Appointment with a gynecologist in the women's room. Make an appointment with a gynecologist

A gynecologist's field of activity includes treatment of the female reproductive system, which includes:

  • Labia majora and minora. These are the external genitalia, which are located on the sides of the genital opening. Serve for mechanical protection of the vagina.
  • The vagina is an internal reproductive organ that is involved in the process of fertilization. It is a muscular-elastic tubular formation located in the small pelvis.
  • The perineum is the floor of the pelvis, which is formed by a group of striated muscles and fascia. Gynecologists treat the anterior part of the perineum, which includes the muscles of the urogenital diaphragm, external genitalia, urethra and vagina.
  • The uterus is a hollow smooth muscle organ that is located in the pelvic cavity. The embryo develops in the uterus and the fetus is born.
  • The cervix is ​​the lower part of the uterus that is connected to the vagina. The cervix contains the cervical canal, which connects the vagina and the uterine cavity.
  • The uterine (fallopian) tubes are a paired tubular organ that connects abdominal cavity with the uterine cavity. It is the site of fertilization of the egg.
  • The ovaries are the paired sex glands of women, which are located in the pelvic cavity. They produce sex hormones and are the site of development and maturation of female germ cells.

A gynecologist deals with:

  • diagnosis of pregnancy, monitoring the course of pregnancy and early detection of complications of pregnancy and childbirth, and also prescribes appropriate treatment for a pregnant woman;
  • organization and medical examination of gynecological patients (detects gynecological diseases during a preventive examination);
  • treatment and prevention of gynecological diseases, as well as rehabilitation of patients using traditional (hirudotherapy, mud therapy) and modern techniques(intermittent normobaric hypoxic therapy, etc.);
  • counseling regarding family planning, etc.

The gynecologist also provides patients with urgent emergency care. medical care in obstetrics and gynecology.

Types of gynecologists

A gynecologist is a general specialist whose tasks include maintaining the normal functioning of the female reproductive system different stages development of the body and treatment of emerging pathologies.

Since the functioning of the female reproductive system is influenced by hormones, and the reproductive system itself has age-related physiological characteristics, there are narrower specialties:

  • Pediatric gynecologist. This specialist deals with developmental anomalies, congenital and acquired diseases of the female reproductive system in girls under 18 years of age.
  • – a doctor who monitors the course of pregnancy and provides assistance during childbirth and the postpartum period.
  • A gynecologist is a specialist who diagnoses and treats gynecological diseases that arise from work disorders endocrine system.
  • is a doctor who treats infertility.
  • -gynecologist is a specialist who performs surgical interventions during obstetrics and deals with surgical treatment of gynecological diseases.

Pediatric gynecologist

A pediatric gynecologist is a doctor who diagnoses and treats:

  • congenital anomalies development and structure of the genital organs;
  • fusion of the fallopian tubes;
  • inflammatory processes in the genitals;
  • oncological neoplasms;
  • infections that are sexually transmitted (some of these infections can also be transmitted through household contact);
  • vaginosis;
  • vaginitis;
  • endometriosis;
  • menstrual irregularities;
  • absence of secondary sexual characteristics;
  • disturbances in the urination process;
  • mechanical injuries of the genital organs.

A pediatric gynecologist also treats precocious puberty and delayed puberty.

When and how is the inspection carried out?

The first examination of a girl’s genital organs is carried out immediately after birth - the doctor examines the child to identify congenital anomalies in the structure of the external genitalia.

When detecting deviations in size, proportions and shape, asymmetry or incorrect position of an organ, in the presence of formations that are not typical female in the postnatal period, surgical treatment is usually indicated.

Internal examination in children early age if developmental defects are suspected, it is impossible to carry out, therefore probing of the vagina and uterus is postponed until later age period.

At an older age, a vaginal bimanual examination is performed under anesthesia, which makes it possible to identify malformations of the uterus (rudimentary horn, duplication of the uterus, etc.). In the absence of a vagina or the impossibility of palpating the uterus, a rectal-abdominal bimanual examination is used.

Asymptomatic uterine malformations do not require treatment. Surgical treatment of defects that interfere with pregnancy is carried out according to indications in adulthood.

Diagnosis of congenital anomalies also includes the use of:

  • X-ray methods;
  • urethrography;
  • fistulography;
  • vaginography;
  • endoscopic methods.

Complete fusion hymen diagnosed during an external gynecological examination.
In the absence of developmental pathologies pediatric gynecologist examines the girl a second time before the child enters a preschool institution or school.

