Ambulatory treatment of patients with gynecological diseases

Organization of treatment of patients in outpatient settings
Methods of examination of patients in outpatient settings
Disorders of menstrual function
Pathological climacteric
Inflammatory gynecologic diseases
Sterile marriage
Anomalies of the provisions of the genital organs
Physical methods of treatment of patients
Fibroids uterine and their conservative treatment

A significant number of patients with gynecological diseases should be treated on an outpatient basis. The leading role in implementing this task on improvement of the female population belongs to the women's consultations, medical-sanitary part in the production and obstetric points in rural areas.
Structure clinics due to a number of ethnographic factors, the production conditions in which women work, and so the number of staff may vary depending on them. Total and main condition of all outpatient institutions gynecological is their preventive orientation, and therefore, early detection of gynecological diseases, the desire for accurate diagnosis, development and implementation of targeted therapy in the category of patients who can be treated outside the hospital.
Gynecologist working in outpatient conditions, must be qualified, because it is responsible for the correctness of the initial diagnostics and design the most effective treatment. That is why the doctors of antenatal clinics should know the mechanisms of development of some diseases of female genital organs, a good knowledge of modern methods of diagnosis and treatment.
In the process of examination of patients along with well-known and long-held methods in practical activities gynecologists necessary to implement such methods as bacteriological, cytological, hormonal (degree of estrogenonly, a symptom of crystallization of the cervical mucus, pupil, biological reactions on human chorionic gonadotropin and others), widely conduct biochemical studies in liquid media. Naturally that the patients must be reasonable, taking into account indications.
In some cases there is a necessity for advice related professionals: endocrinologist, urologist, therapeutist, neurologist and other
The large share among patients is a group of women with menstrual dysfunction.
The overwhelming majority they should be treated on an outpatient basis. These patients require especially careful and thorough examination, without which the development of targeted treatment is impossible. They 1-2 menstrual cycles should study estrogen level, the basal temperature, other indicators and only after that start treatment, the individual in each case.
With regard to the treatment of patients with chronic inflammatory diseases of genitals, remember that it should be done at the account and under the strict control of tuberculosis microscopy and bacteriological data. Treatment should be complex and include components aimed at different parts of the pathological process (disinfectants, protein stimuli, vitamins, antisense funds, physical methods and, if necessary, hormones and other).
A special group is occupied by patients suffering from infertility. Highly desirable, especially in large antenatal clinics, treatment charging one doctor, and to receive to allocate separate hours. After careful examination, including a study of sperm sexual partners, hormonal, bacterioscopic, and bacteriological data, determination of the fallopian tubes, the doctor proceeds to treatment. Treatment of infertility need to build depending on the etiologic factor.
In the complex treatment of these nosological forms of gynecological diseases great place belongs physical methods, which in some cases its effects are essential.
In recent years, important new hormonal drugs. This is very important as new opportunities for effective treatment of these patients. However, it is necessary to remember, that the purpose of hormones should not be boilerplate and always be carried out with account of the hormonal profile of each patient. Otherwise, assign them can cause great harm.
Working in gynecological center at the medical-sanitary parts, obstetrician-gynecologist along with the regular work should examine working conditions and their influence on the state of the reproductive organs in women, and if necessary, implement appropriate corrective for their reduction and elimination.
A great role in the improvement of the female population belongs to a medical examination, which routinely must deal with health care workers at all levels of outpatient gynecological institutions. These institutions need to be constantly connected with tuberculosis, venereal diseases and oncological dispensaries, as well as with the district health center.
Documentation in them is carried out on the same principle, given all the data about the work done, and should be very clear, specific and at the same time short.
In the center of attention of doctors antenatal clinics is health education, which should be reflected preventive principle of Soviet medicine.