Menopause Treatment in Antalya

Menopause Treatment in Antalya

The stage at which menstrual bleeding stops in women and ovarian functions end is called menopause. The menopause is not a disease. Ovulation and menstrual bleeding end in women after a certain age. The menopause, which is a normal component of body function, is mistakenly known as a disease. Women usually enter menopause between the ages of 47 and 52.

The process, which begins as a result of the natural end of the menstrual period of women and the end of the function of their ovaries, is called menopause. At the beginning of this process, progesterone and estrogen levels decrease and disappear completely over time. Women who have not had menstruation within a year and whose age is suitable for menopause are considered to have entered menopause.

It is possible to prevent an increase in complaints during menopause

What nature provides is that the function of the ovaries, which begins to decline long before the menopause, to produce female hormones, even if only partially is taken over by the adrenal glands, so that the changeover is as soft and hassle-free as possible. This requires the hormones estrogen, progesterone, DHEA and testosterone be produced by the adrenal glands. The adrenal glands, which are now tired and use their resources only for the production of cortisone, have difficulty producing these hormones, and the problems associated with the menopause that most women know through their own experiences are becoming more serious than expected.

When menopause occurs, a process of change begins in many parts of the body, especially in the genital area, as the function of estrogen decreases and ends over time. During this period, changes such as reduction of pubic hair, proliferation of facial hair, reduction of hair in the armpit, shrinkage of the uterus and ovaries, thickening of the uterine wall, incontinence, shrinkage of the bladder, increase in skin wrinkles, decrease in body size, softening and hanging of breasts, shrinking of the nipples, osteoporosis, diarrhea or constipation may occur.

What factors influence the occurrence of menopause?

Genetic factors: It is observed that menopause in women in a family usually occurs at a similar age.

Genital factors: It has been observed that women with irregular menstruation enter menopause earlier than women with regular periods. Apart from this, fertility status, the first menstrual age, the use of birth control pills and breastfeeding over more than two years can affect the age of menopause.

Mental factors: Mental trauma accelerates the development of menopause. It has been observed that war, migration, earthquakes and prolonged imprisonment trigger menopause at an early age.

Physical and environmental factors: The age for menopause is lower in women living in cold climates and in extreme conditions.

  • Smoking: Women who smoke heavily enter menopause 1-2 years earlier than women who do not smoke.
  • General health condition: Severe metabolic diseases, genetic disorders, infectious diseases, chemotherapy and radiotherapy can influence the age of entry for menopause.
  • Social factors: menopause can occur early in rural and traditional societies.
  • What are the symptoms of menopause?
  • Absence of menstrual bleeding
  • Flushing
  • Nocturnal sweating
  • Insomnia
  • Irritability
  • Palpitations
  • Depression
  • Joint pain
  • Headache
  • Dry skin
  • Hair loss
  • Lack of concentration
  • Weight gain
  • Pain during sexual intercourse
  • Dry vagina
  • Pain in the breasts
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Menopause Treatment in Antalya ilgili diğer konular

Urinary Incontinence Treatment Antalya

  • Women Urinary Incontinence Treatment Antalya Diagnosis

It's important to determine the type of urinary incontinence that you have, and your symptoms often tell your doctor which type you have. That information will guide treatment decisions.

Your doctor is likely to start with a thorough history and physical exam. You may then be asked to do a simple maneuver that can demonstrate incontinence, such as coughing.

After that, your doctor will likely recommend:

Urinalysis. A sample of your urine is checked for signs of infection, traces of blood or other abnormalities.

Bladder diary. For several days you record how much you drink, when you urinate, the amount of urine you produce, whether you had an urge to urinate and the number of incontinence episodes.

Postvoid residual measurement. You're asked to urinate (void) into a container that measures urine output. Then your doctor checks the amount of leftover urine in your bladder using a catheter or ultrasound test. A large amount of leftover urine in your bladder may mean that you have an obstruction in your urinary tract or a problem with your bladder nerves or muscles.

If further information is needed, your doctor may recommend more-involved tests, such as urodynamic testing and pelvic ultrasound. These tests are usually done if you're considering surgery.

  • Women Urinary Incontinence Treatment Antalya Treatment

Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. If an underlying condition is causing your symptoms, your doctor will first treat that condition.

Your doctor may recommend less invasive treatments to start with and move on to other options if these techniques fail to help you.

Behavioral techniques

Your doctor may recommend:

Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you're urinating only every 2.5 to 3.5 hours.

Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again.

Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go.

Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem.

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Gynecology in Antalya

Specialist for Gynecology and Obstetrics Antalya

Gynecology in Antalya

Diseases related to the reproductive organs of women are treated under the title "General Gynecology". Doctors involved in the diagnosis, investigation and treatment of these diseases are referred to as "gynecologists" or "specialists in gynecology and obstetrics".

Gynecology covers all gynecological problems from a woman's prepubescent age, including the total reproductive time and post-menopause.

Gynecologists provide prevention services, accurate diagnostic and treatment services for common and complex diseases of the female reproductive system and, depending on the case, fix many different problems of the reproductive system with different treatment methods. Women's diseases, pregnancy and childbirth, menstrual disorders and fertility problems, sexually transmitted infections (STIs) and hormonal disorders are some of these problems.

Ovarian cysts, myomas, cervical cancer, polyps, endometritis, cervicitis, polycystic ovaries, infertility (infertility), vaginitis, inflammatory diseases of the pelvis and similar diseases and operations in these diseases, as well as pathologies in early pregnancy, fallopian tube pregnancy, miscarriage, molar pregnancy also fall within the scope of gynecology. Contraception methods, menopause, urinary incontinence problems, uterine prolapse, dysmenorrhea, menstrual problems, menstrual disorders, cancers associated with female reproductive organs are other problems closely related to gynecology.

