Laparoscopic dissection of adhesions in secondary female infertility in PAN Clinic Cologne
PAN Clinic Cologne
Cologne, Germany
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Program id #
252377
Dr. med. Stefan Palm
Department of Reproductive Medicine
Specialized in: reproductive medicine The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators
- indicators blood coagulation
- Immune status
- hormonal analysis
- FSH
- LH
- estrogens
- progesterone
- prolactin
- TSH-basal, fT3, fT4
- ultrasound of the abdomen and pelvis
- transvaginal ultrasound
- gynecological examination
- preoperative care
- laparoscopic surgical dissection of adhesions
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
- Results of hormone blood tests (if available)
- Pelvic ultrasoud (if available)
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About the department
The Department of Reproductive Medicine at the PAN Clinic Cologne offers the full range of high quality medical services in the area of its competence. The department's specialists provide highly effective infertility treatment using the very latest medical advances. The department employs an experienced multidisciplinary team of doctors consisting of reproductive specialists, endocrinologists, gynecologists, andrologists, geneticists, biologists, nutritionists and psychologists. With over 30 years of clinical experience, the department's medical team cures infertility even in cases which are considered hopeless in many medical centers around the world. The department is distinguished by its exceptional competence in the field of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). The department's doctors pay special attention to the psychological aspect, since infertility often causes depression and apathy in women. Therefore, the department's competent psychologists work with patients. In addition, the department's doctors are always ready for personal communication with their patients, which favorably affect treatment outcomes. The main task of the doctors of the medical facility is to help women to сonceive a child and give her the joy of motherhood.The Chief Physician of the department is Dr. med. Stefan Palm.
As of today, the most effective and widespread method of infertility treatment is in vitro fertilization. The department's doctors have been performing IVF procedures for many years, demonstrating high treatment success rates. In vitro fertilization takes place in several stages. The main ones include superovulation stimulation, follicular puncture, direct artificial insemination (in the laboratory), embryo transfer into the uterine cavity and a pregnancy test. Obviously, prior to in vitro fertilization, the department's specialists carry out comprehensive diagnostics of both partners in order to detect the causes of infertility. After the diagnostics, the specialists assess the effectiveness of possible treatment options and, in particular, of the IVF procedure. Unfortunately, not all women get pregnant after the very first IVF procedure, so they need a second one. It should be noted that a woman's age also plays a key role in the success of in vitro fertilization for fertility treatment. It has been proven that the chances of conceiving a child with IVF in women under the age of 40 are significantly higher than in women after 40.
The department's medical team often combines IVF with intracytoplasmic sperm injection (ICSI). This method involves the introduction of a sperm cell into the cytoplasm of a mature egg for its fertilization. The doctors of the medical facility believe that the use of IVF in combination with ICSI is most preferable in case of insufficient sperm count in a partner or its reduced mobility. Such a combination of assisted reproductive technologies is often used if a woman is unable to conceive a child using the classic IVF protocol. During the ICSI procedure, the selected sperm is injected into the egg cell using the finest pipette. This makes the fertilization process as easy as possible. The resulting embryos are cultured in the laboratory for 3-5 days, and then transferred into the uterine cavity of the expectant mother. The department also offers TESE (testicular sperm extraction) technique. It is used for azoospermia or anejaculation.
The department carries out preimplantation genetic diagnosis, which allows the doctors to detect chromosomal abnormalities in an embryo before transferring it into the uterine cavity. This diagnostic examination in IVF allows the doctors to prevent the transmission of certain hereditary diseases to the unborn child, as well as miscarriage. This type of diagnosis can also be necessary for the couples without infertility, but with genetic diseases or a history of recurrent miscarriage.
The department's diagnostic and therapeutic options include:
- Diagnostic procedures in women
- Hormonal tests
- Assessment of the fallopian tube condition
- Diagnostic procedures to exclude endometriosis and benign neoplasms, which can prevent pregnancy
- Diagnostic procedures to exclude malformations of the uterus, fallopian tubes and ovaries
- Diagnostics of metabolic disorders in case of excess body weight and obesity
- Diagnostic procedures to detect genetic disorders, which can prevent pregnancy (such as aneuploidy)
- Diagnostic procedures in men
- Diagnostic procedures to assess sperm quality
- Diagnostic procedures to exclude ejaculatory duct obstruction
- Diagnostic procedures to exclude bladder dysfunction causing retrograde ejaculation
- Diagnostic procedures to exclude immunological infertility
- Preimplantation genetic diagnosis
- Diagnostics and counseling for women with recurrent miscarriage
- Therapeutic procedures for fertility treatment
- Assisted reproductive technologies
- Ovarian stimulation
- Intrauterine insemination
- In vitro fertilization
- Intracytoplasmic sperm injection (ICSI)
- Testicular sperm extraction (TESE)
- Cryopreservation of eggs and sperm, ovarian and testicular tissues
- Surgical treatment of female infertility factors (for example, endometriosis, fallopian tube obstruction, etc.)
- Assisted reproductive technologies
- Other medical services
Curriculum vitae
Higher Education and Professional Career
- 1967 - 1972 Study of Human Medicine, Ludwig Maximilian University of Munich.
