What are the common symptoms of enlarged ovaries. How can enlarged ovaries be diagnosed. What are the potential causes of ovarian enlargement. How is ovarian swelling treated. Are there any complications associated with enlarged ovaries. Can enlarged ovaries affect fertility. When should you see a doctor for ovarian swelling.

Understanding Enlarged Ovaries: An Overview

Enlarged ovaries, also known as ovarian swelling, is a condition where the ovaries increase in size beyond their normal dimensions. While ovary size can naturally vary among individuals, certain factors can lead to abnormal enlargement. This comprehensive guide delves into the intricacies of enlarged ovaries, exploring symptoms, causes, diagnostic methods, and treatment options.

Recognizing the Symptoms of Enlarged Ovaries

Enlarged ovaries may not always present noticeable symptoms. However, when symptoms do occur, they can range from mild discomfort to more severe manifestations. Common symptoms include:

• Changes in bowel habits
• Increased urinary urgency
• Irregular menstrual cycles
• Pelvic pain or pressure
• Feelings of fullness or swelling in the pelvic area
• Persistent abdominal discomfort, such as bloating or nausea
• Thinning hair on the head
• Excess hair growth on the body
• Unexplained fatigue
• Fluctuations in weight

Is it possible to physically feel enlarged ovaries? In some cases, when ovaries become significantly enlarged, a healthcare provider may be able to palpate them during a pelvic examination. However, this is not always the case, and further diagnostic measures are often necessary.

Diagnosing Enlarged Ovaries: The Role of Ultrasound

When enlarged ovaries are suspected, healthcare providers typically rely on ultrasound technology for diagnosis. Ultrasound imaging uses sound waves to create detailed pictures of the pelvic organs, allowing for accurate assessment of ovarian size and structure.

Types of Ultrasound for Ovarian Examination

1. Transabdominal Ultrasound: This method involves moving a probe across the abdomen to capture images of the pelvic organs.
2. Transvaginal Ultrasound: In this approach, a small probe is inserted into the vagina, providing clearer and more detailed images of the ovaries and surrounding structures.

How effective is ultrasound in diagnosing enlarged ovaries? Ultrasound is highly effective in detecting ovarian enlargement and can often provide valuable information about the underlying cause, such as the presence of cysts or tumors.

Exploring the Causes of Ovarian Enlargement

Enlarged ovaries can result from various factors, ranging from normal physiological processes to more serious medical conditions. Understanding these causes is crucial for proper diagnosis and treatment.

Physiological Causes

Ovulation: During the menstrual cycle, the ovaries can temporarily enlarge due to hormonal stimulation. This is a normal process but may be more pronounced in individuals undergoing fertility treatments.

Medical Conditions

• Polycystic Ovary Syndrome (PCOS): A common hormonal disorder characterized by the formation of small cysts on the ovaries, leading to enlargement.
• Ovarian Edema: A rare condition where fluid accumulates in the ovarian tissue, typically affecting one ovary.
• Ovarian Torsion: A medical emergency where the ovary twists on its supporting tissues, cutting off blood supply and causing swelling.
• Benign Tumors or Cysts: Non-cancerous growths such as mature cystic teratomas, fibrothecomas, or cystadenomas can cause ovarian enlargement.
• Ovarian Cancer: Although less common, cancerous growths can lead to ovarian swelling, particularly in postmenopausal women.

Can pregnancy cause ovarian enlargement? Yes, during pregnancy, some women may develop luteomas, benign growths on the ovaries that can cause temporary enlargement. These typically resolve after childbirth.

Treatment Approaches for Enlarged Ovaries

The treatment for enlarged ovaries varies depending on the underlying cause. Healthcare providers tailor treatment plans to address specific conditions and alleviate symptoms.

Managing PCOS-Related Ovarian Enlargement

For individuals with PCOS, treatment strategies may include:

• Weight Management: Even a modest weight loss of 10% can help regulate menstrual cycles and reduce symptoms.
• Hormonal Birth Control: Oral contraceptives can help regulate menstrual cycles and manage hormonal imbalances.
• Anti-Androgen Medications: These drugs can help address excess hair growth and other androgen-related symptoms.
• Metformin: This medication may be prescribed to control insulin levels and reduce excess androgen production.

How effective are lifestyle changes in managing PCOS-related ovarian enlargement? Lifestyle modifications, particularly weight loss and regular exercise, can significantly improve PCOS symptoms and potentially reduce ovarian size in many cases.

Surgical Interventions for Enlarged Ovaries

In some cases, surgical intervention may be necessary to address ovarian enlargement, particularly when dealing with certain conditions:

• Ovarian Torsion: Immediate surgery is required to untwist the ovary and restore blood flow.
• Large Cysts or Tumors: Surgical removal may be necessary if cysts or tumors are causing significant symptoms or there’s a risk of malignancy.
• Ovarian Cancer: Treatment typically involves surgery to remove the affected ovary and surrounding tissues, often followed by chemotherapy.

What are the potential risks of ovarian surgery? As with any surgical procedure, ovarian surgery carries risks such as infection, bleeding, and damage to surrounding organs. However, in many cases, the benefits outweigh the risks, especially when dealing with potentially life-threatening conditions.

