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About the clinic: National Medical Research Center for Obstetrics, Gynecology and Perinatology was established as the Union Clinical Scientific-Research Institute for Obstetrics and Gynecology in 1944, as an important part of the policy of demographic revival of the country after the World War II, and since then is the leading scientific, medical and academic institution of Russia in the fields of obstetrics, gynecology, perinatology and reproductology. The Center is the major basis for development and implementation of governmental programs on maternal and child healthcare; producer of the clinical protocols, guidelines and standards of care; coordinator of integration of regional medical facilities.
About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: P.Herzen Moscow Oncology Research Institute was founded on February 12, 1898. It became the oldest scientific and practical institution in Europe and the first oncology institution in Russia, where the foundations were laid for the Russian science and oncology services. The Institute is a recognized leader in providing high-tech medical care to patients with various types of cancer. The Institute performs a unique surgery, uses modern high-tech methods of diagnostics, comprehensive treatment and rehabilitation of patients.
One of the most common diseases of the female sexual system is endometriosis. It is characterized by an overgrowth of the tissue of the inner uterus of a benign nature, which occurs outside its cavity. The glandular tissue of the uterus begins to penetrate into the structures and neighboring organs to be considered: fallopian tubes, bladder and ovaries. It can affect the peritoneum, rectum and even more distant organs, such as the lungs and kidneys.
Depending on the form of endometrial lesion, the disease can be accompanied by various symptoms. The clinical picture of endometriosis has various manifestations, which also depend on the severity of the disease. The disease can be asymptomatic for a long time, although most patients show the following common signs:
– Painful sensations in the abdominal area. Woman begins to experience severe pain during menstruation.
– Manifestations similar to signs of organism intoxication. Endometriosis in the blood shows an increase in the level of white blood cells and ESR, which leads to nausea, vomiting, dizziness, general weakness and malaise
-Menstrual cycle shift. Endometriosis leads to a change in the nature of menstruation. They can become plentiful and long.
Endometriosis is diagnosed using the following methods:
Hysteroscopy-controlled scraping is an endoscopic operation to remove endometriosis foci in the uterine cavity through the vagina.
Laparoscopic excision and coagulation is the removal and coagulation of endometrioid lesions. The operation is carried out minimally invasively, endovideoscopically through small incisions on the peritoneum. Advantages: low trauma, short hospital period, reduced service life, cosmetic effect and less risk of postoperative complications.
Open laparotomy in endometriosis is a radical surgical treatment that usually involves removal of the uterus with bilateral removal of appendages, all visible endometrioid foci, revision of the pelvic and abdominal organs. As an alternative to open laparotomy, combined access (laparoscopic and vaginal) is used.
With ultrasound ablation , the endometriosis focus is remotely heated and coagulated, and the degree of heating and accuracy of the procedure are monitored using MRI. In fact, this procedure is not an operational intervention, on the same day, or the next day the patient can be discharged.
Embolization of the uterine arteries (UFE) In the process of UFE, special balls – embolae – are introduced through the catheter into the uterine arteries. They are made of a special medical polymer and have a certain size with the help of which the blood flow closes to the foci of nodal endometriosis. After UFE, the growth and size of the endometriosis node gradually begins to decrease. UFE is practically not inferior in effectiveness to surgical treatment, and at the same time has much less trauma.