The importance of regular examinations by a gynecologist for women

Most women only sign up for a meeting which has a gynecologist when they feel unwell or have obvious indications of illness. Unfortunately, each side symptoms often indicates the late stages from the progression of gynecological diseases, when conservative treatment can be be extremely long or completely ineffective. The gynecology clinic in Kiev invites each woman into a preventive examination – an activity that will allow timely diagnosis and treatment from the disease, preventing its life-threatening consequences.

How come it’s vital that you visit the gynecologist regularly?
Every once in awhile, it is crucial to go to a gynecologist not merely for ladies of reproductive age, also for elderly patients. Using the first, things are clear – they require an appointment having a gynecologist to organize getting pregnant or monitor a pre-existing one. Regular appointments with the gynecology clinic allows a woman to spot hereditary, genetic, chronic diseases that may be transmitted to the fetus and adversely impact the baby.

Latent gynecological diseases that develop asymptomatically might cause infertility. Often, as a result of oophoritis, adnexitis along with other diseases with the gynecological sphere, a girl does not become pregnant at all or cannot bear the fetus until natural delivery. Their pregnancies trigger miscarriages in early and late stages.

Elderly patients should visit a gynecologist for that timely detection of processes leading to oncological diseases, including malignant neoplasms. Therefore, despite good health, each woman should undergo a preventive examination by way of a gynecologist 2 times a year. Listed here are the most typical problems that might be identified after a scheduled stop by at a gynecology clinic.

Inflammatory diseases

Inflammatory processes inside the female reproductive organs occur against the background of infections that have entered the uterus, fallopian tubes, and ovaries across the ascending pathways in the vagina. We’re speaking about viruses, fungi, Trichomonas and other simple microorganisms. Some of the source of inflammation is poor hygiene from the genitals, hypothermia.

Conventionally, these diseases are separated into acute and chronic. Acute inflammation is seen as an vivid symptoms:

intense or dull pain within the abdomen and pelvis,
surge in the body’s temperature from subfebrile to febrile;
nausea along with other dyspeptic disorders;
headache;
rash and redness of the skin;
decrease of strength and general deterioration of well-being.
Chronic inflammatory diseases might be asymptomatic, which complicates their diagnosis.

Sexually transmitted infections

Diseases of the group are transmitted only sexually (STDs). A lot of them are poorly diagnosed and hard to deal with, which is the reason for your danger of these diseases. You don’t have to speak about the fact a lady must be selective in sexual relations – this really is, naturally, but at the first suspicion of an STD, she should immediately visit a gynecologist in Kiev. This will likely keep her and her future children healthy.

Oncological diseases

The audience of oncological diseases includes benign and malignant neoplasms. Each lady over 40 are in risk, but unfortunately, oncology doesn’t spare young patients either.

The most common benign tumors from the gynecological sphere are cysts on ovaries and uterine fibroids. A benign neoplasm is treated effectively whether it is detected by the due date. A tumor not treated can adjust in to a malignant one, which is already a serious threat alive.

Ignorance regarding the condition of one’s health, ignoring a well-known problem can bring about very sad consequences – from infertility to death. Contacting a gynecological clinic in Kiev will provide a comprehensive diagnosis and additional adequate therapy, the scheme of which will be picked individually, taking into account age the individual, the from the underlying disease and comorbidities.

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Back pain and sciatica (inflammation of the sciatic nerve)

The problem if you find pain within the lumbosacral spine is really a phenomenon proven to many individuals, especially with the ages of 40-60 years. This disease is named sciatica or lumbar radiculopathy (radiculitis on the list of inhabitants). This is a chronic neurological pathology caused by compression from the sciatic nerve. The sickness is accompanied by intense pain, stiffness of movements along with a variety of other symptoms.

Sciatica is diagnosed in grown-ups of both sexes, often noticed in pregnant women. Radiculitis won’t pose a menace to life, but its quality reduces significantly, depriving an individual of activity and talent to work. Therefore, if you think that you have sciatica, immediately make contact with a neurologist or chiropractor. Timely treatment will relieve pain, adequate diagnosis will identify and get rid of the source from the disease.

