The first gynecological examination
Although usually scheduled as an “examination”, this first encounter with the gynecologist is often just a conversation. It is about building a trusting relationship and discussing issues that interest a girl or a young woman.
Be it about sexuality, contraception, vaccination or physical changes in the puberty, this first conversation is often an unplanned journey of discovery. If this first meeting is successful, it helps to build a positive attitude towards all gynecological examinations that come up in the future.
Many years ago, when a woman was pregnant she didn’t know anything about what her child would be like. Only when the child was born, it became obvious whether the child was healthy or not. Nowadays it is possible to carry out various diagnostic tests early in the pregnancy and find out about medical conditions before the child is born. This possibility confronts pregnant women with several questions: Do I want to know everything about my child in advance? Are these tests necessary? What do I do if the test indicates a disease?
As the doctor in charge, I consider it my responsibility to talk about prenatal diagnostics in such a way that every pregnant woman understands the principles of the test and has exactly those tests done that she - or the couple - wants. Good information about prenatal diagnostics and the autonomy of the pregnant woman are the basis for all decisions.
Early in pregnancy, many pregnant women think about what giving birth will be like. Although defined as a "natural event", this experience is uniquely wrapped in myths, family stories and strong personal feelings. While a wanted pregnancy is greeted with joy, thinking about giving birth is often associated with fear, worries and doubts. If the mother-to-be talks about wishes and fears, and starts planning early enough, this does not have to be the case.
The goal of birth planning is to organize a birth that meets personal expectations as well as medical needs of the pregnant woman and her unborn child. Even if the planning remains only planning and life comes up with something else for the actual birth, the continuity of medical care and support make it easier to adapt to the new situation.
By definition, menopause is the last naturally-controlled menstrual bleeding in a woman's life. In colloquial language, the word "menopause" is used as an umbrella term for the months before, during and after the end of menstrual bleeding. Due to hormonal instability, various physical and psychological changes become noticeable.
What is happening in my body? What will happen to me in the upcoming years? When will this phase be over? These are only some of the many questions that women ask themselves. Often there is a strong need to clear insecurities concerning the use of hormone replacement therapy. Am I allowed to, or do I have to take hormones? What are the benefits of hormone replacement therapy? What are the risks?
There are no generally right answers to these questions. In extensive discussion evaluating advantages and disadvantages of all possibilities, the needs and preferences of each individual woman can be met.
Healthy vaginal mucosa
Although, strictly speaking, it should be defined as "skin" (since there are no glandular exits), the term vaginal "mucosa" has become established because of its moisture, elasticity and sensitivity. The surface of healthy, normal mucosa in the vagina is colonized by numerous bacteria, usually called "vaginal flora" or "vaginal milieu". These bacteria largely responsible for the health and functioning of the vagina. A disturbed balance among different types of microorganisms leads to bacterial vaginosis, vaginal fungal disease or even inflammation in the vagina. Complaints such as itching, discharge, odor or pain are the most common reason for emergency visits to gynecological practices worldwide.
What can cause a disturbance in bacterial colonization? Stress, excessive washing, use of aggressive hygiene products, to name but a few. Gynecological examination and focused history-taking often reveal the cause of the complaints and can be used to work out a strategy for long-term vaginal health. Healthy, well-functioning vaginal mucosa is very important for overall gynecological health and a major contributing factor to satisfaction in sexual life.
Laser treatments in genital area
In recent years, there has been increasing discussion around the application of laser energy in the genital area. When delivered vaginally, laser energy stimulates the vaginal mucosa to self-renew and heal. This means, for example, that laser treatment can eliminate post-menopause vaginal discomfort (dryness, itching, lack of elasticity, pain during sex). Laser treatment can also help to eliminate minor urge- and stress-incontinence and the feeling of having a "dilated vagina" after a difficult birth (Also addressed as “vaginal laxity”). Painful scars after perineal tears, episiotomy and cesarean section can be successfully treated by laser.
When applied in the early phase of the wound closure, the laser application improves healing and reduces scarring. Laser therapy is both painless and efficient, and is performed on an outpatient basis during consultation hours..