When to contact a pediatric gynecologist

An unscheduled visit to a pediatric gynecologist is necessary if:

  • The girl developed secondary sexual characteristics before the age of 8 (growth began mammary glands and pubic and armpit hair) or absent after 11-12 years;
  • there are pains in the abdominal area that are not associated with other diseases;
  • there was an injury to the genital organs or a foreign object got inside;
  • no menstruation by age 13-14;
  • menstruation is irregular, the cycle has not been established for more than a year;
  • menstruation is painful or excessively heavy;
  • vaginal discharge appears, there is burning and itching in the genital area;
  • Excessive hair growth is observed (hair begins to grow on the face, on inside thighs, lower abdomen and chest);
  • papillomas or other neoplasms have appeared in the area of ​​the external genitalia;
  • The child’s surroundings include people who suffer from STDs—sexually transmitted diseases that can be transmitted through household contact (chlamydia, syphilis, etc.).

A consultation with a pediatric gynecologist may be necessary for a child who suffers from urinary tract infections, allergies and diseases of the endocrine system.

Obstetrician-gynecologist

An obstetrician-gynecologist is a doctor who not only monitors the course of pregnancy and takes part in the process of natural childbirth, but also deals with pregnancy planning, as well as the prevention of pathologies in newborns. In addition, this specialist takes part in the treatment of any diseases of a pregnant woman.

At successful conception In the first weeks of pregnancy, an obstetrician-gynecologist examines a woman and checks the size of the uterus. After the examination, taking into account the diagnostic results of the uterine cavity, the doctor calculates the estimated date of birth.

During pregnancy, the obstetrician-gynecologist:

  • directs the pregnant woman to undergo a series of laboratory tests and ultrasound of the uterus;
  • corrects the pregnant woman’s condition when deviations from the norm are detected.

This doctor monitors the woman’s condition after childbirth, gives recommendations to help her recover faster after pregnancy, and also conducts a routine examination 1 month after childbirth to prevent complications.

Gynecologist-endocrinologist

The balance of hormones in the female body affects the physical and psycho-emotional state, as well as the ability to conceive and bear a child.

Gynecological diseases associated with disruption of the endocrine system are diagnosed and treated by a gynecologist-endocrinologist. You should contact this specialist if:

  • the girl’s menstruation did not begin on time;
  • there have been changes in the nature of menstruation (stopped, became scanty or too frequent and heavy);
  • The patient was diagnosed with endometriosis, fibroids or inflammation of the appendages, but standard treatment turned out to be ineffective;
  • there is pronounced premenstrual syndrome (PMS);
  • unable to get pregnant during long period time;
  • the first signs of menopause are observed;
  • it is necessary to select individual contraception.

Consultation with this specialist includes standard gynecological examination, as well as studies of the patient’s hormonal profile.

A gynecologist-endocrinologist treats:

  • juvenile uterine bleeding;
  • endocrine female infertility;
  • fibroids;
  • endometriosis;
  • hirsutism and acne;
  • menstrual irregularities (dysmenorrhea, amenorrhea, oligomenorrhea);
  • neurometabolic-endocrine syndrome (occurs when the functioning of the endocrine system is disrupted and is manifested by obesity, menstrual irregularities, hirsutism, etc.).

In addition, a gynecologist-endocrinologist monitors pregnant women with endocrine disorders, selects medications to reduce the symptoms of menopause and hormonal contraception.

Reproductologist

The main task of a reproductologist is to restore reproductive function.

You should contact a fertility specialist if:

  • the menstrual cycle is disrupted or observed complete absence;
  • there are violations hormonal levels;
  • with regular sexual activity, the expected pregnancy did not occur within a year;
  • in the family of one of the partners there are hereditary genetic diseases or there have been cases of babies being born with congenital syndromes;
  • in the woman’s family there was an early cessation of menstruation in women (up to 40-43 years), as this may be a sign of early cessation of reproductive function;
  • A woman has been diagnosed with cancer, the treatment of which is planned to use radiotherapy or chemotherapy (egg cryopreservation will give a chance in the future to have a genetically related child).

A reproductive specialist tries to help a woman become pregnant, if possible without resorting to assisted reproductive technologies.

Surgeon-gynecologist

A gynecological surgeon is a doctor who specializes in surgical treatment of diseases of the female genital organs and obstetric care by cesarean section for pregnancy complications.

