Slight menstrual cramps, moderate abdominal cramps, pulling in the legs and lower back during the first day of bleeding are considered normal. Severe pain, heavy bleeding, nausea or failure to cope with everyday life and irregular menstrual bleeding are not normal, but also not "fatal". In the case of such menstrual problems, I would ask you to speak to me about them. A gynecological examination and a detailed anamnesis are necessary in order to find the cause of the complaints and to start a suitable therapy. Complementary medical methods are often promising, don’t result in side-effects and are very pleasant.
Endometriosis is a benign proliferation of uterine lining outside of the uterine cavity. With every menstrual period, these scattered “cell-islands” cause severe discomfort at the site of their colonization. This can affect the intestines, the bladder, the pelvic wall, the ovaries, the uterine muscles (adenomyosis) and even the upper abdominal organs. The consequence of which being excessively severe pain during menstruation that could possibly be accompanied by stool and urinary problems, as well as frequent pain during sexual intercourse. Chronic lower abdominal pain and infertility can be secondary diseases of endometriosis. I offer detailed consultation, in the case that you suspect endometriosis, in which I consider the various possible therapy options in order to find the ideal treatment method for you.
Infections of the abdomen
Vaginal infections, which mainly manifest themselves through itching, burning and soreness, as well as fishy smelling discharge, are either caused by fungi or bacteria. Painful blisters are usually caused by genital herpes. Some of these germs are contagious, others only spread in the vagina when the natural vaginal flora is disturbed. Stress, overexertion, taking antibiotics, visiting the spa or pool (chlorinated water) and sweating in the intimate area can lead to an unfavorable vaginal environment, in which fungi and/or bacteria such as Garnerella and Enterococci can “grow over” the vaginal flora and cause typical complaints. Genital herpes can also recur after a severe initial infection through weakened immunity. Chlamydia is also a major problem. I recommend regular examinations for young women, in the case of a possible chlamydia infection. Chlamydia tends to cause no or rather mild lower abdominal pain. However, the spread of the germ in the abdominal cavity often leads to infertility. If the infection is detected in time, it can easily be cured.
It is rarely the case that bacteria ascending through the uterus and fallopian tubes into the abdominal cavity cause severe diseases such as fallopian abscesses, but these possibilities must also be taken into consideration.
Increased facial and body hair (hair around the nipples, on the thighs or in the area of the navel), acne, too rare menstruation and difficulties in getting pregnant indicate polycystic ovarian syndrome. It often begins at puberty. Many women suffer from a mild form, which can be cured by gentle, holistic treatment methods and lifestyle counselling. If this is not enough, then efficient medicinal therapies are always available.
The cancer smear from the cervix (also called PAP smear after the doctor Papanicolaou) is part of the routine gynecological check-up. It is used to detect diseases of the cervix such as inflammations caused by infections, atrophy and, above all, carcinomas, as early as possible, in order to start effective treatment as soon as possible.
Benign abdominal tumors such as myomas and ovarian cysts should also be checked regularly, even if no complaints are made. It is rarely necessary to operate on them immediately. If you are concerned about any findings or feel that the findings have not been sufficiently explained to you, you are welcome to visit me for a second opinion and further advice. Please bring all previous findings with you. I will explain the diagnosis and all treatment options in detail and recommend a suitable therapy for you.
Pelvic Organ/Genital Prolapse
The female pelvic floor is a part of the body that is strained by pregnancy, childbirth and heavy physical work. Prolapse problems (cystocele, rectocele) accompanied by or not accompanied by incontinence mainly affect women after several and/or difficult births and/or women with weak connective tissue.
There are many therapy options, such as pelvic floor training, pessary therapies, Hatha Yoga with a focus on the mula bandhas, biofeedback and even operative rehabilitation. After a detailed examination and anamnesis, I can work with you to develop a therapy plan tailored to your specific needs.