Before conception, we assess your overall health condition by performing a complete check-up in order to uncover any risk factors that might affect your future pregnancy. We recommend the following examinations and screenings as parts of this check-up:
Examination by palpation
Before the examination begins, the gynecologist will ask you a few routine questions concerning your menstrual cycle and possible complaints. Then he/she proceeds to examine the external genitalia by palpation in order to assess its condition. The pelvic organs are physically examined the following way: the gynecologist inserts a forefinger into the vagina while palpating the lower abdomen with the other hand. Between the two hands, the size, weight and density of the uterus and the ovaries can be felt, thus inflammations and tumors can be detected easily.
Cytology and vaginal smear test
After palpation, the gynecologist inserts a special device (bivalve speculum) into the vagina in a closed position then carefully opens it near the cervix to separate the vaginal walls from the cervical orifice. Then with a spatula a smear sample is taken from the cervix and fixed on a glass slide with fixative spray. The cells collected in the sample are examined for cancer, but this test can also be used to detect infections of the vagina or the uterus. This examination is done the same way as cytological sampling, thus the two can be conducted at the same time. The results show the cleanliness of the vagina and help to detect possible infections.
For thoroughly examining the cervix, we use a magnifying device equipped with a light source called a colposcope. The image is visualized on a screen so the patient is able to see the condition of her cervix as well.
The gynecology examination can be supplemented by an additional vaginal ultrasound that can shed light on certain conditions that are hard to diagnose otherwise, for example muscle tumors in the wall of the uterus, lesions in the endometrium or diseases of the ovaries.
Screening for chlamidya
The greatest danger of chlamidya is that it cannot be diagnosed by routine examining methods, as 65-80 percent of infected women are asymptomatic. Just like in the case of cytology, samples are taken from the epithelial scrapings of the cervix. If a latent infection is present for a long time, it might cause severe complications such as pelvic inflammation and damages in the oviduct that may lead to infertility.
HPV (human papilloma virus) is a sexually transmitted viral infection that is 99,7% responsible for cervical cancer. It has more than 130 known types, and approximately 40 of these can cause genital diseases. In most cases, a healthy immune system recognizes the virus in time and prevents the disease. However, if the immune system is weakened, the infection can permanently damage the cells, which leads to the development of the disease. Screening is based on a smear test.
Mycoplasma and ureaplasma screening
Mycoplasma and ureaplasma are bacteria that cause recurring inflammations in the lower urinary tract and vagina and urinary problems as well. Screening is done by a smear test.
Ultrasound breast examination
Following palpation, we also examine the breast by ultrasound in order to visualize structural differences and possible lesions.