This specialist:

  • treats infertility and ectopic pregnancy using laparoscopy;
  • removes myomatous nodes;
  • carries out amputation and extirpation ( complete removal) uterus;
  • performs removal or resection of the ovaries;
  • performs diagnostic and treatment operations (hysteroscopy, etc.);
  • deals with ovarian stimulation (using electrocautery or dribbling), treats endometriosis using laparoscopy;
  • performs tubal plastic surgery;
  • restores the integrity of the hymen;
  • performs labiaplasty (corrects the shape and size of the labia);
  • performs fixation of the uterus to abdominal wall when the uterus prolapses or prolapses, when it deviates or bends back (ventrofixation of the uterus);
  • removes submucous fibroids;
  • carries out resection (truncation) of the septum, resection of the endometrium and ablation (reduction of mass) of the endometrium;
  • removes cysts, synechiae and polyps;
  • performs conization (excision) of the cervix;
  • deals with radiosurgical treatment of cervical ectopia.

During childbirth, the gynecologist is present only for a planned cesarean section or if there is a complication of labor (in this case, the decision to perform a cesarean section is made jointly by the obstetrician-gynecologist and the surgeon).

The operation uses an epidural or spinal anesthesia, in which the woman remains conscious. Under general anesthesia C-section carried out if there are special indications.

What diseases does a gynecologist treat?

The gynecologist treats:

  • fungal diseases of the genital organs (candidiasis);
  • sexually transmitted diseases (trichomoniasis, etc.);
  • viral diseases of the genital organs (genital herpes, etc.);
  • bacterial infections ( bacterial vaginosis etc.);
  • hormonal disorders leading to menstrual irregularities, decreased libido and the appearance of benign neoplasms;
  • oncological diseases of the female genital organs.

Diseases of the labia

Diseases of the labia treated by a gynecologist include:

  • Genital herpes - viral disease, which is accompanied by a rash on the labia (looks like blisters).
  • Molluscum contagiosum - cutaneous viral infection, in which dense small nodules appear on the surface of the labia.
  • Chancroid is a disease that is sexually transmitted and is accompanied by the formation of ulcers at the site of bacterial penetration.
  • Vulvar dysplasia, in which spots of red, white or brown appear on the labia.
  • Manifestations atopic dermatitis And contact dermatitis. The diseases are accompanied by severe itching.
  • Nonspecific vulvovaginitis, which is accompanied by swelling, itching and the appearance of profuse leucorrhoea.
  • A Bartholin gland cyst, which usually appears in the lower part of the labia and resembles a pea.
  • Abscess of Bartholin's gland.

Vaginal diseases

Vaginal diseases treated by a gynecologist include:

  • vaginitis (colpitis) - inflammation of the vagina, which can be caused by protozoa, fungi and bacteria, as well as associations of pathogenic microorganisms;
  • genital herpes;
  • vaginal candidiasis (thrush);
  • benign tumors (fibroids, fibroids and fibroids) that develop in the vaginal wall;
  • vaginal dysplasia;
  • malignant neoplasms (clear cell adenocarcinoma, sarcoma, secondary cancer).

Perineal diseases

A gynecologist treats:

  • postpartum injuries that occur in the perineal area (external tears and forced incisions);
  • bartholinitis - inflammation of the Bartholin gland, which leads to swelling of the perineal tissue, a burning sensation in this area and an increase in temperature;
  • chronic pelvic pain.

Uterine diseases

A gynecologist treats diseases of the uterus such as:

  • Endometritis is an inflammation of the surface layer of the endometrium, which is the inner mucous membrane of the uterine body.
  • Endometriosis is a disease in which endometrial cells grow outside the uterus.
  • Myoma - benign tumor, which develops in the muscular layer of the uterus and is accompanied by heavy and prolonged menstruation.
  • Uterine polyps - benign formations which develop from the endometrium.
  • Endometrial hyperplasia is a pathology in which thickening and proliferation of the uterine mucosa is observed.
  • Uterine cancer.

Cervical diseases

Cervical diseases treated by a gynecologist include:

  • cervical erosion (defect of the cervical mucosa);
  • ectopia of the cervix (appearance columnar epithelium cervical canal on the vaginal surface of the cervix);
  • polyps are benign glandular neoplasms on the surface of the cervix;
  • leukoplakia - a disease in which keratinization of the epithelial cells of the cervix occurs;
  • dysplasia is a pathology in which the cellular structure superficial layer of the cervix (precancerous condition);
  • cervical cancer.

Fallopian tube diseases

Fallopian tube diseases treated by a gynecologist include:

  • adhesions - connective tissue adhesions that occur against the background of an inflammatory process and lead to tubal obstruction (partial or complete);
  • inflammation of the fallopian tubes (salpingitis);
  • tubal obstruction, which prevents conception or leads to ectopic pregnancy (can be mechanical and functional, congenital and acquired);
  • hydrosalpinx - accumulation of fluid in the fallopian tubes due to impaired lymph and blood circulation that develop with salpingitis.

