Category: Services

Услуги кои ги нуди Гинекомедика

IMSI – интацитоплазматско инјектирање на морфолошки селектиран сперматозоид

It is a variation of ICSI, but with the difference that with IMSI using a special microscope, the large embryologist is analyzing all structures of the sperm, including the nucleus where the genetic material is located, and thus selects the structurally healthier.

There are studies showing that the use of IMSI increases the percentage of successful pregnancy.

IVF – ICSI (ин витро фертилизација)

In vitro fertilization is a laboratory technique that allows egg cells to be fertilized by sperm outside the human body.
In vitro fertilization involves a technique known as intracytoplasmic injection of spermatozoa or Intracytoplasmic Sperm Injection (ICSI).

This relatively new technique has made great progress in treating problems of reduced fertility in a man (male infertility). The technique involves the fertilization with the micro injection of the sperm in the egg.

When using the ICSI technique, only one single sperm cell is needed. The fertilized egg is the zygote from which an embryo develops into the uterus of the woman where it continues to grow.

Depending on your need, we can offer you several options:

  • In Vitro Fertilization with own partner cells (female egg cells and sperm of the man)
  • In vitro fertilization with own egg cells and donor semen
  • In vitro fertilization with eggs from donor and sperm from the partner
  • In vitro fertilization with eggs from the donor and sperm donor

Хистеросалпингографија

Метода при која со помош на специјален катетар се внесува контрастна материја во шуплината на матката, а потоа се прави рентген снимка. Контрастната материја освен шуплината на матката, ги исполнува и јајцеводите. Доколку постои запушување на јацеводите, септум ( преграда) на матката или било каква анатомска аномалија тоа ќе се покаже на самата снимка.

Ова испитување е задолжително кај пациентки на кои им претстои инсеминација.

Hymenoplasty

NEW BEGINING

Although times have changed, innocence seems to still have high values.

The need for reconstruction of the hymen is for various personal reasons, including religious and cultural norms.

Hymenoplasty is a surgical reconstruction of a hymen (a membrane that partially closes the entrance of the vagina). In some cultures and religions, the untouched hymen is a traditional indicator of honor, a sign of innocence.

As a cause of damage to the hymen, except for sexual intercourse, there may be extreme exercises and the use of tampons.

Frequently Asked Questions:

  1. Is hymenoplasty painful?
    • The intervention itself is performed by means of local or general anesthesia and is not painful.
    • After the anesthetic has elapsed, some patients may feel a slight stiffness in the vaginal area, which is expected several hours after the intervention, due to the effect of anesthesia.
  1. How long does the intervention last?
    • The intervention lasts about 30-45 minutes.
  1. Is hymenoplasty safe?
    • Hymenoplasty is a safe procedure, very rarely can be followed by some side effects. Like any other surgical intervention, there is a small risk of infection and prolonged bleeding, as well as side effects of anesthetics. In any case, the complications are very rare.
  1. Should a certain treatment be given after surgery?
    • After the intervention, an antibiotic is recommended as an infection prevention and an analgesic as needed.
  1. Whether and how many controls are needed after the intervention?
    • One control is recommended, one to two weeks after intervention.
  1. After how long should the strings be removed?
    • Nails of natural origin that dissolve in the body are used and there is no need to remove the strings.
  1. When can I have sex?
    • Depending on the technique of reconstruction of the hymen, sexual intercourse can begin two days after the intervention (short-term short-term chemoplasty), ie four to six weeks after surgery (permanent hymenoplasty).
    • In both cases, the hymn will be completely reconstructed and resumed. At the first sexual intercourse after surgery, there is a bursting and bleeding from the hymen, just like in a natural hymen.
  1. What is the cost of this intervention?
    • Surgical reconstruction costs 25,000 to 31,000 denars. (410-500 euros) which includes the examination, all pre-operative preparations, anesthesia and surgical intervention.

