[email protected] | 020 227 224
[email protected] | 020 227 227
[email protected] | 020 227 444
Radno vrijeme: 08:00 - 21:00
(usljed COVID-19, 10:00 - 18:00)

[email protected] | 020 227 224
[email protected] | 020 227 227
[email protected] | 020 227 444
Working hours: 08:00 - 21:00
(during COVID-19, 10:00 - 18:00)

GYNAECOLOGY DEPARTMENT

The best for you.

Department of Gynaecology at Specialized hospital Ars Medica consists of modern facilities, equipped to provide high quality medical service, with maximum comfort and discretion.

Department is open on all days except Sunday. Our nurses will answer all your questions regarding appointment and doctor availability, consultation scheduling, treatment prices and provide all other relevant information, in person or via phone call.

Specialized hospital Ars Medica cooperates with the Healthcare Fund of Montenegro. Insured patients have the right for three free-of-charge IVF attempts.

Department of Gynaecology and the IVF Centre of Specialized hospital Ars Medica are the first medical departments in Montenegro in compliance with ISO healthcare and management standards.

GYNAECOLOGIC EXAMINATION

Care in the first place.

Gynaecologic examination consists of preliminary analysis or control check-up, and may employ various diagnostic tests such as Papanicolaou test, bacteriologic, virologic and fungal analysis.

PAPANICOLAOU TEST

Papanicolaou test is used for diagnosing premalignant and malignant transformations.
This test is short and easy to preform.

Colposcopy

Colposcopy is a procedure of examining cervix and vagina, diagnostically aimed at identifying distribution of abnormal squamous cell epithelium and screening for early signs of cervical cancer.

GYNAECOLOGIC PROCEDURES AND OPERATIONS IN GENERAL AND LOCAL ANESTHESIA

Pregnancy termination is a procedure preformed upon the request of a patient, for pregnancies.

Pregnancy termination can also be medically indicated. The procedure can be preformed in both local and general anaesthesia. Preparation consists of ultrasound examination and laboratory analysis.
Explorative curettage is an intervention preformed in case of prolonged bleeding, postmenopausal bleeding, or for other unclear situations that necessitate sampling the tissues of endocervix or endometrium for the purpose of definitive diagnosis.

Cervix biopsy is an intervention that consists of taking a sample from suspicious location discovered during the colposcopy of cervix.

Cervical conisation is an intervention of excision of a cone shaped tissue from the cervical mucus membrane, in cases of premalignant epithelial lesions of cervix.

LOOP procedure is a minimally invasive excision method for atypical cervical transformations.

Condyloma removal is a procedure with a high success rate, that can be preformed using multiple minimally invasive methods such as laser removak,cryotherapy, electrocoagulation, etc. However, it is impossible to totally remove HPV virus from the organism.

ULTRASOUND EXAMINATION

Details.

Ultrasound examination is a minimally invasive procedure that allows direct monitoring of the fetus throughout the pregnancy.

High resolution real time imaging enable us to examine fetus in real time, and assess various aspects of growth and development.

The possibility of monitoring the development, biometrics and assessment of fetus and circulation, make ultrasound an indispensable tool for maintaining healthy pregnancy.

ULTRASOUND EXAMINATION IS USED FOR:

ULTRASOUND IS INDISPENSABLE IN PATHOLOGIC DIAGNOSTICS OF:

Ultrasound

Quantity and quality of information received during ultrasound examination renders it the most valuable diagnostic tool in gynaecology. Minimally invasive nature, painless approach, precision and safety indicate its potential for use as many times as necessary throughout the course of pregnancy.

PREGNANCY COUNSELLING

Step by step…

NIFTY- NON-INVASIVE PRENATAL TEST FOR DIAGNOSIS OF CHROMOSOMAL TRISOMY

NIFTY prenatal test is a non-invasive method of diagnosing potential chromosomal trisomies after 10th week of pregnancy. It consists of taking a blood sample and preforming and DNA analysis. It is 99% accurate in determining the presence of trisomy on 21st, 18th and 13th and sex chromosomes.

“Low risk” test result indicates near certainty of healthy pregnancy. “High risk” test result indicates high chance of trisomy existence. In a case of “high risk” result, it is advised to proceed to more detailed diagnostic testing.

Discovering of chromosomal abnormality during pregnancy is done through combination of screening and diagnostic tests. If the tests indicate high risk, doctor will recommend amniocentesis.

Chromosomal trisomy is reported as present in only 3% of cases. Problem is posed by an increasing number of pregnant women carrying healthy fetus that are unnecessarily directed to the further invasive diagnostic screenings which carry a risk of miscarriage (0.8%-2% of cases) .