Ovarian diseases

A gynecologist treats ovarian diseases such as:

  • oophoritis - inflammation of the ovaries;
  • ovarian dysfunction - is a disorder of hormonal function and is accompanied by menstrual irregularities and dysfunctional uterine bleeding;
  • ovarian apoplexy - a sudden rupture of ovarian tissue, which is accompanied by hemorrhage into the abdominal cavity and severe pain;
  • polycystic ovary syndrome - a syndrome in which there are dysfunctions of the ovaries and increased secretion of androgens and estrogens;
  • benign cysts (follicular, parovarian, dermoid and corpus luteum cyst);
  • borderline epithelial tumors;
  • malignant cysts (serous, endometriotic, mucinous, clear cell, etc.).

When is it necessary to contact a gynecologist?

You should contact a gynecologist if:

  • sensation of itching and burning in the genital area;
  • uncharacteristic discharge from the genitals;
  • nagging pain in the lower abdomen;
  • irregular menstrual cycle;
  • heavy or scanty menstrual flow;
  • prolapse of the vagina or uterus;
  • the appearance of tumors on the genitals;
  • lack of conception with regular sexual activity;
  • soreness of the mammary glands and discharge from the mammary glands;
  • entry of foreign bodies into the genitals;
  • genital injuries;
  • constant low-grade fever (37-37,2);
  • planning pregnancy or the need to choose contraceptives.

The reason for contacting may also be the presence of unprotected sexual intercourse with an unfamiliar partner.

How to prepare for your appointment

Preparation for visiting a gynecologist includes:

  • bowel movement and bladder, since these organs can interfere with palpation and cause pain when they are full;
  • taking a shower, putting on fresh underwear (there is no need to use soap when washing, so as not to disturb the natural microflora of the vagina);
  • exclusion of douching, intimate deodorants and perfumes;
  • absence of sexual intercourse for three days before the visit;
  • excluding alcohol the day before the visit;
  • eliminating the use of antibiotics 2 weeks before the visit (their use may distort test results).

If the doctor has not prescribed another day of the cycle, optimal time The first days after the end of menstruation are the best time to visit.

During menstruation, examination is not carried out unless severe pain or heavy bleeding occurs.

Consultation stages

Consultation with a gynecologist includes:

  • Collecting anamnesis and clarifying the patient’s complaints. The doctor clarifies at what age menstruation began, how it progresses, how many pregnancies, births, abortions or miscarriages there were, how the birth proceeded, what method of contraception is used. The gynecologist can also clarify the presence chronic diseases and ask what childhood illnesses the patient suffered.
  • Examination, which is carried out on a gynecological chair. A properly performed gynecological examination is an extremely informative and absolutely safe and painless research method, which is the main diagnostic method for some diseases. The examination lasts 5-10 minutes. During the examination, a gynecological speculum is inserted into the vagina, with the help of which the vagina and cervix are examined. A smear is taken from the cervix, cervical canal and vaginal wall, and then the speculum is removed and a bimanual examination is performed. Sterile disposable instruments are used for the examination. If necessary, colposcopy is performed (examination of the cervix and vagina using a special device - a colposcope).
  • Filling medical card, if necessary, appointment additional tests and examinations.

After receiving the results of the smear and additional examinations, the gynecologist prescribes appropriate treatment.

Diagnostics

Diagnosis of gynecological diseases includes:

  • general examination;
  • if necessary, examination of the mammary glands;
  • Ultrasound of the pelvic organs;
  • laboratory tests and analyses;
  • hardware and instrumental diagnostics.

Hardware and instrumental diagnostics carried out according to indications and may include:

  • Colposcopy, in which the vagina and cervix are examined using a digital video colposcope. This study, thanks to an image magnification of 40 times, allows you to detect pathologically changed areas. If necessary, an extended colposcopy is performed using a 3% solution of acetic acid or Lugol's solution to diagnose erosion, dysplasia and to identify atypical cells.
  • Hysteroscopy, which, thanks to the use of an optical probe, allows you to examine the uterine cavity. It is performed under local or general anesthesia.
  • Hysterosalpingography, which checks the patency of the fallopian tubes. This examination method is also used for uterine malformations, polyps or endometrial growth. During the examination, a contrast agent is injected into the uterine cavity and X-rays are taken.

To clarify the diagnosis, the gynecologist may prescribe an x-ray, CT scan or MRI.

