Diagnostics and treatment

«Healthy woman» Health package

• Appointment with consultant gynaecologist

• Cervical smear test and HPV screen

• Sexually transmitted disease sreen (PCR technology)

• Vaginal Infection Screen

• Vaginal Flora Status (Bacterial vaginosis, Thrush)

• Female hormones test

• Thyroid function tests

• Full blood count

• Urine microscopy and culture

• Pelvic Ultrasound (when indicated)

«Future mum» Health package

• Appointment with consultant gynaecologist

• Optimisation of women’s health before planned pregnancy

• Cervical smear test and HPV screen

• Rubella and Chicken pox immunity test

• Hepatitis and HIV screen

• Sexually transmitted disease screen (PCR technology)

• Vaginal Infection Screen

• Vaginal Flora Status (Bacterial vaginosis, Thrush)

• Female hormones test

• Thyroid function tests

• Full blood count

• Urine microscopy and culture

• Pelvic Ultrasound (when indicated)

General gynaecology

• Menstrual disorders

• Dysfunctional uerine bleeding

• Heavy and painful periods

• Pre-menstrual syndrome

• Sexually transmitted disease screen (PCR technology) and treatment

• Cervical smear test and HPV screen / referral to colposcopy.

• Vaginal Infection (Bacterial vaginosis, Thrush) screen and treatment

• Vaginal flora screen and correction.

• Optimal hormonal and non-hormonal contraception choice and counselling

• Insertion and removal of IUD (coil) Mirena, Copper-T etc.

• Endometrial biopsy (Pipelle)

• Recurrent miscarriage investigations and treatment.

• Female infertility investigation and counselling

• Diagnostics and treatment of uterine Fibroids (Myomae)

Gynaecological Endocrinology

Surgical Gynaecology (Minimal Access Surgery)

• Investigations and treatment of pelvic pain

• Laparoscopic treatment of pelvic adhesions.

• Tubal surgery for fertlity purposes

• Laparoscopic tubal dye test

• Investigations and treatment of endometriosis.

• Surgical treatment of severe endometriosis (stage III and IV)

• Ectopic pregnancy (diagnosis, treatment and follow up)

• Surgical management of miscarriage (SMOM, ERPC)

• Surgical treatment of benign ovarian cysts and tubo-ovarian masses

• Laparoscopic removal of ovarian cysts with ovarian preservation.

• Laparoscopic removal of tubes / ovaries

• Laparoscopic sterilization

• Laparoscopic (key hole) hysterectomy with or without ovarian preservation.

Hysteroscopy

• Diagnostic and operative hysteroscopy with endometrial biopsy

• Investigations of post-menopausal bleeding

• Hysteroscopic removal of uterine polyps

• Hysteroscopic removal of uterine septae and adhesions

• Hysteroscopic removal of uterine submucous fibroids

• Hysteroscopy with endometrial ablation (Novasure)

Vaginal and plastic surgery

• Removal of scar tissue from vulva and vagina

• Reconstruction of vulva and vagina following childbirth trauma

• Restoration of vulval anatomy

• Diagnosis and tretment of utero-vaginal prolapse

• Anterior and posterior vaginal repairs

• Bartholyn’s cyst surgery (marsupialisation)

• Vaginal hysterectomy

Open abdominal surgery

• Conservative myomectomy with fertility preservation

• Open total abdominal hysterectomy with or without ovarian preservation

• Removal of large benign pelvic masses including large fibroids and ovarian cysts.

• Menstrual disorders / absent periods

• Absent ovulation

• Polycystic ovarian syndrome

• Investigation and treatment of hormonal disbalance

• Menopause and HRT councelling

Mr. Denis Tsepov, MRCOG
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