Gynaecology

Endometriosis is one of the most common benign diseases in young women of childbearing age. Endometriosis can occur superficially on the mucous membrane of the abdominal cavity, as well as deep in the organs (uterus, ovaries, fallopian tubes, vagina, bowel, bladder, uterine appendages, ureter).
This usually causes severe pain during menstruation, but it can also occur independently of menstruation.

Endometriosis can usually be diagnosed by means of a targeted ultrasound examination or during a diagnostic laparoscopy.
Depending on the symptoms and life planning (desire to have children), a selection of the optimal and individual treatments is possible after precise clarification (gynaecological laparoscopy, medicinal pain therapy, hormone therapy, TCM, phytotherapy, osteopathy, etc…).

Advisable for investigating complaints that remain inconclusive with ultrasound or computerised tomography. This minimally invasive method, also known as ‘buttonhole surgery’, enables almost scarless operations on the ovaries, uterus and bladder. Laparoscopy is also useful for uterine diseases such as fibroids, fallopian tube and ovarian diseases, as well as endometriosis.

In this operation, only the fibroids are removed and the uterus remains intact. The operation can be performed via the vagina – hysteroscopic myomectomy or via laparoscopy – laparoscopic myomectomy. Removal of the fibroids through an abdominal incision is rarely performed as this operation is more stressful. This method is only necessary for very large fibroids or a uterus enlarged by many fibroids.

During a hysterectomy, the uterus is partially or completely removed to relieve pain caused by diseases or injuries to the uterus. A hysterectomy can be useful in the case of cancer of the uterus or ovaries. A distinction is made between partial removal of the uterus (cervix, fallopian tubes and ovaries are retained), a total hysterectomy, where the uterus including the cervix is removed (fallopian tubes and ovaries remain) and a radical hysterectomy, where the body and cervix of the uterus, the neighbouring section of the vagina and sometimes also the fallopian tubes and ovaries in the pelvis are removed.

SURGICAL PROCEDURE:

• vaginal hysterectomy: the uterus is removed via the vagina
•  Laparoscopy: the uterus is removed minimally invasively (via small abdominal incisions)
• Abdominal hysterectomy: the uterus is removed via an abdominal incision

The most common reasons for a hysterectomy are:

• fibroids
• Vaginal and / or uterine prolapse
• Very heavy or painful periods
• Endometriosis
• Cancer of the uterus, cervix or ovaries

Possible symptoms of the menopause include mood swings, hot flushes, sleep disorders, unwanted weight gain, hair loss, loss of libido, vaginal dryness and the associated pain during sexual intercourse.

Hormone replacement therapy with bioidentical hormones
Bioidentical hormone replacement therapy refers to the use of hormone preparations that are identical to those in the human body and are therefore particularly well tolerated.

Treatment with herbal preparations/phytohormones
Phytohormones are messenger substances that occur in plants and promote growth and development. Their mode of action is similar to that of hormones in the human body. They play a major role in the treatment of menopausal symptoms.

The Menopause Café takes place once a month in our clinic’s lecture hall. Dr. Daniela Ferenci invites women to an open consultation in small groups of 10 to 12 people to exchange ideas and get answers and tips on all aspects of the menopause.

You can find the dates of the event and the link to register under “News”.