Fertility Considerations and Enlarged Ovaries

Ovarian enlargement can impact fertility in various ways, depending on the underlying cause:

• PCOS: Can lead to irregular ovulation, making conception more challenging.
• Ovarian Cysts: May interfere with normal ovarian function and egg release.
• Ovarian Torsion: If not treated promptly, can lead to loss of ovarian function.

Can enlarged ovaries be treated while preserving fertility? In many cases, yes. Treatment approaches often aim to preserve ovarian function and fertility. For instance, with PCOS, medications and lifestyle changes can help regulate ovulation. In cases requiring surgery, fertility-sparing techniques may be employed when possible.

When to Seek Medical Attention for Ovarian Swelling

While some causes of ovarian enlargement may resolve on their own, it’s important to know when to consult a healthcare provider. Seek medical attention if you experience:

• Sudden, severe pelvic pain
• Persistent abdominal bloating or discomfort
• Irregular menstrual cycles
• Difficulty conceiving
• Unexplained weight gain or loss
• Unusual hair growth patterns

How urgent is it to seek medical care for suspected ovarian torsion? Ovarian torsion is a medical emergency requiring immediate attention. If you experience sudden, severe pelvic pain accompanied by nausea and vomiting, seek emergency care promptly.

Preventive Measures and Long-Term Management

While not all causes of ovarian enlargement are preventable, certain steps can help maintain ovarian health and potentially reduce the risk of complications:

• Regular Gynecological Check-ups: Annual exams can help detect ovarian changes early.
• Healthy Lifestyle: Maintaining a balanced diet and regular exercise routine can help manage conditions like PCOS.
• Hormonal Balance: Working with a healthcare provider to manage hormonal imbalances can help prevent certain causes of ovarian enlargement.
• Stress Management: Chronic stress can impact hormonal balance and overall reproductive health.

Can dietary changes impact ovarian health? Some studies suggest that a diet rich in antioxidants, omega-3 fatty acids, and low in processed foods may support ovarian health. However, more research is needed to establish definitive dietary recommendations for preventing ovarian enlargement.

Psychological Impact and Support for Women with Enlarged Ovaries

Dealing with enlarged ovaries and related conditions can have significant psychological effects on women. It’s important to address these aspects as part of a comprehensive treatment approach:

• Emotional Support: Counseling or support groups can help women cope with the emotional challenges of diagnosis and treatment.
• Body Image Concerns: Conditions like PCOS can affect body image and self-esteem. Professional support may be beneficial in addressing these issues.
• Fertility Worries: For women concerned about their fertility, specialized counseling can provide valuable support and information.

How can partners and family members support women dealing with ovarian enlargement? Open communication, empathy, and willingness to learn about the condition are crucial. Accompanying partners to medical appointments and participating in lifestyle changes can also be highly supportive.

Advances in Research and Future Treatments

The field of reproductive medicine is continuously evolving, with ongoing research into better understanding and treating ovarian conditions. Some promising areas of study include:

• Genetic Markers: Identifying genetic factors that may predispose individuals to conditions like PCOS or ovarian cancer.
• Novel Drug Therapies: Development of more targeted medications with fewer side effects for managing hormonal imbalances.
• Improved Imaging Techniques: Enhancing diagnostic capabilities for earlier and more accurate detection of ovarian abnormalities.
• Fertility Preservation: Advancing techniques to preserve fertility in women undergoing treatments that may affect ovarian function.

What role does personalized medicine play in treating enlarged ovaries? The trend towards personalized medicine is particularly relevant in treating ovarian conditions. By considering individual genetic profiles, hormonal patterns, and lifestyle factors, healthcare providers can develop more tailored and effective treatment plans.

Living with Enlarged Ovaries: Practical Tips and Lifestyle Adjustments

For women diagnosed with conditions causing ovarian enlargement, certain lifestyle adjustments can help manage symptoms and improve overall quality of life:

• Pain Management: Techniques such as heat therapy, gentle exercise, and over-the-counter pain relievers can help alleviate discomfort.
• Dietary Modifications: Some women find relief from symptoms by avoiding certain foods, such as those high in refined sugars or inflammatory ingredients.
• Exercise Routine: Regular physical activity can help manage weight, reduce stress, and potentially alleviate some symptoms associated with conditions like PCOS.
• Sleep Hygiene: Prioritizing good sleep habits can help manage fatigue and support overall hormonal balance.
• Stress Reduction: Practices like meditation, yoga, or other relaxation techniques can be beneficial in managing stress-related symptoms.

How can women with enlarged ovaries maintain a healthy work-life balance? It’s important to communicate with employers about any necessary accommodations, such as flexible work hours for medical appointments. Prioritizing self-care and setting realistic expectations can also help in managing work responsibilities alongside health concerns.

Navigating Healthcare: Tips for Effective Communication with Medical Providers

Effective communication with healthcare providers is crucial for optimal management of ovarian enlargement. Consider the following tips:

• Keep a Symptom Diary: Track your symptoms, including timing, duration, and severity, to provide accurate information to your doctor.
• Prepare Questions: Before appointments, write down any questions or concerns you have about your condition or treatment.
• Be Honest: Provide complete and honest information about your medical history, lifestyle, and any treatments you’re using, including over-the-counter medications or supplements.
• Seek Clarification: Don’t hesitate to ask for explanations if you don’t understand something about your diagnosis or treatment plan.
• Follow-up: Keep all follow-up appointments and reach out to your healthcare provider if you experience new or worsening symptoms between visits.