TESE - Separation of sperm

TESE is a procedure used in men with obstructive or unstructured azoospermia, i.e. in men who do not have sperm in their ejaculate.
This procedure is performed under local anesthesia whereby spermatozoids are collected directly from the testicular tissue. Because the amount of sperm is small, this technique is almost always combined with an ICSI-inracytoplasmic sperm injection.

Down Syndrome screening

Down syndrom is a fetus disorder that occurs as a result of chromosomal change. There is a change in chromosome No. 21 or its trisomy, which means that if the normal chromosome setting is XX or XY, then we have 47, XX, 21 or 47, XY, 21.

Screening for Down syndrom is an examination done at 12-14 weeks of pregnancy. Based on multiple screening markers, it is estimated if there is a risk that the child will be born with Down's syndrome.

Echo diagnostics

Echo diagnosis is actually establishing a diagnosis using an echo device. With the help of the echo apparatus, changes in the morphology of the genital organs are diagnosed, a diagnosis of pregnancy, monitoring of pregnancy and the like is established.

PHI GINEKOMEDIKA has the latest 4D HIGH DEFINITION ULTRASOUND echo device, the only one of the kind on the territory of the Republic of Macedonia, and offers top quality work with it by highly specialized, professional, professional staff.

If you are a future parent, eager to see your baby, now you can see all of his movements in a live 4D video. From the first movements of your baby, turning, listening to his heart even to the slightest grimaces he does.

A great way for future parents to get to know their baby before birth.

4D core is essentially a video that contains 3D echo images plus the addition of the fourth dimension ie time.

HOW TO HEALTHY BABY WITH HELPING THE 4D APPARATUS

The 3D / 4D Echo Camera performs many reviews and methods to see how your still unborn baby is progressing inside the uterus.

One of the most important screening methods is ultrasound or echo screening, because it is a fast and non-invasive method and gives a lot of information about the fetus and pregnancy.

From 11 to 13.5 weeks, screening for Down sindrom is done. It is done by detecting the genetic markers for that syndrome, and possibly with biochemical markers, separated or together with echo markers when it is for a slightly higher prognostic value.

From 18 to 21 weeks, a genetic sonogram is made on the basis of 16 genetic markers. This method is of high prognostic value. A normal finding is if no marker has any deviation from the normal. If there is one in one, using the software calculates the risk for the fetus and therefore decides whether genetic amniocentesis is needed or not.

Genetic sonogram

Genetic sonogram is an examination that is performed in pregnant women 18 to 23 weeks of pregnancy. Fetus is seen and possible anomalies are revealed. 16 echo markers for early detection of fetal defects are examined and have a high prognostic value. There must be no deviation from the normal in any marker, and if that happens the pregnant woman is referred to diagnostic procedures.

HPV / CIN

HPV is the most common sexually transmitted viral infection in the world today. The HPV virus is the cause of CIN changes, which may, but not necessarily, pass into cervical cancer. However, the fact is that cervical cancer is the second most frequent in the female population after breast cancer.

The information that follows will help you better understand this condition with all of its features and treatment options:

  • What is CIN?
  • How is it diagnosed?
  • How to Prevent HPV Infection?
  • Symptoms of HPV
  • HPV & CIN
  • Do and why to heal?
  • How to cure CIN
  • Are controls needed after treatment?
  • Does your partner need to be treated?

What is CIN

Cervical intraepithelial neoplasia. The term neo denotes something new while the term plasia means growth. Cervical intraepithelial neoplasia denotes the abnormal growth of cervical cells, and is also called cervical dysplasia.

CIN is not a carcinoma!

It is classified in 3 degrees: CIN 1 (low grade dysplasia), CIN 2 (middle degree dysplasia) and CIN 3 (high-grade dysplasia).
This disease belongs to the group of sexually transmitted diseases or STD (sexually transmitted diseases) and cause certain subtypes of a genital virus called Human papiloma virus or HPV. The occurrence of the disease favors additional exogenous factors such as smoking cigarettes, lack of folic acid in the diet. Most girls are aged 25-35 years old, but the rest of the population is not spared.
The outer part of the cervix and vagina are covered with several layers of cells called plate cells or plate epithelium. Normally, at the bottom of these layers are young, oval cells. As cells mature, they climb into the upper layers of the mucous membrane and become flat. Such layers of cells are separated from the deeper structures by the so-called basement membrane which is of exceptional importance in determining the degree of change.

