other; or one end of the laparoscope can be connected to a video camera, an image which is in the process of manipulation is transmitted to the screen), through the other incision is used device-manipulator. It serves to help the doctor to examine in detail the internal organs, shifting them.

One of the main indications for carrying out laparoscopy in gynecological practice is infertility.

In addition, our medical center laparoscopy is recommended in case of reasonable suspicion on acute surgical and gynecological disease (e.g., ectopic pregnancy, torsion of the cyst, ovarian apoplexy, or acute pain syndrome for diagnostic purposes). What is important, such as ectopic pregnancy by laparoscopy it is possible to save the fallopian tube and, therefore, the woman retained the ability to conceive and birth a child.

Also laparoscopy is widely used for ovarian cysts, uterine fibroids, endometriosis and other inflammatory diseases of internal genital organs. Is laparoscopy or in severe secondary dysmenorrhea. In the latter case, the operation is not so much for diagnosis as for the treatment of the disease. However, about 80 % of women suffering from secondary dysmenorrhea, noted that after the laparoscopy, their condition is greatly improved.

Contraindications to laparoscopie

Absolute contraindications to laparoscopy are the so-called terminal condition of the patient (agony, preagony, clinical death, coma), strong irregularities in cardiopulmonary activity, sepsis or purulent peritonitis. Relative contraindications (i.e. those at which operation is possible in principle, but there is some risk):

• extreme obesity

• of blood coagulation disorders

• the later stages of pregnancy

• General infectious diseases
• recent open abdominal surgery

Mode after laparoscopy

Unlike traditional surgeries, bed rest after laparoscopy is not more than a day. Possible two to three - day hospital stay at the request of the patient, but for health reasons, this is rarely required. During healing of the wound, the woman almost does not feel different pain, so there is no need to use strong painkillers, especially narcotic analgesics.

In the future, we can say that after a laparoscopy there is no special regime, which must be strictly adhered to. The only thing you need is to carefully monitor your health and undergo regular inspection by a qualified gynecologist.

Colposcopy

 this procedure pelvic examination of the vagina, cervix and vulva. Carry out this procedure with a special device - colposcope. The main indications for colposcopy is abnormal PAP test (smear for Cytology, PAP – same thing). If during the colposcopy found unusual, suspicious of education, the doctor can take a biopsy, taking a little of abnormal cells for further laboratory tests.

Indications for colposcopy. The main goal of the procedure is to detect abnormal, suspicious tissues, and most importantly it allows you to distinguish a benign from a malignant (cancer). In addition, the indications for colposcopy is monitoring the effectiveness of treatment.

Contra-indications for colposcopy are not available. There is only a temporary restriction, which by the time of the inspection colposcope must end with menstrual bleeding during menstruation the procedure is not carried out. And even pregnancy is not a contraindication.

Colposcopy during pregnancy is to exclude the risk of developing cancer of the cervix.

Cervical biopsy - the procedure is painless because of the lack of nerve endings, but not much cramping or oppressive pain in the lower abdomen it can sometimes provoke. As for the biopsy the lower part of the vagina and vulva, it can be painful, so before applying local anesthesia, dealing tool in the study section of the cloth. In some cases, using special krovoostanavlivayuschee tool to reduce bleeding after collection of the tissue sample. By the way, the way this fence could be scraping the branch with a scalpel, and perhaps the excision of the tissue radiowave wire loop. Expect to receive results of cervical biopsy after 10-14 days. As for reliability analysis, it is very high, namely of 98.6%. 4-6 weeks after the biopsy, you should go to the reception in female consultation.

In the case of unusual dark discharge after the biopsy, worrying is not worth it - some women, it happens. Within a week after the procedure advised not to have sexual contact, do not use tampons and avoid douching.