By turning the gynecologist in the following cases:
Upon entering the study doctor determines featuresthe patient's figure, the amount of hair on the body, which can tell us about the hormonal status of the organism or its violation. Asking general questions about the working conditions, sexual relationships, partner, work experience and the nature of menstruation - a doctor chooses methods of diagnosis. That is why it is important to articulate the purpose of the visit - scheduled scan, postpartum reception tests for infection, etc.
The following procedures can be performed in a gynecological office:
Handed study. Determine the position, the status of the uterus,fallopian tubes, ovaries. Thus diagnosed uterine fibroids, inflammation of the appendages, ovarian cysts, ectopic pregnancy, or normal. For a more detailed analysis of the possible direction of an ultrasound.
Examination in mirrors. The doctor examines the vulva: wall of the vagina, cervix.
Smear on the flora. Ad Hoc spoon doctor "scoops"mucosal secretions cervical canal, the vagina, urethra and causes glass. The laboratory may identify under the microscope of the inflammatory process (number of leukocytes - white blood cells), latent infections (candidiasis, bacterial vaginosis).
Analysis on infection carried out in specialized centers. Polymerase chain reaction is studied material from the cervical canal (taken with the help of a mini-Yorshik on whose bristles are epithelial cells with bacteria dwelling in them). The analysis is used to diagnose herpes, chlamydia, mycoplasma, ureaplasma, papillomatosis. Tests for infection is recommended to take immediately after menstruation: the first few days after the "critical days" is the best time to diagnose and conduct of many studies. pass inspection are not recommended during menstruation.
Attention! After antibiotic treatment should undergo 1-2 months, because the drugs affect the vaginal microflora, and the results of smear study may prove to be inaccurate.
Linked immunosorbent assay It determines the level of antibodies to a particular infection and allows you to determine exactly in what form - acute or chronic - disease occurs.
Crop on flora / sensitivity antibiotic prescribed for repetitiveailments. Material from the vagina or cervix is placed into a medium, the bacteria are grown on it. According to the study of "the harvest" selected the most effective antibiotics.
Colposcopy. Inspection of the cervix under a microscope allowsdetect erosion, leukoplakia, papillomatosis, neoplastic changes. If necessary, take a biopsy (a small piece of tissue) is sent for histological examination, which gives accurate information about the state of the cells in the "problematic" site.
US. Auxiliary diagnostics, helping to collect data on the state of the mucous membrane of the uterus, the size and location of the bodies, clarify or refute the initial diagnosis made by hand. external (Transabdominal) ultrasound is performed through the abdomen (abdominal wall) when the bladder is full.
at internal (Transvaginal) study, when the sensorthe device in a disposable condom inserted into the vagina, it is possible the detection of adhesive processes is determined by the condition and size of the ovaries, the number of endometrial lining the uterus, and the passage of the egg maturation. This study is contraindicated in late pregnancy because it can cause miscarriage.
Blood test. Cyclical monthly changes in the bodywomen due to fluctuations in hormone levels in the blood, which is dependent on the menstrual cycle. Analyses are collected on certain days cycles. If the results are found hormonal disorders, more research is carried out - computed tomography, X-ray of the skull to collect data on the state of the pituitary gland that regulates the production of hormones that control the reproductive system.
Medical and genetic studies recommended for women who are planning a pregnancy or suffered miscarriages, developing pregnancy, birth of children with disabilities.
When the diagnosis of infertility in addition to hormone levels examined patency of the fallopian tubes. kimograficheskoy pertubatsii method involvesintroduction into the uterus, tubes and peritoneal cavity of air or gas, whereupon the reduction graphically recorded fallopian tubes. Additionally requires hysterosalpingography - The uterus admit a special substance, and then make an X-ray.
Laparoscopy. Inside authorities introduced a video camera through a small incision in the abdomen. Held in the diagnosis of infertility, ectopic pregnancy, appendicitis.
hysteroscopy. Pointing to the camera performed to detect endometrial pathology. With the suspicious area is taken biopsy.
Analysis on cytology - A scraping of cells from the cervix wall for study. Held for the early detection of mutated cells: cervical cancer is one of the most common causes of death in women.
No analysis shows the complete picturestate of health or disease of women, and therefore often gynecologist appoints multiple assays simultaneously. The resulting information with them, of course, helps to more accurately diagnose.
When planning a child you have to pass the full examination by a gynecologist and other specialists (therapist, Laura, ophthalmologist, etc.).
A survey on chair carried out for the initial assessment of the stateuterine swab for flora and latent infections (if they are not handed over early). Emergency inspection is carried out on the testimony - on the cervix checked, bleeding and so on. Further examinations usually carried out on the couch. Instrumental studies include.
Tazometr. It determines whether it is possible to flow through birth vaginally if there is narrowing of the pelvis, injury, or a cesarean is necessary.
Tape measure. Measure the height of the uterus, abdomen circumference. The data needed to compile a picture of the fetus, whether the size of gestational age.
Cardiotocography (CTG). The sensors on the belly of a pregnant catchuterine contractions and fetal heart activity and movement. The data recorded in the form of a curve, she concludes indicators on the state of health of the child, the possible oxygen starvation, reduction of cardiac activity, etc.
During the 16-21 weeks of pregnancy are recommended alpha-fetoprotein analysis - A blood test that reflects the development of the fetal nervous system.
TO the study of amniotic fluid resort for suspected any abnormalities (eg, genetic) in the child's body.
Also included in the competence of the doctor - whether monotonousshe composition whether seals tumors discharge. For a more detailed study gynecologist referred for breast ultrasound to mammologist. Routine inspection mammolog spends monthly in the first phase.