Overview

American Hospital Tbilisi – AHT Department of Gynecology delivers outpatient and surgical services of modern standards. The department’s medical staff offers patients complete gynecological health checks. They create various check-up packages, which include early screening and timely treatment. The department is equipped with the latest medical technologies, which allows us to fully examine women of all age groups, categories, and diseases.

Diagnostic Procedures

Diagnostic procedures

• Cervical cancer screening
• Diagnosis and treatment of cervical cancer
• Diagnosis and treatment of gynecological inflammatory diseases
• Diagnostic and surgical hysteroscopy ( examination of the uterine cavity, hysteroscopic incision of polyps, treatment of uterine defects, endometrial ambulation )
• Taking material from damaged and suspicious area (biopsy)
• Diathermy coagulation and conization of the cervix
• Removal of external genital warts
• Pregnancy planning, pregnancy preparation and pregnancy management

Selection of different methods of contraception

• Diagnosis and treatment of problems during perimenopause and menopause
• Pediatric and adolescent gynecology
• First informative visit of the gynecologist
• Treatment of postoperative gynecological complication

Frequently Asked Questions

What are the symptoms of pregnancy and how to deal with them?

1. Breast strain

Wear a well-fitting natural bra to hold the breast well.

2. Nausea and vomiting

• Do not have an empty stomach
• Eat crackers, Dry cereals or toasted bread before getting out of bed.
• Take small amounts of food frequently
• Drink fluids after meals and not during meals
• Avoid very fatty and spicy foods

3. Heartburn

Divide the food into small portions throughout the day. Avoid chocolate, fatty foods, alcohol, sour and spicy foods

4. Leg restraint/convulsions

Get enough calcium, rest your feet often, and take a warm bath

5. Hemorrhoids

Resting often during the day, weakens the pressure on the intestines  that gives the pregnant woman some relief. Soaking in a warm bath for 15-20 minutes can also alleviate the uncomfortable feeling

When is a menstrual cycle not normal?

• Menstrual cycles in teens often are irregular, especially in the first few years after they start. Having an irregular cycle means the number of days between your periods changes a lot from month to month. There may be a problem if:

• You are 15 or older and have never had a period

• It has been 3 years since your breasts developed and you have never had a period

• You are 14 or older, have never had a period, and you have an eating disorder, exercise a lot, or have hirsutism (excessive body hair growth)

• Your periods were regular each month and then they stopped being regular

• Your period comes more often than every 21 days or less often than every 45 days

• Your periods come more than 90 days apart, even for one cycle

• Your period lasts more than 7 days

What causes a painful period (dysmenorrhea) and what are the ways of treatment

Most people with dysmenorrhea have severe pain during the cycle, in some cases the pain is accompanied by diarrhea, nausea and dizziness.

There are two types of dysmenorrhea: Primary and secondary

• Primary dysmenorrhea is pain during the menstrual cycle that can begin as early as the menstrual cycle.

• During secondary dysmenorrhea, the pain may start a few days before the menstrual cycle, intensify during the cycle, and continue beyond its end. Causes of secondary dysmenorrhea can be:

• Endometriosis – This is when the cavity tissue of the uterus appears elsewhere
• Nodes – Fibrous nodules grow in the uterine cavity, in the muscular layer, and outside it.
• Adenomyosis- This is when the lining of the uterus places in the muscular layer of the uterus.

Ways to treat dysmenorrhea:

 During Primary dysmnorea is mainly prescribed : warmth , sleep, relaxation and therapy. It may be necessary to start hormone therapy,  ultrasound examination, diagnostic hysteroscopy and a  combination of B vitamins and magnesium.

What causes and what symptoms are associated with cervical cancer?

99.7% of cervical cancers are caused by papillomavirus (HPV) infection. The majority of cases of papillomavirus infection are completely asymptomatic and often end in self-medication. Although certain genotypes of the papilloma virus can cause cancer, such untreated cases have a higher risk of developing cancer.

