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What is Conservative Gynecology?
Conservative gynecology is an approach to the treatment of gynecological diseases that aims to avoid surgical interventions and drug therapy associated with a high risk of side effects. Instead, various conservative treatment methods are applied, such as pharmacotherapy, phytotherapy, physiotherapy, hormonal therapy, acupuncture, and massage.
Conservative gynecology is often used in the management of functional disorders, gynecological diseases, and reproductive problems that do not require urgent surgical intervention. However, in some cases, surgery may be necessary if conservative methods fail to produce the desired effect.
In conventional gynecology, surgical procedures such as cesarean section, laparoscopy, and hysterectomy are most commonly used, which may lead to complications. Conservative gynecology also strives for disease prevention and health maintenance rather than solely addressing existing conditions. It pays special attention to lifestyle, nutrition, physical activity, psychological well-being, and other factors influencing women’s health.
When to Consult a Doctor
Conservative gynecology deals with all gynecological diseases, except for conditions requiring surgery (such as cyst removal or suspected inflammatory or malignant processes).
Diseases that are fully or partially amenable to conservative gynecology include:
• candidiasis,
• menstrual cycle disorders,
• hormonal imbalance,
• sexually transmitted infections,
• endometriosis,
• uterine fibroids,
• cystitis,
• ovarian cyst,
• infertility,
• cervical erosion,
• vaginitis (colpitis),
• polycystic ovary syndrome,
• mastitis.
A specialist in conservative gynecology monitors a woman’s health from puberty through pregnancy and up to menopause.
Symptoms Requiring Consultation
The symptoms that should prompt a woman to see a specialist include:
• pain localized in the lower abdomen and lower back (appearing before, during, or after menstruation, during sexual intercourse, or urination),
• white curd-like vaginal discharge,
• decreased libido,
• abnormal discharge with an unpleasant odor (greenish, gray, or yellow),
• uterine bleeding,
• menstrual irregularities,
• frequent urination,
• breast pain,
• infertility,
• male-pattern hair growth,
• painful urination,
• itching or burning in the vagina.
Diagnostic Methods
In conservative gynecology, various diagnostic methods are used:
Gynecological examination.
Performed to assess a woman’s health status. During the examination, the gynecologist uses special instruments to evaluate the vagina, cervix, ovaries, and surrounding tissues, as well as to perform tests for infections or diseases. The examination is preceded by anamnesis collection and medical history review.
The procedure may include vaginal and cervical inspection using a speculum, spatulas, and palpation of the ovaries and surrounding tissues. The gynecologist may take a smear for infection testing and conduct additional tests if needed.
Colposcopy.
This procedure uses a special instrument called a colposcope to examine the cervix and vagina for pathological changes. It allows the detection of inflammation, infections, tumors, and other abnormalities. Colposcopy is an important diagnostic method that enables early detection of many gynecological problems.
Ultrasound examination (US).
Performed to detect reproductive system disorders (cysts, polyps, tumors, fibroids, endometriosis, menstrual disorders, inflammatory diseases), diagnose pregnancy, and assess the cervix. Ultrasound can help determine causes of pain during intercourse and confirm infections. The WHO recommends annual preventive ultrasound screening.
Histological examination.
This method studies tissue samples to determine the nature of a disease. It is typically performed when cervical abnormalities are found during a gynecological exam, ultrasound, or Pap test, or when there is a risk of cervical cancer. A biopsy sample is taken for microscopic evaluation to identify oncopathology and other diseases, assess their stage, and select appropriate treatment.
The procedure lasts only a few minutes and is performed in a gynecologist’s office. Mild pain may occur but usually resolves quickly. Patients are advised to avoid heavy physical exertion and sexual intercourse for several days. Results are available within several days to weeks.
Laboratory tests.
These may include blood and urine analyses, bacteriological cultures, hormonal profiling, and other laboratory studies.
Mammography.
A diagnostic method for detecting breast tumors and abnormalities, especially important for women over 35 years of age.
Treatment
A woman examined by a conservative gynecologist may be prescribed:
• pharmacological treatment (antibiotics, anti-inflammatory agents, hormonal and analgesic drugs),
• vitamin complexes,
• infusion therapy,
• physiotherapy.
Lifestyle modification, dietary correction, and regulation of sleep and rest are also recommended.
Appointment Procedure
Each gynecological visit involves elements of conservative gynecology:
1. Anamnesis collection: reviewing medical records and assessing current complaints.
2. Physical examination: inspection of the vagina, cervix, uterus, adnexa, and breasts.
3. Smear collection: standard cervical cytology.
4. Ultrasound diagnostics (if necessary).
5. Laboratory tests and additional investigations.
Between visits, pharmacological therapy may be prescribed.
A distinctive feature of the gynecologists at Expert Clinics is their expertise in anti-aging medicine. Their treatment approach is individualized, considering all aspects of a woman’s body. Particular attention is given to detoxification phases, reduction of oxidative stress and glycation, ensuring a maximally personalized approach.