Laboratory methods are also used to diagnose gynecological diseases:

  • flora smear, which allows you to identify the number and type of bacteria, protozoa and fungi present, estimate the amount of mucus, the number of leukocytes, etc.;
  • cytomorphological examination, through which atypical cells are identified;
  • bacteriological examination - bacterial culture, which makes it possible to specify the composition of the microflora of the genital tract;
  • express diagnostics infectious diseases PCR method;
  • tests for sex hormones;
  • cultures to determine the sensitivity of the pathogen to drugs;
  • tests for tumor markers to exclude the development of a malignant process;
  • biopsy with cytological examination, which allows you to determine the presence of cancer cells;
  • pregnancy test (hCG hormone).

Hardware examinations in combination with laboratory tests make it possible to obtain comprehensive information about the patient’s health status.

Treatment

Treatment methods for gynecological diseases depend on the type of pathology detected and the stage of its development.

Gynecologists can use:

  • conservative treatment methods, which include the use of antibacterial, hemostatic and analgesic agents, immunocorrectors, biostimulants, etc.;
  • surgical treatment methods, which include conization, cryodestruction, resection (removal of part of an organ), laparoscopy, etc.

For symptomatic treatment in case of severe pain syndrome and in the presence of postoperative pain, the following are used:

  • antispasmodics (no-spa, papaverine);
  • local anesthetics (lidocaine);
  • analgesics (aspirin);
  • sedatives (diphenhydramine).

In the presence of bleeding, drugs are used that increase blood clotting (vicasol, etamsylate, calcium preparations, etc.), as well as drugs that affect contractility uterus (oxytocin, ergotal, etc.).

Antibacterial therapy:

  • can be local and general;
  • includes the use of antibiotics of all groups (the choice of drug depends on the pathogen);
  • includes the use of various dosage forms- solutions for external and internal use(intramuscular, intravenous and intracavitary administration), tablets, capsules, suspensions, ointments, creams, suppositories and films.

If antibiotics are intolerant, sulfonamide drugs are prescribed (they can be used simultaneously with antibiotics to enhance the anti-inflammatory effect).

Metronidazole is used in the treatment of trichomoniasis, anaerobic and mixed infections.

The following are also used to treat inflammatory processes:

  • biostimulants (actovegin, aloe preparations);
  • enzyme preparations (lidase, trypsin).

For detoxification and purpose replacement therapy for blood loss, infusion therapy is used.

In the treatment of developmental delay, endocrine pathology and vitamin therapy is prescribed as a general strengthening treatment.

Some medical procedures The patient can carry out the procedures prescribed by the gynecologist independently (tamponation with medicinal ointments or douching). For laser treatment of cervical erosion and other simple gynecological procedures must be visited treatment room in the antenatal clinic.

In the process of treating gynecological diseases, it is necessary to observe a work and rest regime. Physical activity and heavy lifting are contraindicated.

A highly specialized doctor who specializes in the diagnosis, prevention and treatment of diseases of the female reproductive system.

Gynecologist-surgeon

Operating practicing gynecologist who knows not only conservative methods treatment, but also performs surgical procedures.

Gynecologist-oncologist

Oncologist-gynecologist treats malignant tumors pelvic organs in women.

On our portal you can choose a gynecologist, gynecologist-oncologist from the best clinics in Moscow and make an appointment with him via the Internet or by phone. Doctors' profiles with information about their work experience, education and patient reviews will help you find a good specialist.

Popular questions about the gynecologist

When is it necessary to see a gynecologist?

An appointment with a gynecologist is needed for: pain in the lower abdomen, disruption of the menstrual cycle, itching and burning in the vagina, thrush.

Where to find a good gynecologist?

On. To choose a good gynecologist, we advise you to look at patient reviews and pay attention to the education and work experience indicated in the doctors’ questionnaire.

I'm looking for a gynecologist, can you recommend anyone?

You can look at patient reviews of doctors, choose the right doctor and make an appointment with a gynecologist via the Internet or by phone. It is also worth paying attention to the education and work experience of the specialist indicated in the application form.

Which gynecology clinic should I go to?

Choosing a clinic is no less important than choosing a specialist. On our website you can find a good one based on patient reviews and clinic ratings.

How is an appointment with a gynecologist?

An appointment with a gynecologist begins with an analysis of the nature of the complaints, the characteristics of the menstrual cycle, and the presence of sexual activity. Next, there is an examination of the mammary glands, examination on a gynecological chair and palpation of the abdomen. During the examination, it is mandatory to take a smear from the cervix.

How to prepare for an appointment with a gynecologist?

A visit to the gynecologist should be scheduled before menstruation or in the first days after it ends. It is necessary to stop douching and sexual intercourse 1-2 days before the examination, and take a shower immediately before the visit. It is not recommended to use various deodorizing intimate hygiene products.

