Ovarian and breast examination

ZEndoscopy and ultra-sound are special methods of observing the ovaries as they are not easily approached or visible to the naked eye. Endoscopy (laparoscopy) is an aggressive method of investigation and requires general anaesthetics and resting in bed. It is easier to use the ultrasound diagnostics. However, the methods do not exclude each other.

The surgery ‘Dinulovic’ carries out all types of ovarian examination and analysis and successfully makes diagnosis of all irregularities connected to the ovarian function that can occur at any age. There is a team of medical doctors including specialist gynaecologists, ultrasound specialists, biologists and when there is a need doctors from other medical fields.

Vaginal ultra-sound colour Doppler

This is an investigative technique of the internal sexual organs where any indication of malignant changes can be discovered in the early stages. This will then require some further investigation until the diagnosis of malignancy is either confirmed or rejected.

Ovarian dysfunction

Ovarian dysfunction can be manifested in various ways depending on age. Heavy or prolonged bleeding can happen in girls age 10-18 and can lead even to bleeding to death or a serious anaemia. More common to this age group are irregular and unsettled menstrual bleeding.

Diagnostic procedures:

• Gynaecological and/or rectal examination
• Ultra-sound examination
• Hormone tests
• Haematological tests
• Biochemical blood tests

Where changes on the cervix or vagina have been diagnosed and where malignancy has been rejected, there are some therapeutic procedures (removal of polyps) in order to reduce a risk of some further unwanted development.

Ovarian dysfunctions in women of productive age:

Symptoms of ovarian dysfunction in women of productive age (18-45) can show symptoms in different ways:

• Short menstrual cycle (appearance of menstrual bleeding in less than 21 days)
• Prolonged menstrual cycle (menstrual bleeding appears between 39-90 days)
• Heavy menstrual bleeding (more than 150ml of blood during the period)
• Very light menstrual bleeding (from a few drops to 50ml)
• Absence of the menstrual cycle after the age of 18
• Absence of menstrual bleeding after the already established menstruation
• Infertility

Diagnostic procedures:

• Gynaecological and/or rectal examination
• Hormone tests
• Ultrasound examination
• Haematological tests
• Biochemical blood tests
• Endoscopy (Laparoscopy)

Ovarian dysfunctions in premenopausal and perimenopausal women:

The most common occurrence in women of 45-55 is a heavy menstrual bleeding whose cause is the ceasing of the ovarian function. However, whenever this kind of bleeding occurs it is necessary to have in mind possible malignant changes so a full examination should be carried out.

Diagnostic procedures:

• Gynaecological examination
• Colposkopy examination
• Ultra-sound examination
• Hormone tests
• Explorative curettage
• Biopsy
• Haematological investigation
• Biochemical blood tests
• Endoscopy – Laparoscopy