Gynecological Check up

It’s usually done once a year. It consists of:

  • Pap smear to detect cervical pathology
  • Transvaginal ultrasound scan to detect any problems in ovaries or uterus
  • Mammography or Breast ultrasound scan, depending on the age of the patient, to detect breast pathology
  • Blood test (cholesterol, thyroid gland function, glicemia)
  • Bone densitometry during the menopause to detect osteoporosis (every 2-3 years)

With the check up, we can detect vaginal infections (Gardenella, candidiasis…) or sexual transmitted diseases (papiloma virus) and treat them.

We can also find uterine pathology such as endometrial or cervical polyps that can be removed, endometrial pathology detected by pipelle biopsy during the examination or to arrange for curettage in theater, if needed, and once we have got the results back, we can treat it accordingly.

We have, on stock, the Papiloma virus vaccine against the Papiloma virus that cause the cervical pathology (CIN or cervical cancer) and we can administrate it, if needed.

Contraception

We take into consideration the age and condition of every patient when we advice on contraception:

  • Condoms.
  • Hormonal contraception: it can be oral (the pill),vaginal (Nuvaring) or transdermical (Evra).
  • Intrauterine devices: (DIU) it can be of Cooper or Hormonal (Mirena, with Progesterone).The hormonal one is mainly for patients with heavy bleeding and anemia.
  • Tubal Ligation: this is a irreversible procedure done by laparoscopy or mini laparotomy.
  • Vasectomy: irreversible procedure, done by the urologist, in the male population.

Infertility

It’s the impossibility of conception after 12 months of intercourse without protection. The 90% of couples with no fertility problems achieve a pregnancy in the first year of searching and 95% after two years they will succeed.

It creates a lot of anxiety on a couple when they cannot conceive and it happen 1 in 6 couples. About 30% of infertility cases are of unknown causes with all tests performed being normal. The infertility tests are:

  • Spermiogram or Sperm Test: to evaluate the viability of the sperm
  • Histerosalpingography: study the permeability of the women fallopian tubes
  • Hormonal blood test on the patient to check the ovarian function
  • Ultrasound scan to check ovulation

Depending on the results, we will advice on the best treatment: ovarian stimulation, artificial insemination, IVF.

Menopause

It’s the end of the ovarian function. It comes around the age of 50 and the main symptom is the stopping of the periods. The diagnosis is based on the disappearance of the periods for 12 consecutive months plus a hormonal blood test. It can come with other symptoms such as hot flushes, vaginal dryness, sexual inappetence, mood swings, weight gain or osteoporosis. We have different treatments for the different symptoms and we try to solve each of them as they come.

Our team does the diagnosis and treatment of this pathology.

Breast Pathology

Prevention and treatment of breast diseases. The non malign breast pathology includes a wide number of alterations that we classified by the symptoms:

  • Benign tumors: cyst, fibro adenoma
  • Breast secretions: galactorrea, abscess
  • Pain: mastitis, abscess
  • Skin and shape alterations: mycosis, mastitis, viral infections

Our team is responsible for diagnosing and treating this benign breast pathology.

When we deal with malign pathology, we work in collaboration with a Consultant, Dr. Cesar Mendoza Santín, a surgeon with an expertise in breast cancer and reconstructive surgery.

Gynecological Surgery by Laparotomy or Laparoscopy and Laser

  • Laparoscopy: the procedure implies the introduction of the laparoscope in the abdominal cavity. The laparoscope is a large tube, rigid and with a light. The introduction of the scope inside of the abdominal cavity is through a 1-2cm skin incision just below the umbilicus. The scope is connected to a video camera that allows us to see inside the abdomen and connected as well to a monitor where we see the images. This is a less invasive procedure than a laparatomy and it has a quicker recovery. You can resolve:
    • Ovarian pathology: ovarian cyst, ovarian cancer
    • Uterine pathology: miomas, endometrial cancer, tubal ligation
  • Hysteroscopy: The procedure implies the use of a hysteroscope, rigid tube connected to a light and a camera that goes into the uterus through the vagina and cervix. It allows to see and to treat uterine pathology (miomas, polyps, etc.).
  • Laparotomy: it’s open surgery. The abdominal skin incision gives us access to pelvic organs (uterus, ovaries and tubes). Due to the bigger incision, the recovery time is longer than in a laparoscopy. You can treat any pelvic pathology with it.
  • Gynecological curettage: the procedure consists in the use of a uterine curettage to get material from the endometrial cavity. It’s useful for the diagnosis and/or treatment of endometrial pathology (polyps, endometrial thickness).
  • Lasers in gynecological surgery: Used in medicine for over 30 years, the CO2 laser has become an indispensable tool for the treatment of genital warts and dysplasia of the instrument vulva, vagina and cervix. In laparoscopy, the laser can be used to treat endometriosis or to perform adhesiolysis.
    Laser technology also allows for the restructuring and intimate parties surgery allowing medical interventions without hospitalization and with a very short postoperative period.
    Our services include the provision of the latest techniques and equipment Instituto de Fotomedicina reference center for laser technology.

Vaginal relaxation and stress urinary incontinence laser

Due to hormonal changes experienced by women, alterations in the structure of the vaginal wall:

  • Lack of tone
  • Ptosis or sagging pelvic structure
  • Loss of lubrication mucosa
  • Relaxation of urinary continence

These changes can be mitigated or reversed toning techniques or laser regeneration. These regenerative painless treatment, favor the production of collagen and hyaluronic acid, recovering the tone of the vaginal wall, reducing urine leakage and improving the satisfaction of sex.
The treatment is ambulatory and requires two sessions spaced 45 to 60 days, 30 minutes each. The technology takes quality assurance from Instituto de Fotomedicina .