- Gynaecological consultations (including breast consultation)
- Obstetric consultation and pregnancy monitoring
- Infertility consultation
- Family planning counselling
- Pregnancy test
- Biopsies
- General and local treatments
- Laboratory screening for: cervical cancer, HPV and Herpes Virus infection, Toxoplasma Gondii, Cytomegalo Virus, Listeria and Rubella infection, Chlamydia, Mycoplasma and Ureaplasma Urealiticum infection;
NEW!
Cardiological evaluation of pregnant women through cardiology practice!!! Indications and contraindications of caesarean section in pregnant women with heart disease. Cardiological follow-up of pregnant women and fetuses, treatment and monitoring.
Consultations and echocardiograms are done by prior appointment and are free of charge with a referral note from the family doctor/specialist or against payment.
Premature menopause and its implications
Favouring factors
- The genetic factor is the determining factor – genetic inheritance on the maternal line (if the mother or grandmother suffered from “premature” menopause, the daughter or granddaughter may have the same problem).
- Medically induced, as an effect of irradiation or administration of cytostatics.
- Surgically induced, by removal of the ovaries.
- When there are other serious conditions: tuberculosis, pituitary tumours, endocrine problems, stress, anorexia, etc.
Symptoms
Unlike natural menopause, which is signalled early on by symptoms characteristic of the premenopausal period (heavy periods, intermenstrual bleeding, irregular cycles), “premature” menopause often comes on suddenly. It is definitive if the menstrual cycle has disappeared for at least 12 months. At other times, it is preceded by a series of signs and/or symptoms:
- irregular or even non-existent menstrual cycles;
- more consistent or leaner than usual menstrual cycles;
- hot flushes (sudden sensations of warmth in the upper torso);
- dryness in the vagina (which becomes thinner and less flexible);
- bladder irritability and even incontinence;
- mood swings (irritability, sudden change, mild depression);
- dry mouth or skin;
- insomnia;
- decreased libido – a situation that affects the quality of life of the woman and the couple.
Premature ovarian failure (less academically known as “early or premature menopause”) is defined as the spontaneous onset of menopause before the age of 40. Because of the relatively young age and the unexpected nature of the event, both psychological support and hormone replacement therapy may be required. Although most doctors are not adequately trained to provide full psychological support, the appropriate approach and referral to available specialist services can be helpful. In addition to hot flushes and changes in emotional state, the woman suffering from early menopause must also learn to cope with the inherent physiological and psychological difficulties that arise. For example, this too-early menopause can be a very serious dilemma for women who want to have a baby, because their fertile period is over. The presence of these phenomena in women under the age of 40 makes it advisable to consult a gynaecologist in order to establish the correct diagnosis.
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