Remains of Embryonic Tissue and Fetal Membranes — Therapeutic Curettage Under Control Hysteroscopy: treatment in the Best Hospitals in the World
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Department of Adult and Pediatric Gynecology, Mammology, Obstetrics
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics is included in the ranking of the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female reproductive system, breast pathologies. Also, the specialists of the department provide a comprehensive management of pregnancy, childbirth and postpartum care for both mother and child. Key attention is paid to the treatment of female genital cancers, as well as breast cancer treatment. For this purpose, the department has all the modern therapeutic techniques, as well as its our own innovative developments by the department doctors.
Department of Adult and Pediatric Gynecology, Mammology, Obstetrics
The Department of Adult and Pediatric Gynecology, Mammology, Obstetrics offers high-precision diagnostics and effective treatment of the full range of diseases of the female reproductive system and breast pathologies. The medical facility also employs a competent team of obstetricians, whose responsibilities include comprehensive management of pregnancy, childbirth, and postnatal care for mother and baby. More than 3,000 babies are born in the department's delivery rooms annually. The department cooperates closely with the UniFee Reproductive Medicine Center, which allows gynecologists to treat female infertility together with reproductive medicine specialists. The department's gynecologists focus on women with reproductive system cancers. The medical facility is certified by the German Cancer Society (DKG) as a specialized center. The specialists also successfully treat endometriosis, one of the most common benign gynecologic diseases. In the field of mammology, priority is given to the provision of medical care to women with breast cancer. Doctors perform comprehensive diagnostics, surgical and conservative treatment, and reconstructive plastic surgery after mastectomy. The department's specialists use state-of-the-art technical resources and their professional skills to provide each patient with high-quality medical service.
Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine
The Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine offers the full range of surgical and conservative treatment of pathologies of the female reproductive system, breast, as well as top-class obstetric services, including management of birth and postnatal care for both mother and baby. The department also has a Center for Reproductive Medicine, where one can undergo comprehensive diagnostics to detect the causes of infertility and use modern assisted reproductive technologies. The department's excellent technical equipment, highly qualified medical staff and the availability of advanced treatment methods allow providing optimal and individualized treatment at the highest level. The treatment of female reproductive cancers is of primary interest to the department's gynecologists. The department also admits girls and young women with congenital anomalies of the genital organs, menstrual disorders, delayed or premature puberty.
Department of Adult and Pediatric Gynecology, Obstetrics and Mammology
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in the provision of obstetric services and breast cancer treatment! The department offers all diagnostic and therapeutic options for patients of all ages with diseases of the female reproductive system, mammary gland, as well as provides the comprehensive pregnancy management, childbirth and postpartum care in accordance with the highest standards of modern obstetrics. One of the priority focuses of the department’s work is the treatment of oncopathology in women. All specialists have excellent qualifications and tremendous experience, and therefore they achieve successful results even in extremely difficult clinical cases.
Department of Obstetrics
According to the Focus magazine, the Department of Obstetrics ranks among the top German medical facilities of this kind! The department provides patients with comprehensive management of pregnancy, safe delivery and high-quality postpartum care. As the Level I Perinatal Center, the department has exceptional experience in the management of high-risk pregnancies, multiple pregnancies. The department maintains close cooperation with the specialists from related disciplines, in particular, with gynecologists, neonatologists, pediatric cardiologists, pediatric surgeons, pediatric neurosurgeons, anesthesiologists, pediatricians, etc. The priority task of the department's doctors is the provision of the best medical care in pleasant atmosphere, taking into account the individual needs and wishes of the woman.
Department of Obstetrics, Adult and Pediatric Gynecology
According to the Focus magazine, the Department of Obstetrics, Adult and Pediatric Gynecology ranks among the top departments in Germany specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female genital organs, as well as provides first-class obstetric services, prenatal diagnostics and comprehensive management of pregnancy, including high-risk pregnancy. As part of the National Cancer Center (NCT), the department ensures an individualized, interdisciplinary treatment of female oncopathology. All the therapeutic measures carried out by the doctors of the department meet the highest international standards.
University Hospital of Ludwig Maximilian University of Munich
Department of Obstetrics, Adult and Pediatric Gynecology
The Department of Obstetrics, Adult and Pediatric Gynecology offers the full range of preventive, diagnostic, and therapeutic services for girls and women. The department treats general gynecologic diseases, precancerous conditions, and cancers of the female reproductive system. It also provides medical care to patients with hormonal disorders caused by gynecologic diseases and infertility. The medical facility also offers top-class obstetric services for pregnancy, childbirth, and postpartum care. In addition, the department's gynecologists admit girls and young women with gynecologic problems and puberty disorders. The medical team specializes in conservative and surgical treatment, while almost all surgical procedures are performed using minimally invasive techniques. The department is awarded quality certificates for the treatment of endometriosis, cervical dysplasia, ovarian cancer, and other pathologies. More and more women entrust their health to the department's gynecologists every year, which also indicates the highest level of medical service.