Low Dysplasia (CIN1)

Only a small number of cells have changed in the lowest third of the mucous membrane. This degree of dysplasia can in some cases spontaneously retreat. However, many studies favor treatment at this stage in order to prevent possible disease progression.

Middle Dysplasia (CIN 2)

The diseased cells occupy more than half of the cervix of the cervix.
Treatment is indispensable!!!

High Dysplasia (CIN 3)

Also called carcinoma in situ. The diseased cells affect the whole mucous membrane of the cervix up to the basement membrane, but it remains healthy.
Carcinoma in situ literally means 'carcinoma in place' and it is necessary to take EMERGENCY TREATMENT!!!
In all stages of CIN and Carcinoma in situ changes occur above the basement membrane of the mucous membrane of the cervix.

In invasive carcinoma, besides the entire thickness of the mucous membrane of the uterus, diseased cells penetrate the basement membrane. Treatment of this condition is completely different from the treatment of CIN changes and carcinoma in situ, and radical surgical treatment is often necessary.

How is it diagnosed?

HPV and CIN changes are detected with a Pap test. However, the pop test is only a screening method, so that the final diagnosis is made by colposcopy (a method to monitor the cervix) and a biopsy (painlessly taking very small samples from the cervix). If these methods prove the presence of HPV, it is desirable to make the virus typification, ie to indicate which virus subtype is to predict the eventual development of the disease.

How to prevent HPV infection?

In principle, there are two ways to prevent HPV infection:

  1. Abstinence
  2. Using condoms

Symptoms of HPV

Most people who are infected with HPV do not know they have the virus. HPV in 90% of cases does not show symptoms. However, certain subtypes of the HPV virus can cause genital warts in males or females. Other types can also cause different types of cancer.

HPV & CIN

CIN changes are closely related to the HPV virus, ie the HPV virus is the cause of CIN changes. There are more than 130 subtypes of this virus, divided into groups according to their aggressiveness. Carriers of the group of high risk viruses are HPV 16 and HPV 18. Certainly, there are other high-risk subtypes.

Do and why to heal?

Although CIN is not cancer, it can be developed into it. CIN 1 dysplasia can sometimes be spontaneously withdrawn without treatment. In all western European countries, practice is the preventive treatment of HPV changes to the cervix. There is no method that would anticipate which CIN1 change will retreat which will progress to CIN 2 or possibly cancer. Certainly, the HPV subtype, the immune system of the organism, smoking and other external factors affect the outcome. Because the virus is located in the cells itself, their removal also removes the virus itself, ie it does not remain in the body.

How is CIN treated?

There are several ways of healing. Which way to choose depends on the stage of change, the age of the woman, the presence of other gynecological problems, and the like. The doctor's experience and the availability of adequate equipment are of great importance.

The most commonly used methods are:

  1. Laser treatment. The superior and most used way of treating CIN changes. With a thin laser beam, all diseased cells are removed. Advantages: short-term and painless intervention, the shortest recovery time since it does not remove the cervix is ​​recommended for women who have not yet given birth. Percentage of successful treatment above 95%. Disadvantages: expensive equipment
  2. Cryotherapy or freezing. The probe freezes the cervix at a temperature below zero. Damaged cells account for excessive secretion for the next 30-45 days. Advantages: easy method. Disadvantages: more treatments, abundant squat
  3. Loop excision. A thin wire loop under the action of electricity removes part of the cervix. Advantages: The method at the same time is both diagnostic and therapeutic. Disadvantages: Limited usability
  4. Co-ordination. As the name implies itself, it is the removal of a part of the cervix in the form of a cone. The operation is performed under general anesthesia. Advantages: It is also used for the treatment of carcinoma in situ. Disadvantages: a greater percentage of complications, the possibility of complications during pregnancy due to shortening of the cervix
  5. Hysterectomy. Operative removal of the entire uterus. The method is used at high stages of the disease.