Reasons behind inflammation in the sciatic nerve

Pain in sciatica occurs due to compression or irritation of the sciatic nerve. What causes compression include your regional inflammation, trauma for the lumbosacral region and other factors:

– intervertebral hernia or disc protrusion;
– experience of pathogenic microflora, including tubercle bacillus, streptococci, staphylococci, gonococci;
– infectious diseases – influenza, typhus, malaria, syphilis, scarlet fever;
– metabolic diseases – gout;
– local osteophytes;
– diabetes;
– spondylosis of the vertebrae of the lumbosacral region;
– osteocondritis from the spine;
– development of cicatricial adjustments to the exit zone of roots – – sciatic nerve;
various spinal injuries;
– scoliosis with the lumbosacral region.

The presence of sciatica affects a person’s motor function. In addition to pain in the lower back, there is a loss in flexibility within the hips and pelvis, decreased sensitivity, limited mobility from the knee joint and ankle on the side of the lesion. Compression in the sciatic nerve can disrupt bowel and bladder function, causing the patient to see fecal and bladder control problems.

Signs and symptoms of lumbar radiculopathy

The clinical picture of sciatica develops gradually. In the beginning, a slight discomfort is felt within the lower back, turning out to be tolerable pain. Irradiation of painful sensations is observed in the buttock and over the posterior projection in the thigh. During this period, a person thinks he is simply tired of physical labor and perceives the situation because the norm. In the future, increased exercising can provoke a serious attack, when the pain literally fetters one’s body.

In addition to stabbing, burning and shooting pain, vegetative and neurological disorders occur:

– decreased sensitivity in the limb to the side of the lesion;
– the opposite option – increased sensitivity with the buttocks and legs;
– weakness from the ankle;
– violation of the functionality in the pelvic organs.

Diagnosis and treatment of sciatica

Sciatica can manifest differently in various people. The examination starts off with historical past to spot concomitant diseases, which in turn helps to establish your initial source of a pinched sciatic nerve.

This can be accompanied by physical testing which usually structure provokes compression or irritation. According to the link between the identification, the doctor provides the patient a detailed directory the identified pathology. With a not enough information, a doctor can refer the sufferer to X-ray, CT and MRI.

Treatments regimen depends upon the reason for sciatic nerve compression. When the source of sciatica is often a herniated disc, it can be well treated with chiropractic. After eliminating the reason for sciatica, its symptoms will appear reduced alone.

Usually do not torture yourself with pain and don’t bring the matter to surgery. In a timely manner, contact professionals in the field of treatments for diseases with the musculoskeletal system, doctors with deep familiarity with the anatomy and physiology of the body of a human.

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Symptoms: knee pain with certain movements

Many reasons exist for why knee pain may appear. Ignoring these issues can worsen symptoms and make treatment difficult. If under different conditions you feel pain within the knee joint, then you should contact the diagnostic center and, in case of complications, start treatment.

Knee pain after running

Knee pain often occurs after running. In most cases, knee pain after running is harmless. It is going to disappear no after two days later. In the event the pain is incredibly severe or persists for years, you should consult a health care provider which will help prevent playing sports. There can be inflammation in the knee joint. Other possible reasons:

– In beginners, the connective tissue and articular cartilage may not be adapted towards the increased load.

– The runner already has cartilage damage, so there can be an inflammatory response from a workout.

– Inflammation of the knee joint with bursitis.

– The patella just isn’t exactly adapted towards the shape of the sliding channel from the thigh.

Misalignment, such as bending your knees or bending your legs, can aggravate knee pain after having a run.

Knee pain after standing

Pain that develops over time of physical rest at the start of movement is known as starting pain.

– Osteoarthritis in the knee (abnormal wear of the cartilage within the knee joint, also referred to as knee osteoarthritis) is the most standard reason for morning knee pain and starting pain inside the elderly.

– Patellar Tip Syndrome: In such cases, the tendon attachment site that connects the kneecap to the tibia becomes inflamed. At the outset of the movement there’s a stabbing pain, which subsides after starting to warm up.

– Inside the elderly, degenerative diseases from the cartilage and meniscus are often the main cause. Wear and tear on the knee can lead to meniscus tears, cartilage wear, and osteoarthritis in the knee.

– Such degeneration can even be caused by older sports injuries who have not fully healed and accelerate the wear and tear in the knee joint.

Knee pain when climbing stairs

Possible reasons for knee pain when descending a mountain:

– The cartilage from the femur is damaged, therefore the patella can no longer glide properly.