How does recording via DocDoc work?

You can choose a good specialist and make an appointment with him on the website or in mobile application DocDoc. You can also make an appointment by phone.

Pay attention! The information on the page is provided for informational purposes only. To prescribe treatment, consult your doctor.

Gynecologist in Moscow is a specialist who diagnoses, treats and prevents diseases of the female reproductive system. The tasks of a gynecologist include solving issues of conception, pregnancy and childbirth. With us you can consult a gynecologist, gynecologist, endocrinologist under comfortable conditions and at the lowest price. All specialists Medical center professional and licensed doctors.

A gynecologist-endocrinologist is a specialist involved in the diagnosis and treatment of diseases associated with female reproductive system resulting from hormonal system disorders.

Consultation with a gynecologist-endocrinologist necessary in cases where a woman’s body develops hormonal imbalance, which arose as a result external influences such as unfavorable environment, the influence of stress, unhealthy image life and much more. Such changes cannot be ignored, since hormones regulate reproductive function and are the basis of metabolism in the body, which can have serious consequences for a woman.

A woman’s reproductive function is regulated at the following levels, failures and malfunctions in which cause disturbances:

  • Pituitary,
  • Hypothalamus,
  • cerebral cortex,
  • Ovaries and organs of the reproductive system (breasts, uterus, skin and bones, adipose tissue).

Indications for gynecological consultation

Consultation with a gynecologist-endocrinologist may be necessary for a woman of any age if the following symptoms:

  • premature puberty, identified by the detection of secondary sexual characteristics;
  • pronounced premenstrual period, accompanied by increased blood pressure, weight gain, pain and swelling of the mammary glands;
  • irregularities or complete absence of the menstrual cycle;
  • painful menstruation;
  • appearance in women male characteristics(hair growth according to the male type: on the face, on the chest, in the middle of the abdomen; voice changes);
  • inability to get pregnant within a year, if you have active sex life without protection;
  • miscarriage;
  • detecting signs of metabolic disorders, such as obesity or sudden changes in weight, acne and skin rashes;
  • onset of climatic syndrome;
  • consequences of operations on the organs of the reproductive system.

But not only this series of symptoms may be a reason to visit a gynecologist-endocrinologist. A completely normal situation is a consultation before the appointment. hormonal contraceptives, which can only be prescribed by this specialist.

It is important to understand that only a gynecologist-endocrinologist can eliminate the causes cosmetic defects such as acne on the skin, hair loss and excess oiliness, hair growth on the face and chest, and even overweight. All this is caused by changes in hormonal system, and must be eliminated first this specialist, and then see a dermatologist, trichologist or cosmetologist.

Preparing for a consultation

In order to visit a specialist, the patient does not require any mandatory preparation. It is worth taking care of personal hygiene. To conduct a successful consultation and subsequent examination, on the eve of visiting a doctor, you must stop drinking alcohol and smoking.

It is necessary to have previously performed examinations with you, such as ultrasound, blood tests, and reports from other doctors. This is necessary so that the doctor has clear grounds for making a diagnosis and prescribing the correct treatment; the doctor can also prescribe additional examinations.

From additional diagnostic procedures to reveal the picture of the state of health, the following are carried out:

  • blood test for hormones (such as progesterone, estrogen, FSH, PRL, hormones thyroid gland and adrenal glands, etc.),
  • general blood test,
  • blood test for glucose and insulin levels,
  • taking smears for flora and PCR,
  • testing for sexually transmitted infections,
  • Ultrasound of the mammary glands,
  • Ultrasound of the pelvic organs,
  • Ultrasound of the thyroid gland,
  • Ultrasound of the adrenal glands,
  • colposcopy,
  • examination of the uterine cavity,
  • endometrial biopsy,
  • electroencephalography,
  • CT and MRI of the pituitary gland.

The doctor may also refer you for examination to other more specialized specialists.

Stages of examination by a gynecologist and endocrinologist

The entire consultation process can be divided into stages:

  1. history taking

The doctor examines the patient's health history, especially the state of health in this period time. Certain aspects of the medical history are important factors:

  • age, gender and occupation,
  • presence of complaints and symptoms,
  • clarification of the presence of chronic diseases and predisposition to them,
  • list and admission history medicines,
  • past medical history,
  • family history.
  1. Carrying out an inspection

The external and internal genital organs are subject to examination on a gynecological chair.

  1. Purpose of the examination

It is carried out to clarify the causes of changes in hormonal levels, make a diagnosis, and also prescribe effective methods treatment and prevention.

