As our hospital is a family hospital, it is just natural that our gynaecological outpatient departments welcomes all the women in a family with any problems, concerns, diseases. Every woman, regardless of age finds help, counselling and healing here. Our aim is to excel in professionalism, thoughtfulness and empathy. We try to create a balance between medical knowledge, advanced technology and devoted, personalised care.

What symptoms require urgent gynaecological attention?

The most frequent symptoms of gynaecological conditions are itching of the vulva, vaginal discharge, abnormal vaginal bleeding, pain in the lesser pelvis and pain in the breasts. The significance of these symptoms often depends on the age of the woman, because they can be the results of hormonal changes.

Itching of the vulva

Itching can affect the area of the outer genitals (vulva) and the vagina. Many women feel itchiness that passes without any treatment. Itching should only be considered a problem if it is persistent, serious or recurring.

  • The cause of an itching vulva can be chemical irritation, eg. washing powder, hardening agent, softeners, synthetic materials, bath foam, soaps, intimate sprays, perfumes, mentrual pads, dyes, toilet papers, vaginal creams or showers and contraceptive foams.
  • It can also be caused by infection, for example vaginal bacterial infection, fungal infection or trichomoniasis (protosoan parasite).
  • Itching vulva can also be caused by vaginal dryness due to the hormonal changes of menopause.
  • Other reasons may include skin diseases such as psoriasis or lichen sclerosus. Lichen sclerosus causes white patches on the skin around the opening of the vagina. Without treatment it may cause scars and increase the risk of cancer. It can be treated by using a cream containing topical steroids such as clobetasol.

Itching can be accompanied by vaginal discharge. If the itching is persistent and is accompanied by a vaginal discharge with abnormal substance and smell, consult your gynaecologist immediately.

Pathological vaginal discharge

Vaginal discharge is considered pathological if it is

  • stronger than usual
  • denser than usual
  • purulent
  • white clumpy (cottage-cheese like)
  • greyish, greenish, yellowish or coloured by blood
  • foul odoured (fishy)
  • accompanied by itching, rash, burning sensation or soreness.

Pathological vaginal bleeding

The source of vaginal bleeding may be in the vagina, or other sexual organs, mainly the uterus. Vaginal bleeding is pathological if it is too strong or weak, appears too often or irregularly. Every vaginal bleeding should be considered abnormal that is not connected to menstruation or comes before puberty of after menopause.

Pathological vaginal bleeding can be caused by diseases (eg. injury, infection or cancer) or by the normal hormonal changes of menstruation. These hormonal changes are more frequent in the case of teenagers when they have their first period and women in their late forties, close to menopause.

Increased hair growth

Increased hair growth may not seem to be a gynaecological condition, but it is, usually caused by the abnormal level of female and male hormones. Increased hair growth, especially on the face, body (male like) and limbs is called hirsutism.

Treatment of increased hair growth

The most effective treatment is to extinguish the problem causing hirsutism. Blood tests should be taken to measure the male and female hormone levels, this is followed by more tests and possible medication.

Pain in the lesser pelvis

Many women experience pain in their lesser pelvis that appears in the lowest part of the body, under the abdomen, between the hip bones. Pain in the lesser pelvis can be caused by any organs of the lesser pelvis – the sexual organs (uterus, fallopian tubes, ovaries and vagina), bladder, rectum or the appendix. Pain in the lesser pelvis can also originate from organs not located in the lesser pelvis e.g. bowels, urinary tract or the gall bladder. Pain in the lesser pelvis can be caused by psychological factors as well, such as stress and depression.