Symptoms of cervical cancer:

• Bloody or brown discharge from the vagina between menstrual cycles
• Prolonged and excessive menstrual cycle
• Pain during sexual intercourse
• Brown or bloody discharge during sexual intercourse
• Pain and discomfort in the lower abdomen
• Unusually excess discharge from the vagina (unpleasant odor and different color)
• Post-menopausal bleeding

What menstrual problems revealed after Covid?

1. Irregular menstrual cycle:

• 45 out of 177 patients had excessive or reduced menstrual discharge, in 50 patients menstrual cycle duration increased or decreased
• Decreased menstrual discharge and menstrual cycle duration were mostly detected.
• In 34% of severely ongoing cases, the period between cycles was extended to approximately 37 days
• Menstrual cycle function returned to normal 2-3 months later

2. Recurent vaginal infections:

Stress, covid and  weakening of the immune system  can exacerbate vaginal infections, whitish discharge and exacerbation of chronic fungal infections.

3. Decreased libido:

• Isolation causes depression, which causes a decrease of serotonin
• Taking a number of antidepressants in the postmodern period may lead to decreased libido by the same mechanism.
• Depression and anxiety affect the sleep cycle and reduce estrogen secretion. Release of low estrogens. Low estrogens act on libido and cause it to decrease.

Overview

American Hospital’s Department of Gynecology provides the patient with a comprehensive array of gynecological and oncology services. Accurate diagnosis of any gynecological and oncologic pathology is performed in the quickest period feasible, and treatment is of the highest caliber. The hospital is outfitted with European-quality technology, and gynecological and oncogynecological surgeries of any scope and scale are conducted using cutting-edge techniques.

Diagnostic procedures

Modern treatment methods and patient-centered approaches are used for treatment:

• Laparoscopic diagnosis of infertility and treatment – organ-sparing operations on the uterus, both laparoscopic and hysteroscopic, as well as laparotomy;
• Laparoscopic surgeries on appendages – cysts of various genesis of the ovary (corpus luteum cyst, follicular cyst, ovarian endometriosis, dermoid cyst);
• Operations on the fallopian tubes – hydrosalpinx, pyosalpinx, hematosalpinx, healing process in the small pelvis;
• Ectopic pregnancy;
• Ovarian cyst rupture – apoplexy;
• Twisting of the ovarian and / or fallopian tubes;
• Polycystic ovary syndrome;
• Surgical treatment of tubular inflammatory formation – pelvioperitonitis, Douglas abscess;
• Laparoscopic treatment of endometriosis – all types of operations in deep endometriosis;
• Uterine leiomyoma – laparoscopic and hysteroscopic method, as well as laparotomy method, subserosal, intramural and submucosal leiomyoma;
• Radical surgeries – laparoscopic and laparotomy methods, total hysterectomy of the uterus, subtotal hysterectomy;

• Vaginal surgeries – uterine vaginal extirpation, anterior vaginal wall colprophy, posterior vaginal wall colprophy, Bartholin’s gland cyst, Bartholin’s gland abscess, minor vaginal surgeries, vaginal or vulvar polyp;
• Diagnostic and operative hysteroscopy – cervical polyp, cervical polyp, uterine submucosal leiomyoma, endometrial hyperplasia, endometrial resection and ablation, uterine malformations, cervical / cervical septum.

Oncogynecological direction

Our clinic offers diagnostic and treatment procedures for female malignancies, which are carried out using cutting-edge methods and world-class treatment approaches in accordance with international guidelines. Treatment procedures utilize both laparoscopic and laparotomy techniques.

we know that gynecologic cancers are complex diseases that require expert, specialized care. The treatment we recommend will depend on a number of factors, including the type of gynecologic cancer you’ve been diagnosed with and whether it’s spread, while also taking into account your individual goals, needs and preferences. Your multidisciplinary team of gynecologic cancer experts will answer your questions and recommend treatment options based on your unique diagnosis and needs.

“we believe in a comprehensive approach to treating gynecologic oncology patients. This is a philosophy held by each of our team members. We take pride in caring for our patients from prevention to recovery—and treating each person holistically.”