– Bursitis causes stress on the sliding tissue before the patella and within the patellar tendon.

– There is a tear or trouble for the cruciate ligament. A knee without cruciate ligament is unstable during certain movements and arches to the sides.

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The importance of regular examinations by a gynecologist for women

Many women only use a session with a gynecologist whenever they feel unwell and have obvious signs of illness. Unfortunately, the appearance of symptoms often indicates the late stages from the continuing development of gynecological diseases, when conservative treatment can be very long or completely ineffective. The gynecology clinic in Kiev invites each woman to a preventive examination – a procedure that will allow timely treatment and diagnosis with the disease, preventing its life-threatening consequences.

Why do crucial that you visit the gynecologist regularly?
Every now and then, it’s important to go to a gynecologist not just for females of reproductive age, also for elderly patients. With all the first, it is all totally clear – they want a meeting having a gynecologist to plot getting pregnant or monitor a current one. Regular visits to the gynecology clinic allows a girl to spot hereditary, genetic, chronic diseases that may be transmitted to the fetus and adversely modify the unborn baby.

Latent gynecological diseases that develop asymptomatically might cause infertility. Often, because of oophoritis, adnexitis and also other diseases of the gynecological sphere, a woman does not conceive in any respect or cannot bear the fetus until natural delivery. Their pregnancies lead to miscarriages noisy . and late stages.

Elderly patients should go to a gynecologist for that timely detection of processes ultimately causing oncological diseases, including malignant neoplasms. Therefore, despite a sound body, each lady should undergo a preventive examination with a gynecologist Twice a year. Underneath are the commonest problems that might be identified after a scheduled stop by at a gynecology clinic.

Inflammatory diseases

Inflammatory processes from the female reproductive organs occur up against the background of infections who have entered the uterus, fallopian tubes, and ovaries across the ascending pathways in the vagina. We’re discussing viruses, fungi, Trichomonas along with other simple microorganisms. Usually the source of inflammation is poor hygiene with the genitals, hypothermia.

Conventionally, these diseases are separated into acute and chronic. Acute inflammation is characterized by vivid symptoms:

intense or dull pain in the abdomen and pelvis,
rise in body temperature from subfebrile to febrile;
nausea and other dyspeptic disorders;
headache;
rash and redness of your skin;
loss in strength and general deterioration of well-being.
Chronic inflammatory diseases may be asymptomatic, which complicates their diagnosis.

Sexually transmitted infections

Diseases with this group are transmitted only sexually (STDs). A number of them are poorly diagnosed and difficult to help remedy, which is why for that danger of these diseases. You shouldn’t have to talk about the fact that a girl should be selective in sexual relations – this can be, obviously, but on the first suspicion of your STD, she should immediately make an appointment with a gynecologist in Kiev. This may keep her and her future children healthy.

Oncological diseases

The viewers of oncological diseases includes benign and malignant neoplasms. Each lady over 40 are in risk, but unfortunately, oncology doesn’t spare young patients either.

The most typical benign tumors from the gynecological sphere are cysts on ovaries and uterine fibroids. A benign neoplasm is treated effectively whether it is detected promptly. A tumor not dealt with may change into a malignant one, that is already a life threatening threat alive.

Ignorance regarding the condition of one’s health, ignoring a well-known issue will lead to very sad consequences – from infertility to death. Contacting a gynecological clinic in Kiev provides an all-inclusive diagnosis and additional adequate therapy, the scheme that would be picked individually, taking into consideration the era of the sufferer, the type with the underlying disease and comorbidities.

For more details about Klinika ginekologii check our new web portal

Back pain and sciatica (inflammation of the sciatic nerve)

The problem if you find pain in the lumbosacral spine is often a phenomenon proven to a lot of people, especially on the age of 40-60 years. This ailment is known as sciatica or lumbar radiculopathy (radiculitis among the inhabitants). This can be a chronic neurological pathology caused by compression with the sciatic nerve. The sickness is accompanied by intense pain, stiffness of movements as well as a number of other symptoms.

Sciatica is diagnosed in adults of both sexes, often noticed in expecting mothers. Radiculitis does not pose a menace to life, however its quality reduces significantly, depriving someone of activity and ability to work. Therefore, if you feel that you have sciatica, immediately talk to a neurologist or chiropractor. Timely treatment will relieve pain, adequate diagnosis will identify and eliminate the cause with the disease.

