Menstrual disorders

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

Menstrual disorders are the actual problem of gynecology, many functions of the female body are associated with it: reproductive, family planning, infertility, inflammatory diseases, contraception and oncopathology. Of all gynecological diseases, menstrual disorders account 20%. What is a normal menstrual cycle? These are cyclical changes in a woman's body that repeat with intervals of 24-38 days and manifest by regular uterine bleeding (menstruation - mensis), which lasts from 4,5 to 8 days. The menstrual cycle (MC) includes the period from the first day of one menstruation to the first day of the next menstruation. Today, any deviation of the menstrual cycle from the norm, including changes in the regularity and frequency of menstruation, the duration of menstrual bleeding or the amount of blood lost is called abnormal uterine bleeding.

What are the signs that will help determine that you really have the disorders of menstrual cycle? There are several symptoms that indicate on pathological changes in the menstrual cycle:

  • menstrual bleeding occurs more often than 21 days (proyomenorrhea)
  • prolonged menstrual bleeding > 7 days (polymenorrhea)
  • heavy menstrual bleeding > 80 ml (hyperpolymenorrhea)
  • scanty menstrual bleeding < 30 ml (oligomenorrhea)
  • menstrual bleeding occurs less than 45 days (opsomenorrhea)
  • painful and irregular menstrual bleeding (dysmenorrhea)
  • menstrual bleeding occurs 3 - 7 days before the expected menstruation (premenstrual bleeding)
  • bloody discharge between periods (metrorrhagia)
  • absence of menstrual bleeding for 6 months (amenorrhea)

The causes of menstrual disorders can be quite different. Scientists identify several factors that can cause irregular menstruation:

  • physical or psycho-emotional overload
  • sexual dysfunction (congenital pathologies of the female genital organs) and genetic diseases
  • chronic or acute infectious diseases (genital or extragenital)
  • inflammatory diseases of the genital organs
  • complications after abortion or childbirth
  • use of certain drugs (antibiotics, hormonal drugs)
  • external factors (climate change, long journeys, dietary changes, sleep disorders)
  • traumas of the genitourinary system
  • bad habits (excessive alcohol consumption, smoking, drug use)

If you have any symptoms that indicate to disorders of the menstrual cycle, you should immediately consult an obstetrician-gynecologist, who will conduct a full clinical and laboratory examination. Diagnostics of menstrual disorders includes:

  • assessment of anamnesis, physical and sexual development, assessment of the menstrual calendar, clarification of the psychological characteristics of the patient
  • gynecological examination includes examination, bimanual examination, according to the indications - vaginoscopy and colposcopy
  • a set of laboratory tests consists of general and biochemical blood tests, test of hormones in the blood (follicle-stimulating and luteinizing hormones, prolactin, estrogen, progesterone, testosterone, cortisol, thyroid-stimulating hormone, free thyroxine), microscopy of vaginal secretions, if necessary - examination for sexually transmitted diseases
  • ultrasound of the pelvic organs (assessment of the size and structure of the genitals, endometrial thickness, exclusion of malformations, pregnancy, adenomyosis, polyps or hyperplasia of the endometrium, ovarian cysts, pelvic tumors), and, if necessary, ultrasound diagnostics of the thyroid gland and mammary glands
  • hysteroscopy
  • consultations with related specialists (geneticist, endocrinologist, generalist, psychiatrist, etc.) who help the gynecologist to identify the cause of menstrual disorders

Treatment of menstrual disorders is prescribed depending of the cause of disorders and symptoms. In each case, treatment is selected individually. Specific treatment may include hemostatic agents (in case of bleeding), hormone therapy to correct endocrine disorders, and anti-inflammatory and antibacterial therapy to treat infectious diseases. Surgical treatment is used for tumor processes, congenital malformations of the female genital organs, these processes are the basis of menstrual irregularities.
You should remember that menstrual irregularities - this is the first bell from our body, which can’t be ignored! It is necessary to immediately consult an obstetrician-gynecologist, who will prescribe the necessary examination and begin the necessary treatment in time. And restoration of normal menstrual function is an important measure to prevent reproductive health problems in the future.

Sources:

  • Андрієць О.А., Рак Л.М. Порушення оваріально-менструального циклу в підлітковому віці.
  • Державна програма «Репродуктивне здоров’я нації» // Здоровье женщины. - 2008. - №1 (33).
  • Наказ № 353 від 13.04.2016 МОЗ України «Про затвердження та впровадження медико – технологічних документів зі стандартизації медичної допомоги при аномальних маткових кровотечах».
  • Герасимова Т.В. Тези до лекцій по гінекологічній ендокринології.
     
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