Gynecology
Fibroids
Uterine fibroids are benign tumors formed from smooth muscle cells of the uterus. The incidence among women over 35 years of age is 20%. It is most common in women aged 35 to 45 years. With the onset of menopause, in most cases
fibroids undergo involution. Types of fibroids: submucosal fibroids, intramural fibroids, subserous fibroids.

Diagnostics
Diagnostic methods: transvaginal ultrasound, ultrasound of the abdominal cavity, CT, MRI of the pelvic organs.

Treatment
- Dynamic monitoring every six months if the fibroids are small and there are no symptoms.
- Hormone therapy with gonadotropin-releasing hormone agonists can reduce the level of estrogen and achieve a reduction
in the size of fibroids by 40-60%.
- Surgical treatment (hysterectomy, myomectomy).

Cost of diagnosis and treatment: 8.800.000 - 9.800.000 won
Endometriosis
Endometriosis is the endometrial tissue of the uterus beyond its limits. It occurs in 10-15% of women of reproductive age.
Symptoms: painful menstruation, abdominal pain, infertility.

Diagnostics
Diagnostic methods: transvaginal ultrasound, MRI, blood test for cancer marker CA-125, biopsy, diagnostic laparoscopy.

Treatment
Drug therapy, surgical treatment (abdominal surgery, laparoscopic surgery). The scope of the operation depends on the
extent of the lesion and the prevalence of the process on other organs. Excision of individual foci of endometriosis, adhesions,
and total hysterectomy and ovariectomy can be performed.

Cost of diagnosis and treatment: 10.000.000 - 12.000.000 won
Cervical cancer
Cervical cancer is a malignant formation in the cervical region. The disease develops over several decades. Intraepithelial
dysplasia is a precancerous condition, and if you do not start timely treatment, it can lead to the development of invasive cervical cancer.

Diagnostics
Diagnostic methods: biopsy, cervical conization, curettage of the cervical canal, ultrasound of the pelvic organs, CT, MRI.

Treatment
Surgical treatment, radiotherapy, chemotherapy. The choice of treatment method depends on the stage of cancer, tumor size,
age, pregnancy planning, etc. In case of precancerous lesions, cervical conization is performed, in case of invasive cancer,
radical hysterectomy or chemotherapy or radiotherapy is performed. In some cases, several methods may be applied.

Cost of diagnosis and treatment: 15.000.000 - 20.000.000 won
Ovarian cancer
The incidence of ovarian cancer among other types of gynecological cancer is 20%. Most often this type of cancer occurs in 50-year-olds.
As a rule, it has an asymptomatic course. At the initial diagnosis, 2/3 of cases are cancer at 3 or 4 stages.

Diagnostics
Transvaginal ultrasound, blood test for cancer marker CA-125, MRI, gastroscopy, colonoscopy, mammography.

Treatment
Surgical treatment (hysterectomy with removal of appendages), chemotherapy, radiotherapy.

Cost of diagnosis and treatment: 19.500.000 - 21.500.000 won

Polycystic ovaries
Polycystic ovary syndrome is a disease characterized by a pathologically high content of luteotropic hormone and a normal level
of follicle–stimulating hormone in the blood, which leads to anovulatory menstrual cycles and multiple formation of ovarian cysts.
Often accompanied by excessive hair loss.

Diagnostics
A blood test for hormones, ultrasound of the pelvic organs, assessment of the state of the endometrium and its biopsy.

Treatment
Weight loss, ovulation stimulation and infertility treatment, hormone therapy, partial ovariectomy, electrocoagulation.

Cost of diagnosis and treatment: 12.000.000 - 15.000.000 won
Prolapse of the uterus
Prolapse or prolapse of the uterus is a condition in which there is a downward displacement of the uterus or its complete prolapse.
The reasons may be old age, obesity, multiple births, difficult labor, weakening of pelvic muscles, chronic constipation, etc.
An important factor in the development of this disease is heredity.

Diagnostics
The disease is diagnosed during a gynecological examination by palpation.

Treatment
If the patient experiences mild discomfort, then treatment is not prescribed. With severe discomfort, Kegel exercises or the
installation of a pessary to strengthen the pelvic muscles may be recommended.
Surgical treatment – extirpation of the uterus with simultaneous plasty of the anterior and posterior walls of the vagina,
sacrovaginopexy (installation of mesh implants to fix displaced organs).

Cost of diagnosis and treatment: 5,500,000 - 10,500,000 won
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