Gynaecology clinic

At the gynaecology clinic we treat patients with diseases of the reproductive and genital organs. The examination includes a review of your medical records, a thorough conversation about past illnesses and current problems, and a clinical examination. It is also aimed at the early detection of cervical cancer and other diseases of the reproductive organs.

The examination can also include advice on the menstrual cycle, preparing for pregnancy, contraception, protection against sexually transmitted infections, perimenopausal problems and urinary leakage. If any of these topics concerns you, mention it when booking so that there is enough time to talk.

At a preventive examination, the gynaecologist takes a cervical smear (Pap smear) when it is due under the national ZORA programme. With sudden severe pain in the lower abdomen, heavy bleeding or fainting, do not wait for an appointment but seek emergency medical help.

The women's health clinic (dispanzer za ženske), the gynaecology clinic, works under the ZZZS public health insurance scheme, and you can attend it if your chosen gynaecologist is at ZZ Zdravje. Patients whose chosen gynaecologist is elsewhere can be examined at the self-pay gynaecology clinic.

Preventive check-ups and assessment of breast changes are a common reason for a visit. A palpable lump, pain that is or is not linked to the menstrual cycle, discharge from the nipple, an inverted nipple or a change in the skin – all of these are reasons to have your breasts examined by a doctor. Most breast changes are not cancerous, but only an examination can confirm that.

The examination begins with a conversation. We want to know when you noticed the change, whether it varies with your cycle, what medicines you take and whether there has been breast or ovarian disease in your family. A clinical examination of both breasts and armpits follows. At the doctor's discretion, the examination is complemented by a breast ultrasound, which in younger women and in dense glandular tissue is often the first imaging test.

When the result shows that further tests are needed, for example a mammogram or a tissue sample, the doctor explains what comes next and where the test is done. You receive the examination report with an explanation and a recommendation for further monitoring.

Self-examination does not replace a professional examination, but it helps you notice a change early. Once a month is recommended, ideally a few days after the end of your period, when the breasts are not tense. If you are included in the national DORA breast screening programme, respond to the invitation; an examination with us does not replace this programme.

Early ultrasound, nuchal translucency measurement and regular check-ups during pregnancy. Pregnancy monitoring with us is self-pay and complements the pregnancy care provided by your chosen gynaecologist.

The first ultrasound usually shows whether the pregnancy is in the womb, how many babies there are and whether the baby's heartbeat is visible. The measurements are also used to estimate how far along the pregnancy is and the expected due date.

Nuchal translucency is measured between weeks 11 and 14 of pregnancy. Together with other information it gives an estimate of the risk of certain chromosomal abnormalities. The result is not a diagnosis. It only tells you how likely a particular possibility is and whether it makes sense to consider further tests. The decision is always yours, and the doctor explains what each option means.

Later in pregnancy, check-ups are for monitoring the baby's growth, the amount of amniotic fluid and how you are feeling. Bring your maternity record book and previous results with you so that we can place the measurements in the full picture.

With heavy bleeding, severe abdominal pain, leaking amniotic fluid or a noticeable decrease in the baby's movements, do not wait for your booked appointment. Call 112 or go immediately to the nearest maternity hospital.