Aranykéz > Nőgyógyászat > Gynecology > Services

Gynecology and Obstetrics services

Services of Aranykéz Obstetrics and Gynecology Clinic, Debrecen cover the spectrum from routine outpatient care to minimally invasive surgeries to inpatient one-day surgery services. In his private practice, Dr. János Aranyosi is able to provide expertise in all aspects of gynecologic and obstetrical care, including menopause, cancer screening (Papanicolau and Bethesda classification), ultrasound scan of the uterus, endometrium and ovary, follow-up of uterine fibroids, myoma, infertility (tubal patency test, post coital test, ovulation induction), contraceptive options (pill selection, IUD and Mirena insertion or removal), abnormal menstruation, ultrasound examinations, pre-pregnancy counselling, high-risk pregnancy screening, pregnancy testing, umbilical and fetal blood flow Doppler examination. He has extensive expertise in the operating room that includes performing biopsy, LEEP, endometrial aspiration, minimally invasive endoscopic procedures and other alternatives to hysterectomy allowing women to return rapidly to their regular activities.

Gynecologic Services

Routine annual gynecologic exams including pelvic, breast
Menopause counselling
Cancer screening for cervical, endometrial and ovarian cancer (Papanicolau and Bethesda classification)
Ultrasound scan of the uterus
Follow-up of uterine fibroids
Myoma
Tumormarker examinations (CA125, CEA, AFP)
Abnormal menstruation counselling
Infertility examination, diagnostics and treatment (tubal patency test, post coital test - PCT - ovulation induction, sono-hystero-salpingo-graphy)
LEEP (Loop Electrosurgical Excision Procedure) to Treat Cervical Dysplasia
Screening and treatment for sexually transmitted diseases (STD's)
PAP test and treatment for abnormal pap smears
Sexual counselling
Smaller operations and interventions (wart removal, hymenal incision and drainage of localized infections)
Major operations (at the Department of Obstetrics and Gynecology of Debrecen University)
Family Planning
Birth control methods
Contraception counselling
IUD insertion and removing
Screening for endometrium hyperplasia, endometrial polyp

Obstetrical Care

• Pre-pregnancy counselling (medical, dietary and social service)
• Pregnancy testing
• High-risk pregnancy screening
• Prenatal Care
• Ultrasound examinations
• Umbilical and fetal blood flow Doppler examination
• Education, and postpartum follow-up care
• PRE-CONCEPTIONAL issues: Gynecology check-up, PAP / Bethesda test, Pelvic Ultrasound, FOLIC ACID Supplementaion
• PRE-CONCEPTIONAL Care: Hypertension, Diabetes, Cardiac, Renal disorders, Genetical or familiar diseases
• ANTENATAL CARE: Blood Pressure, Maternal Pulse, Body weight - gain, Fetal heart rate monitoring, Urine test, Uterine growth, Uterine sensitivity, Vaginal inspection, Inflammation - discharge, Cervixal index

Protocol of Prenatal Care 

week 1. - Begins with the first day of last Menstrual period

week 2. - Conception, ovulation

week 6. - 0. Ultrasound: Gestational sac, Yolk sac, No Embryo

week 9. - Embryonal Ultrasoung: Growth, anatomy prescan

week 10. - Midwife consultation

week 11. - First Ultrasound Scan: Embryo, Nuchal fold, Nasdal bone, tricuspidal flow, placenta, cervix

week 13. - Lab test:Blood count,Glucose, Blood Group-Rhesus, Antibodies, Wassermann(Lues), Hepatitis B, TORCH, TSH

week 15. - Medical and dentist examination

week 16. - Biochemical screening: AFP, HCG, E3, Papp-A, SP1

week 18. - Second Ultrasound scan: Fetal anatomy, Doppler: arteria Uterina

week 23. - Oral Glucose Challenge Test (75 g) , Blood count, Urine analysis

week 24. - Third Ultrasound scan: Fetal growth, late malformation, Doppler: Fetal arterial circulation

week 26. - Twins, imminent preterm birth: Dexamethason profilaxis

week 28. - Fourth Ultrasound scan: Fetal Growth, Fetal Doppler

week 30. - Delivery, Midwife, Obstetrician, anaesthesia, EDA

week 32. - Fifth Ultrasound scan: Fetal growth, Fetal Doppler, Umbilical cord STEM cell preparation-contract, Midwife consultation

week 35. - Fetal heart rate monitoring: Non Stress Test - NST - FETAPHON

week 36. - Sixth Ultrasound scan: Fetal biometry, Biophysical profile, Doppler

week 37. - NST-FETAPHON, LabTest: BC, Enzymes, HaemoCOAGULATION, SteptococcusB screening

week 38. - NST-FETAPHON, Anaesthesiology Consultation: Epidural anaesthesia, Cesarean Section

week 39. - Seventh Ultrasound scan: Fetal WEIGHT, Position, Doppler

week 40. - NST-FETAPHON, Amnioscopia

week 41. - NST-FETAPHON, Doppler on daily basis