Are controls needed after treatment?

YES!!! Because of the possibility of repeating the changes, absolutely necessary controls after treatment. Pap smears usually require every 3 months in the first year, then every 6 months.

Does your partner need to be treated?

HPV is a sexually transmitted disease. The presence of HPV should also be checked with the partner. By simply penetrating the penis with a solution of acetic acid, all possible changes in the partner can be detected.

3D / 4D

PHI GINEKOMEDIKA has the latest 4D HIGH DEFINITION ULTRASOUND echo device, the only one of the kind on the territory of the Republic of Macedonia, and offers top quality work with it by highly specialized, professional, professional staff.

If you are a future parent, eager to see your baby, now you can see all of his movements in a live 4D video. From the first movements of your baby, turning, listening to his heart even to the slightest grimaces he does.

A great way for future parents to get to know their baby before birth.

4D core is essentially a video that contains 3D echo images plus the addition of the fourth dimension ie time.

HOW TO HEALTHY BABY WITH HELPING THE 4D APPARATUS

The 3d / 4D echo machine performs many examinations and methods to see how your still unborn baby progresses inside the uterus.

One of the most important screening methods is ultrasound or echo screening, because it is a fast and non-invasive method and gives a lot of information about the fetus and pregnancy. From 11 to 13.5 weeks, screening for Down syndrome is done. It is done by detecting genetic markers for that syndrome, and maybe with biochemical markers, separate or together with echo markers when it is for a slightly higher prognostic value.

From 18 to 21 weeks, a genetic sonogram is made on the basis of 16 genetic markers. This method is of high prognostic value. A normal finding is if no marker has any deviation from the normal. If there is one in one, using the software calculates the risk for the fetus and therefore decides whether genetic amniocentesis is needed or not.

CIN - CIN (Cervical Intraepithelium Neoplasia)

The HPV virus is the cause of CIN changes, which may, but not necessarily, pass into cervical cancer. However, the fact is that cervical cancer is the second most frequent in the female population after breast cancer.

The information that follows will help you better understand this condition with all of its features and treatment options:

  • What is CIN?
  • How is it diagnosed?
  • How to Prevent HPV Infection?
  • Symptoms of HPV
  • HPV & CIN
  • Do and why to heal?
  • How to cure CIN
  • Are controls needed after treatment?
  • Does your partner need to be treated?

What is CIN
Cervical intraepithelial neoplasia. The term neo denotes something new until the term plasia means growth. Cervical intraepithelial neoplasia denotes the abnormal growth of cervical cells, and is also called cervical dysplasia.

CIN is not a carcinoma!
It is classified in 3 degrees: CIN 1 (low grade dysplasia), CIN 2 (middle degree dysplasia) and CIN 3 (high-grade dysplasia).

This disease belongs to the group of sexually transmitted diseases or STD (Sexually Transmitted Diseases) and cause certain subtypes of a genital virus called Human papiloma virus or HPV.

The occurrence of the disease favors additional exogenous factors such as smoking cigarettes, lack of folic acid in the diet. Most girls are aged 25-35 years old, but the rest of the population is not spared.

How is it diagnosed?

HPV and CIN changes are detected with a Pap test. However, the pop test is just a screening method, so the final diagnosis is made by colposcopy (a method for observing the cervix) and biopsy (painlessly taking very small samples of the cervix). If these methods prove the presence of HPV, it is desirable to make the virus typification, ie to indicate which virus subtype is to predict the eventual development of the disease.

How to prevent HPV infection?

