Activities

  1. High-qualified activity:
    1. Timely diagnostic of pre-cancerous formations of the genital tract of women at any age (cervix, uterus and cavum uteri, ovaries, mammary glands)
      • Colposcopy - precise diagnostic of cervix (microscopy of colli uteri). It provides prevention of cervical cancer when visiting us on time.
              A sore in the "zone of storms" is a diagnose with "many unknowns". An article published by us in the media before 6 years.
              A good percentage of women with gynecological complaints after medical examination learn that they have a "sore"on the cervix.
        What's behind that diagnose?
        When women learned they have cervical wound should not be shocked. Statistics show that 80% of adult women have this problem.
        Is this a disease?
        This is not a disease, it isn`t even a diagnose, because it is hidden behind a bunch of unknowns. They require clarification of the situation, according to modern requirements of gynecological prevention of cervical cancer. The sore is a change of mucosa in the area of OECC. This transitional zone between one type of cells on the surface of the cervix and other cells inside canalis cervicalis, the Germans have called "zone of storms\”. That means, that this unstable zone, attacked by various factors, such as human papilloma virus, herpes viruses in various combination with aggressive inflammatory agents, mechanical trauma and manipulation, may be altered in pre-cancerous, and later in cancer.
        How long can this change occur?
        You should know that cervical cancer does not appear for a day or two. Until the event it passes through three stages of precancerous changes. Here is the role of obstetrician diagnostician who works according to modern standards. The aim is to be reduced the percentage of women with cervical cancer through modern diagnostic of precancerous changes to the second degree. Modern diagnostic gives patients a chance to be 100% successfully treated, and that without surgery, and through prophylaxis to avoid the occurrence of cancer in general. The cervical cancer is one of the most dangerous. He is called the "silent killer\”, because there are no early symptoms, it is not visible to the naked eye, and patients die from it. Statistics show from 3 to 5 years life after surgery or radiotherapy for advanced cases.
        How many women suffer from cervical cancer annually in our country?
        From this disease die about 250 women annually in our country, and 1,200 get ill.
        What are these methods of diagnostic?
        In practice, this is well-known methods of colposcopy, cervical smear under control, if necessary biopsy, viral serology for specifying the oncogenic, cancerogenic strains of human papillomavirus and DNA testing finding a change in the genome of the cells in conjunction with pre-cancerous and cancerous changes (the only method with 100% diagnostic accuracy). The difference is that modernization has meant to know the latest trends, which change annually. The latter requires high qualifications in specialized centers.
        We have mentioned that some of the methods have 100% diagnostic accuracy. Does this mean that others are subjective or related to a possible error rate?
        Yes, that's right. Colposcopy, cytology and histology are associated with a percentage probability of error. The more highly qualified and ethical relationship between gynecologist, specialists of cytology, histology and virology, the less likely an error. And, of course, it affects the conduct and treatment of each case. This means that the mere sighting of the cervix without the equipment and knowledge, the diagnosis "cervical wound" have no place in modern practice.
        What should every woman know about prevention of this disease?
        Programs, which must prevent women, require a specific set of tests every 6-12 months, according to previous state. It is everywhere in Europe and the USA. But this does not include banal prevention, unfortunately, a common view without equipment and training, which has diagnostic accuracy of only 5-10%. That is why concepts like "a bad smear emerges from nowhere" or "suddenly cervical cancer" means that the woman was not treated adequately or prevented. Much of the so called nodules are benign, but it must be specified by accurate diagnosis, subsequent treatment and prevention. In general this means that diligently kept records usually support taking responsibility on the case and this responsibility, which is the foundation of the next review.
        How to treat these conditions?
        Specified harmless lesions that are not so called background process, dysplasia, changes caused by viruses, chlamydia infections, microorganisms or other mechanical injury, etc., have been observed periodically by a specialist. Non-specific infections are treated according to the agent - candida, bacteria and others. Findings that are associated with precancerous changes to the second degree are treated by modern methods: Burning laser, cryotherapy (freezing) or treatment with high-frequency electricity. Older methods, such as cauterization of the cervix with low-frequency current or familiar enough vagotil should find very little application in contemporary practice. Unfortunately, only the timely diagnosis and subsequent adequate treatment can provide perspective and quality of life that every woman deserves.