Non-invasive NIFTY is based on findings that mothers blood contains certain percentage of free DNA of the fetus. Analysis is preformed through DNA sequencing.

This test is available for single and twin pregnancies. Test cannot diagnose genetic mutations, chromosomal mosaicism or structural chromosomal abnormalities.

Although the testing is possible from 10th week of pregnancy, it is recommended to obtain blood sample from 12th -24th weeks of pregnancy.

Analysis of sex chromosomes will indicate the gender, unless it is a case of twin pregnancy.

On rare occasions (3%) it may be necessary to collect additional blood samples due to an insufficient fetal DNA concentration, sample damage, or procedural error.

Test reliability may be influenced by following factors: transfusion, transplantation, immuno-therapy or stem cell therapy, presence of mosaicism in fetus, placenta, or mother.

Test is not recommended in case of twin pregnancy characterised by disappearance of fetus (vanishing twin) .

Test results are known after 10-14 days.

Prior to testing, it is recommended to consult your gynaecologist.

NON-INVASIVE PRENATAL DIAGNOSTICS

$

Double test AFP + hCG

$

Triple test AFP,E3,hCG

$

Quadruple test AFP,hCG,E3 + inhibinA

INVASIVE PRENATAL DIAGNOSTICS

Chorion biopsy CVC

Choriocentesis is prenatal diagnostic method used to extract chorion sample for examining genetic structure of an embryo.
Method is used in patients older than 35, or with higher risk of genetic disease.
The procedure is preformed between 8th and 12th week of pregnancy

Amniocentesis

Amniocentesis is a prenatal diagnostic method used for examining genetic structure of the fetus through amniotic fluid analysis. This method is used in case of high risk of genetic diseases.

The procedure is preformed between 15th and 20th week of gestation. Testing results are available in 15 days.

Cordocentesis

Cordocentesis is umbilical sampling of fetal blood. It is preformed In local anaesthesia with complementary ultrasound monitoring.
Cordocentesis can be preformed multiple times throughout the course of pregnancy.
It can diagnose hereditary and intrauterine disorders, and is used for assessment of the state of fetus in last trimester of pathologic pregnancies.
The procedure can be preformed from 22nd week of gestation to labour.

CONTRACEPTION

Be sure

Intrauterine metallic supplement (IUU)

$

For patients using anticonvulsive medication

$

For diabetes mellitus patients

$

For patients with benign or malignant breast neoplasm

$

For hypertensive patients

$

For patients that experienced ceretrovascular insult (cannot use hormonal contraception)

Intrauterine supplement with hormone addition IUS

$

For patients with menstrual frequency and intensity disorders.

$

For endometriosis and adenomiosis patients.

Oral contraception

Oral contraception is one of the simplest and most effective methods of protection. It consists of hormonal products containing either a combination of oestrogen and progesterone, or only progesterone.
Oestrogen-progesterone tablets inhibit ovulation, while progesterone only pills employ three mechanisms without ovulation inhibition: thickening the cervical mucus rendering it impenetrable to spermatozoids, changing the endometrium making it less receptive for implantation, inhibit the mobility of oviduct rendering it unable to accept the ovum.

Oestrogen-progesterone tablets are usually taken 21 days + 7 day break characterized by abrupt haemorrhage similar to menstrual bleeding. Progesterone pills are taken continuously without the brake.

Oestrogen-progesterone tablets are more popular because they maintain stabile cycles. Progesterone pills are characterized by irregular haemorrhages or absence of menstruation. They are frequently used for post—labour protection, during the breastfeeding.

Adverse effects:

Contraception pills can cause temporary sickness, headache and chest tension. These symptoms usually subside quickly.
During the first cycles, it is possible to experience some irregularity in bleeding pattern, outside the expected time frame. This can occur as a result of your body getting used to the contraceptive, or due to the simultaneous medication taking (antibiotic, antiepileptic), or designating very low hormone doses.

Consultation with gynaecologist is recommended in case of an ongoing irregular bleeding.
Other adverse effects include decreased libido, depression, weight gain, affected carbohydrate, protein and fat metabolism, affected coagulation factors with increased risk for thrombosis and embolism (particularly after the age of 35) In smokers.

Contraindications:

Contraceptive pills are absolutely contraindicated in patients suffering from acute or chronic liver and gallbladder diseases, presence of thrombosis or embolism in anamnesis, presence of antiphospholipid antibodies, hypertension, diabetes mellitus, breast cancer, undiagnosed vaginal haemorrhage.
Relative contraindications are: mild hypertension, diabetes, liver disease, angina pectoris, smoking, breastfeeding, mastopathy , myomas, cardiac surgeries, renal insufficiency, etc.

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