Obstetrics and Gynecology
The best treatment is preventive
The intimate health of women is undoubtedly of the utmost importance both for their sexual life and for their reproductive capacity, a periodic gynecological control and early detection can mean a lot when it comes to genital pathologies.
Contenido del acordeón
Gynecological control should be practiced by every woman from adolescence to menopause. Once the girls have their first menstrual period, even if they have not had sexual intercourse, they should go to their gynecological control, many times they present alterations in their menstruation due to immaturity of the hypothalamic-pituitary-ovarian axis, or due to partial or total absence of some organ such as uterus, vagina and ovaries. They also undergo cytology of the vaginal introitus.
Women of reproductive age and adolescents, once their sexual activity has begun, should undergo their cytology at least once a year, just like menopausal women or those who have undergone a hysterectomy.
Part of the gynecological control consists of the evaluation of the breasts, the performance of your mammogram and breast echo after the age of 35 if you do not have a history of breast cancer, and before this age if someone in your family has suffered from breast cancer or ovary, hormonal control, bone densitometry among others.
The leading cause of cancer death in women is cervical cancer. This cancer does not cause the death of women because of its aggressiveness, but because it is not diagnosed in time, most of the time, when we discover it, it is already in very advanced stages. For this reason, we recommend performing cytology as a screening method for cervical cancer in all sexually active women, after menopause and even after a hysterectomy, because even if the cervix is removed, the upper third of the vagina remains , this, shares the same embryological origin of the cervix, and we have seen cases of patients who can develop a second cancer there.
This study that allows us to observe in detail the cervix, vaginal walls and vulva, locate possible lesions and, if necessary, take a tissue sample (biopsy), thus helping the early diagnosis of cervical cancer (cervix) .
Ovarian cysts are seen quite frequently throughout the reproductive age, before it was thought that these only appeared if the patients suffered from Polycystic Ovary Syndrome, however, they are very frequent in all women, and are due to part of the hormonal factors to stress and some eating or life habits.
Cysts smaller than 3 cm should not be touched, even, sometimes they disappear on their own, sometimes, we rely on the use of contraceptives, and they disappear without problem. When these cysts exceed 3.5 cm, they have an internal stimulus that makes them grow without stopping, the ovarion has a huge risk of twisting and the patient could lose her ovary.
In my clinic, I perform the transvaginal aspiration of these cysts, with local anesthesia and without complications, thus saving the ovary and avoiding the patient going to the operating room.
Hysteroscopy is a very useful tool in gynecology, it consists of introducing a small camera of just 6mm in diameter in the female genital tract, it gives us the possibility to see the vaginal walls, cul-de-sac, cervix, cervical canal live. and finally the uterine cavity with the ostium of the fallopian tubes.
Findings can range from a completely normal hysteroscopy to one with endometritis (infection of the uterine cavity), polyps, fibroids within the uterine cavity, synechiae, adhesions, or even cancerous pathologies. It can be done of a diagnostic or surgical type to remove vaginal lesions.
In the event that during the gynecological examination a suspicious lesion of both the endometrium, cervix, vagina and vulva is evidenced, a tissue sample (biopsy) should be taken, it can be done at the time or is planned.
- Repositioning of the Ovaries prior to Radiotherapy.
- Gynecological laparoscopy for myomectomies, adherenciolysis, surgical sterilization, endometriosis.
- Stress urinary incontinence.
- Abdominal and Vaginal Hysterectomy.
- Prolapse cure.
This consultation is very important, we not only take care of the physical health of the woman, but also her mental health; Many women when they reach menopause, feel that their feminine capacity loses all validity, “IT IS NOT SO”, this is one of the most wonderful stages of women, it is the stage that represents maturity and the achievement of many of the life goals. In this consultation, we help you to stay young, beautiful and active, to get in touch with your biological process to know that you do not age, only mature and it depends on you that this stage is one of the pleasant ones of your life.
Do not leave your health and that of your baby in inexperienced hands
Once we have decided to have the responsibility of being parents, we must take into account the importance of prenatal control from the first moments of pregnancy. We must carry out the first control where we must rule out that there is a problem to maintain the pregnancy as well as the indication of laboratory tests that allow us to rule out an infectious process and guidance regarding food and activities that you can perform. It is considered a good prenatal control more than 5 controls. It is possible that your obstetrician will give you 3 perinatal ultrasounds throughout the pregnancy that would be indicated in the first, second and third trimesters of pregnancy, each with a specific indication.
Contenido del acordeón
Health during pregnancy is highly dependent on a woman’s general health, nutrition, personal habits, lifestyle, and environmental influences before gestation begins. The woman should go to her check-up as soon as she suspects pregnancy, and ideally before the 12th week of gestation, especially if she has not had a check-up before the pregnancy.
In the gynecological evaluation, ultrasound is usually performed since it allows us to evaluate how both the uterus and the ovaries are, rule out any uterine malformation, polyps, fibroids, endometrial pathology and ovarian pathology.
In the obstetric consultation the echo that will be performed will depend on the trimester of pregnancy in which you are, to ensure the fetal well-being. Sometimes it is possible to request 3 Perinatal echoes during the control.
It is of great importance for those women who are of childbearing age and do not want to become pregnant, or on the contrary those who have had children, want to keep track and thus decide on the number of children, the moment and the circumstances (social, economic and personal) in which you want to have it.
- Oral contraceptives
- Intrauterine Device Placement
- Copper T – Multiload 375 – Mirena.
- Contraceptives through Implants:
They are placed under the skin at the level of the less dexterous arm, with a hormonal component, which will be continuously released in small daily amounts sufficient to inhibit ovulation.