        For details click here [show/hide].
      • Pap - cytomorphologycal assessment of surface and cervical canal (under the control of colposcopy). This manipulation is necessity for prevention of cervical changes.
      • Vaginal ultrasound of the pelvis. Accurately perform, at appropriate times and appropriate specialist prevent benign and malignant formations of the uterus and ovaries, reducing the number of unnecessary, and determines the duration of the planned and timely surgery, providing adequate and timely medical treatment, helps to clarify the causes and shortening of the way when planning pregnancy with ART; specify appropriate option for the protection of pregnancy.
              More than 25 years ago vaginal ultrasound was introduced as a method of imaging in obstetrics and gynecology. And now this is one of the most useful things ever invented in the diagnostics of internal genitalia and the first trimester pregnancy. We hope that the majority of patients already know about the lack of any injury in performing this ultrasound method. Harmless ultrasonic radiation (in carrying out this method) go through a very small distance - the thickness of the vagina / mm /, which allows visualization of very fine details in the diagnostics of internal genitalia and initial pregnancy. The combination of highly qualified specialists and equipment with good resolution ensures accurate diagnostics, prognosis, adequate or timely medical surgery.
              For the use of vaginal ultrasound in our practice providing modern and timely prevention of a very early pregnancy and its development, you will receive information in "Sonography of the pregnancy and its deviations".
              Details for 3D and 4D can be found in our non-standard item.
        For details click here [show/hide].
      • Timely prevention of benign and malignant formations of the mammary glands.
        For details click here [show/hide].
    2. Sonography of the pregnancy and its deviations.
            Briefly dwell on the story:
            The method - ultrasound diagnostic, also called ultrasound; sonography; etc., is known for a long time, so we will concentrate on essentials.
            The equipment called ultrasound is used for ultrasound diagnostics by their endings (called probes) that emit ultrasonic rays.
            These rays are harmless to tissues of the mother and baby and no one statistic worldwide refutes the above. This is why CONSTANTLY IMPROVEMENT OF DEVICES to achieve clearer image (RESOLUTION, SENSITIVITY, higher number of channels), allowing more precision in the diagnostics of small objects AT INITIAL PREGNANCY, gynecological DIAGNOSTICS OF pelvic and breast.
            PURPOSE OF MODERN producers is to achieve, through absolute SAFETY OF SONOGRAPHY, the same detail and accuracy, as in not so HARMLESS X-ray computed tomography and NUCLEAR MAGNETIC RESONANCE.
            Every review in our practice for new patients for the diagnostics of pregnancy and its deviation occurs with an initial 10-minute survey. With each passing year we find that the time lost in these consultations is not in vain. THANKS TO PRACTICE LIKE OURS, IN BULGARIA starts to speak for Fetal screening; PATIENTS UNDERSTOOD THAT EVALUATION BY ULTRASOUND IN VIII LM is FUTILITY AND LATER PERFORMED FOR THE FIRST TIME IN THE SPECIFIC PREGNANCY. Fortunately, for short period of time, future mothers attending our practice know that psycho-emotional comfort is ensured by precise diagnostics we provide.
      Ultrasound screening:
      Questions and answers are only two:
            1. WHAT DOES POSITIVE TEST FOR PREGNANCY MEAN? ANSWER: nearly 100% pregnancy without specifying where it is - in the womb or outside.
            2. WHAT IS MODERN BEHAVIOR IN THAT EVENT? ANSWER: To get into the practice of high-qualified diagnostics.
            This is sufficient information, thanks to which our practice can provide:
            1. Accurate diagnostics of intrauterine pregnancy or if it`s ectopic - the right way for the timely removal (over 90% of cases of laparoscopic bloodless method).
            2. Diagnostics determine your conception plus/minus 2 days and prevent any possible consequences of the relevant uncertainties. The assessment of adequate size of the uterus, the lack of anatomical defects cancerous or pre-cancerous formation of the internal genitalia; the ovary from which is the ovulation, allow us to prevent carrying the baby. Precisely done timely diagnostics, with or without drug support, will ensure proper behavior and prognosis.
