During the gynecological examination, an overview is performed – examination of the vulva, vagina and cervix for dermatitis, rashes, warts, cysts, pathological secretions, signs of inflammation, polyps. With the magnification offered by the colposcope, this control is more detailed.
Colposcopy reveals the, unfortunately asymptomatic, cervical malformations. The experienced colposcopist assesses the size and depth of the lesion and guides the woman in its treatment. Cervical biopsy is often needed. It sounds scary but it’s easy and painless. Cervical biopsy accurately determines the severity of the dysplasia. With the help of immunohistochemistry (special processing) we learn if the virus is aggressive and the possibility of this damage developing into malignancy.
At the same time the small piece of biopsy that is removed, essentially reduces the extent of the lesion. Finally, the body with the healing process of the biopsy site, improves-cures the rest of the dysplasia.
In my clinics we have CO2 LASER of the latest technology. With its help I treat mild cervical malformations and warts. It is the fastest and most effective way to treat warts without leaving scars.
HPV, the wart virus, as it is known. This virus, in addition to annoying warts, also causes cervical malformations. These malformations, depending on their severity, are classified as:
- CIN I: light
- CIN II: moderate (this stage tends to be eliminated)
- CIN III: severe
- IN SITU: precancerous
- Cervical Ca: cancer
It is important to diagnose cervical malformations early and treat them, so that they do not reach a serious stage and cancer. We have the means and we can eliminate cervical cancer. All we need is a visit to our gynecologist and a regular check-up!
When we detect in a woman CIN II or larger cervical dysplasia, or HPV with high risk rate to malignancy , or CIN I that persists in older women, women with low immune systems, or in women with poor follow-ups, to avoid the development of the lesion we remove it. With LASER or LEEP diathermy brace, the entire lesion is excised. The cervix in 30-40 days regenerates completely. However, the virus remains in the body and can cause damage again. Therefore, we continue to watch and control
Lichen sclerosus is a torturous condition for women with severe itching and dyspareunia. Until recently, treatment was limited to the use of cortisone cream and immunosuppressants, short-acting therapies with frequent relapses. Today, with the fractional laser and the PRP that we apply in our office, we give a long-term solution to this problem.
Often women, especially in pre-menopause, experience metrorrhagia, meaning a lot of blood in the period and / or between periods. The hematocrit falls and the iron supplies are emptied. We then need to take a sample from inside the uterus, the endometrium, to help treat them and rule out precancerous causes. With the endometrial pipelle we can take material from the inside of the uterus, taken in our office and send it for histology, without the need to visit a maternity hospital and without anesthesia, since it is painless.