Gynecology tests in Kiev

Гінекологія Gynecology
Consultation of a gynecologist
700 UAH
Pregnancy management I trimester
10 490 UAH
Follow-up consultation of a gynecologist
500 UAH
Pregnancy management II trimester
6 830 UAH
Consultation of a gynecologist in English
1 000 UAH
Pregnancy management III trimester
6 530 UAH
Follow-up consultation of a gynecologist in English
900 UAH
Pregnancy management I+II+III trimester
23 850 UAH
Online consultation of a gynecologist
400 UAH
Online consultation of a gynecologist in English
600 UAH
Consultation of a gynecologist - endocrinologist
1 000 UAH
Consultation of a gynecologist - endocrinologist in English
1 300 UAH
Online consultation of a gynecologist - endocrinologist
600 UAH
Online consultation of a gynecologist-endocrinologist in English
900 UAH
Gynecological procedures (tampones, irrigation) №1
300 UAH
Colposcopy
350 UAH
Material collection procedure from urogenital tract (gynecology)
150 UAH
Application of ointments/solutions on vulva or cervix (without cost of medications)
300 UAH
Cervical cryodestruction
1 500 UAH
Radiowave coagulation of the cervix
2 800 UAH
An intrauterine device (IUD) removal
900 UAH
An intrauterine device (IUD) insertion
900 UAH
Injection into the cervix (without cost of medications)
300 UAH
An intrauterine device (IUD) removal with curettage of uterus
1 700 UAH
Medication-induced abortion №1 (consultation of a gynecologist twice, pelvic ultrasound twice, laboratory tests, medication)
6 800 UAH
Termination of pregnancy by vacuum aspiration under anaesthesia
8 000 UAH
Surgical termination of pregnancy with anesthesia
9 500 UAH
Separate diagnostic scraping
3 000 UAH
Surgical treatment of bartholinitis (abscess dissection)
2 300 UAH
Cryodestruction of condylomas (gynecological, one zone)
1 000 UAH
Radiowave removal of condylomas (gynecological, one zone)
1 000 UAH
Laser removal of condylomas (gynecological, one zone)
1 000 UAH
Conisation of the cervix
2 500 UAH
Surgical plasty of labia
6 900 UAH
Laser plasty of labia
12 700 UAH
Correction of the shape of the genitals with fillers for 1 zone
4 800 UAH
Transabdominal ultrasound of small pelvis
580 UAH
Transvaginal/transrectal ultrasound of small pelvis
580 UAH
Гінекологія Gynecological surgery
Hysteroscopy of the uterine cavity
4 525 UAH
Excision of the intrauterine septum during hysteroscopy
6 430 UAH
Polypectomy, diagnostic curettage of the walls of the uterine cavity and cervical canal
4 770 UAH
Removal of the fibromatous node with curettage of the walls of the uterine cavity
6 670 UAH
Surgical defloration (dissection of the hymen)
3 340 UAH
Removal of a foreign body from the vagina
1 075 UAH
Radio wave removal of benign neoplasms (polyps) of the cervix
4 525 UAH
Radio wave removal of a cyst of the cervix
5 480 UAH
Bougienage of the cervical canal
2 145 UAH
Separation of the synechiae of the labia minora
2 145 UAH
Diagnostic puncture of the posterior fornix of the vagina
3 100 UAH
Removal of the myomatous node during hysteroscopy of the 1st category of complexity
6 905 UAH
Removal of the myomatous node during hysteroscopy of the 2nd category of complexity
8 575 UAH
Ablation of the endometrium during hysteroscopy
8 575 UAH
Marsupialization of a Bartholin gland cyst
7 620 UAH
Plastic surgery of the anterior and posterior walls of the vagina
23 810 UAH
Plastic surgery of the anterior wall of the vagina
14 290 UAH
Plastic surgery of the posterior wall of the vagina
14 290 UAH
Perineal plasty (superficial defects, correction of postoperative scars, failed sutures after episiotomy)
9 525 UAH
Hymenoplasty (restoration of the hymen)
7 385 UAH
Removal of a polyp of the cervical canal during hysteroscopy
4 765 UAH
Removal of an endometrial polyp during hysteroscopy
4 765 UAH
Biopsy of the endometrium aspiration/pipel, classic
960 UAH
Plasmolifting (PRP-therapy) in gynecology (1 procedure)
1 310 UAH
Removal of stitches from the cervix
480 UAH
Transvaginal puncture of the ovarian cyst - under ultrasound control
2 860 UAH
Hysteroscopy with resectoscopy 1st category of complexity
5 715 UAH
Hysteroscopy with resectoscopy 2nd category of complexity
8 100 UAH
Hysteroscopy with resectoscopy 3rd category of complexity
10 715 UAH
Vaginal extirpation of the uterus without appendages
21 430 UAH
Vaginal extirpation of the uterus with appendages
28 580 UAH
Vaginal myomectomy (up to 2 knots)
17 860 UAH
Vaginal myomectomy (up to 5 knots)
21 430 UAH
Vaginal myomectomy (more than 5 knots)
26 195 UAH
Supravaginal amputation of the uterus without appendages
23 810 UAH
Supravaginal amputation of the uterus with appendages
28 575 UAH
medical support for operational support of medical consultation in surgical treatment in gynecology
340 UAH
medical support of operational support of the 1st category
1 350 UAH
medical support of operational support of the 2nd category
2 700 UAH
medical support of operational support of the 3rd category
5 600 UAH

It is worth remembering that a preventive examination by a gynecologist is extremely important and should be performed at least once a year and in the presence of complaints and certain symptoms more often.
There are many diseases of the genital system, which symptoms do not appear immediately, but over a long period of time if the patient does not seek medical attention in time, the disease is detected in the late stages.
Modern methods of laboratory tests help the doctor in the early diagnosis of diseases, their prevention and treatment.

