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Gynecology
Myoma
Uterine fibroids are benign tumors that develop from the smooth muscle cells of the uterus. The incidence among women over 35 years of age is 20%. Most often occurs in women aged 35 to 45 years. With the onset of menopause, in most cases, fibroids undergo involution. Types of fibroids: submucosal fibroids, intramural fibroids, subserous fibroids.
Diagnostics
Diagnostic methods: transvaginal ultrasound, ultrasound of the abdominal organs, CT, MRI of the pelvic organs.
Treatment
- Follow-up every six months if the fibroid is small and there are no symptoms.
- Hormone therapy with gonadotropin-releasing hormone agonists can reduce estrogen levels and reduce the size of fibroids by 40-60%.
- Surgical treatment (hysterectomy, myomectomy).
Cost of diagnosis and treatment: 8,800,000 - 9,800,000 won
endometriosis
Endometriosis is the tissue of the endometrium of the uterus outside of it. It occurs in 10-15% of women of reproductive age. Symptoms: painful periods, pain in the lower abdomen, infertility.
Diagnostics
Diagnostic methods: transvaginal ultrasound, MRI, blood test for tumor marker CA-125, biopsy, diagnostic laparoscopy.
Treatment
Drug therapy, surgical treatment (abdominal surgery, laparoscopic surgery). The volume of the operation depends on the degree of damage and the prevalence of the process to other organs. Both excision of individual foci of endometriosis, adhesions, and total hysterectomy and ovariectomy can be performed.
Cost of diagnosis and treatment: 10,000,000 - 12,000,000 won
Cervical cancer
Cervical cancer is a malignant tumor in the cervix. The disease develops over several decades. Intraepithelial dysplasia is a precancerous condition, and if timely treatment is not started, it can lead to the development of invasive cervical cancer.
Diagnostics
Diagnostic methods: biopsy, conization of the cervix, curettage of the cervical canal, ultrasound of the pelvic organs, CT, MRI.
Treatment
Operative treatment, radiotherapy, chemotherapy. The choice of treatment depends on the stage of cancer, tumor size, age, pregnancy planning, etc. In the case of precancerous lesions, conization of the cervix is performed, in case of invasive cancer, radical hysterectomy or chemotherapy or radiotherapy. In some cases, more than one method may be applied.
Cost of diagnosis and treatment: 15,000,000 - 20,000,000 won
ovarian cancer
The incidence of ovarian cancer among other types of gynecological cancer is 20%. Most often, this type of cancer occurs in 50-year-olds. As a rule, it has an asymptomatic course. When initially diagnosed, 2/3 of cases are cancer in stages 3 or 4.
Diagnostics
Transvaginal ultrasound, blood test for tumor marker CA-125, MRI, gastroscopy, colonoscopy, mammography.
Treatment
Surgical treatment (hysterectomy with removal of appendages), chemotherapy, radiotherapy.
Cost of diagnosis and treatment: 19.500.000 - 21.500.000 won
Polycystic ovaries
Polycystic ovary syndrome is a disease characterized by pathologically high levels of luteotropic hormone and normal levels of follicle-stimulating hormone in the blood, which leads to anovulatory menstrual cycles and multiple formation of ovarian cysts. Often accompanied by excessive hair growth.
Diagnostics
A blood test for hormones, ultrasound of the pelvic organs, an assessment of the state of the endometrium and its biopsy.
Treatment
Weight loss, ovulation stimulation and infertility treatment, hormone therapy, partial oophorectomy, electrocoagulation.
Cost of diagnosis and treatment: 12,000,000 - 15,000,000 won
Uterine prolapse
Prolapsus or prolapse of the uterus is a condition in which the uterus moves down or completely prolapses. The reasons may be old age, obesity, multiple births, difficult births, weakening of the pelvic muscles, chronic constipation, etc. An important factor in the development of this disease is heredity.
Diagnostics
The disease is diagnosed during a gynecological examination by palpation.
Treatment
If the patient experiences mild discomfort, then treatment is not prescribed. If discomfort is severe, Kegel exercises or insertion of a pessary to strengthen the pelvic muscles may be recommended.
Surgical treatment - extirpation of the uterus with simultaneous plastic surgery of the anterior and posterior walls of the vagina, sacrovaginopexy (installation of mesh implants to fix displaced organs).