Gynecology and Obstetrics

Gynecology and Obstetrics
In our Gynecology and Obstetrics Department of Group Florence Nightingale Hospitals, a team of doctors with an academic profile, who are experts in their fields and closely follow current developments in the medical world, work.

In our Gynecology and Obstetrics Department, where we provide services in the fields of gynecology, womens health and diseases and obstetrics by using all  means of advanced technology and modern medicine; menopause, psychological counseling, pregnancy and breastfeeding counseling services are also available.

In the department, diagnosis, treatments and follow-ups are performed in different areas of women's health and also labour. These areas are listed as follows:

Gynecological Oncology Department: in gynecological oncology , which is also known as women's cancers, focusing on screening, diagnosis and treatment of female reproductive system cancers, our specialist doctors perform early diagnosis of gynecological cancers and treatments with advanced procedures such as laparoscopic and robotic surgery. In addition to surgical treatments, appropriate additional treatment approaches such as medical oncology and radiation oncology are used with a multidisciplinary approach by working in coordination with relevant specialists.

In the Group Florence Nightingale Hospitals Gynecological Oncology Department;
- Cervical cancer,
- Uterine (endometrium) cancer,
- Ovarian and fallopian tube cancers,
- Vulva cancer,
- Gynecological cancer diseases such as vaginal cancers are diagnosed and treated with the latest technology medical and gynecological oncology surgery procedures.

Surgical treatments are performed by open, closed (laparoscopic) and robotic procedures. Today, like around the world, removal of the uterus (hysterectomy), ovarian cysts (ovarian cysts), myoma surgeries (myomectomy) and most importantly gynecological oncology surgeries are performed by robotic surgery procedures in a limited number of centers

Perinatology Department: perinatology, which is the science of pregnancy and obstetrics, ensures that premature birth can be understood and prevented in advance, deals with  the diagnosis of problems that may occur in multiple pregnancies, and manages the process in the most comprehensive way by closely monitoring the pregnancies. In the Perinatology Department, close monitoring of the health of pregnant women and their babies, early diagnosis of fetal abnormalities in the womb, scanning of chromosomal abnormalities, and prevention of miscarriages and stillbirths are also being worked on

The Perinatology Department of Group Florence Nightingale Hospitals has been successfully performing many perinatological tests and practices such as detailed ultrasounds, obstetric doppler ultrasounds, fetal echocardiographies, fetal nuchal thickness measurement by perinatologists and healthcare professionals.

In this chapter, tests such as amniocentesis, CVS (chorionic villus biopsy), doppler ultrasonography, quadruple tests, pre-term labor screening, early pregnancy ultrasounds, detailed ultrasound during pregnancy, double tests, triple tests are applied.

Urogynecology Department: urogynecology deals with the complaints of overactive bladder, pelvic organ prolapse and urinary incontinence, and serves as a sub-branch of urology. For the diagnosis and treatment of disorders in this field, female pelvic floor anatomy and gynecological urogynecology and urodynamic studies are required. Depending on the different reasons that cause the disease, the treatment should be tailored to the individual, either in medical or surgical terms.

Menopause: menopause, which means the cessation of menstrual bleeding, covers an average of a third of a woman's life. The  menopause age, is directly related to ethnic origin, genetics and lifestyle. While the average age of menopause is 50-55 in the world, it varies between 46-51 in Turkey. Smoking brings this age 2 yeas down on average.

In menopause, complaints such as flushing, insomnia, mood changes, depression, decreased sexual desire, vaginal dryness, painful sexual intercourse, osteoporosis, tooth loss in the upper jaw, dry eyes and urinary incontinence are seen in varying degrees. During this process, some women show no reaction or unnoticed mild reactions, while others may experience very severe and varied symptoms.

The most common menopausal symptoms associated with decreased ovarian activity and estrogen loss are listed as follows:

- Irregularity in menstrual cycles (menstrual irregularity),
- Vasomotor symptoms
- Urogenital atrophy (weakness and volume loss in urinary tract, vagina and surrounding tissues),
- Health problems due to estrogen deficiency in the long term (such as osteoporosis and cardiovascular diseases)

Gynecological examination, blood tests, ultrasound, PAP Smear test, mammography and breast ultrasound can be done if needed, for a woman in the menopause period. Since the main problem in this period is the loss of estrogen, this deficiency must first be eliminated in the treatment. For this purpose, firstly, the risk profile of the person is evaluated and, if appropriate, hormone replacement therapy (HRT) is recommended.

Gynecology and Obstetrics
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