Reasons for inflammation with the sciatic nerve

Pain in sciatica occurs on account of compression or irritation from the sciatic nerve. The causes of compression include your local inflammation, trauma towards the lumbosacral region and also other factors:

– intervertebral hernia or disc protrusion;
– exposure to pathogenic microflora, including tubercle bacillus, streptococci, staphylococci, gonococci;
– infectious diseases – influenza, typhus, malaria, syphilis, scarlet fever;
– metabolic diseases – gout;
– local osteophytes;
– diabetes;
– spondylosis in the vertebrae in the lumbosacral region;
– osteocondritis of the spine;
– growth and development of cicatricial changes in the exit zone of roots – – sciatic nerve;
various spinal injuries;
– scoliosis in the lumbosacral region.

The existence of sciatica affects a person’s motor function. As well as pain within the small of the back, there exists a decrease of flexibility within the hips and pelvis, decreased sensitivity, limited mobility from the knee joint and ankle to the side of the lesion. Compression of the sciatic nerve can disrupt bowel and bladder function, creating the patient to see fecal and bladder control problems.

The signs of lumbar radiculopathy

The clinical picture of sciatica develops gradually. In the beginning, hook discomfort is felt inside the lower back, changing into tolerable pain. Irradiation of painful sensations is observed in the buttock and down the posterior projection in the thigh. During this period, someone thinks that he’s simply tired of physical labor and perceives the situation because the norm. In the foreseeable future, increased exercise can provoke a serious attack, in the event the pain literally fetters our bodies.

In addition to stabbing, burning and shooting pain, vegetative and neurological disorders occur:

– decreased sensitivity of the limb along the side of the lesion;
– the contrary option – increased sensitivity from the buttocks and legs;
– weakness in the ankle;
– violation in the functionality in the pelvic organs.

Treatment and diagnosis of sciatica

Sciatica can manifest differently in different people. The examination starts with a brief history to identify concomitant diseases, which in turn helps to establish the first reason for a pinched sciatic nerve.

This is accompanied by physical testing to find out which structure provokes compression or irritation. In line with the results of the verification, a doctor provides the patient reveal set of the identified pathology. Using a not enough information, your physician can refer the patient to X-ray, CT and MRI.

Treatments regimen depends on the cause of sciatic nerve compression. If your reason for sciatica is often a herniated disc, it is well addressed with chiropractic. After eliminating the main cause of sciatica, its symptoms decreased alone.

Do not torture yourself with pain , nor bring the problem to surgery. Promptly, contact professionals in the field of treating diseases with the musculoskeletal system, doctors with deep understanding of the anatomy and physiology of the body.

To get more information about Back pain and sciatica check out our new site

The importance of regular examinations by a gynecologist for women

Nearly all women only sign up for a meeting having a gynecologist whenever they feel unwell and have obvious signs and symptoms of illness. Unfortunately, the appearance of symptoms often indicates the late stages in the development of gynecological diseases, when conservative treatment can be extremely long or completely ineffective. The gynecology clinic in Kiev invites all ladies into a preventive examination – an activity which will allow timely diagnosis and treatment with the disease, preventing its life-threatening consequences.

How come it’s important to go to the gynecologist regularly?
From time to time, it is necessary to see a gynecologist not just for girls of reproductive age, but also for elderly patients. With the first, things are all clear – they desire an appointment using a gynecologist to organise a pregnancy or monitor an existing one. Regular appointments with the gynecology clinic will allow a girl to identify hereditary, genetic, chronic diseases that can be transmitted to the fetus and adversely affect the child.

Latent gynecological diseases that develop asymptomatically may cause infertility. Often, as a result of oophoritis, adnexitis as well as other diseases in the gynecological sphere, a lady will not get pregnant in any respect or cannot bear the fetus until natural delivery. Their pregnancies trigger miscarriages during the early and late stages.

Elderly patients should search for a gynecologist to the timely detection of processes ultimately causing oncological diseases, including malignant neoplasms. Therefore, despite a sound body, each woman should undergo a preventive examination by the gynecologist Twice per year. Underneath are the most typical conditions might be identified after a scheduled stop by at a gynecology clinic.

