Usually, the patient is asked about her state of health, complaints, used contraception, menstrual cycle, its duration and special aspects, the first of the latest period is established. At the first visit the patient should tell about all chronic and past conditions, surgeries, past pregnancies, births (if any) special aspects, etc.
Transabdominal (through the front abdominal wall) or transvaginal (through vagina) ultrasound scan of the organs of small pelvis. Transvaginal ultrasound can detect benign and malignant uterine and ovarian tumours, urethral pathologies, inflammatory processes, cause o urination disorders or urinary incontinence, early pregnancy and also can monitor ovarian follicular apparatus during infertility treatment.
Successful transabdominal ultrasound requires full bladder,which means that it is recommended to drink 500-700 ml of liquid 2-3 hours before the examination. This examination is recommended to be done once a year as prophylaxis even if there are no complaints. If any abnormality is discovered, your doctor will recommend further examination frequency.
It is a mandatory examination as breasts are hormone dependent organs.Woman can lie or stand during the exam. The doctor will carefully examine the breasts looking at their shape, structure, symmetry, tenderness and other parameters.
Full blood count (rhesus factor, rhesus antibodies [important for pregnant women!]), urine test, biochemical blood panel, coagulation profile, sex hormone and other hormone analysis, tests for infections, etc. – your doctor will determine necessary tests and when they should be done.
Cervical screening is an effective cervical diagnosis or change detection method, as such changes may be early signs of cervical cancer. Cervical screening allows obtaining information about changes (including precancerous) in the cervix (the narrowest and lowest part of the uterus and tumour signs. Gynaecologist takes smear using a scrape or a special brush carefully separating a few cells from the surface of the cervix. After that the sample is studied in the lab to identify any early changes. Cervical screening is done once a year, but in many European countries if the cervical screening reveals no problems, the next will be in three years, as it is considered that cervical cancer does not develop that quickly.
Or vaginal microflora test. Gynaecologist takes smear from the vaginal fornix using a scrape or a special brush. After that the cells are examined in a lab. This test helps detect vaginal inflammations and infections. It can also detect fungi, gonorrhoea, trichomonas, staphylococci and other infectious agents.
E.g. tubal patency test (hysterosalpingogram), hysteroscopy, etc., as necessary.