Gynecology

Gynaecologist in Marbella

Gynaecology is the speciality that covers all medical issues related to a woman’s body and reproductive system, as well as the changes, conditions, disorders and pathologies at all stages of her life.

For this reason, at Hospital Ochoa we consider it essential to be able to offer from our Gynaecology Service comprehensive advice on all aspects of women’s health, from the prevention of possible pathologies, pregnancy control, contraception, fertility and surgical and oncological pathology.

Specialist gynaecology hospital in Marbella

At our gynaecology hospital in Marbella, a reference on the Costa del Sol, we treat surgically all pathologies, anomalies and problems that can occur in the female reproductive system.

In this respect, the most common gynaecological diseases are:

  • Polycystic Ovarian Syndrome (PCOS)
  • Endometriosis
  • Sexually transmitted diseases
  • Breast, ovarian and uterine cancer.

While the main gynaecological treatments are:

  • Gynaecological laparoscopy: Incisions are made in the abdomen to gain access to your reproductive organs and to be able to intervene on them.
  • Hysterectomy: With this surgery, the uterus is totally or partially removed.
  • Pelvic floor surgery: The organs are reattached using a synthetic mesh.

Private consultations with a gynaecologist

At our hospital in Marbella we offer the most complete private consultation service in gynaecology.

You will have at your disposal a private gynaecologist service who will attend to you in a personalised way, adapting to your timetable, needs and consultations, for the examination, diagnosis and treatment of any problems related to gynaecology.

As a general rule, every woman should have a complete gynaecological examination every year from the start of sexual relations or from the age of 25, even if she is not having sexual relations. The aim of each gynaecological check-up is prevention, detecting risk factors that need to be corrected, and early diagnosis, evaluating the state of the genital apparatus and the breasts, to check whether everything is functioning normally or whether there may be anomalies.

During your visit to the gynaecologist in Marbella, the gynaecological check-up basically consists of:

  • Physical examination of the genital tract and breasts.
  • Cytology of the cervix (or Pap test).
  • Transvaginal ultrasound scan.
  • Mammography and breast ultrasound.

Surgeons and gynaecological doctors

At Hospital Ochoa we guarantee the wellbeing and health of all our patients with some of the most highly regarded gynaecologists in our country, such as:

  • Luis M. García: Assisted Reproduction Unit.
  • Juan Manuel Marín: Assisted Reproduction Unit.
  • González García: Laparoscopic and oncological surgery.
  • Larracoechea
  • Parisi
  • Manel Elbaile: Assisted Reproduction Unit
  • Ret Davalos

Gynecology visit

Every woman should have a complete gynaecological examination from the moment she begins sexual relations or from the age of 25, even if she is not having sex.

The purpose of the gynaecological check-up is prevention, detecting risk factors that should be corrected, and early diagnosis, evaluating the state of the genital apparatus and the breasts, to check for normality or to find anomalies that require treatment.

The gynaecological check-up basically consists of:

  • Physical examination of the genital tract and breasts.
  • Cytology of the cervix

The cervicovaginal cytology (also called Pap smear) is a routine test that consists of taking a sample of cells from the cervix in a completely painless way. It is used to diagnose cervical cancer precursor lesions and also allows the diagnosis of infections.

It has been proven that, at present, the greatest risk factor for contracting cervical cancer is not having a regular gynaecological check-up with cytology.

Review tests

Transvaginal ultrasound

Ultrasound is a non-invasive examination technique that uses ultrasound to visualise the internal genitalia (uterus and ovaries). No preparation is required for vaginal ultrasound.

Mammography and breast ultrasound

Mammography is the radiological technique dedicated to the study of the breast. It makes it possible to detect cancer in its early stages, thus significantly improving cure rates.

It is particularly sensitive in the diagnosis of microcalcifications, which can be an early sign of breast cancer and which are difficult to detect by other imaging techniques.

A biannual mammography is recommended from the age of 35 for all patients who do not have a first-degree family history, becoming annual from the age of 40.

For a better assessment of the study, it is very effective for the woman to provide any previous mammograms she has at the time of the examination.

After the mammogram, the radiologist may request a breast ultrasound if considered appropriate, either because of the high density of the breast or to evaluate a finding detected in the mammogram.

Gynaecological surgery

This unit treats benign surgical processes (uterine myomas, hysterectomy, endometriosis, hydrosalpinx, ovarian cysts) and malignant processes (uterine and ovarian cancer) either by conventional surgery (abdominal route) or endoscopic surgery, the latter being increasingly used.

Endoscopic surgery is based on access to and direct observation of a cavity by means of an optic connected to a screen, which also allows the introduction of surgical manipulators.

In gynaecology, laparoscopy and hysteroscopy are used.

Laparoscopy consists of direct observation of the interior of the abdomen by introducing a lens through the abdominal wall, which facilitates the introduction of guides or trocars of between 5 and 12 mm in diameter that allow the surgery to be performed in a less aggressive way, with a minimal incision and a postoperative period of very few days.

Hysteroscopy is the technique that allows direct observation of the inside of the uterus. It is based on the introduction of a small calibre lens (3-5 mm) through the orifice of the cervix. It is used for the diagnosis and removal of polyps and myomas and for taking biopsies of the interior of the uterus. It is also very useful for the study of sterility or infertility problems. Hysteroscopy can be performed in most cases on an outpatient basis.