How can patients ensure they’re receiving the most up-to-date care for ovarian conditions? Stay informed about your condition through reputable medical sources, and don’t hesitate to ask your healthcare provider about new treatment options or research developments that may be relevant to your case.

The Role of Holistic and Complementary Approaches

While conventional medical treatments are the cornerstone of managing enlarged ovaries, some women find additional benefits from holistic and complementary approaches:

• Acupuncture: Some studies suggest acupuncture may help regulate menstrual cycles and alleviate pain associated with certain ovarian conditions.
• Herbal Remedies: Certain herbs are thought to support hormonal balance, though it’s crucial to consult with a healthcare provider before using any herbal treatments.
• Nutritional Supplements: Supplements like inositol have shown promise in managing PCOS symptoms in some studies.
• Mind-Body Techniques: Practices such as mindfulness meditation or guided imagery may help manage stress and improve overall well-being.

How should women approach integrating complementary therapies with conventional treatments? It’s essential to discuss any complementary approaches with your healthcare provider to ensure they don’t interfere with your primary treatment plan. A collaborative approach between conventional and complementary practitioners can often yield the best results.

Understanding the Long-Term Outlook for Women with Enlarged Ovaries

The long-term prognosis for women with enlarged ovaries varies depending on the underlying cause and the effectiveness of treatment. Many conditions causing ovarian enlargement can be effectively managed with proper care:

• PCOS: With appropriate management, many women with PCOS lead healthy lives and can achieve pregnancy if desired.
• Ovarian Cysts: Most benign cysts resolve on their own or can be successfully treated, with minimal long-term impact.
• Ovarian Cancer: Early detection and treatment significantly improve outcomes. Regular follow-up care is crucial for survivors.

What factors influence the long-term outlook for women with enlarged ovaries? The underlying cause, timely diagnosis and treatment, adherence to treatment plans, and overall health status all play crucial roles in determining long-term outcomes. Regular medical follow-up and a proactive approach to health management are key to optimizing long-term well-being.

Enlarged ovaries: Symptoms, causes, and treatment

Ovary size can vary naturally from person to person. However, they can also become enlarged for several reasons.

Although some causes of enlarged ovaries are harmless, such as ovulation, others may require treatment.

The ovaries are two small egg-shaped organs in the female reproductive system. They produce egg cells and also release the hormones progesterone and estrogen, which are vital to ovulation, pregnancy, and the development of female sex characteristics.

This article will review the symptoms, causes, and treatment of enlarged ovaries.

While enlarged ovaries do not always cause symptoms, people with this condition may experience:

• changes in bowel habits
• increased urinary urgency
• irregular menstrual cycle
• pelvic pain or pressure
• pelvic swelling or feelings of fullness
• persistent abdominal discomfort, such as bloating or nausea
• thinning hair on the head
• excess hair elsewhere on the body
• unexplained fatigue
• weight gain or weight loss

Sometimes, the ovaries may become so enlarged that a person or doctor can feel the ovary in the pelvis, but this is not often the case.

When someone has symptoms that could indicate enlarged ovaries or another ovarian condition, a doctor is likely to recommend an ultrasound.

An ultrasound uses sound waves to create images of the pelvic organs. Doctors may do the ultrasound across the abdomen (transabdominal) or insert the probe into the vagina (transvaginal).

Enlarged ovaries have many potential causes, including:

Ovulation

Ovulation is when an ovary releases an egg for fertilization. During ovulation, the ovaries can become hyperstimulated by hormones and may temporarily enlarge.

Enlarged ovaries may be more likely during ovulation if a person is taking fertility drugs.

Polycystic ovary syndrome (PCOS)

PCOS is a common condition in which a hormonal imbalance causes small cysts to develop on the ovaries.

People with PCOS may experience irregular periods and might find it difficult to get pregnant, as the ovaries may not release eggs regularly. PCOS can also cause weight gain and excess hair growth on the body.

Ovarian edema

This rare condition occurs when fluid builds up in the ovarian tissue. Most of the time, ovarian edema occurs in only one ovary.

Ovarian edema may occur due to partial ovarian torsion, which blocks the blood flow and prevents lymph fluid from draining. As a result, fluid builds up, and the ovary enlarges.

Ovarian torsion

Ovarian torsion refers to the ovary becoming partially or fully rotated around the supporting tissues. It is a medical emergency.

Ovarian torsion cuts off the blood flow to the ovary and can cause significant nausea, pelvic pain, and vomiting. It requires prompt surgery to correct the rotation and restore blood flow.

Benign tumors or cysts

The ovaries are subject to several types of benign, or non-cancerous, growths or cysts. These include mature cystic teratomas, fibrothecomas, and cystadenoma.

Cysts are common and usually resolve without treatment.

Ovarian cancer

Ovarian cancer occurs when cancerous cells grow on the ovaries. It is more common after menopause.