            We got to the real prevention: The VISIT to our practice with positive pregnancy test can provide information for:
            - When organogenesis of the pregnancy begins;
            - When organogenesis ends;
            - How and when to protect the embryo from teratogenic viruses, drugs, and other harmful effects.
            Folic acid is most effective up to 28 days of conception. All expectant mothers who make prevention of the reproductive system, a month before a planned pregnancy begin use of folic acid (4mg daily). Only specifying of dietary regimen, physical work, adequate medication and knowledge of how to feel like pregnant woman in this most important period of pregnancy, can provide psycho-emotional comfort.
      EMBRIONAL SCREENING
      / embryo length ~ 8 cm., weight > 80 g. /
      This is the earliest and most important for us screening of all stages of the pregnancy (not in the 20th, 30th ... or N-th week).
      WHY THE EARLIEST?
      Performing precise vaginal ultrasound in pre-defined 12.5-14 weeks allowing us to establish that organogenesis is complete. In the absence of other trends on the evolution of the species Homo sapiens, (human), in the next 100 years is expected to take place in the same period in the development of pregnancy.
      WHY IS THE MOST IMPORTANT?
      Assessment performed by ultrasound morphologic criteria (over 50), allows detection of:
            1. absence or presence of spina bifida before potential biochemical screening for alpha-fetal protein in 16-17 weeks of gestation.
            2. absence or presence of defects incompatible with life in central nervous system, skull roof, abnormalities of the skeleton, internal organs and cardiovascular system.
            3. presence of ultrasound criteria suggestive for chromosomal abnormalities (Down syndrome, Turner syndrome, Edwards syndrome, Patau syndrome, etc.).. We have one of the statistics in this area / for details see our international publications /.
            4. diagnostics of gender: 12.5-14 weeks of gestation
            5. Early forecast for full-term pregnancy in relation to placenta and haulage of nutrients to the fetus. Only after making this diagnostics, the subsequent behavior can be adequate. This is especially true for vulnerable groups and rules about the appointment of biochemical screening and / or amniocentesis.
      FETAL SKRINING
      / 16/24 GS /
            Like in embryonic screening we make assessment of the quality of the fetus, sometimes in more than 100 morphological criteria. For practices such as ours, except the diagnostics of the quality of cardiovascular system and reaffirming the absence of hydrocephalus, we appreciate the absence of defects such as cleft lip, cleft palate, a defect in the nasal passages, the anal sphincter. With a high enough percentage of efficiency is predicted the tendency for adequate growth. Specifying of: missing defects of the penis (hypo-or episapdia) descent of the testicles, connection of brain shares is made in 27-32 weeks of gestation. In this range of follow-up we can predict 30 days before the expected term, proper conduct for delivery. 30 days before term, we predict:
            1. appropriate time and way for the delivery of the specific pregnancy;
            2. expected, for this period, growth of the fetus (weight daily);
            3. risks that would preclude a favorable outcome for mother and fetus;
            4. professionals with sufficient qualifying experience to deal with the case;
      For details click here [show/hide].
    3. Methods and treatments for clarification and treatment of precancerous cervical formations (biopsies, diatermocoagulation, cryotherapy, laser vaporization). Modern therapy of acute condylomas of the vulva, vagina and cervix (after clarification of the oncogenic potential of human papilloma virus).
  2. Short operations performed under anesthetic control:
    1. Abortion of unwanted and pathological pregnancy diagnosed in the 1-st trimester.
    2. Biopsy manipulations for clarification and removal of precancerous and cancerous formations of the cervix and uterus.
      • abrasio separata of cervical canal and cavity;
      • polypectomy of the cervix, uterus and channels;
    3. Plastic surgery of vulva, vagina and cervix
  3. Combined work with highly qualified specialists from other fields of obstetrics and gynecology for the completion of each case:
    1. Contemporary programming of delivery.
      For details click here [show/hide].
    2. Operative interventions for benign and malignant formations.
      For details click here [show/hide].
    3. ART-insemination, IVF.
      For details click here [show/hide].
    4. Estetic surgery.
      For details click here [show/hide].