In principle, there are two ways to prevent HPV infection:

  1. Abstinence
  2. Using condoms

Symptoms of HPV

Most people who are infected with HPV do not know they have the virus. HPV in 90% of cases does not show symptoms. However, certain subtypes of the HPV virus can cause genital warts in males or females. Other types can also cause different types of cancer.

HPV & CIN

CIN changes are closely related to the HPV virus, ie the HPV virus is the cause of CIN changes. There are more than 130 subtypes of this virus, divided into groups according to their aggressiveness. Carriers of the group of high risk viruses are HPV 16 and HPV 18. Certainly, there are other high-risk subtypes.

Do and why to heal?

Although CIN is not cancer, it can be developed into it. CIN 1 dysplasia can sometimes be spontaneously withdrawn without treatment. In all western European countries, practice is the preventive treatment of HPV changes to the cervix. There is no method that would anticipate which CIN1 change will retreat which will progress to CIN 2 or possibly cancer. Certainly, the HPV subtype, the immune system of the organism, smoking and other external factors affect the outcome. Because the virus is located in the cells itself, their removal also removes the virus itself, ie it does not remain in the body.

How is CIN treated?

There are several ways of healing. Which way to choose depends on the stage of change, the age of the woman, the presence of other gynecological problems, and the like. The doctor's experience and the availability of adequate equipment are of great importance.

The most commonly used methods are:

  1. Laser treatment. The superior and most used way of treating CIN changes. With a thin laser beam, all diseased cells are removed. Advantages: short-term and painless intervention, the shortest recovery time since it does not remove the cervix is ​​recommended for women who have not yet given birth. Percentage of successful treatment above 95%. Disadvantages: expensive equipment
  2. Cryotherapy or freezing. The probe freezes the cervix at a temperature below zero. Damaged cells fall through abundant secretion for the next 30-45 days. Advantages: easy method. Disadvantages: more treatments, abundant squat
  3. Loop excision. A thin wire loop under the action of electricity removes part of the cervix. Advantages: The method is both diagnostic and therapeutic. Disadvantages: Limited usability
  4. Konisation. As the name implies, the name of the conception is the removal of a part of the cone's neck in the form of a cone. The operation is performed under general anesthesia. Benefits: It is also used for in situ cancer treatment. Disadvantages: a higher percentage of complications, a possibility for complications in pregnancy due to shortening of the throat of the matrix
  5. Hysterectomy. Operative removal of the entire uterus. The method is used at high stages of the disease.

Are controls needed after treatment?

YES!!! Because of the possibility of repeating the changes, absolutely necessary controls after treatment. Pap smears usually require every 3 months in the first year, then every 6 months.

Does your partner need to be treated?

HPV is a sexually transmitted disease. The presence of HPV should also be checked with the partner. By simply penetrating the penis with a solution of acetic acid, all possible changes in the partner can be detected.

Ureoplasma

Ureaplasma urealyticum  is a bacterium that occurs naturally, even as part of the normal flora in men and women. It occurs in 70% of sexually active people. It is therefore not considered a classical sexually transmitted infection, although it can be transmitted through a sexual act. In some cases it can also be transmitted through a touch of nose or eyes of an infected person because it is transmitted through saliva and blood.

It is usually asymptomatic, ie without symptoms and therefore, according to medical studies, it is important to test for this bacterium annually. If symptoms occur, they include pain in the lower abdomen, pain in urination, unusual secretion, and bleeding from the urethra. Usually infection is detected when symptoms of other conditions occur, such as urethritis (urethral inflammation), epididymitis (inflammation of the testicles), redness and inflammation of the genitals with or without secretion.

If left untreated, infection can cause infertility, nonspecific urethritis, pneumonia, meningitis. It can spread to other parts of the body and cause damage to the joints, nerves and muscles. In women (the partner), except for the above conditions, pregnancy can cause premature birth and even death of the fetus.

However, due to frequent detection and low pathogenicity, the association of this microorganism with the listed serious conditions remains questionable.

Spermogram - Examination of seed material

We are witnessing that the modern way of life (polluted air, stress, food we eat, alcohol ...) leads to many diseases and disorders in our body.