Symptoms of ovarian cancer are non-specific and include pelvic pain, bloating, and fatigue.

A doctor will consider a person’s medical history, symptoms, and ultrasound images before testing for ovarian cancer. A biopsy can definitively diagnose the disease.

Share on PinterestAn ovary may develop a luteoma during pregnancy.

Ovaries may look enlarged during pregnancy due to a luteoma. A luteoma is a benign growth on the ovary that only occurs during pregnancy.

Doctors are not sure why some women develop luteomas while others do not, but they believe that the increased hormone levels during pregnancy may play a role.

Most luteomas do not cause symptoms. A doctor will usually detect one during a routine ultrasound or when performing a cesarean delivery.

Women who have luteomas during the first half of their pregnancy tend to experience more severe symptoms and may even require surgery to remove the growths.

Possible symptoms of luteomas include difficulty urinating, high levels of testosterone, and virilization, which is the appearance of typically male characteristics, such as a deeper voice and increased body hair.

Luteomas usually resolve after a woman gives birth, so doctors try to avoid surgery whenever possible.

Share on PinterestLosing weight may help reduce PCOS symptoms.

The treatment for enlarged ovaries will depend on the underlying cause.

For example, steps for managing PCOS may include:

• Losing weight, as even a 10 percent reduction in body weight can help to minimize symptoms and make periods more regular.
• Taking hormonal birth control pills, as these can help to regulate the menstrual cycle.
• Taking anti-androgen medications.
• Taking metformin, a medication that may help to control insulin levels and excess androgen hormones.

Treatments for ovarian cancer may include the removal of the ovaries and any surrounding tissue that the disease affects.

A doctor may also recommend chemotherapy to kill cancer cells and radiation treatments to reduce the size of the tumors before removing them.

Enlarged ovaries related to the menstrual cycle do not require treatment unless they are causing uncomfortable symptoms.

Enlarged ovaries can have multiple causes, most of which do not lead to any long-term problems.

People who are experiencing pelvic pain and fullness or changes in their bowel and bladder habits should visit a doctor. A variety of treatments can help to reduce symptoms.

Enlarged ovaries: Symptoms, causes, and treatment

Ovary size can vary naturally from person to person. However, they can also become enlarged for several reasons.

Although some causes of enlarged ovaries are harmless, such as ovulation, others may require treatment.

The ovaries are two small egg-shaped organs in the female reproductive system. They produce egg cells and also release the hormones progesterone and estrogen, which are vital to ovulation, pregnancy, and the development of female sex characteristics.

This article will review the symptoms, causes, and treatment of enlarged ovaries.

While enlarged ovaries do not always cause symptoms, people with this condition may experience:

• changes in bowel habits
• increased urinary urgency
• irregular menstrual cycle
• pelvic pain or pressure
• pelvic swelling or feelings of fullness
• persistent abdominal discomfort, such as bloating or nausea
• thinning hair on the head
• excess hair elsewhere on the body
• unexplained fatigue
• weight gain or weight loss

Sometimes, the ovaries may become so enlarged that a person or doctor can feel the ovary in the pelvis, but this is not often the case.

When someone has symptoms that could indicate enlarged ovaries or another ovarian condition, a doctor is likely to recommend an ultrasound.

An ultrasound uses sound waves to create images of the pelvic organs. Doctors may do the ultrasound across the abdomen (transabdominal) or insert the probe into the vagina (transvaginal).

Enlarged ovaries have many potential causes, including:

Ovulation

Ovulation is when an ovary releases an egg for fertilization. During ovulation, the ovaries can become hyperstimulated by hormones and may temporarily enlarge.

Enlarged ovaries may be more likely during ovulation if a person is taking fertility drugs.

Polycystic ovary syndrome (PCOS)

PCOS is a common condition in which a hormonal imbalance causes small cysts to develop on the ovaries.

People with PCOS may experience irregular periods and might find it difficult to get pregnant, as the ovaries may not release eggs regularly. PCOS can also cause weight gain and excess hair growth on the body.

Ovarian edema

This rare condition occurs when fluid builds up in the ovarian tissue. Most of the time, ovarian edema occurs in only one ovary.

Ovarian edema may occur due to partial ovarian torsion, which blocks the blood flow and prevents lymph fluid from draining. As a result, fluid builds up, and the ovary enlarges.

Ovarian torsion

Ovarian torsion refers to the ovary becoming partially or fully rotated around the supporting tissues. It is a medical emergency.

Ovarian torsion cuts off the blood flow to the ovary and can cause significant nausea, pelvic pain, and vomiting. It requires prompt surgery to correct the rotation and restore blood flow.

Benign tumors or cysts

The ovaries are subject to several types of benign, or non-cancerous, growths or cysts. These include mature cystic teratomas, fibrothecomas, and cystadenoma.

Cysts are common and usually resolve without treatment.

Ovarian cancer

Ovarian cancer occurs when cancerous cells grow on the ovaries. It is more common after menopause.

Symptoms of ovarian cancer are non-specific and include pelvic pain, bloating, and fatigue.

A doctor will consider a person’s medical history, symptoms, and ultrasound images before testing for ovarian cancer. A biopsy can definitively diagnose the disease.

