GYNECOLOGY

- 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 800 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 biopsy of the cervix, vulva, vagina is 600 UAH (excluding the cost of PGD)

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 pipel biopsy of the endometrium is 700 UAH (excluding the cost of PGD)

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 installing an intrauterine device is 1200 UAH (Mirena 500 with ultrasound control)

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 3000 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) is3000 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 5000 UAH

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

- consultation and examination;
- performed on a gynecological chair using local anesthesia;
- collection of venous blood, separation of platelet-enriched plasma in a centrifuge for injection;
- introduction of plasma into the mucous membrane and subcutaneous structures of the intimate zone (vaginal wall, clitoris, large/small labia) with a thin needle;
- treatment with antiseptic agents.

30-40 minutes.

- women with dry mucous membranes, discomfort, pain during sexual intercourse;
- with a decrease in sensitivity, a decrease in sexual pleasure;
- in the case of age-related changes in the intimate zone (loss of tone, elasticity, elasticity);
- with postpartum changes (stretching of tissues, microtrauma);
- for the prevention and treatment of initial forms of stress urinary incontinence;
- in combination with other methods of recovery (laser “rejuvenation”, intimate plastic).

Plasma Therapy Cost (PRP) The intimate zone is 4000 UAH

Plasmotherapy (PRP) of the intimate zone is carried out by gynecologist Valentina Petrovna Kovbasi.

- consultation and inspection;
- is carried out using local anesthesia;
- through small punctures with the help of thin cannulas, the doctor inserts biocompatible threads into the tissues of the perineum;
- a supporting “frame” is formed, which tightens and strengthens the perineal zone;
- closure of punctures and treatment with antiseptic agents.

Up to 2 hours.

- women after childbirth, when the tissues have lost their tone or there is stretching;
- with cicatricial changes or asymmetry of the perineum after lacerations/cuts in the perineal zone;
- with a feeling of “wide vagina” and decreased sensitivity;
- with aesthetic defects of appearance;
- as an alternative to surgical plastic for those who want to minimize the recovery period.

The cost of perineal thread plasty is from 16,000 to 20,000 UAH (excluding the cost of threads)

Thread plasty of the perineum is performed by gynecologist Valentina Petrovna Kovbasiy.

- consultation and inspection, determination of the degree of omission;
- performed using local anesthesia (sometimes general anesthesia can be used - with a large volume of surgical intervention);
- removal of excess mucous tissue and suturing of the walls of the vagina;
- closing incisions and applying seams with self-absorbable threads;
- the patient can be under the supervision of medical staff for 1-2 days.

40-90 minutes.

- women with lowering or falling out of the walls of the vagina (often after childbirth, heavy physical exertion, with age);
- with urinary incontinence associated with weakening of the muscles of the pelvic floor;
- with the expansion of the vagina after childbirth, which causes discomfort in sexual life.

The cost of plastic surgery of the vaginal walls is 26 000 UAH

Plastic of the walls of the vagina is performed by gynecologist Valentina Petrovna Kovbasiy.

It is a minimally invasive method of treating mild to moderate forms of stress urinary incontinence.

The laser stimulates the formation of new collagen in the tissues of the vagina and urethra, increases their elasticity and tone, which helps to better retain urine.

The procedure is suitable for women with mild or moderate incontinence after childbirth, during menopause or with weakened pelvic floor muscles.

It is the restoration of the structure and function of the vaginal mucosa.

The laser stimulates blood circulation, moisturizes the mucous membrane and increases elasticity.

The procedure is suitable for women with dryness, discomfort during intimacy, sagging of the vaginal walls in the early stages, after childbirth or in menopause.

It is a tightening of the tissues of the vagina and labia.

Lifting works by heating tissues with a laser. Under its influence, the process of collagen formation is started, as a result of which the tissues are compacted and reduced.

The procedure is suitable for:
- flaccidity of tissues after childbirth,
- loss of tone with age,
- to increase the sensitivity of the intimate zone.

- consultation and inspection;
- performed on a gynecological chair using local anesthesia;
- a laser nozzle is inserted into the walls of the vagina, which allows you to contract the muscles and achieve a lifting effect.

1 hour.

It is an aesthetic procedure to lighten the skin in the genital area, perineum or anal area.

The laser destroys excess pigment in the skin and stimulates cell renewal.

The procedure is suitable for women and men with hyperpigmentation of the intimate area who want to improve its appearance.

The cost of laser therapy for urinary incontinence, “rejuvenation”, lifting and whitening of the intimate zone is 5000 UAH for one procedure. The procedure is carried out by a course (course - 4 procedures).

Laser therapy of urinary incontinence, “rejuvenation”, lifting and whitening of the intimate zone is carried out by the gynecologist Valentina Petrovna Kovbasii.

- consultation and inspection;
- performed in the operating room using general anesthesia;
- the uterus is expanded with a special fluid for better visualization;
- a thin hysteroscope with a diameter of 3-5 mm is inserted through the vagina into the cervix;
- the doctor sees the polyp in real time on the monitor and removes it with a laser;
- the removed polyp can be referred for histological examination;
- the patient remains under the supervision of medical personnel for 1-2 hours.

- women with diagnosed endometrial polyps;
- with bleeding of unknown origin;
- in infertility, if the polyp interferes with the implantation of the embryo.

*Cost of polyp hysteroresection (polyp removal) constitutes UAH 10,000 (excluding the cost of general anesthesia)

Hysteroresection of the polyp (removal of the polyp) is carried out by the gynecologist Valentina Petrovna Kovbasii.