Department of Gynecology, Mammology and Obstetrics
The Department of Gynecology, Mammology and Obstetrics offers the full range of services in these fields, providing patients with the optimal treatment based on the very latest scientific advances and innovative technologies. The department's tasks include diagnostics and treatment of all gynecologic diseases and breast pathologies, as well as pregnancy management, childbirth and postnatal care for both mother and baby, elimination of fertility problems in women. The department has modern equipment for invasive and non-invasive diagnostics, three operating rooms equipped with state-of-the-art technology, especially in the field of minimally invasive and robot-assisted surgery, as well as special devices for microsurgery and fetal surgery. A competent medical team consisting of 18 senior physicians, 25 assistant physicians and medical specialists, obstetricians and specially trained nursing staff annually admits approximately 5,000 women for inpatient treatment and provides outpatient medical care for 14,000 patients. In addition, the department has four maternity rooms, in which about 2,000 babies are born annually.
Department of Adult and Pediatric Gynecology, Mammology, Obstetrics
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics ranks among the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of services in the areas of its specialization and is one of the largest medical facilities of this kind in Germany. Of particular interest is the treatment of cancers of the female reproductive system, including breast cancer, medical care for hormonal imbalance of gynecological genesis, treatment of urinary incontinence and pelvic organ prolapse in women, top-class obstetric care and integrated pregnancy management. In addition, the department's gynecologists admit women suffering from infertility. They can undergo comprehensive diagnostics of the reproductive system and the further required therapeutic manipulations, such as uterine fibroid removal, treatment of endometriosis and other pathologies, which prevent the conception of a child. The department also specializes in the treatment of congenital malformations and acquired gynecological diseases in children. The highly qualified team of doctors with colossal experience, who keep pace with advanced innovations in medicine, take care of the patients' health. The specialists do everything possible to restore the health of patients, taking into account their needs and wishes.
Department of Obstetrics and Prenatal Medicine
According to the Focus magazine, the Department of Obstetrics and Prenatal Medicine ranks among the top Germany medical facilities specializing in the provision of obstetric services! The department offers comprehensive management of pregnancy, safe childbirth and high-quality postpartum care both for mother and baby. The department is the Level I Perinatal Center, which indicates the credibility of the medical facility. A special focus is on the management of high-risk pregnancy and individualized analysis of prenatal risks. For many years, the department has been maintaining its leading position in the field of its competence and taking care of the safe childbirth.
Department of Adult and Pediatric Gynecology, Mammology and Obstetrics
The Department of Adult and Pediatric Gynecology, Mammology and Obstetrics offers the diagnostics and treatment of all gynecological diseases. The department specializes in the treatment of breast cancer and cancer of the female reproductive organs. All traditional and modern conservative and surgical methods are used for this purpose. The department also provides reliable and individual obstetric services at the Center for Mother and Child and offers all methods of prenatal diagnostics.
Department of Gynecology, Mammology and Obstetrics
According to the Focus magazine, the Department of Gynecology, Mammology and Obstetrics ranks among the top German medical facilities specializing in breast cancer treatment and provision of obstetric services! The department provides all modern medical services in the fields of its specialization. The gynecologists treat both general and oncological diseases of the female reproductive sphere. Should surgical treatment be required, minimally invasive techniques will be used. The department's mammologists specialize in the treatment of breast cancer using all the classic and innovative therapeutic options. The department is also the Level I Perinatal Center, in which the patient receives the highest quality pregnancy management, comfortable childbirth and postpartum care.
Department of Adult and Pediatric Gynecology, Obstetrics and Mammology
According to the Focus magazine rating, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of services in these medical fields. In the field of gynecology, it provides the diagnostics and treatment of all pathologies of the female reproductive system, including the gynecological problems in girls aged from 0 to 18 years. The department's obstetricians provide quality care for expectant mothers before, during and after pregnancy. The department's scope of activities also includes the management of high-risk pregnancies. The key focus of clinical activities is the treatment of oncological diseases of the female genital organs, including breast cancer.
Department of Obstetrics and Perinatal Medicine
According to the Focus magazine, the Department of Obstetrics and Perinatal Medicine ranks among the top German medical facilities specializing in obstetric services! The department offers patients comprehensive management of pregnancy, childbirth and postpartum care. The department's specialists have rich experience in the field of high-risk pregnancies, multiple pregnancies. About 1,600 babies are born annually in the department, which testifies to the credibility of the medical facility and a high credit of trust from patients.
Department of Adult and Pediatric Gynecology, Obstetrics
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics ranks among the top German departments specializing in obstetrics! The department offers the full range of diagnostics and treatment of all gynecologic diseases in women and girls. The specialization includes surgical gynecology and gynecologic oncology, obstetrics and perinatal medicine, gynecological endocrinology and reproductive medicine. A special focus is made on the treatment of malignant tumors of the female reproductive organs, which is carried out within the Comprehensive Cancer Center Muenster. All the very latest and most effective treatment methods are available here.