Cervical Pathology and Colposcopy Unit

The cervicovaginal smear test is performed during the gynaecological check-up, so no special preparation is necessary and it is completely painless. The cytology result is normal when the cells studied correspond to healthy tissue.
In other cases, there may be findings that are not related to cervical cancer (fungal infections, bacteria, trichomoniasis, etc.) or inflammatory cellular changes which, depending on the case, will require pharmacological treatment.
Regarding the results related to premalignant lesions and cervical cancer, in most cases they will require colposcopy to determine the degree and size of the lesion.
Colposcopy consists of direct and magnified observation of the cervix using an instrument called a colposcope, which consists of an optical system with a luminous focus that provides magnification and makes it possible to examine the affected area with great precision and, if necessary, to perform a biopsy by taking a minimal portion of tissue for histological study.

Breast Unit

This Unit is formed in a multidisciplinary way by gynaecologists, radiologists, sonographers, pathologists and surgeons for the best diagnosis and treatment of benign and malignant breast pathology.

For more information visit our Breast Unit section.

Assisted Reproduction IVF

Infertility is defined as a couple’s difficulty in getting a woman pregnant. It affects 15% of couples of childbearing age.

In couples in which the woman is under 35 years of age, it is considered normal that it can take up to a year to achieve pregnancy after normal sexual relations; in the case of women over 35 years of age, the period is shortened to six months.

After this time it is advisable to consult a reproductive specialist.

In the case of women, there are a series of risk factors that make it advisable to consult a specialist in assisted reproduction beforehand if you wish to become pregnant. The most important are:

  • If you are over 38 years of age.
  • If your menstrual cycles are very irregular.
  • If you have uterine fibroids.
  • If you have had endometriosis.
  • If you have had a sexually transmitted disease.
  • If you have undergone any type of abdominal surgery.

The causes of sterility are 40% due to female factor, 40% due to male factor and 20% of mixed causes, i.e. female and male.

At the Assisted Reproduction Unit of Hospital Ochoa we will carry out an initial orientation visit for your case and a study (semen analysis) of the couple TOTALLY FREE OF CHARGE.

For more information www.fivochoa.com

Pregnancy monitoring and follow-up

Based on a positive pregnancy test, a first visit will be carried out, which basically consists of:

  • Ultrasound confirmation of the diagnosis of a developing pregnancy. The first ultrasound scan is performed around the second missed period (8 to 10 weeks).
  • To rule out the possibility of complications (threatened miscarriage, ectopic pregnancy, etc.) at an early stage.
  • Evaluate the health of the pregnant woman: medical history, weight and blood pressure control, request basic blood tests including the immunological status of all those infections that can be transmitted to the foetus through the placenta.
  • Explain the possibility of performing the non-invasive prenatal test. This test can be performed from the 10th week of pregnancy by means of a blood test of the mother, does not pose any risk to the foetus, and allows the detection of the most frequent chromosomal abnormalities, fundamentally Down’s Syndrome, with a sensitivity of close to 100%, as well as other genetic alterations such as trisomies 13 and 18 and abnormalities of the sex chromosomes.

In the SECOND TRIMESTER of pregnancy, a second blood test is performed on the pregnant woman to rule out the presence of gestational diabetes (O’Sullivan test), and detection of group antibodies (indirect Coombs test).
The 20-week pregnancy ultrasound scan is very important at this stage of gestation. Its main objectives are:

  • Measurement of foetal structures (skull, femur, etc.).
  • Detection of malformations.
  • Fetal sex.
  • Location and evaluation of the placenta and amniotic fluid.
  • Assessment of cervical length in relation to the risk of premature birth.

In the THIRD TRIMESTER of pregnancy the tests performed are basically:

  • Blood tests oriented towards labour and obstetric anaesthesia.
  • Ultrasound for the evaluation of foetal growth, amount of amniotic fluid, foetal position and state of the placenta.
  • Cardiotocography or the ‘straps’ test, which consists of the continuous electronic recording of the foetal heart rate and uterine activity. This test provides us with information on the Fetal Respiratory Reserve (RRF), i.e. the placental capacity to transport oxygen from the mother to the foetus and the state of the baby’s defence mechanisms against the stress of childbirth.

Specialists in Gynecology

Find out the answers to the most frequently asked questions about gynaecology from Hospital Ochoa Marbella.

What is gynaecology?

Gynaecology is the speciality of medicine that focuses on the study of the female reproductive system. It is a speciality that focuses on issues related to the uterus, vagina and ovaries. In gynaecology, women are accompanied throughout their lives to ensure the proper functioning of their reproductive organs.

What does a gynaecologist do?

The gynaecologist is one of the doctors that women visit most regularly.

They are the specialists who deal with all pathologies related to the female organs such as the uterus, vagina and ovaries, as well as the prevention of future illnesses.

Basically, gynaecological check-ups help to prevent and solve diseases, such as anaemia, early menopause, endometriosis, urinary incontinence, fertility problems or problems in sexual relations.

Except for a specific problem, women go to a gynaecologist for a routine check-up, where the specialist will ask a number of questions to obtain information, assess the state of health of each woman, offer solutions and encourage good habits.

Some of the tests that gynaecologists may perform are:

  • Breast examination/examination
  • Cytology
  • Vaginal Examination
  • Transvaginal gynaecological ultrasound
  • Other tests, such as bone densitometry in menopausal patients.
How often do you have to go to the gynaecologist?

In general, it is recommended that the first visit to the gynaecologist is made with the first period at puberty or at the beginning of sexual relations. After that, it is recommended to visit the gynaecologist once a year for the rest of your life.

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