Vesicovaginal fistula is a pathological communication between the vagina and the bladder cavity. It is manifested by constant liquid vaginal discharge, hematuria during menstruation, dysuric disorders, soreness over the pubis, dyspareunia. For diagnosis, examination in mirrors, colposcopy, cystoscopy, intravesical administration of enzymes, intravenous urography, retrograde cystography, vaginography, CT, MRI are used. Pathology treatment of vesicovaginal…
Psychogenic infertility is the absence of pregnancy for 12 months of regular sexual life without protection, due to psychological reasons. It is manifested by the impossibility of conception against the background of somatic well—being, constant control of ovulation, sexual activity and the success of fertilization, hysteria during menstruation, less often – oligomenorrhea, opsomenorrhea, amenorrhea. It…
Pseudoerosion of the cervix is a condition in which the cylindrical epithelium of the cervical canal is located on the vaginal surface of the cervix, normally covered with multilayer epithelial tissue. In most cases, it is asymptomatic and is accidentally detected during a gynecological examination. There may be unusual discharge, soreness during sexual intercourse. Colposcopy,…
Pseudomucinous ovarian cyst is a benign true ovarian neoplasm consisting of epithelial elements producing a mucus–like substance (pseudomucin). Pseudomucinous ovarian cyst is manifested by heaviness and abdominal pain, an increase in abdominal volume, disorders of defecation and urination. Diagnosis of ovarian cysts includes vaginal examination, ultrasound, laparoscopy. Tactics in relation to pseudomucinous ovarian cysts are…
Low progesterone is an endocrine disorder characterized by insufficient secretion of the hormone progesterone by the yellow body in the second phase of the menstrual cycle. The symptoms of the disorder are irregular and painful menstruation, abnormal pregnancy or infertility due to implantation disorders. For diagnosis, the level of the main sex hormones in the blood…
Placenta accreta is an anomaly of the ingrowth of chorial villi with invasion of the trophoblast into the basal falling off shell, myometrium, perimetrium, surrounding organs. It is manifested by the absence of signs of placenta separation, profuse uterine bleeding in the subsequent period, symptoms of involvement of adjacent organs (pelvic pain, admixture of blood…
Recurrent miscarriage is a polyetiological reproductive pathology characterized by repeated consecutive episodes of spontaneous termination of gestation up to the 38th (full 37) weeks. The main signs of termination of pregnancy include pelvic pain and bloody discharge from the genital tract. Diagnostics includes anamnesis collection, physical examination, ultrasonography, coagulogram, bacteriological and PCR analysis for infections,…
Preeclampsia is a severe variant of gestosis that occurs after the 20th week of gestational age, is characterized by multiple organ disorders with predominant damage to the central nervous system, precedes eclampsia. It is manifested by headaches, nausea, vomiting, visual impairment, hyperreflexia, lethargy, drowsiness or insomnia. It is diagnosed on the basis of data from…
Premenopause is a period in a woman’s life from the moment of the first signs of menopause to the last independent menstruation. A decrease in the level of estrogens leads to the appearance of a variety of symptoms, the severity of which is individual. The first signs are hot flashes, sweating, changes in the emotional…
Premature birth is delivery at the gestation period from 28 to 37 weeks, accompanied by the birth of a premature and physically immature fetus weighing 1000-2500 g and 35-45 cm long. Condition can be threatening, incipient and incipient. Depending on this, the clinical manifestations and obstetric tactics in preterm labor will be different. With threatening…