Second Opinion on General gynecology

Expert opinions and online advice on general gynecology delivered via your computer or mobile device. Second opinion is available wherever there is an internet. All you need is a PC or a smartphone.

General gynecology is a vast field covering various female health conditions. The most common of them are malignancies of the uterus, ovaries and vulva, as well as ovarian cysts, polycystic ovary syndrome, myoma and menopause-associated complaints.

Breast diseases are usually dealt with in mammology second opinion consultations.

Relevant diagnostic tests and procedures

An expert providing remote advice on women’s disorders will most probably like to see a written case summary or medical records from the patient’s primary care facility or doctor. The majority of general gynecology issues will require ultrasound exam results, either as reports or original images. Advanced radiology studies, such as MRI or CT of the pelvis are usually needed in the case of confirmed or suspected cancer conditions, as well as some benign complaints. Reports describing the findings of specific gynecology diagnostic procedures, such as colposcopy or hysteroscopy, may also be of importance, including the biopsy specimens test results. 

An overview of most frequent general gynecological issues

Ovarian cysts

Cysts (fluid-filled sacs) in the ovaries are very often nothing to worry about, and remain unnoticed. However, sometimes a cyst causes pains in the lower abdomen, or presents a danger of twisting around its pedicle, interrupting the blood supply to the ovary. Hormone-producing cysts provoke uterine endometrium growth, leading to cycle disorders.

The major issue related to an ovarian cyst is whether it needs any treatment, or if regular monitoring is enough. Also, the borderline between benign masses and a possible malignancy is of key importance and may require an external assessment by an experienced gynecologist. With some suspicious, or symptom-causing cysts, laparoscopic surgery should be considered to avoid risks.

Polycystic ovaries

The term “polycystic ovary syndrome” refers to a condition in which the ovaries are filled with numerous small cysts. But its major feature is the high production of male sex hormones (androgens) resulting in a number of life-changing symptoms including irregular periods, weight gain and infertility. The correct disease management may be a challenge, so an external gynecology expert is sought to provide the best possible solutions.  

Myoma

Patients with uterine fibroids (myomas) are often faced with the issue of choice between several approaches to treatment. Options vary from watchful waiting and drug therapies to non-invasive (focused ultrasound), minimally-invasive (uterine artery embolization, ablation or laparoscopy) or even invasive (traditional surgery) procedures. Decision-making can be made easier by a second opinion of an experienced gynecology specialist.

Menopause

Although a natural biological process, the end of the menstrual cycles is usually accompanied by distressing symptoms. A whole range of treatment and health support options are nowadays available to provide relief and maintain the quality of life. However, not all primary care gynecologists are well-informed about some advanced methods, or lack the necessary experience. Thus, additional expert advice should always be considered in case the current management plan is not effective enough. 

 

What is the service about?

A second opinion on general gynecology is a service which makes it possible to get a remote consultation of a qualified specialist, based on available medical summary or study results.

It might be helpful:

• to confirm the existing diagnosis;

• to make sure that the recommended treatment, e.g. a surgery, is correct;

• to obtain information on advanced methods of diagnostics and treatment relating to general gynecology issues;

• to get expert commentary on previously performed exam results;

• to make the right choice if there are two or more possible therapeutic options.

What will the client get?

Diagnostic conclusions, as well as treatment and disease monitoring suggestions based on the available case information. If the provided data is insufficient, follow-up exams will be recommended.

What data should be provided to get a second opinion?

Written records:

  • Medical report (desirable)
  • Examination results:
  1. cytological smear
  2. tumor biopsy with histological (immunohistochemical) differentiation
  • Laboratory test results
  1. hormones
  2. tumor markers
  • Up to 5 pages included

Radiology data:

  • Ultrasound
  • Pelvic MRI
  • Pelvic CT
  • PET / bone scan
  • Up to 3 examinations included

What are the second opinion formats and terms?

Written second opinion:

  • A written report based on the provided data, the consulting specialist's review including a diagnostic report and recommendations for further diagnostic, treatment and monitoring tactics. Report size: up to 1 page. 

Video consultation:

  • All services of written second opinion. Additionally: a 10-minute video consultation with a doctor, including a visual patient examination, clarification of symptoms, radiology image review, explanation of the suggested management plan, answering the patient's questions.

Phone consultation:

  • All services of written second opinion. Additionally: a 10-minute telephone consultation with a doctor, including clarification of symptoms, explanation of the proposed treatment tactics, answering patient's questions.
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Specialists in General gynecology

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