- December 1972 State Medical Examination and Doctoral Thesis Defense, Ludwig Maximilian University of Munich.
- 1973 Assistant Physician at the Hospital in Munich.
- December 1973 Admission to medical practice.
- 1974 - 1976 Research Fellow, Section of Clinical Chemistry and Biochemistry, Department of Surgery at the University Hospital Innenstadt.
- 1976 - 1977 Scholarship of the German Research Foundation, C.S. Mott Center for Human Growth and Development at Wayne State University in Detroit, USA.
- 1977 - 1988 Research Fellow, Department of Gynecology at the University Hospital of Ludwig Maximilian University of Munich.
- Since 1981 Member of the Working Group on In Vitro Fertilization, focus on the follicular microenvironment and in vitro fertilization (funded by the German Research Foundation).
- 1984 Board Certification in Gynecology and Obstetrics.
- 1988 Foundation of the Center for Gynecological Endocrinology and Reproductive Medicine as part of the Haubrichforum Joint Medical Practice, Cologne.
- 1989 - 1991 Head of the Haubrichforum Joint Medical Practice, Cologne.
- 1989 Authorized to conduct advanced training courses in Obstetrics and Gynecology.
- 1997 Optional retraining in Gynecological Endocrinology and Reproductive Medicine, as well as the theoretical foundations of the specialty "Laboratory research in obstetrics and gynecology".
- 1999 Foundation of the PAN Clinic Cologne and the Interdisciplinary Center for Gynecological Endocrinology and Reproductive Medicine.
- 1999 Chief Physician of the Department of Reproductive Medicine at the PAN Clinic Cologne.
- 2002 Foundation of the PAN Institute of Endocrinology and Reproductive Medicine.
- 2002 Permission to conduct advanced training courses in Gynecological Endocrinology and Reproductive Medicine at the PAN Clinic Cologne.
- November 2006 Department of Reproductive Medicine at the PAN Clinic Cologne, received permission from the Medical Association of North Rhine-Westphalia to conduct advanced training courses.
Memberships in Professional Societies
- Professional Association of Gynecologists.
- German Society for Gynecology and Obstetrics.
- Federal Union of Reproductive Medicine Centers of Germany.
- German Society for Reproductive Medicine.
- European Society of Human Reproduction and Embryology.
- European Society for Gynecological Endoscopy.
- American Society for Reproductive Medicine.
- International Society for the Study of the Aging Male.
- North Rhine-Westphalian Working Group on Reproductive Medicine.
Photo of the doctor: (c) PAN Klinik
About hospital
The PAN Clinic Cologne is a multidisciplinary medical facility that combines advanced medicine, excellent quality of patient care and a high level of comfort. Founded in 1999, the clinic is located in the very heart of Cologne. During this time, the medical complex has gained long clinical experience, but at the same time it has preserved its primary concept of medical care – high-quality diagnostics and treatment using the achievements of modern medicine.
Today, a huge team of doctors at the clinic admits patients in 25 medical fields, including neurosurgery, neurology, orthopedics, cardiology, gynecology, mammology, urology, endocrinology, plastic surgery, etc. It is worth noting that the clinic employs the best specialists with a wealth of experience and thorough clinical training in the best medical facilities in Germany, other countries of Europe and USA. The clinic's medical team includes many professors who are distinguished by outstanding achievements in the treatment of diseases of a particular profile and who successfully conduct research activities, participate in national and international congresses, symposia and other events.
The clinic annually provides treatment to more than 10,000 patients, and more than 3,000 interventions of varying complexity are performed in its operating rooms. The operating theaters have state-of-the-art technology and equipment for classical open surgery and minimally invasive interventions. In addition, all departments of the medical facility have advanced diagnostic equipment, so that doctors always make the correct diagnosis, which determines the success of subsequent treatment. During the therapeutic process, the specialists strive to choose the most sparing, but at the same time highly effective treatment regimen.
The quality of medical services provided in the clinic is awarded with the prestigious DIN ISO 9001 certification, and therefore patients trust their health to doctors with complete confidence and benefit from the optimal treatment of the European standard.
Photo: (с) PAN Klinik, (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the PAN Clinic Cologne live in light and cozy rooms with a modern design. A standard patient room includes a comfortable automatically adjustable bed, a bedside table, an air conditioning, a DVD player, a telephone, a TV and a nurse call system. The patient rooms also have Wi-Fi. Each patient room has an ensuite bathroom with shower and toilet. The bathroom also has a hairdryer and towels.
If desired, the patients can live in enhanced-comfort rooms. These patient rooms are distinguished by their more exclusive interiors, as well as beautiful views of the Cologne Cathedral and cityscapes. The bathrooms in these enhanced-comfort facilities include disposable slippers, a bathrobe, towels and toiletries. In addition, the patients living in enhanced-comfort rooms are offered a special menu.
Meals and Menus
The patient and his accompanying person are offered tasty and balanced three meals a day: buffet style breakfast and dinner, as well as lunch consisting of 3-4 courses. If for some reason you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
The religious services are available upon request.
Accompanying person
During the inpatient program, the accompanying person can live with the patient in a patient room or a hotel of his choice. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.