Share on PinterestAn ovary may develop a luteoma during pregnancy.

Ovaries may look enlarged during pregnancy due to a luteoma. A luteoma is a benign growth on the ovary that only occurs during pregnancy.

Doctors are not sure why some women develop luteomas while others do not, but they believe that the increased hormone levels during pregnancy may play a role.

Most luteomas do not cause symptoms. A doctor will usually detect one during a routine ultrasound or when performing a cesarean delivery.

Women who have luteomas during the first half of their pregnancy tend to experience more severe symptoms and may even require surgery to remove the growths.

Possible symptoms of luteomas include difficulty urinating, high levels of testosterone, and virilization, which is the appearance of typically male characteristics, such as a deeper voice and increased body hair.

Luteomas usually resolve after a woman gives birth, so doctors try to avoid surgery whenever possible.

Share on PinterestLosing weight may help reduce PCOS symptoms.

The treatment for enlarged ovaries will depend on the underlying cause.

For example, steps for managing PCOS may include:

• Losing weight, as even a 10 percent reduction in body weight can help to minimize symptoms and make periods more regular.
• Taking hormonal birth control pills, as these can help to regulate the menstrual cycle.
• Taking anti-androgen medications.
• Taking metformin, a medication that may help to control insulin levels and excess androgen hormones.

Treatments for ovarian cancer may include the removal of the ovaries and any surrounding tissue that the disease affects.

A doctor may also recommend chemotherapy to kill cancer cells and radiation treatments to reduce the size of the tumors before removing them.

Enlarged ovaries related to the menstrual cycle do not require treatment unless they are causing uncomfortable symptoms.

Enlarged ovaries can have multiple causes, most of which do not lead to any long-term problems.

People who are experiencing pelvic pain and fullness or changes in their bowel and bladder habits should visit a doctor. A variety of treatments can help to reduce symptoms.

Ovarian tumors – symptoms, diagnosis and treatment of the disease in Hadassah

Symptoms of ovarian tumors

Tumors diagnosed in the ovaries are classified broadly into three categories: epithelial, stromal and germ cells. Different types of ovarian cancer differ from each other in the origin of cancer cells, the same can be found in the pathological examination of the tumor.

Symptoms of ovarian tumors depend on their type:

• Epithelial. Formed from cells lining the surface of healthy ovaries. There are several subtypes of epithelial tumors – serous (develop at the end of the fallopian tubes), endometrial-like (have a high chance of recovery), mucinous (occur on one side of the ovaries).
• Not classified. In 10% of cases, the type of tumor cannot be determined. Most often we are talking about the initial stage of malignant degeneration.
• Border. An ovarian tumor is diagnosed that does not develop towards the stromal tissue that stabilizes the ovaries. Most often diagnosed in the early stages and develop slowly.
• Stromal cells. It develops from stromal tissue that stabilizes the ovaries and produces the female hormones estrogen and progesterone. This tumor can develop at any age.

Among the main manifestations, one should single out the presence of pulling and aching pains in the lower abdomen. Most often, discomfort is localized on one side. There are also menstrual irregularities.

When the pedicle of the tumor is twisted, ischemia develops, which is accompanied by subsequent tissue necrosis. This causes a sharp burning pain. Fainting, the appearance of bloody discharge from the vagina and an increase in body temperature are not excluded. There are also drops in blood pressure.

Methods for diagnosing ovarian tumors

If a neoplasm is detected on the ovaries, it is impossible to judge its nature without the results of a histological analysis. Benign tumors can degenerate into cancer, so each of them is considered as potentially dangerous. The following diagnostic measures are required:

Analysis for tumor markers (HE-4, CA-125, ROMA index)

Regular ultrasound monitoring during drug therapy

Testing for BRCA-1 and 2 mutations

indicate a predisposition to ovarian cancer

Methods for the treatment of ovarian tumors

Therapy is developed individually for each woman, taking into account the results of the diagnosis of ovarian tumors. Self-medication in this case is unacceptable. The treatment regimen depends on the following factors:

• the nature of the neoplasm;
• tumor size and type;
• the degree of involvement of neighboring organs.

Ovarian tumors are treated conservatively or surgically. Drug therapy involves taking antibiotics, vitamin and mineral complexes, hormonal agents, antispasmodics and anti-inflammatory drugs.

The operation involves a puncture of the contents of the neoplasm. In malignant tumors, there is a need for complex treatment: surgery, radiation and chemotherapy.

Prevention and treatment programs for ovarian tumors at the Hadassah Clinic

To prevent the development of ovarian neoplasms, it is recommended to undergo regular gynecological examinations – at least 1-2 times a year. It is also recommended to minimize the impact of adverse factors on the body, such as smoking, stressful situations and harmful production.

Text verified by an expert doctor

Kanevskaya
Svetlana Sergeevna

Medical director, therapist, doctor of medical sciences, professor

Doctor of Medical Sciences

Work experience: 22 years

Published: 06/27/2022

Updated: 06/27/2022

The information provided on the site is for reference only and cannot serve as a basis for making a diagnosis or prescribing treatment. Internal consultation of the expert is necessary.