In gynecology use the following tests:

  • Microscopy of urogenital secretions - it is a test of a smear from the vagina and cervix with a microscope, that  allows to determine the nature of the microflora,  also helps in the diagnosis of some inflammatory diseases of the genital organs. The material is taken in two days after menstruation. Recommended to abstain from sexual intercourse, to exclude douching, treatment with vaginal suppositories two days before test. Material for the test - discharge from the vagina and cervical canal.
  • Pap smear test is a test of a cervical and cervical canal smear that is used to screen for cervical cancer. In most countries of the world the PAP test is recommended every three years from the age of  21, but  if there are risk factors, this test should be done once a year.

Risk factors for cervical cancer include:

  • smoking
  • HIV infection
  • low  immune system 
  • using corticosteroids
  • frequent change of sexual partners without the use of condoms
  • cervical cancer in mother / grandmother / sister
  • early sexual intercourse (up to 16 years)

At high risk of cervical cancer from the age of  30 recommended is combined test: PAP test + test for human papilloma virus (cotesting).
There are PAP test by traditional method and liquid cytology.
Researches have shown significantly higher sensitivity and specificity of the liquid PAP test compared to traditional.
Both methods allow to assess the morphological structure of cells and determine the nature of tumors of the cervix (benign, malignant, non-neoplastic lesions).

Preparation for cytology involves abstinence from sexual intercourse, exclusion of douching, treatment with vaginal suppositories two days before the visit to the doctor.

  • Bacteriological test of urogenital secretion. This method allows to determine the state of the microflora of the vagina, helps to identify opportunistic and pathogenic organisms, vaginal dysbiosis and to detect the sensitivity of bacteria to certain antibiotics.Indications for this test are the patient's complaints from the genital system, urogenital infections, diagnosis of infertility.Before taking secretions from the vagina a patient should not use douching, vaginal suppositories,in two days before test to exclude sexual intercourse. During menstruation the test can't be perfomed.
  • PCR diagnosis of sexually transmitted infections is a method of determining fragments of genetic material in the biological mediums, is the most accurate and fastest in the diagnosis of sexually transmitted infections. Prescribed in the presence of complaints in patients (changes in the nature of vaginal discharge, discomfort and itching, unpleasant odor of discharge, pain and discomfort during urinating). PCR method allows to detect in a woman's body opportunistic pathogens (Ureaplasma urealiticum, Ureaplasma parvum, Mycoplasma hominis, Candida, Gardnerella).

As additional tests that help confirm the diagnosis and are prescribed by a doctor according to the indications, use:

  • General blood test. Preventively recommended to take once a year and in the presence of chronic diseases prescribed by a doctor.
  • Tests of hormones in the blood is a laboratory method that helps to determine the state of a woman's reproductive health, carbohydrate metabolism,thyroid function.
  • Rapid gonorrhea test is a test that allows you to quickly and efficiently detect the antigen of gonococcal infection.
  • Type 1/2 HIV test - a rapi test for qualitative determination of antibodies in blood / serum.
  • Ovarian tumor markers - use for early diagnosis of ovarian malignancies.

Cancer antigen Ca-125 is the most commonly used marker for the diagnosis of ovarian cancer and for assessing the risk of recurrence of malignant processes.

Tumor marker HE4 is a protein of the protease inhibitor family, can be used to help diagnose epithelial forms of ovarian and endometrial cancer and may be more sensitive than CA125.

Tumor markers measured using a blood test.

  • Breast cancer markers Breast -  used for early detection of tumor recurrence and metastasis, control of disease treatment. Include Ca 15-3 and cancer-embryonic antigen. Material for the test - venous blood.

All additional tests are prescribed by the doctor based on individual anamnestic data and the general condition of the patient.

Researches:

  • https://health-ua.com/ "Скринінг раку шийки матки: ПАП-тест, цитологія, ВПЛ-тест?"  Автори: О.А.Бурка, к. мед. н., доцент кафедри акушерства та гінекології № 1 Національного медичного університету ім. О. О. Богомольця, м. Київ. 2021.
  • Программы скрининга: краткое руководство. ¬Повышение эффективности, максимальное увеличение пользы и минимизация вреда. [Screening programmes: a short guide. Increase effectiveness, maximize benefits and minimize harm], ВОЗ, 2020. 
  • Human Papillomavirus and Related Diseases in Ukraine. Summary Report 17 June 2019.
  • https://moz.gov.ua/article/health/Що таке ПАП-тест і чому його треба проходити кожній жінці. 2018.
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