Україна єдина #UAРАЗОМ

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Family Planning

At the gynecology department of the Ministry of Internal Affairs, doctors help women with family planning and contraception.

Experienced doctors give general advice on contraceptive use and contraceptive advice. If necessary, you will receive information about the method of contraception.

After gynecological examination with colposcopy and ultrasound of the pelvic organs, as well as after the results of bacterioscopic and bacteriological examinations, vaginal discharge, cervical canal and urethra, taking into account the woman's wishes, history and individual characteristics and age of the woman, the primary contraceptive is prescribed.

If necessary, when choosing a specific method of contraception, if a woman has extragenital pathology, she consults with specialists (therapist, endocrinologist, urologist and others) and appoints a biochemical examination, coagulogram and general blood test (CAB) - according to indicators.

If hormonal oral contraception (OK) is recommended, then women are subject to dynamic monitoring with ultrasound monitoring of coagulogram and hepatic and renal biochemical parameters of blood, ZAK during the use of hormonal contraceptives.

If the choice of intrauterine contraceptive: in women, according to the results of bacterioscopic and bacteriological examination of secretions, and in the case of additional examination for sexually transmitted infections, bacterial vaginosis is detected - appropriate treatment is prescribed. At the same time, examination of the sexual partner for infectious agents is proposed.

After the rehabilitation of vaginosis, according to the results of control tests, the required degree of purity of vaginal discharge and the absence of other contraindications, the woman is administered intrauterine contraception (IUD).

Preference for medical indicators and the wishes of women today is given to IUDs with hormonal prolonged action - the system "Mirena".

After the introduction of IUDs, a woman receives full recommendations on sexual behavior, exercise regime, etc. During the use of IUDs, dynamic observation is performed with mandatory bacterioscopic, cytological, colposcopic and ultrasound monitoring twice a year. At the end of the expiration date of the IUD or at the request of the woman, or in the presence of other individual indicators, the removal of intrauterine contraceptives.

Doctors of the gynecological department, on the basis of gynecological examination and ultrasound of the pelvic organs, will provide qualified assistance in case of need for primary pregnancy. An immunological pregnancy test and a blood test for chorionic gonadotropin (HCG) are ordered to confirm pregnancy.

Upon confirmation of the desired pregnancy with a physiological course - the woman receives recommendations on the need for observation in the w / c at the place of residence in order to prolong the pregnancy.

In case of detection of pathology of pregnancy recommendations are given, according to an individual situation, and in case of need the woman on ambulance is hospitalized in a gynecological hospital.

If pregnancy is not desired, the woman, depending on the gestational age and individual characteristics of the situation, is offered medical abortion or examination for vacuum aspiration of the uterine cavity (with a delay of menstruation up to 20 days) or abortion (with a delay of menstruation more than 20 days).

After undergoing abortion, women undergo symptomatic therapy and prevention of post-abortion complications, and are given recommendations on the choice of further method of contraception.

When planning a pregnancy, the doctors of our department prepare a woman for pregnancy. At the address of the woman timely diagnosis and treatment of gynecological pathology is carried out.

Before pregnancy, a gynecologist's examination with colposcopy, cytology, bacterioscopy of vaginal discharge from the cervical canal and urethra, ultrasound of the pelvic organs is definitely recommended.

According to the indicators, additional examinations are performed: diagnostic functional hormonal tests, hormonal examination (can be done in the laboratory of the clinic), bacteriological examination and examination for TORCH infection, as well as sexually transmitted diseases are recommended; HPV infection, ZAK, ZAS, biochemical examination. At suspicion of disturbance of passability of uterine tubes doctors of department carry out echohydratubation.

If necessary, the woman is sent for metrosalpingography, craniography, excretory urography, fluorography, etc.

In case of suspicion of abnormal development of the uterus (cavity of the cavity), synechia, submucosal node, endometrial pathology, etc. woman is sent for hysteroresectoscopy.

If necessary, the woman is referred to a geneticist, endocrinologist, urologist, phthisiologist, dermatologist, therapist, cardiologist, proctologist and other specialists.

If a woman is diagnosed with infertility, except for higher

(с) 2024

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