Prices for gynecological services

Gynecology

Obstetrician-gynecologist primary appointment (examination, consultation)	6 50 0 ₽
Repeated appointment (examination, consultation) with an obstetrician-gynecologist	1 6 500 ₽
Repeated appointment (examination, consultation) with an obstetrician-gynecologist	5 500 ₽
Preventive appointment (examination, consultation) with an obstetrician ecologist	2 500 ₽

Appointment (examination, consultation) of an obstetrician-gynecologist, c.m.s., primary	9,000 ₽ obstetrician-gynecologist, c.m.s., repeated	2	6 500 ₽
Repeated remote consultation of an obstetrician-gynecologist	5 500 ₽
Remote consultation of an obstetrician-gynecologist, PhD, primary	9,000 ₽
Remote consultation of an obstetrician-gynecologist, PhD, repeated 9 0092	7 500 ₽

901 20

Remote consultation of an obstetrician-gynecologist, a specialist in minimally invasive operations, a senior physician of the oncogynecology department of the Israeli clinic Assuta Hospital, Rama Eitana	71 500 ₽
Remote consultation of a gynecologist, professor, leading specialist in the field of obstetrics and gynecology and treatment of reproductive disorders at the Yitzhak Rabin Medical Center (Beilinson Hospital) Yaakovv Farhi	61,500 ₽

Infiltration anesthesia in gynecology

91 1 500 ₽

Fetal cardiotocography

800 ₽

9 0091 Cervicoscopy with removal of the cervical canal polyp (without the cost of histological examination)

90 091 44 000 ₽

9009 5

90 091 52 000 ₽

Getting a vaginal swab	550 ₽
Getting a nipple cervix	770 ₽
Scraping from the cervix for oncocytology	1 400 ₽
Resection of the labia minora	7 200 ₽
Insertion of the obstetric unloading support ring (pessary) ring (pessary)	4 400 ₽
Removal of stitches from the cervix	5 200 ₽
Removal of a foreign body from the vagina	3 000 ₽
Dissection of the hymen	36 000 ₽
Removal of postoperative sutures (ligatures)	4 300 ₽
Separate diagnostic curettage of the cervical canal	10 200 ₽
Intravaginal drug administration	4,400 ₽
Therapeutic vaginal tamponing	1,500 ₽
Hyster osalpingography	14 300 ₽
Intravaginal exposure to ultrasound in diseases of the female genital organs without drugs	5 800 ₽
Intravaginal exposure to ultrasound in diseases of the female genital organs with the drug	6 500 ₽
ii)	8 600 ₽
Insertion of the intrauterine device	9 600 ₽
Insertion of the intrauterine device (including the cost of IUD)	12 900 ₽
Insertion of the intrauterine device of the Mirena system (excluding the cost of the device)	9 600 ₽
Removal of the intrauterine device	5 200 ₽
Removal of the intrauterine device (complicated)	8 500 ₽
Radio wave therapy of the cervix
Colposcopy	3 000 ₽
Extended colposcopy posterior fornix	8 600 ₽
Looping cervix of the cervix with a radio frequency method, without the cost of histological examination (1 degree of complexity)	21 500 ₽
Liacoli of the cervix with a radio frequency method (2 degree of complexity of the complexity )	28 600 ₽
Treatment of cervical erosion with a solkagin, including the cost of the drug (1 procedure)	7 200 ₽
Treatment of erosive ectropion of the cervix by radiosurgery (1st degree of complexity)	00 ₽
Marsupialization of the Bartholin’s gland	36 000 ₽
Suturing the cervix, vagina, perineum	14 500 ₽
Biopsy of the cervix, vulva, vagina by radiosurgical method	21 600 ₽
Biopsy of the cervix, vulva, vagina using a conchotome of the external genital organs under local anesthesia	17 200 ₽
Removal of cysts of the vulva	21 600 ₽
Biorevitalization of the vagina and vulva you	39 000 ₽
Hydrosonography	16 200 ₽
Preparation for hydrosonography	8 700 RUB
Cervicoscopy	10 200 RUB
Colposcopic biopsy with curettage of the cervical canal	8 600 ₽
Comprehensive treatment of the vagina with the introduction of drugs	4,400 ₽
Taking a culture for flora with sensitivity to antibiotics	2,000 ₽ 900 92
Taking material for examination	1 400 ₽
Taking material for histological examination	5 200 ₽
Taking material for PCR testing	1 400 ₽
Therapeutic treatment of the vagina and cervix	1,500 ₽
Vaginal tamponade	3,000 ₽
Vinegar	1,500 ₽
Schiller test (diagnostic assessment of the cervical mucosa)	1,500 ₽
Laser New rejuvenation of the vulva and skin of the external genital organs (1 procedure)	32 900 ₽
Cauterization of genital warts with Solkovagin, without the cost of the drug (1 procedure)	1 21 600 ₽
Radiosurgical treatment of cervical erosion more than 2 cm in diameter (grade 2)	36 000 ₽
Removal of a Bartholin gland cyst
Removal of a vaginal cyst	53,000 ₽
Removal of papillomas on the vulva and perineum with a radio wave loop	12,000 ₽
Removal cervical canal polyp	21 600 ₽
Removal of single warts, papillomas in the vulva, vagina and perineum by radio wave method (1-5 elements)	10 600 ₽
Removal of warts, papillomas in the vulva, vagina and perineum by radio wave method (6-10 elements)	12 900 ₽
Removal of warts, papillomas in the vulva, vagina and perineum by radio wave method (11-15 elements)	20 200 ₽
Removal of the contraceptive ring	2 200 ₽
Treatment of postoperative wounds	2 900 ₽
Stab conization of the cervix stitches, without the cost of histological examination	43 000 ₽
Rectovaginal examination	1 500 ₽
Functional diagnostic tests	1 400 ₽
Laser removal of single warts, papillomas in the vulva, in the vagina and in the perineum	13 800 ₽
2
Laser removal of warts, papillomas in the vulva, vagina and perineum (11-15 elements)	27 500 ₽
Laser lifting of the vagina	35 000 ₽
Laser lifting of the vulva and vagina
Laser plastic correction of the vulva	25 800 ₽
Laser vaporization of the cervix	27 500 ₽
Pulsed magnetotherapy of the neuromuscular apparatus of the pelvic floor using the BTL Emsella extracorporeal magnetic stimulation system, 1 procedure	5 500 ₽

