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Remains of Embryonic Tissue and Fetal Membranes — Therapeutic Curettage Under Control Hysteroscopy: treatment in the Best Hospitals of Germany

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

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.

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University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The Department of Obstetrics, Adult and Pediatric Gynecology offers the full range of services in these fields and specializes in the diagnostics and treatment of general gynecological diseases, oncological diseases of the female reproductive system, breast, endometrial pathologies and urinary incontinence. In the clinical practice, only proven accurate diagnostic methods and effective therapeutic measures are used. In addition, the department is the Level I Perinatal Center, in which about 3,000 babies are born annually.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

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.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

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.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

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.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

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

10/10
location_onGermany, 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.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

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.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

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.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

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.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

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.

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

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.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

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.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

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.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

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.

University Hospital Jena

8.9/10
location_onGermany, Jena

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.

The remains of embryonic tissue and fetal membranes are the result of an incomplete spontaneous abortion or a complication of a medical abortion. If tissues remain in the uterus, they must be removed, otherwise they will become infected and inflamed. You can undergo your treatment of remains of embryonic tissue and fetal membranes in Germany. This country offers top-class gynecological services. Your treatment will be safe and will result in the full preservation of your reproductive function.

Content

  1. Diagnostics
  2. How are the remains of the fetal egg and membranes treated?

A woman receives drug therapy. Inflammatory complications require antibiotics. If conservative therapy does not work, doctors carry out uterine curettage under hysteroscopic guidance.

You can seek medical attention from the University Hospital Ulm, the University Hospital Tuebingen, or the University Hospital Frankfurt am Main.

We will take care of all arrangements for your trip to Germany, from the stage of selecting a hospital and a doctor to translating medical records from the hospital into your native language and buying medicines to continue treatment in your country. The Booking Health team will help you to prepare medical documents, apply for a visa, come to a hospital or stay in an apartment. The specialists from the Booking Health company will also control the cost of medical services rendered, provide you with medical insurance, and advise you on any issue.

Diagnostics

 

Women who have fetal tissue in their bodies have had a spontaneous or medical abortion in the past. Part of the tissue comes out of the genital tract but some remains inside, causing the following symptoms:

  • lower abdominal pain;
  • discharge, sometimes purulent and with an unpleasant odor;
  • vaginal bleeding;
  • high body temperature;
  • weakness and malaise.

During a gynecological examination, a doctor pays attention to the softening and soreness of the uterus. An ultrasound scan is required to confirm the diagnosis. Laboratory methods such as the beta-hCG test also help in the diagnostics.

How are the remains of the fetal egg and membranes treated?

 

A treatment method depends on the timing of a pregnancy and the prescription of an incomplete abortion. Previous treatment experience is also taken into account. For most women, conservative therapy is sufficient, but some of them still need an invasive intervention, namely, therapeutic curettage under control hysteroscopy. This procedure is similar to a medical abortion. Hysteroscopic guidance allows doctors to perform it more safely.

Conservative therapy

 

If there are no signs of infection, the remains of the fetal egg may come out on their own. Doctors carry out drug therapy with medicines that stimulate the contractile activity of the myometrium to help the uterus get rid of these tissues. The uterine muscles contract more strongly and push the remains of the fetal egg through the cervix and vagina into the external environment.

Hormone therapy can also be used to get rid of the remains of the embryo and fetal membranes. Doctors prescribe hormonal drugs. This type of treatment is called "hormonal curettage".

Some women develop infectious complications at the time of treatment. The fetal egg becomes infected with bacteria, and the endometrium is involved in the inflammatory process. In this case, a woman needs antibiotic therapy. Initially, it is prescribed empirically, and subsequently, the culture of the material on a nutrient medium with an assessment of the sensitivity of the isolated bacteria to antibiotics will be conducted. Whenever required, doctors can change the therapy regimen to a more effective one by using these antibiograms.

Invasive treatment

 

Dilation and curettage is the main treatment method for the remains of the fetal egg in the uterus. This is a short and minimally traumatic procedure, after which patients do not require any long-term rehabilitation. In Germany, it is performed on a one-day basis without a hospital stay.

The intervention is performed under intravenous anesthesia. In standard cases, a doctor dilates the cervix and scrapes out the functional layer of the endometrium along with the embryo remains using a curette. This is usually done under tactile control. This increases the risk of complications, such as uterine perforation or damage to the basal layer of the endometrium with the development of intrauterine synechiae and infertility.

In Germany, the procedure is carried out under hysteroscopic guidance. Doctors insert a thin tube with a video camera into the uterus to monitor their manipulations visually. Therefore, since the procedure is not performed blindly, the risk of damage to the uterus is minimal, and therefore complications of curettage are much less common at German hospitals.

You can undergo your diagnostics and treatment of remains of embryonic tissue and fetal membranes in Germany. You are welcome to use the Booking Health service to find the cost of medical services in different Centers for Obstetrics and Gynecology, compare prices, and make your treatment appointment at a favorable price. Our specialists will help you to select the most suitable clinics in Germany and arrange your trip.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. 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!

 

Sources:

Verywell Health

MedicineNet

UpToDate




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