Some diseases detected by a gynecologist and endocrinologist

Gynecologist-endocrinologist diagnoses the following diseases:

  • Sclerosis and polycystic ovaries,
  • Ovarian dysfunction,
  • Endometriosis,
  • Primary and secondary infertility.

It is necessary to visit a consultation with a gynecologist-endocrinologist in Moscow if you are faced with problems of reproductive function and if you are planning a pregnancy. Today this service is incredibly popular, since similar problems affect women of all age groups and social status, and everyone wants to remain beautiful, feel happy and healthy. Consultation with a gynecologist-endocrinologist in Moscow at MDC-S takes place in comfortable conditions and is carried out by qualified specialists.

Head of the Center for Gynecology, Reproductive and Aesthetic Medicine, Ph.D., Doctor highest category, associate professor of the department rehabilitation medicine and biomedical technologies MGMSU named after A.I. Evdokimova, board member of the Association of Aesthetic Gynecologists ASEG.

  • Graduated from Moscow medical academy named after I.M. Sechenova, has a diploma with honors, completed clinical residency at the Clinic of Obstetrics and Gynecology named after. V.F. Snegirev MMA named after. THEM. Sechenov.
  • Until 2009, she worked at the Clinic of Obstetrics and Gynecology as an assistant at the Department of Obstetrics and Gynecology No. 1 of the MMA named after. THEM. Sechenov.
  • From 2009 to 2017 she worked at the Federal State Institution “Treatment and Rehabilitation Center” of the Ministry of Health of the Russian Federation
  • Since 2017, he has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine of Medsi Group of Companies JSC.
  • Defended her dissertation for the academic degree of candidate medical sciences on the topic: “Opportunistic bacterial infections and pregnancy”


Maksimov Artyom Igorevich

Obstetrician-gynecologist of the highest category

  • Graduated from Ryazan State Medical University named after academician I.P. Pavlova with a degree in general medicine. Completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology Clinic named after. V.F. Snegirev MMA named after. THEM. Sechenov.
  • Has a full spectrum surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access.
  • Engaged in the introduction of new methods for identifying and treating the early stages of endometriosis.
  • Constantly improves his practical skills and is an annual participant in Russian and international congresses And scientific and practical conferences in obstetrics and gynecology.

Kolgaeva Dagmara Isaevna

Head of Surgery pelvic floor. Member of the scientific committee of the association for aesthetic gynecology.

  • Graduated from the First Moscow State Medical University named after. THEM. Sechenov, has a diploma with honors.
  • Has certificates: obstetrician-gynecologist, specialist in the field laser medicine, a specialist in intimate contouring.
  • The dissertation is devoted to surgical treatment genital prolapse complicated by enterocele.
  • Kolgaeva Dagmara Isaevna is the author of a number of published works, participant in Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.


Myshenkova Svetlana Aleksandrovna

Obstetrician-gynecologist, candidate of medical sciences, doctor of the highest category

  • In 2001 she graduated from the Moscow State Medical and Dental University (MGMSU)
  • In 2003, she completed a course of study in the specialty “obstetrics and gynecology” at the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences
  • In 2007, Svetlana Aleksandrovna Myshenkova defended her dissertation on the topic “Treatment of uterine fibroids by x-ray endovascular embolization of the uterine arteries” and received the degree of Candidate of Medical Sciences
  • He has a certificate in endoscopic surgery, a certificate in ultrasound diagnostics of pathologies of pregnancy, fetus, newborn, in ultrasound diagnostics in gynecology, a certificate of a specialist in the field of laser medicine. All knowledge gained during theoretical studies, successfully applies in his daily practice
  • She has published more than 40 works on the treatment of uterine fibroids, including in the journals “Medical Bulletin” and “Problems of Reproduction”. He is a co-author of methodological recommendations for students and doctors

Pritula Irina Alexandrovna

Obstetrician-gynecologist

  • Graduated from the First Moscow State Medical University named after. THEM. Sechenov.
  • She completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
  • She is certified as an obstetrician-gynecologist.
  • Possesses the skills of surgical treatment of gynecological diseases on an outpatient basis.
  • He is a regular participant in scientific and practical conferences on obstetrics and gynecology.
  • The scope of practical skills includes minimally invasive surgery (hysteroscopy, laser polypectomy, hysteroresectoscopy) - Diagnosis and treatment of intrauterine pathology, cervical pathology


Muravlev Alexey Ivanovich

Obstetrician-gynecologist, gynecological oncologist

  • In 2013 he graduated from the First Moscow State Medical University named after. THEM. Sechenov.
  • From 2013 to 2015, he completed clinical residency in the specialty “Obstetrics and Gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University named after. THEM. Sechenov.
  • In 2016, he underwent professional retraining at the State Budgetary Institution of Healthcare of the Moscow Region MONIKI named after. M.F. Vladimirsky, specializing in Oncology.
  • From 2015 to 2017 he worked at the Federal State Institution “Treatment and Rehabilitation Center” of the Ministry of Health of the Russian Federation.
  • Since 2017, he has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine of Medsi Group of Companies JSC.