Conservative gynecology is an approach to the treatment of gynecological diseases that aims to avoid surgical interventions and drug therapy associated with a high risk of side effects. Instead, various conservative treatment methods are applied, such as pharmacotherapy, phytotherapy, physiotherapy, hormonal therapy, acupuncture, and massage.
Conservative gynecology is often used in the management of functional disorders, gynecological diseases, and reproductive problems that do not require urgent surgical intervention. However, in some cases, surgery may be necessary if conservative methods fail to produce the desired effect.
In conventional gynecology, surgical procedures such as cesarean section, laparoscopy, and hysterectomy are most commonly used, which may lead to complications. Conservative gynecology also strives for disease prevention and health maintenance rather than solely addressing existing conditions. It pays special attention to lifestyle, nutrition, physical activity, psychological well-being, and other factors influencing women’s health.
When to Consult a Doctor
Conservative gynecology deals with all gynecological diseases, except for conditions requiring surgery (such as cyst removal or suspected inflammatory or malignant processes).
Diseases that are fully or partially amenable to conservative gynecology include:
• candidiasis,
• menstrual cycle disorders,
• hormonal imbalance,
• sexually transmitted infections,
• endometriosis,
• uterine fibroids,
• cystitis,
• ovarian cyst,
• infertility,
• cervical erosion,
• vaginitis (colpitis),
• polycystic ovary syndrome,
• mastitis.
A specialist in conservative gynecology monitors a woman’s health from puberty through pregnancy and up to menopause.
Symptoms Requiring Consultation
The symptoms that should prompt a woman to see a specialist include:
• pain localized in the lower abdomen and lower back (appearing before, during, or after menstruation, during sexual intercourse, or urination),
• white curd-like vaginal discharge,
• decreased libido,
• abnormal discharge with an unpleasant odor (greenish, gray, or yellow),
• uterine bleeding,
• menstrual irregularities,
• frequent urination,
• breast pain,
• infertility,
• male-pattern hair growth,
• painful urination,
• itching or burning in the vagina.
Diagnostic Methods
In conservative gynecology, various diagnostic methods are used:
Gynecological examination.
Performed to assess a woman’s health status. During the examination, the gynecologist uses special instruments to evaluate the vagina, cervix, ovaries, and surrounding tissues, as well as to perform tests for infections or diseases. The examination is preceded by anamnesis collection and medical history review.
The procedure may include vaginal and cervical inspection using a speculum, spatulas, and palpation of the ovaries and surrounding tissues. The gynecologist may take a smear for infection testing and conduct additional tests if needed.
Colposcopy.
This procedure uses a special instrument called a colposcope to examine the cervix and vagina for pathological changes. It allows the detection of inflammation, infections, tumors, and other abnormalities. Colposcopy is an important diagnostic method that enables early detection of many gynecological problems.
Ultrasound examination (US).
Performed to detect reproductive system disorders (cysts, polyps, tumors, fibroids, endometriosis, menstrual disorders, inflammatory diseases), diagnose pregnancy, and assess the cervix. Ultrasound can help determine causes of pain during intercourse and confirm infections. The WHO recommends annual preventive ultrasound screening.
Histological examination.
This method studies tissue samples to determine the nature of a disease. It is typically performed when cervical abnormalities are found during a gynecological exam, ultrasound, or Pap test, or when there is a risk of cervical cancer. A biopsy sample is taken for microscopic evaluation to identify oncopathology and other diseases, assess their stage, and select appropriate treatment.
The procedure lasts only a few minutes and is performed in a gynecologist’s office. Mild pain may occur but usually resolves quickly. Patients are advised to avoid heavy physical exertion and sexual intercourse for several days. Results are available within several days to weeks.
Laboratory tests.
These may include blood and urine analyses, bacteriological cultures, hormonal profiling, and other laboratory studies.
Mammography.
A diagnostic method for detecting breast tumors and abnormalities, especially important for women over 35 years of age.
Treatment
A woman examined by a conservative gynecologist may be prescribed:
• pharmacological treatment (antibiotics, anti-inflammatory agents, hormonal and analgesic drugs),
• vitamin complexes,
• infusion therapy,
• physiotherapy.
Lifestyle modification, dietary correction, and regulation of sleep and rest are also recommended.
Appointment Procedure
Each gynecological visit involves elements of conservative gynecology:
1. Anamnesis collection: reviewing medical records and assessing current complaints.
2. Physical examination: inspection of the vagina, cervix, uterus, adnexa, and breasts.
3. Smear collection: standard cervical cytology.
4. Ultrasound diagnostics (if necessary).
5. Laboratory tests and additional investigations.
Between visits, pharmacological therapy may be prescribed.
A distinctive feature of the gynecologists at Expert Clinics is their expertise in anti-aging medicine. Their treatment approach is individualized, considering all aspects of a woman’s body. Particular attention is given to detoxification phases, reduction of oxidative stress and glycation, ensuring a maximally personalized approach.
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admin@expertclinics.ru 
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