Gynecology and Obstetrics Print option in slimbox / lytebox? (info) E-mail

Dr. Emese Barakonyi
Gynecologist, obstetrician
Visiting hours: Tuesday: 14-16.30
Languages spoken: ENGLISH, GERMAN, SWEDISH

Dr. Koperdák Anna
Obstetrician gynecologist
Visiting hours: Wednesday 9-11.30
 

 

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The role of the gynecologist,
obstetrician specialist

The gynecologist and obstetrician is the medical specialist who primarily treats women. The specialist's primary function is the detection, prevention and treatment of diseases and conditions of the female reproductive and sexual organs; Detection, prevention and treatment of pregnant women, including, helping family planning, managing birth control, monitoring pregnancy and childbirth.

Obstetrics and Gynecology Coral Medical CenterThe gynecologist's function also includes management of menopausal symptoms.

Gynecological diseases include the functional changes, disorders, and diseases of both internal and external reproductive system of women. In many cases these diseases are not just a sickness of one organ, but, rather, represent a symptom of a disease affecting the whole body. There is a myriad of gynecological disease. Most are indicated by symptoms such as abnormal vaginal bleeding, vaginal discharge, period pains, tummy and abdominal pain, gynecologic inflammations and infections often accompanied by fever and disturbances in sexual life.

By their very nature, the female genital organs are more vulnerable to infections than male genital organs. Being open to the outside world, microorganisms can easily penetrate causing a wide variety of infections and disease. Therefore, in case of inflammations and infections of the female organs, the gynecologist must not only cure the problem, but also assure that it will not recur. This means routine controls and treatment, if required, to restore the vaginal physiological defense system of the body to protect it from recurring infections, such as by restoring and maintaining the normal vaginal flora (e.g. by reintroduction of friendly, probiotic bacteria). At the same time, the partner should also be treated to avoid reinfection.

Main activities of the gynecology group of Coral Medical Center includeObstetrics and Gynecology Coral Medical Center

  • Gynecological cancer screening
  • Human Papilloma Virus (HPV) screening
  • Contraception
  • Infertility
  • Bleeding complaints
  • Gynecological inflammations and infections
  • Hormonal disturbances
  • Investigation and treatment of complaints that adversely affect the sexual life
  • Menopause –related problems
  • Polycystic ovary disease syndrome (PCO)

Disorders Related to Pregnancy

Pregnancy care Coral Medical CenterFull pregnancy care (Dr. Dezso Molnar and Dr. Szabo Gabor), including treatment/monitoring of high-risk pregnant women who do not require hospitalization (e.g. pregnancy in women with past or current problematic obstetric history, elevated blood pressure, diabetes, etc.) We provide genetic ultrasound testing. Its high quality is assured by the professionalism of our personnel and state of the art facilities of the medical center. 3D/4D ultrasound examination, pre-born baby pictures are also provided upon request.

The Tumors Of Female Reproductive Organs (Female Genital Tract)

Cancerous (malignant) or benign tumors may affect all female genital organs but mainly ovaries, cervix and the uterus. Unfortunately, the majority of cancers are not symptomatic until advanced disease stage. Since, as in all cancers, in gynecological cancers, early detection is very important for curability. This means that routine check ups and gynecological cancer screening are of utmost importance. Included is Human Papilloma Virus (HPV) screening (Pap smear, HPV test, colposcopy). HPV is a group of viruses that includes several strains that infect the female genital organs and represent a predisposing factor in several gynecological malignant diseases.

Coral Medical Center gynecologists will test for HPV, provide all information necessary for HPV vaccination to prevent cervical cancer and administer the vaccine. It is important to keep in mind that even if you are found to be infected with HPV, it doesn't mean that you will develop cancer. The purpose of the Pap smear, HPV test, and colposcopy are to prevent cervical cancer from developing. These tests and exams allow the doctor to carefully monitor and treat women before cervical cancer even develops.

Gynecological inflammations and infections

Gynecology at coral medical CenterInfections of the female genital tract are common, particularly among the sexually active population. There are many different gynecological inflammations and infections that require the clinical care of a physician. Therefor, it is very important to seek medical attention to determine the type of infection present and the appropriate treatment. In general, in establishing the diagnosis, the clinical symptoms, bacteriological analysis of samples taken and physical examination are assessed jointly.

Gynecological inflammations and infections can originate in either the lower (vulva, vagina) or upper reproductive tract. Common infections include:

Infections of vulva (vulvitis): Vulvitis is simply an inflammation of the vulva, a symptom that may result from a host of diseases (such as diabetes mellitus, hepatitis) hygiene deficiencies, mechanical irritation, infections, parasites, injuries, allergies, and other irritants. First and foremost, the cause of vulvitis should be determined and treated.

Inflammation of the pubic hair follicle can also occur and is similar to furunculosis of other skin areas.

Bartholin vaginal gland inflammation: Bartholin glands are found in the labia minora (they are non-palpable) and their function is to maintain the moisture of the vaginal mucosa. Bartholin glands are known to form cysts and abscesses in women of reproductive age. Cysts form when the duct of the gland becomes obstructed usually secondary to nonspecific inflammation, pathogen infection or trauma. Abscesses result from either primary gland infection or infected cyst. Patients with abscesses complain of acute, rapidly progressive vulvar pain. Abscesses usually require incision and drainage. Otherwise, antibiotics are used

Genital Wart (Condyloma acuminatum): This is a sexually transmitted viral infection. It has been associated to certain types of the Human Papilloma Virus (HPV). The treatment strategy is to eliminate as many of the visible lesions as possible. Electro-coagulation or cryotherapy are examples of treatments to remove warts.

