Gynecology

Surgery

Gynecological surgery is surgery on any part of a woman’s reproductive system, including the vagina, cervix, uterus, fallopian tubes, and ovaries.

Some of these may be outpatient procedures done in the gynecologist’s office, while others are inpatient procedures requiring hospital admission. Minimally invasive endoscopic methods are usually used, which provide better results as well as reduced scarring and recovery time.

Common gynecological surgeries include:

• Tubal ligation.
• Removal of ovarian cysts.
• Removal of cysts or fibroids in the uterus.
• Removal of growths from the cervix.
• Uterine artery embolisation.
• Removal of the uterus (hysterectomy), ovaries, or other parts of a woman’s reproductive system.
• Surgical treatment of gynecological (cervical, uterine, and ovarian) cancers.
• Cystoscopy (procedure that lets the doctor look inside the urinary tract).
• Hysteroscopy (procedure that lets the doctor look inside the uterus).

Cervix disorders

The cervix is the lower part of the uterus. A common gynecological test is the Pap smear that looks for changes to the cells of the cervix, including cervical cancer.

Another procedure involving the cervix is a colposcopy, which allows a health care provider to closely examine a woman's cervix, vagina, and vulva. It uses a lighted, magnifying device called a colposcope. If a problem is observed, a tissue sample may be biopsied.

A colposcopy is used for:

• Finding abnormal cells in the cervix, vagina, or vulva.
• Checking for warts, which may be a sign of an HPV (human papillomavirus) infection.
• Checking for polyps and cysts.
• Checking for irritation or inflammation.

Breast Care Unit

Hospital Ochoa’s Breast Care Unit is dedicated to comprehensive diagnostic and treatment services for women with breast conditions.

This multidisciplinary department is formed by gynecologists, radiologists, sonographers, pathologists and surgeons, in order to provide the most accurate diagnosis and best treatment of both benign and malignant breast disorders.

For more information please click here.

Assisted reproduction

IVF Ochoa is the leading fertility centre on the Costa Del Sol. Our state-of-the-art reproductive technology consistently achieves high fertility success rates year after year.

We offer a wide range of fertility treatments, including:

• Fertility testing.
• In vitro fertilisation (IVF).
• Cryopreservation.
• Preimplantation genetic diagnosis (PGD).

The first medical appointment, including semen analysis, is FREE OF CHARGE. For more information please click here.

Prenatal care

After obtaining a positive pregnancy test result, the first pregnancy-related visit to the gynecologist will be conducted around weeks 8-10. Its main objectives are:

• An ultrasound to confirm correct evolution and rule out certain issues.
• Evaluating the woman’s health by looking at her medical history, weight and blood pressure.
• A blood test to rule out immunological infections that may be transmitted via the placenta.

Around week 10, a non-invasive genetic test can also be conducted via the mother’s blood test. This allows detection of the most common chromosomal abnormalities, including Down syndrome.

In the second trimester, a second blood test is performed to rule out the presence of gestational diabetes (O'Sullivan test) and detect group antibodies (indirect Coombs test).

Of high importance is the performance of an ultrasound at week 20. Its main objectives are:

• Measurement of fetal structures (skull, femur, etc.).
• Detection of malformations.
• Determining gender.
• Location and evaluation of the placenta and amniotic fluid.
• Assessment of cervical length in relation to the risk of premature delivery.

Tests that may be performed in the third trimester:

• Blood analysis for delivery and obstetric anesthesia.
• Ultrasound for the evaluation of baby’s growth, amniotic fluid, baby’s position and placental status.
• Cardiotocography (CTG) which measures the baby’s heart rate and uterine activity.