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Gynecology - Female Health In Focus

  Reproductive health means life, vigor and emotional well-being, so from birth it deserves special attention. Female reproductive organs are fragile in nature so no wonder a whole medical specialty has evolved around them. Gynecology cannot be separated from obstetrics, dealing with women while and after pregnancy, the proper name therefore is Obstetrics and Gynecology.

 The Proper Examination Procedure

  • Women usually see a gynecologist without involving other physician if the country’s health policies make it possible.
  • It is a very specially-instrumented intimate examination, mutual trust and openness is essential to avoid embarrassment.
  • An initial dialogue should cover the following topics: menstrual history, complaints, pain, discharges, sexual relationships, obstetrics history, contraception methods, past diseases and surgeries and last cervical smear, general lifestyle (smoking, drugs).
  • All the essential organs should be covered, the cervix, uterus and the ovaries, either with manual palpitation or ultrasound examinations.
  • A breast scanning is also an integral part of a gynaecology visit.
  • The examiner is always assisted by another female (chaperone).


 What Are The Most Common Diseases?

  • Fungal, bacterial or viral infections of the female organs.
  • Irregular, too heavy or absent menstrual periods.
  • Infertility.
  • Displacement of the uterus.

 OB\GYN Sub-specialties

  • Gynecologic oncology
  • Reproductive Endocrinology and fertility
  • Maternal-fetal medicine
  • Urogynecology

Depending on the conditions treatments may involve medical (especially antibiotics and hormone therapies) or gynaecology surgical procedures.

 Gynaecology Surgery

Most gynecologists are also surgical practitioners, and general surgeons are also instructed in basic gynecology surgical procedures.

The most common operations are:

  • Curettage (clearing of the uterus)
  • Hysterectomy (most common gynaecology surgical procedure)
  • Tubal ligation (permanent sterilization)
  • Removing cysts
  • Invasive exploratory examinations

 Obstetrics and Gynecology

They are strongly interwoven medical specialties to be able to treat both pregnant and non-pregnant women. All gynecologists receive extensive training in obstetrics; however, not all obstetrics are also gynaecologists.

Some sub-specializations are:

  • Infertility treatment, reproductive endocrinology
  • Family planning
  • Menopausal treatments
  • Cancer treatments
  • Female urology and incontinence testament
  • Pediatric gynecology

 Preparing For Your Gynecology Surgery

  • You will be treated using either laparotomy (for repair and removal they open the abdomen) or laparoscopy (small incision is made and rigid instruments are inserted for visualization and treatment). The latter reduces recovery time, complications and bleeding considerably.
  • At your work calculate a recovery period of 4-6 weeks of laparotomy and 48 hours in case of minimally-invasive treatments.
  • Count on various hospital made preliminary tests 7 or 10 days before gynaecology surgical procedures (blood, urine, pregnancy, X-ray, EKG).
  • You will be advised to stop certain ongoing medication and herbal supplements cures one week before the operation.
  • You have to take antibiotics to prevent infection.
  • Shaving of the affected area at home is not advised, it can increase infection risks.
  • You are not allowed to eat from midnight before the surgery.
  • Depending on the procedure you might be given an enema and catheter.
  • Certain operations you are outpatient. It is advisable to pack loose-fitting clothes for the way home.
  • Right after surgery you might experience nausea, abdominal pain or discomfort. In case of laparoscopy, the belly button area can be especially sensitive. Bloating is also a common side-effect of the operation because of the gases or air accumulated during the operation.
  • In laparotomy operations bowel functions normalize in 2-4 days. You have to follow a prescribed diet to avoid bloating or constipation.
  • Moderate vaginal bleeding and discharge can be expected for two weeks after the surgery.
  • Do not take baths just showers until the next medical visit.