Inflammatory diseases

Inflammatory processes from the female reproductive organs occur from the background of infections which may have entered the uterus, fallopian tubes, and ovaries across the ascending pathways from the vagina. We have been speaking about viruses, fungi, Trichomonas and also other simple microorganisms. Usually the source of inflammation is poor hygiene of the genitals, hypothermia.

Conventionally, these diseases are divided into acute and chronic. Acute inflammation is characterized by vivid symptoms:

intense or dull pain within the abdomen and pelvis,
surge in the body’s temperature from subfebrile to febrile;
nausea and other dyspeptic disorders;
headache;
rash and redness of your skin;
loss of strength and general deterioration of well-being.
Chronic inflammatory diseases can be asymptomatic, which complicates their diagnosis.

Sexually transmitted infections

Diseases of the group are transmitted only sexually (STDs). A number of them are poorly diagnosed and hard to deal with, which is the reason for your danger of these diseases. There’s no need to share with you the truth that a female should be selective in sexual relations – this can be, obviously, but in the first suspicion of the STD, she should immediately schedulae an appoitment with a gynecologist in Kiev. This will likely keep her and her future children healthy.

Oncological diseases

The gang of oncological diseases includes benign and malignant neoplasms. All ladies over 40 are at risk, however, oncology won’t spare young patients either.

The most frequent benign tumors from the gynecological sphere are cyst on ovary and uterine fibroids. A benign neoplasm is treated effectively whether it is detected on time. A tumor not dealt with can modify into a malignant one, that’s already a life threatening threat your.

Ignorance about the condition of one’s health, ignoring a well-known issue will result in very sad consequences – from infertility to death. Contacting a gynecological clinic in Kiev will give you a thorough diagnosis and additional adequate therapy, the scheme that would be drawn up individually, taking into consideration the age of the person, the type with the underlying disease and comorbidities.

To get more information about konsultaciyu vracha ginekologa take a look at our new webpage: click

Back pain and sciatica (inflammation of the sciatic nerve)

The problem if you find pain from the lumbosacral spine is really a phenomenon known to a lot of people, especially in the age of 40-60 years. This ailment is called sciatica or lumbar radiculopathy (radiculitis one of many inhabitants). This can be a chronic neurological pathology a result of compression of the sciatic nerve. The disease comes with intense pain, stiffness of movements as well as a amount of other symptoms.

Sciatica is diagnosed in grown-ups of both sexes, often affecting expecting mothers. Radiculitis won’t pose a menace to life, nevertheless its quality reduces significantly, depriving somebody of activity and talent to be effective. Therefore, if you feel that you have sciatica, immediately make contact with a neurologist or chiropractor. Timely treatment will relieve pain, adequate diagnosis will identify and eliminate the cause from the disease.

Reasons behind inflammation from the sciatic nerve

Pain in sciatica occurs as a result of compression or irritation with the sciatic nerve. The sources of compression include any nearby inflammation, trauma towards the lumbosacral region and other factors:

– intervertebral hernia or disc protrusion;
– experience pathogenic microflora, including tubercle bacillus, streptococci, staphylococci, gonococci;
– infectious diseases – influenza, typhus, malaria, syphilis, scarlet fever;
– metabolic diseases – gout;
– local osteophytes;
– diabetes;
– spondylosis with the vertebrae of the lumbosacral region;
– osteocondritis with the spine;
– growth and development of cicatricial changes in the exit zone of roots – – sciatic nerve;
various spinal injuries;
– scoliosis in the lumbosacral region.

The presence of sciatica affects a person’s motor function. In addition to pain in the back, there is a lack of flexibility within the hips and pelvis, decreased sensitivity, limited mobility in the knee joint and ankle on the side of the lesion. Compression with the sciatic nerve can disrupt bowel and bladder function, causing the patient to try out fecal and urinary incontinence.

The signs of lumbar radiculopathy

The clinical picture of sciatica develops gradually. In the beginning, hook discomfort is felt from the back, turning into tolerable pain. Irradiation of painful sensations is noted within the buttock and across the posterior projection with the thigh. During this period, somebody thinks that he is simply fed up with physical labor and perceives the situation as the norm. Down the road, increased exercising can provoke a serious attack, in the event the pain literally fetters one’s body.

Together with stabbing, burning and shooting pain, vegetative and neurological disorders occur:

– decreased sensitivity from the limb along the side of the lesion;
– the other option – increased sensitivity of the buttocks and legs;
– weakness within the ankle;
– violation of the functionality from the pelvic organs.