Proof that all these factors also affect the quality of the seed material is the fact that male sterility compared with ever, now more and more percentage increases and almost equates to the female sterility factor.

Spermogram is the result of a series of analyzes of semen material (ejaculate).
These analyzes provide information on the ability of sperm cells to fertilize egg cells, their number, appearance and quality.

From the analysis of the seed material (ejaculate), you get information on the following parameters: appearance, lichenification, consistency, viscosity, volume, motility, agglutination, sperm morphology, sperm concentration, total number of ejaculate spermatozoa, and photos of them.

According to the results and the reference values of the above parameters, a diagnosis is established that can be one of the following:

  1. Normozoospermia - a normal ejaculate that deviates from normal reference values
  2. Oligozoospermia - a targeted total number of spermatozoa
  3. Asthenozoospermia - reduced sperm motility
  4. Teratozoospermia - impaired morphology of spermatozoa
  5. Azoospermia - absence of sperm in the ejaculate
  6. Necrospermia - dead sperm in the ejaculate
Proper preparation for spermogram

In order for the results of the spermogram to be objective it is important to abstain from ejaculation from 3 to 5 days. If you carry the material from your home, then you need to purchase a sterile urine pack from the pharmacy and bring the material to the Center for at least an hour. The cup should be wrapped in several layers of paper (due to thermal isolation) and placed in a bag.
You can also give the seed material in the very center, in a special room used for this purpose. In that case, you will receive all the necessary funds in our Center.

In both cases you are entitled to anonymity.

Schedule a spermogram
Working hours 08:30 - 14:30

Method of delivery of the seed material

*way 1: Bring it in person or donate the material to the IVF Center.
Price: 2000 denars

*way 2: By agreement with you, the material will be picked up (from our service) from your home and the results will be sent to you by email, fax or other means of communication that you choose.
Price: 2200 denars

Pap test

The Papanicolaou test or better known as a pap test is done for early detection of changes in the cervix, which can lead to a cancer event, which means regular pap testing is cancer prevention. Prevention is recommended to be done every 6 months. A completely painless method.

The procedure is as follows:

Using a sterile brush, a cervix smear is taken (the cervix). A glass pan is then sent to a cytological examination.
Cytology is a cell science, which implies that pathologists under the microscope of the lobe see changes in the cells. Any change in a particular cell associates to a particular specific diagnosis. With a pap test, diagnosed are infections and changes in cells, caused by viral aetiology, ie HPV virus, . HPV-type or bacterial viruses are not proven by a pap test, but with other trials (HPV typing and microbiological examinations).

Changes in the cells may be associated with mild, moderate, severe dysplasia, or in the worst case in cancers. Consequently, the following diagnoses are obtained:

ASCUS - atypical plaque cells
CIN1 - mild dysplasia
CIN2 - moderate dysplasia
CIN3 - severe dysplasia
Carcinoma in situ

Laser treatment of PVU changes (cervix)

Laser treatment of changes in PVU (uterus) or so called laser vaporization is the superior and most used way of treating changes to the PVU (cervix).

With thin laser beam all diseased cells are removed. Short-term and painless intervention with short recovery time. The percentage of treatment is quite high, ie over 95% of cases are successfully cured, without relapse.

As a specialized office for changes in the cervix, what is specific to the work of PID Ginekomedika is the use of Ultrapulse didode laser which is considered a 21st century method. In recent times, changes in the uterine cavity such as HPV infections, CIN changes, condilomas and the like seem at first glance very serious, but with a small painless intervention they can be removed forever. PZU Ginekomedika demonstrating its humanity and affection for its patients in 1998, it acquired the YAG ND laser, which was first brought to the Balkans and is still one of its kind. In January 2013, a new, more sophisticated and more specialized ultrasound pulse laser was purchased.