What is gynecologic oncology?

Gynecologic oncology is a specialized field of medicine focused on cancers of the female reproductive system. Gynecologic oncologists use their training and experience to manage all or most of their patients’ treatment, including diagnosing and staging the disease and performing surgery to remove the cancer.

Types of gynecologic cancers

Gynecologic cancers include:

• Cervical cancer
• Fallopian tube cancer
• Gestational trophoblastic disease (GTD)
• Primary peritoneal cancer
• Ovarian cancer
• Uterine cancer
• Vaginal cancer
• Vulvar cancer

If you are diagnosed with one of these cancer types, it’s important to consult with a gynecologic oncologist to guide your treatment plan. Research suggests women with a gynecologic cancer who are treated by a gynecologic oncologist have better outcomes than those who aren’t.

Treatments for gynecologic cancers

Before you begin treatment, our gynecologic oncologists and pathologists will work together to perform a comprehensive diagnostic evaluation, which may include a pelvic exam, ultrasound, lab and/or other imaging and blood tests, to determine the type and stage of the cancer.

Surgical treatments

Types of surgeries performed to treat gynecologic cancers include:

• Debulking: In this procedure, as much cancerous tissue as possible is removed and the remaining cancer treated with therapies such as chemotherapy and/or radiation.
• Total hysterectomy: This surgery is performed to remove the entire uterus and cervix.
• Radical hysterectomy: This procedure removes the entire uterus, the tissue on both sides of the cervix and the upper part of the vagina.
• Unilateral salpingo-oophorectomy: In this surgery, one ovary and one fallopian tube are removed.
• Bilateral salpingo-oophorectomy: Both ovaries and both fallopian tubes are removed in this procedure. This type of surgery may be performed to reduce the risk for ovarian and breast cancer.
• Omentectomy: This procedure is performed to remove the omentum, an area of tissue rich in blood vessels covering the intestines and other organs in the abdomen. This is done to debulk or stage the cancer.
• Lymph node removal: This surgery removes surrounding lymph nodes because they may contain tumor cells. This may also be necessary for staging the cancer.
• vulvectomy, with regional lymphodissection – in the case of malignant tumors of the vulva;
• Anterior, posterior and total exenteration.

Prophylactic surgery

Prophylactic, or preventive, surgery is performed to reduce the risk of cancer. The procedure is typically recommended for women who are at a high risk of developing a certain type of cancer. For example, a prophylactic hysterectomy with bilateral salpingo-oophorectomy may be recommended for women diagnosed with Lynch syndrome—an inherited condition that increases the risk of uterine and ovarian cancer—or who have tested positive for a BRCA mutation.

Other treatments

In addition to surgery, your treatment may include chemotherapy, targeted therapy, hormone therapy and immunotherapy, either alone or in combination. For example, after surgery, your gynecologic oncologist may administer chemotherapy, targeted therapy or immunotherapy, if needed.

For some patients with inoperable or surgically complex tumors or those who have a high risk of local recurrence, radiation therapy may be an option. Whenever possible, our radiation oncologists will employ intensity-modulated radiation therapy (IMRT) to spare normal tissue from radiation exposure, which tends to lower the risk of side effects.

Preparing for your visit

At our hospital, you will get a complete gynecological examination in a comfy and non-stressful environment for women of all ages.

We provide you with a problem-oriented, targeted, essential checkup and consultation with the appropriate doctor.

We serve children and adults in a comfortable environment, listen to their problems, provide all necessary information during the first visit to the gynecologist, and only if required, schedule proper examinations. A healthy child – is a healthy future generation.

• ჩვენთან ვიზიტისას, ჩაიტარებთ საშვილოსნოს ყელის სკრინინგს – დროული სკრინინგი ეს არის ონკოლოგიის პრევენცია

• ოჯახის დაგეგმარება, ორსულობის მართვა, ორსულობის სწორი დაგეგმარება და მართვა – ჯანმრთელი შთამომავლობაა!