Treatment and diagnosis of sciatica

Sciatica can manifest differently in several people. The examination begins with the historical past to identify concomitant diseases, which often helps to establish the original reason behind a pinched sciatic nerve.

This is then physical testing which usually structure provokes compression or irritation. In line with the link between the diagnosis, a doctor gives the patient an in depth set of the identified pathology. Having a not enough information, a doctor can refer the patient to X-ray, CT and MRI.

Treatments regimen depends on the cause of sciatic nerve compression. If your source of sciatica is a herniated disc, it’s well helped by chiropractic. After eliminating the main cause of sciatica, its symptoms decreased independently.

Do not torture yourself with pain and never bring the situation to surgery. In a timely manner, contact professionals in the field of treatments for diseases of the musculoskeletal system, doctors with deep familiarity with the anatomy and physiology in the human body.

To learn more about Back pain and sciatica take a look at this web site

The importance of regular examinations by a gynecologist for women

The majority of females only sign up for an appointment using a gynecologist if they feel unwell and have obvious warning signs of illness. Unfortunately, the look of symptoms often indicates the late stages with the continuing development of gynecological diseases, when conservative treatment can be be extremely long or completely ineffective. The gynecology clinic in Kiev invites all women to a preventive examination – an activity that will allow timely treatment and diagnosis with the disease, preventing its life-threatening consequences.

Why do imperative that you check out the gynecologist regularly?
Every now and then, it is crucial to go to a gynecologist not only for females of reproductive age, but in addition for elderly patients. Together with the first, it is all totally clear – they desire a meeting which has a gynecologist to organise getting pregnant or monitor a current one. Regular visits to the gynecology clinic will permit a female to recognize hereditary, genetic, chronic diseases that may be transmitted for the fetus and adversely affect the unborn child.

Latent gynecological diseases that develop asymptomatically can cause infertility. Often, as a result of oophoritis, adnexitis as well as other diseases in the gynecological sphere, a female does not conceive whatsoever or cannot bear the fetus until natural delivery. Their pregnancies lead to miscarriages noisy . and late stages.

Elderly patients should check out a gynecologist for your timely detection of processes resulting in oncological diseases, including malignant neoplasms. Therefore, in spite of good health, each lady should undergo a preventive examination by way of a gynecologist Twice per year. Listed here are the most typical issues that might be identified during a scheduled holiday to a gynecology clinic.

Inflammatory diseases

Inflammatory processes inside the female reproductive organs occur contrary to the background of infections which have entered the uterus, fallopian tubes, and ovaries over the ascending pathways from your vagina. We’re speaking about viruses, fungi, Trichomonas and also other simple microorganisms. Usually the source of inflammation is poor hygiene of the genitals, hypothermia.

Conventionally, these diseases are divided into acute and chronic. Acute inflammation is seen as a vivid symptoms:

intense or dull pain in the abdomen and pelvis,
boost in temperature from subfebrile to febrile;
nausea as well as other dyspeptic disorders;
headache;
rash and redness of your skin;
decrease of strength and general deterioration of well-being.
Chronic inflammatory diseases might be asymptomatic, which complicates their diagnosis.

Sexually transmitted infections

Diseases of the group are transmitted only sexually (STDs). A number of them are poorly diagnosed and difficult to help remedy, which is the reason for the danger of such diseases. You don’t have to discuss the fact that a lady ought to be selective in intercourse – this can be, of course, but on the first suspicion associated with an STD, she should immediately make an appointment with a gynecologist in Kiev. This may keep her and her future children healthy.

Oncological diseases

The viewers of oncological diseases includes benign and malignant neoplasms. All ladies over 40 are in risk, however, oncology will not spare young patients either.

The most common benign tumors of the gynecological sphere are ovarian cysts and uterine fibroids. A benign neoplasm is treated effectively when it is detected promptly. A tumor left unattended can modify into a malignant one, that’s already a serious threat alive.

Ignorance about the condition of one’s health, ignoring a well-known problem can cause very sad consequences – from infertility to death. Contacting a gynecological clinic in Kiev will give you an all-inclusive diagnosis and further adequate therapy, the scheme that would be written individually, taking into consideration the age of the person, the character with the underlying disease and comorbidities.

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