Department of Adult and Pediatric Gynecology, Mammology, Reproductive Medicine
According to Focus, the Department of Adult and Pediatric Gynecology, Mammology, Reproductive Medicine ranks among the top German medical facilities specializing in breast cancer treatment! The department offers the full range of surgical and conservative treatment of diseases of the female reproductive system. One of the priorities is breast cancer treatment. Other important focuses include the treatment of gynecologic cancers, endometriosis, uterine myomas, dysplasia, pelvic prolapse, urinary incontinence. In addition, the competence covers the use of all modern assisted reproductive technologies.
Remains of embryonic tissue and fetal membranes are detected in 3% of women after medical abortion. The longer the gestational age, the higher the likelihood of preserving the remnants of the fetal egg. If it is partially preserved in the uterus, it has to be removed using an invasive procedure. In Germany, treatment is carried out under hysteroscopic guidance. Doctors insert a thin tube with a video camera and instruments into the uterus through the vagina to visually monitor the process and reduce the risk of complications to almost zero.
Content
The remaining tissue can be safely removed from the uterus using vacuum aspiration or endometrial curettage under hysteroscopy guidance.
You can undergo your treatment at the University Hospital Tuebingen, the University Hospital Ulm, or the University Hospital Carl Gustav Carus Dresden.
Booking Health will take care of the arrangements for your trip. We will help you to choose a highly specialized clinic and a doctor, arrange an urgent appointment, help you to prepare medical documents and apply for a visa, arrange your flight and accommodation, and provide interpreting services. A personal medical coordinator will constantly be in touch with you during your treatment.
Diagnostics
Women with the remains of a fetal egg in their uterus come to a doctor with the following symptoms: lower abdominal pain, fever, and intense spotting.
A clinical examination and an ultrasound scan are sufficient to diagnose the remains of the fetal egg. A gynecological examination determines uterine softness and pain.
With the help of an ultrasound scan, the doctor can see the expansion of the uterine cavity by more than 10 mm, as well as the heterogeneity of the endometrium due to inclusions with increased and decreased echogenicity. A patient has increased blood flow.
Laboratory tests help doctors to make a diagnosis. Women have elevated beta-hCG levels.
Conservative therapy
Not all women with fetal egg remains require invasive treatment. In some cases, "hormonal curettage" may work. Doctors prescribe hormones that stimulate the natural release of the remains of embryonic tissue and fetal membranes. Progestogens are used, which are prescribed from the 16th to the 25th day from the onset of spotting.
The remains of the fetal egg are dead tissues, so they may cause inflammatory complications. To avoid the joining of a bacterial infection with the development of endometritis, a patient is prescribed antibiotics.
In the absence of any signs of infection and bleeding, a woman is prescribed drugs to stimulate her uterine contractility, which contributes to the remains of the fetal egg coming out of the reproductive system.
Vacuum aspiration
If conservative therapy is ineffective or unpromising, doctors perform vacuum aspiration of the remains of the fetal egg. This procedure is also called a mini-abortion. It is usually carried out to terminate a pregnancy at a short time, optimally, up to 6 weeks.
Vacuum aspiration can also be performed in the presence of remains of the fetal egg, since their volume is usually minimal. This is a non-traumatic and safe procedure that is performed on an outpatient basis and does not require any rehabilitation.
Doctors use a special device that creates negative pressure. A plastic cannula is inserted into the uterus. It has a small diameter, so there is no need to dilate the cervix. With the help of an aspirator, the remains of fetal tissue are aspirated and removed from the uterus.
After the procedure, an ultrasound scan is conducted to make sure that there are no remnants of the fetal egg. Whenever required, a woman may be prescribed antibiotics to prevent infectious complications. Hormonal drugs can also be prescribed.
Curettage
Uterine curettage involves the removal of the functional layer of the endometrium along with the remains of the fetal egg. This is the most efficient and reliable procedure. It is successful even in the case of a large amount of tissue remaining in the uterus.
The procedure is performed under general anesthesia. A doctor dilates the cervical canal and removes endometrial tissue with a curette. In the classic version, this procedure is performed blindly, that is, the doctor does not see anything but focuses solely on tactile sensations. This method of curettage increases the risk of complications such as uterine perforation, damage to the basal layer of the uterine endometrium, the formation of intrauterine synechiae, and infertility.
The hysteroscopy treatment is safer. Doctors in German hospitals control their actions visually, so they do not damage tissues and remove the remains of the fetal egg without any health consequences.
You can undergo your treatment of the remains of fetal tissue in the uterus at one of the German clinics. The Booking Health website presents the cost of medical services in different centers. You can compare prices and choose the one that suits you best. Our specialists will help you to make the best choice and arrange your trip.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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