Gynecological Diagnosis and Treatment

- with pathologies of the cervix, vagina, vulva and endometrium;
- with problems with the menstrual cycle, pain, discharge or other gynecological complaints;
- if necessary, aesthetic or functional correction of the intimate zone;
- for patients with chronic gynecological diseases or after surgical interventions.

- collection of anamnesis and evaluation of symptoms;
- examination and assessment of the condition of tissues;
- determination of indications for additional diagnostic procedures;
- formation of an individual treatment plan, which may include conservative methods or minimally invasive interventions;
- recommendations for the prevention and control of health conditions.

The cost of consulting a gynecologist is 900 UAH.

Consults gynecologist Valentina Petrovna Kovbasiy.

- performed on a gynecological chair under the supervision of a specialist;
- local anesthesia may be used (depending on the area);
- taking a sample for research;
- sending a sample for histological examination.

The collection of fabric takes a few minutes.

A biopsy is not performed without medical indications - it is an invasive procedure, so it is done only if pathology is suspected or to confirm the diagnosis.

‍A biopsy of the cervix, vulva or vagina is suitable for women in the following cases:
- Suspicious mucosal changes detected during examination by a gynecologist, colposcopy or during a Pap test.
- Abnormal cytological results - positive Pap test (dysplasia, atypical cells).
- Prolonged or unclear symptoms: unusual discharge, bleeding outside menstruation, pain, itching.
- Suspicion of oncology or precancerous conditions - for early detection and treatment planning.
- Infections or chronic inflammatory processes, when it is necessary to clarify the nature of tissue changes.

The cost of a biopsy of the cervix, vulva, or vagina is 1200 UAH (histopathological examination is included in the price).

Biopsy of the cervix, vagina, vulva is performed by gynecologist Valentina Petrovna Kovbasi.

- takes place on the gynecological chair;
- a thin flexible catheter pipette (2-4 mm in diameter) is inserted into the cervix, while the cervix does not need to be expanded, so the procedure is comfortable;
- material is taken with a catheter;
- the material is sent to the laboratory for histological examination.

Outpatient procedure lasts a few minutes, does not require anesthesia.

The doctor may recommend a pipel biopsy in the following cases:
- menstrual disorders (frequent, prolonged or absent menstruation);
- uterine bleeding of unknown origin in women of reproductive and perimenopausal age;
- suspicion of hyperplasia or endometrial cancer (for example, with thickening of the endometrium on ultrasound);
- prolonged infertility (to assess the condition of the endometrium);
- control after treatment with hormonal drugs (to check how the mucous membrane of the uterus has changed);
- suspicion of chronic inflammation of the endometrium.

The cost of a Pipelle endometrial biopsy is 1300 UAH (histopathological examination is included in the price).

Pipel-biopsy of the endometrium is performed by gynecologist Valentina Petrovna Kovbasi.

- consultation and examination;
- choice of spiral;
- the introduction of a spiral on the gynecological chair, anesthesia can be used.

The introduction of an intrauterine device is suitable:
- women who are looking for a reliable and long-lasting method of contraception;
- in cases where it is undesirable or contraindicated to take hormonal contraceptives;
- women with regular sexual intercourse and low risk of sexually transmitted infections;
- patients after childbirth or abortion (in agreement with the doctor);
- patients for the treatment of endometriosis and endometrial hyperplasia;
- patients to reduce heavy and painful menstruation;
- patients after removal of polyps as a prophylaxis.

The cost of intrauterine device (IUD) insertion is 4800 UAH (Mirena 500 is included in the price; the procedure is performed under ultrasound guidance).

The installation of the intrauterine spiral is carried out by the gynecologist Valentina Petrovna Kovbasiy.

- consultation and examination;
- if necessary, preliminary preparation (treatment of inflammatory processes) is carried out;
- performed on the gynecological chair using local anesthesia (sometimes short-term general anesthesia can be used);
- carrying out the procedure with a laser - pathological tissues are removed;
- the patient can be supervised for 1-2 hours.

15—30 minutes.

Laser ablation is recommended for women with:
- precancerous conditions of the cervix (CIN I—II, mild and moderate dysplasia);
- cervical leukoplakia;
- papillomatosis, condylomas of the cervix;
- chronic cervicitis with areas of pathological changes.

The cost of laser ablation of pathological cervical tissues is 3500 UAH.

Laser ablation of pathological tissues of the cervix is carried out by gynecologist Valentina Petrovna Kovbasi.

- consultation and examination;
- performed on the gynecological chair using local anesthesia (sometimes short-term general anesthesia can be used);
- inspection is carried out through a colposcope;
- the affected area is cut out with a special thin loop through which an electric current passes;
- removed tissues are sent for histological examination;
- the patient can be supervised for 1-2 hours.

- women with dysplasia and leukoplakia of the cervix;
- if there is a suspicion of precancerous changes;
- in cases where drug treatment or less invasive methods are ineffective.

The cost of cervical electroexcision (removal of dysplasia/leukoplakia) is 3500 UAH.

Electroexcision of the cervix (removal of dysplasia/leukoplakia) is carried out by gynecologist Valentina Petrovna Kovbasii.

- consultation and examination;
- performed on a gynecological chair using local anesthesia;
- removal of affected areas with a laser (excision or evaporation);
- treatment with antiseptic agents and application of topical agents.

15—30 minutes.

- women with vulvar leukoplakia (compaction, dryness, whitish plaques on the mucous membrane);
- with dysplasia of the vulva (precancerous changes in cells);
- if traditional drug treatment has not yielded results.

Cost laser treatment of dysplasia and leukoplakia of the vulva is 5500 UAH.

Laser treatment of dysplasia and leukoplakia of the vulva is carried out by the gynecologist Valentina Petrovna Kovbasi.