Gynecology

How to prepare for a gynecologist appointment

1. Choose the right time

• do not schedule a visit during your period unless it is urgent, as bleeding can make it difficult to perform the test;
• the best time is 5-7 days after the end of your period;

2. Hygiene.

• take a shower before the visit, but without using aggressive intimate hygiene products – they can change the natural microflora;
• avoid douching – it can affect the test results;
• if you are scheduled for a pap smear or tests, avoid using tampons, vaginal suppositories or creams 24-48 hours before your visit;

3. Avoid sexual intercourse

• it is advisable to abstain from sex 24-48 hours before the examination, as this may affect the test results;

4. Prepare information.

• recall the date of your last menstruation, its duration and nature;
• if you have any complaints, write down the symptoms (when they started, how they manifest);
• if you are taking hormones or other medications, tell your doctor;

5. Psychological preparation.

• do not hesitate to ask questions – the gynecologist is here to help;
• remember that discomfort during the examination is minimal and lasts only a few minutes;

6. If this is your first visit

• tell the doctor about your general health, past surgeries, and chronic diseases;
• do not worry – the doctor acts professionally and delicately;

Pediatric gynecologist in Mykolaiv “from birth”

A pediatric gynecologist is usually consulted with problems of menstrual dysfunction and quite often with issues related to sexual development, sexual hygiene and contraception. Sometimes girls are uncomfortable talking about certain topics, so it is important that the doctor in such cases is an interlocutor who will help them perceive adult issues as a natural process. The ZDRAVO Medical Center employs specialists who have extensive experience in this area. The reception is conducted by pediatric gynecologist Krasulya Olena Stanislavivna, with over 21 years of experience.

A timely visit to a gynecologist prevents the occurrence of certain problems, their possible consequences and possible surgical interventions in the reproductive sphere.

A consultation with a pediatric gynecologist can be held at the request of a girl or her mother in case of complaints or in case of need for certain information. A special gynecological examination is performed as an additional method of examination, and if there are no specific symptoms or complaints, it is not mandatory. It is very important for the doctor to gain the child’s trust, find an individual approach and a way to mutual understanding.

Symptoms in a child that require a visit to a doctor as soon as possible:

1. Complaints of acute pain in the lower abdomen.
2. Pain when urinating.
3. If the child experiences burning and itching sensation in the vagina, or if there is unusual redness and irritation.
4. When douching, a white or yellow discharge is found, which may have a sour odor.
5. If the genitals have been injured in a fall.
6. If menstruation does not begin until the age of 15, or is abnormal (irregular, painful, accompanied by loss of consciousness).
7. If there is a visible fusion of the labia minora in a girl (sinex).

In Mykolaiv, gynecological examinations can be performed in private medical centers, where patients receive a doctor’s consultation, diagnostics, and necessary recommendations for treatment or prevention.

At the ZDRAVO medical center, gynecology is based on a comprehensive approach to diagnosing and treating diseases of the female reproductive system.

During a single visit, patients can undergo:

• gynecological examination
• ultrasound (US)
• Pap test
• laboratory tests
• receive recommendations for further treatment or additional examinations

Appointments are available for adult women, as well as for children and adolescents — consultations are also provided by a pediatric gynecologist.

How do I know if I need to make an appointment with a gynecologist?

It is worth booking a gynecologist consultation not only when pronounced symptoms appear, but also for preventive purposes. A doctor will help assess the state of women’s health, detect possible disorders at early stages, and provide recommendations for further examinations or treatment.

The most common reasons to see a gynecologist:

• menstrual cycle disorders (delays, excessively heavy or prolonged periods);
• pain in the lower abdomen, pelvic area, or lower back;
• unusual discharge, itching, burning, or discomfort in the intimate area;
• painful or difficult urination;
• pain or discomfort during sexual intercourse;
• difficulties with conception or recurrent pregnancy loss;
• intermenstrual or uterine bleeding;
• suspected inflammatory processes, cysts, fibroids, or other gynecological conditions.

When to see a doctor even without complaints:

• for a preventive check-up once a year;
• after the beginning of sexual activity;
• after childbirth or surgical procedures;
• during periods of hormonal changes (adolescence, menopause).

Regular gynecological consultations help to timely detect diseases of the reproductive system, control hormonal balance, and maintain women’s health at any age.

Why delaying a visit to a gynecologist can be dangerous

Some gynecological conditions can develop for a long time without noticeable symptoms.

If a consultation with a doctor is postponed, possible consequences include:

• chronic inflammatory processes
• hormonal disorders
• fertility problems
• complications during pregnancy

Regular check-ups help detect changes at an early stage and prevent serious health issues.

Who is a gynecological examination without a referral suitable for

A gynecological examination without a referral is suitable for women who want to receive medical care without waiting for a referral from a family doctor. This format is convenient when it is important to quickly consult a specialist, undergo a preventive check-up, or receive recommendations for further examinations.

An examination without a referral is suitable for women with any complaints — from menstrual cycle disorders to pain, discomfort, or changes in overall well-being. This option is also chosen by patients who do not have any complaints but wish to regularly monitor their reproductive health.

This type of appointment is convenient for working women who need to undergo an examination within a short time, adolescents and young girls, patients after childbirth, as well as women during periods of hormonal changes, including menopause. A consultation without a referral allows patients to independently choose a doctor and a convenient appointment time, without postponing care for their health.

How does an obstetrician-gynecologist in Mykolaiv conduct an appointment?

1. First, the doctor will ask if you are currently experiencing any problems.
2. If there are no complaints, and you just came for a scheduled appointment, the doctor will start asking some questions.
3. Your basic information (duration of periods, dates of the last cycle, sexual life).
4. Whether you have had gynecological/non-gynecological diseases before (which ones?)
5. Examination of external genital organs, mammary glands, axillae.
6. Manual examination on a gynecological chair with mirrors (except for girls who haven’t started sexual life).
7. Taking a swab from the cervical canal.
8. If necessary, conducting additional examinations and taking tests.
9. Choosing treatment tactics.
10. Prescription of medicines or other procedures.

What is included in a complete gynecological examination?

1. Consultation and history taking

• review of medical records and medical history;
• analysis of complaints (pain, cycle disorders, discharge, etc.);
• discussion of menstrual cycle, sexual life, pregnancies;

2. Visual examination of the external genitalia

• assessment of the condition of the skin, mucous membranes;
• identification of possible inflammation, infections or abnormalities;

3. Examination in mirrors

• examination of the cervix and vaginal walls;
• taking smears for cytology (PAP test) and microflora;

4. Bimanual (manual) examination

• assessment of the size, shape, position of the uterus and ovaries;
• detection of inflammatory processes, neoplasms;

5. Transvaginal or transabdominal ultrasound

• assessment of the condition of the uterus, endometrium, ovaries;
• detection of cysts, polyps, fibroids, other pathologies;

6. Laboratory tests (if necessary)

• smear analysis for flora;
• cytological examination (PAP test);
• test for STDs (chlamydia, HPV, gonorrhea, etc.);
• blood test for hormones, tumor markers;

7. Colposcopy (if indicated)

• detailed examination of the cervix under a microscope;
• detection of precancerous changes, dysplasia, erosion;

8. Prescription of treatment or further research

• issuance of conclusion and recommendations;
• selection of contraception, vitamins, therapy;