Gonorrhea: It is a sexually transmitted infection (STI) caused by bacteria called Neisseria gonorrhoeae or gonococcus. It used to be known as "the clap". Gonorrhea can be easily diagnosed through a simple swab test and treated with antibiotics. If left untreated, it can lead to more serious long-term health problems and infertility. Thus testing for gonorrheal infection should not be missed.

Inflammations, infections of the vagina: the vagina is not a sterile organ. Any bacteria may be present in it. Every woman has many varieties of harmless bacteria in her vagina. For example lactic-acid bacteria (Lactobacillus bacteria) are present in significant amounts and their acid chemical effect is protective (Döderlein-vaginal flora). Vaginal inflammation occurs primarily due to injury of the Döderlein flora; this can happen due to hormonal changes during puberty and menopause, prolonged bleeding, pregnancy, post-operative conditions, prolonged antibiotic therapy. Inflammations of the vagina are caused mainly by anaerobic bacteria, fungi, and infections caused by Trichomonas vaginalis.

Bacterial vaginosis (Anaerobic vaginosis): Bacterial vaginosis is a very common condition in women. It is an imbalance of the bacteria in the vagina. Some of the bacteria multiply too much, so that more are present than is normal (especially Gardnerella) and the numbers of harmless bacteria, especially the 'lactobacilli' type, are decreased. The Döderlein flora becomes dominated by Gardenella and other anaerobic bacteria. The symptoms are usually mild symptoms. The main symptom is a fishy smell in the genital area and often a discharge, which is watery and grayish-white in color. Bacterial vaginosis does not cause soreness or irritation. If untreated, bacterial vaginosis may possibly increase the risk of pelvic inflammatory disease (infection of the Fallopian tubes that lead from the ovaries to the uterus).

Candidiasis: Candidiasis is an infection caused by a group of microscopic fungi or yeast. There are more than 20 species of Candida, the most common being Candida albicans. It causes a smelly, thick, cheese like white-yellow discharge that might be accompanied by itching, burning and swelling. It can also can make walking, urinating or sex very painful.

Trichomoniasis: Trichomoniasis, also called "trick," is a sexually transmitted disease (STD). It is caused by a protozoan parasite named Trichomonas vaginalis that can be passed from one person to another through intercourse with an infected partner. While trichomoniasis is usually passed sexually, it may be picked up from contact with damp or moist objects such as towels, wet clothing, or a toilet seat, if the genital area gets in contact with these damp or moist objects. Many women do not have any symptoms, but still have the STD. If women do have symptoms, they can include a yellow, green, or gray vaginal discharge (often foamy) with a strong odor, discomfort during sex and when urinating, irritation and itching in the genital area and lower abdominal pain in rare cases

In all vaginal infections treatment focuses usually on the primary cause of the disease. Since the infection is seldom limited to just the vagina and, consequently, it is often a more widely spread urogenital inflammation, local treatment is usually not sufficient to cure the disease. Most these diseases can be sexually transmitted, thus the partner needs to be controlled and possibly treated. These infections have to be treated even if do no cause any symptoms.

Cervical infections: An infection of the cervix is called cervicitis. Most cases of cervical infection are not serious, and may even be symptom-free. If present, symptoms may include vaginal discharge or bleeding, itching and external pain and irritation. If left untreated, the infection may spread and cause abdominal pain, fever and nausea. Simple irritation, such as a reaction to a tampon or a scented soap, is a common cause. Allergy to latex condoms, cervical cap or contraceptive foam may also lead to inflammation and infection of the cervix. Overgrowth of normal bacteria, as is sometimes experienced following a round of antibiotics, can affect the cervix and cause cervicitis. On the other hand, there are other causes for cervical infection that are more concerning. Most of these are sexually transmitted diseases such as chlamydia, gonorrhea and genital herpes, as well as pelvic inflammatory disease. Treatment is very important because cervical infections can cause ultimately complications such as inflammation of the uterus, during pregnancy it can lead to premature delivery. Further the infection increases the risk of cervical cancer. Diagnosis is made based on lab (bacteriological) test of a cervix smear as well as the clinical and cytological picture.

Inflammation, infection of the uterus: The inflammation that affects the lining membrane of the uterus is called endometritis. When it affects the muscular coat and substance of the uterus, it is termed metritis. Endometritis may be confined to the lining membrane of the cervix or neck of the uterus or it may attack the lining membrane of the entire organ. The infection most often starts in the vagina, but may spread through blood and lymphatic channels. Symptoms include abnormal bleeding, abdominal pain, fever, inflammation of the uterine wall, foul-smelling purulent discharge.

Screening for infections/inflammation of the female genital organs is of primary importance for the prevention of disease screening tests. Early detection of infection is essential because early-stage disease is easily cured with targeted or general systemic antibiotics. A neglected inflammation is cause for concern and may even lead to gynecological cancers.

Problems related to menopause

Problems related to menopause? Coral Medical CenterMenopause, the permanent end of menstruation and fertility, is a natural biological process, not a medical illness. Even so, the physical and emotional symptoms of menopause caused by hormonal changes can be significant. Menopause affects every woman. Symptoms may include irregular periods initially, hot flashes, night sweats, sleep difficulties, and irritability, headaches, vaginal dryness and others.

Most important, even though menopause is not an illness, you shouldn't hesitate to get treatment if you're having severe symptoms. Many treatments are available, from lifestyle adjustments to hormone therapy.

The gynecologist can address most of the symptoms, expert advice is highly recommended!

Last Updated on Friday, 26 February 2016 18:21
 

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