Complex of pulsed magnetotherapy of the neuromuscular apparatus of the pelvic floor using the BTL Emsella extracorporeal magnetic stimulation system, 6 procedures 900 92	29 700 ₽
Complex of pulsed magnetic therapy of the neuromuscular apparatus of the pelvic floor with the use of extracorporeal magnetic stimulation system BTL Emsella: 10 procedures	50 000 ₽

90 091 19 500 ₽

900 91 210 000 ₽

9 0090

90 091 Removal of a vulvar neoplasm (3rd degree of complexity) 9 0091 Removal of a neoplasm of the vagina

Diagnostic hysteroscopy	15 100 ₽
Polypectomy and curettage of cervical mucosa
Cervical curettage with biopsy of the cervix	25 000 ₽
Conization of the cervix	35 100 ₽
Opening of abscess of Bartholin’s gland	25 000 ₽
Extirpation of the uterus with appendages and pelvic lymphadenectomy laparoscopic	390 000 ₽
Diagnostic laparoscopy	160 000 ₽
Diagnostic laparoscopy (addition to surgery)	110 000 ₽
Laparoscopic dissection and excision of adhesions of female genital organs	160 000 ₽
canal	110 000 ₽
Removal of uterine appendages bilateral laparotomy	230 000 ₽
Removal of the greater omentum laparotomy atomous nodes) laparoscopic (1st degree of complexity)	230,000 ₽
Conservative myomectomy (enucleation of myoma nodes) laparoscopic (3rd degree of complexity)	320,000 RUB
Hysteroresectoscopy (1st degree of complexity)	105,000 RUB
Hysteroresectoscopy (2nd degree of complexity) 90 092	120 000 ₽
Hysteroresectoscopy (3 degree of complexity)	135 000 ₽
Laparoscopic ovarian transposition
Laparoscopic hysterectomy without appendages	375 000 ₽
Laparoscopic extirpation of the uterus with fallopian tubes	380,000 ₽
Extirpation of the uterus with appendages, removal of the greater omentum laparoscopic	600,000 ₽ 90 092
Laparoscopic hysterectomy with appendages (1 degree of complexity)	350,000 ₽ 00 ₽
Laparoscopic extirpation of the uterus with appendages (3rd degree of complexity)	390,000 ₽
Laparoscopic supravaginal amputation of the uterus, sacrovaginopexy Laparotomic hysterectomy, sacrovaginopexy	470,000 ₽
Laparoscopic extirpation of the uterus with appendages with pelvic lymph node dissection	440,000 ₽
Conservative myomectomy (enucleation of myoma nodes) laparotomy (1 degree of complexity)	270 000 ₽
Conservative myomectomy (enucleation of myoma nodes) laparotomy (2nd degree of complexity)	295 000 ₽
Conservative myomectomy (enucleation of myomatous nodes) laparotomy (3 degree of complexity)	0 ₽
Laparotomic radical abdominal hysterectomy	420 000 ₽
Laparotomic sacrovaginopexy	320 000 ₽
Paraortal lymph node dissection laparotomy 9 0092	375,000 ₽
Vaginal total hysterectomy (extirpation of the uterus) without appendages	230,000 ₽
Vaginal total hysterectomy (extirpation of the uterus) without appendages with levatoroplasty	260,000 ₽
0092	250 000 ₽
Vaginal total hysterectomy (hysterectomy) with fallopian tubes	240 000 ₽
Definition signal	167,000 ₽
Sling surgery for stress urinary incontinence (TVT-O)
Sling surgery for stress urinary incontinence (addition to surgery, TVT-O)	160 000 ₽
Anterior, posterior colporrhaphy (colpoperineolevathoroplasty)	255 000 ₽
	140 000 ₽
Posterior colporrhaphy	140 000 ₽
Para-aortic laparoscopic lymphadenectomy 900 92	320 000 ₽
Laparoscopic determination of “sentinel” lymph nodes in oncogynecological diseases	300 000 ₽
Ovarian drilling (for infertility) laparoscopic 0092	130 000 ₽
Laparoscopic tubectomy	180 000 ₽
Pelvic lymphadenectomy (one side) laparoscopic 9 0092	226 000 ₽
Pelvic lymphadenectomy (on both sides) laparoscopic	260 000 ₽
Total hysterectomy (extirpation of the uterus) with laparotomy appendages (1 degree of complexity)	240 000 ₽
Total gi sterectomy (extirpation of the uterus) with laparotomic appendages (2nd degree of complexity)	270,000 ₽
₽
Total hysterectomy (extirpation of the uterus) with laparotomy appendages with removal of the greater omentum	335 000 ₽
Laparotomic removal of the greater omentum (addition to the operation)	220 000 ₽
Removal of ovarian cyst, bilateral, laparoscopic 092	230 000 ₽
Removal of uterine appendages bilateral laparoscopic	260 000 ₽
Pelvic laparotomy unilateral lymphadenectomy	270 000 ₽
new laparotomy bilateral	320,000 ₽
Removal of a Bartholin gland cyst (1 degree of complexity)	60,000 ₽
Removal of a Bartholin cyst
Removal of a Bartholin gland cyst (3rd degree of complexity)	130 000 ₽
Vaginal closure (1 degree of complexity)	20 000 ₽
Vaginal closure (2 degree of complexity)	40 000 ₽
Vaginal closure (3 degree of complexity)	140 000 ₽
Vaginal closure (4 degree of complexity)	170 000 ₽
Hymenoplasty (restoration of the hymen)	110 000 ₽
Removal of a neoplasm of the vulva (1st degree of complexity)	93,000 ₽
Removal of a neoplasm of the vulva (2nd degree of complexity)	160,000 ₽
310,000 ₽
Removal of a vulvar neoplasm (4th degree of complexity)	590,000 ₽
Russ adhesion repair, chromohydrotubation laparoscopic	140 000 ₽
Laparoscopic chromohydrotubation (addition to the operation)	Laparoscopic sacrovaginopexy
Pelvic-retroperitoneal lymphadenectomy	93 000 ₽
Abdominal lymphadenectomy	93,000 ₽
Resection of the ovary using video endoscopic technologies	108,000 ₽
93,000 ₽
Surgical defloration	35,000 ₽
Surgical intervention of small pelvic tumors (1 degree complexity)	80 000 ₽
Surgical intervention of small pelvic tumors (2 degree of complexity)	150 000 ₽
Surgical intervention of small pelvic tumors (3rd degree of complexity) )	400,000 ₽
Surgery for small pelvic tumors (5 degree of complexity)	500,000 ₽