Mishukova Elena Igorevna

Obstetrician-gynecologist

  • Doctor Mishukova Elena Igorevna graduated with honors from the Chita State Medical Academy with a degree in general medicine. She completed clinical internship and residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
  • Mishukova Elena Igorevna has a full range of surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access. Is an emergency specialist gynecological care for diseases such as ectopic pregnancy, ovarian apoplexy, necrosis of myomatous nodes, acute salpingoophoritis, etc.
  • Mishukova Elena Igorevna is an annual participant in Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.

Rumyantseva Yana Sergeevna

Obstetrician-gynecologist of the first qualification category.

  • Graduated from the Moscow Medical Academy named after. THEM. Sechenov with a degree in general medicine. She completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University named after. THEM. Sechenov.
  • The dissertation is devoted to the topic of organ-preserving treatment of adenomyosis using FUS ablation. He has a certificate as an obstetrician-gynecologist and a certificate in ultrasound diagnostics. Proficient in the full range of surgical interventions in gynecology: laparoscopic, open and vaginal approaches. He is a specialist in providing emergency gynecological care for diseases such as ectopic pregnancy, ovarian apoplexy, necrosis of myomatous nodes, acute salpingoophoritis, etc.
  • Author of a number of published works, co-author of a methodological guide for doctors on organ-preserving treatment of adenomyosis using FUS ablation. Participant of scientific and practical conferences on obstetrics and gynecology.

Gushchina Marina Yurievna

Gynecologist-endocrinologist, head of department outpatient care. Obstetrician-gynecologist, reproductive specialist. Ultrasound diagnostics doctor.

  • Gushchina Marina Yurievna graduated from Saratov State Medical University. V.I. Razumovsky, has a diploma with honors. Awarded a diploma from the Saratov Regional Duma for excellent academic achievements and scientific activity, recognized as the best graduate of SSMU named after. V. I. Razumovsky.
  • She completed a clinical internship in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
  • He is certified as an obstetrician-gynecologist; ultrasound diagnostics doctor, specialist in the field of laser medicine, colposcopy, endocrinological gynecology. Repeatedly took advanced training courses in “ Reproductive medicine and surgery”, “Ultrasonic diagnostics in obstetrics and gynecology”.
  • The dissertation is devoted to new approaches to differential diagnosis and tactics for managing patients with chronic cervicitis and early stages of HPV-associated diseases.
  • Proficient in a full range of minor surgical interventions in gynecology, performed on an outpatient basis (radiocoagulation and laser coagulation erosions, hysterosalpingography), and in a hospital setting (hysteroscopy, cervical biopsy, cervical conization, etc.)
  • Gushchina Marina Yurievna has more than 20 scientific published works, is a regular participant in scientific and practical conferences, congresses and conventions on obstetrics and gynecology.

Malysheva Yana Romanovna

Obstetrician-gynecologist, pediatric gynecologist adolescence

  • Graduated from the Russian National Research Medical University. N.I. Pirogov, has a diploma with honors. She completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the Faculty of Medicine of the First Moscow State Medical University. THEM. Sechenov.
  • He is certified as an obstetrician-gynecologist, ultrasound diagnostics doctor, specialist in laser medicine, pediatric and adolescent gynecology.
  • Proficient in the full range of minor surgical interventions in gynecology, performed both on an outpatient basis (radiocoagulation and laser coagulation of erosions, cervical biopsy) and in a hospital setting (hysteroscopy, cervical biopsy, cervical conization, etc.)
  • Participant of congresses and scientific and practical conferences on obstetrics and gynecology.
  • Author of 6 scientific publications.

Ivanova Olga Dmitrievna

Ultrasound doctor

  • Graduated from the Moscow Medical Academy named after. THEM. Sechenov with a degree in general medicine
  • Completed clinical residency in the specialty " Ultrasound diagnostics» on the basis of the Research Institute of SP named after. N.V. Sklifosovsky
  • Has a Certificate from the FMF Fetal Medicine Foundation confirming compliance with international requirements for 1st trimester screening, 2018. (FMF)
  • Proficient in ultrasound examination techniques.