The advantage of this laser is that the light beam is flexible. Through the colposcope it is precisely acting in the affected place. It is an advantage for young women who have not given birth. If only one point is affected, only it is healed, the tissue that is healthy does not get caught. It is targeted only at the place where the change is, the change is caused mainly by the HPV virus and the patient with a one-minute painless intervention is simply cured. It's the biggest advantage of the laser that we have as an office, unlike other lasers, for example, the CO2 laser whose beam occupies much wider and which removes the rest of the healthy tissue. A fascinating method especially for women who have not given birth. There are no flaws and no harmful effects.

Condylomes (condylomata accuminata)

Genital warts or condylomas are small pale pink growths and most commonly occur in groups. Causative is the HPV virus, that is, the low-risk types of the virus. In 90% of cases, condylomas are responsible for HPV type 6, 9 or 11. Sexually transmitted disease. Most often there is HPV infection and consequent occurrence of condylomas through sexual intercourse, whether it is vaginal, oral or anal. They are also transmitted through direct contact with infected skin or mucous membranes. They are easily obtained even if you use a condom. It's almost impossible to protect yourself against this infectious disease, considering that your partner can be the carrier of the virus even if there are no visible symptoms. Symptoms of this disease are generally small pink spots or envelopes that grow and multiply in groups very quickly or an envelope or nipple that only grows. Since infection with the virus until the onset of symptoms may persist for a long period of time, they usually occur no more than 3 months after sexual contact with the infected person.

Except sexually, because this disease is quite contagious, you can be infected through: public toilets, contaminated bedding, infested clothing, towels and bathrobes that were worn by infected persons and the like.

There are two ways to treat or remove the condylomas:

  • The first is burning with nitrogen, which is a very painful and long-lasting method.
  • The second method is the laser removal of condylom which is more effective and far shorter. With laser treatment, the condylomas are removed once and painlessly.

Tip: Do not change clothing, towels, bathrobes with friends and close personalities. Always be cautious when going to public toilets, disinfect your hands after leaving the toilet.

Eхо дијагностика

Echo diagnosis is actually establishing a diagnosis using an echo device. With the help of the echo apparatus, changes in the morphology of the genital organs are diagnosed, a diagnosis of pregnancy, monitoring of pregnancy and the like is established.

PHI GINEKOMEDIKA has the latest 4D HIGH DEFINITION ULTRASOUND echo device, the only one of the kind on the territory of the Republic of Macedonia, and offers top quality work with it by highly specialized, professional, professional staff.

If you are a future parent, eager to see your baby, now you can see all of his movements in a live 4D video. From the first movements of your baby, turning, listening to his heart even to the slightest grimaces he does.

A great way for future parents to get to know their baby before birth.

4D снимката во суштина е видео кое содржи 3D ехо слики плус додавање на четвртата димензија односно времето.

Каkо до здраво бебе со помош на 4D апаратот

The 3D / 4D Echo Camera performs many reviews and methods to see how your still unborn baby is progressing inside the uterus.

One of the most important screening methods is ultrasound or echo screening, because it is a fast and non-invasive method and gives a lot of information about the fetus and pregnancy.

From 11 to 13.5 weeks, screening for Down sindrom is done. It is done by detecting the genetic markers for that syndrome, and possibly with biochemical markers, separated or together with echo markers when it is for a slightly higher prognostic value.

From 18 to 21 weeks, a genetic sonogram is made on the basis of 16 genetic markers. This method is of high prognostic value. A normal finding is if no marker has any deviation from the normal. If there is one in one, using the software calculates the risk for the fetus and therefore decides whether genetic amniocentesis is needed or not.

Colposcopy

Colposcopy is a diagnostic method for observing the cervix and vagina, that is, for monitoring changes in the cervix. It is carried out with the help of an apparatus called a colposcope in which a lens is incorporated with the help of which all the changes are seen many times enlarged, so the slightest change can be noticed and not allowed to cross into a more advanced stage. The device does not enter the inside of the vagina, but the doctor only monitors it. Colposcopy is therefore a completely painless method.