Comprehensive programs

Ovarian tumors – MOSITALMED

Ovarian tumors are neoplasms in the ovarian tissue caused by abnormal cell division. They can be either malignant or benign. Both forms of the disease require timely diagnosis and treatment, since even benign formations can become malignant.

The clinics of the MOSITALMED network carry out diagnostics and treatment of diseases of the female genital organs using modern methods with a minimal risk of complications. Our gynecologists have extensive experience in the removal of ovarian tumors.

Causes of ovarian tumors

Among the causes of ovarian tumors are:

• infection with human papillomavirus;
• frequent abortions;
• high levels of estrogen in the blood;
• inflammatory diseases of the uterus and appendages;
• early menopause;
• late menarche;
• diseases of the thyroid gland;
• diabetes mellitus

All of the above factors contribute to the disruption of cell proliferation and differentiation in glandular tissue. In this case, the cells multiply uncontrollably and do not perform their proper function.

Symptoms of an ovarian tumor

The first sign of an ovarian tumor may be a pulling pain in the lower abdomen. However, the pain syndrome is not always present, and the disease can be suspected by:

• false urge to urinate;
• increase in the size of the abdomen;
• excessive formation of gases in the intestines;
• irregular menses

Some tumors are capable of producing hormones, in which case they may develop:

• male pattern hair growth;
• absence of menstruation;
• acne

Malignant neoplasms are accompanied by general poor health, anemia and fatigue. Symptoms of benign ovarian tumors may be absent for a long time and appear only when they reach a significant size.

Diagnosis

Cysts and other neoplasms of the ovaries often become an incidental finding during routine examination. You can suspect a tumor by the presence of characteristic symptoms, but in any case, a thorough examination is required.

The list of diagnostic measures includes:

• Ultrasound of the pelvic organs;
• MRI;
• CT;
• Blood test for hormones;
• Tumor marker test

All standard and innovative methods of diagnosing diseases of the female genital organs are available in the clinics of the MOSITALMED network.

Treatment of ovarian tumor

Treatment of ovarian tumor depends on the stage, extent and form of the disease. If an ovarian cyst is detected, its removal is carried out only according to indications, in other cases, regression of the formation is possible after conservative therapy.

Removal of an ovarian neoplasm is carried out by its resection – oophorectomy. If a woman is of childbearing age, then a wedge resection is possible with the preservation of part of the organ. When removing the ovary, additional correction of the hormonal background with drugs is required.

Our clinic offers the treatment of benign ovarian tumors with modern and safe methods according to international standards.