Surgery and surgical interventions related to women's diseases (gynecology) are myomectomy (surgery to remove a myoma), cystectomy (removal of ovarian cysts), abortion, Hysterectomy (uterine removal operations), oophorectomy (ovarian removal operations), sterilization (ligature of tubes), hysteroscopy, laparoscopy, cystocele rectocele operations, cervical cerclage, conization, LEEP, cervical and endometrium biopsy, vulva biopsy, cauterization and cryotherapy.

Surgery and surgical interventions related to women's health (gynecology)

  • Myomectomy (surgery to remove a myoma),
  • Cystectomy (removal of ovarian cysts),
  • Abortion,
  • Hysterectomy (surgery to remove the uterus),
  • Oophorectomy (surgery to remove the ovaries),
  • Sterilization (ligature of the tubes),
  • Hysteroscopy
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Restoration Of The Hymen in Antalya, 2023 Costs

Restoration Of The Hymen in Antalya

The hymen is an embryological remnant at the entrance of the vagina, which is popularly referred to as the virginity membrane. There are different types of hymen and their structure differs from person to person.

Whether a woman is a virgin or not is determined by the Hymen examination. This examination is carried out by the gynecologist.

The examination of the virginity membrane is very easy and takes short. No tools are used during the examination and the hymen is not damaged.

Although the hymen does not play a serious role in the body, it acts functionally as a barrier to prevent the risk of infection, especially in babies. Since the risk of vaginal infections entering the uterus and causing inflammatory reactions in the uterus and tubes is higher in babies than in adults, the hymen reduces this risk. Since the hymen is usually opened during the first sexual intercourse by stretching or tearing, it is also known in society as a symbol of virginity. In rare cases, however, some women do not have hymen from birth.

The restoration of the damaged or torn hymen is possible with surgical procedures. There are two different restoration methods for this. One of them is the temporary hymen restoration or, in other words, "sewing before the wedding". The second method is permanent hymen repair or, in other words, the flap method.

What are the types of hymens?

Ring-shaped (round) hymen: It is the type of hymen that most women have. The hole in the hymen is round and ring-shaped. With this type of hymen, no bleeding occurs when the patient becomes wet enough during intercourse and relaxes.

Crescent-shaped hymen: It is the type of hymen that occurs in 5-20% of women in society. In  the crescentic  hymen, the upper part of the hymen is thinner, while the lower part is thicker. In this type of membranes, which have a crescent-shaped opening, pain can occur during sexual intercourse and the opening is not easy.

Falciform (lunar) hymen: This type of hymen is the easiest one to open and usually no bleeding occurs during the first sexual intercourse. The hymen is only seen at the edges of the vaginal entrance as a thin line, and  the hymen, which is described during the examination as “suitable for penetration” or “flexible”, is of this type. The probability of bleeding during the first sexual intercourse is very low, since elongation occurs without bleeding.

Septated Hymen: Although it is not a common type of hymen, it can be observed in 1-5% of women. In this type of hymen, there is a septum that divides the membrane into two parts. The skin consists of two separate parts with a bridge in the middle. This type of hymen causes pain during intercourse and usually requires surgery.

Cribriform Hymen: In this type of hymen the hymen has many small holes. Since this rare type of hymen has many holes, it is compared to a sieve and may require surgery.

Microperforated hymen: In this type of hymen, the opening is very small. Due to the small size of this hole, from which also the menstrual blood leaks, the menstruation can be extremely painful and long. This type of hymen requires surgery as it is difficult to open through sexual intercourse.

Imperforated hymen: There is no opening here from birth, which should be present in the hymen. In patients with this type of hymen, which is completely closed, no menstrual blood is emitning until surgery, as there is no opening. Therefore, the situation is usually only diagnosed in adolescents. With this type of hymen, in which no sexual intercourse can take place, a surgery should be performed.

What to look for after hymen restoration?

  • Keep dry and clean: Keep your sutures clean and dry.
  • When your sutures are dry and clean, tissue healing takes place faster and the tissue remains resistant to infection. This is because bacteria multiply faster in wet and humid places.
  • Do not shower a few days after the procedure: it is better to avoid contact with water in the first few days.
  • Shower for a month standing up: When you sit and bathe, your sutures are exposed to more water.
  • Change your bandages frequently: Change your bandages regularly, especially in the first 15 days, to ensure dryness as you will have discharge and bleeding.
  • Delay your period if necessary: If your period is close, use medications that delay menstruation as it is appropriate not to get a period for at least 10 days.
  • Prevent obstipation: As the sutures are located near the anus, they can be affected by a firm bowel movement. Therefore, it is useful to use herbal or medical means to ensure a soft bowel movement.
  • It is not recommended to train, run, swim and bathe in the sea for a month.

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Vaginismus Treatment in Antalya, 2023 Costs

Vaginismus Treatment in Antalya

Vaginism is the case that involuntary and temporary contractions occur in the muscles around the vagina, through which sexual intercourse takes place in women, so that there is pain during intercourse or sexual intercourse becomes impossible.

Vaginism is at the same time a state of deferral and avoidance. In cases of deferral and avoidance, women think that this problem is a temporary lack of sexual desire. Women with vaginismus postpone sexual intercourse and believe that one day they can have sexual intercourse. Sometimes they avoid confronting the problem of vaginismus by thinking that sexual intercourse is not necessary, and that love is enough to maintain a relationship.

Vaginism is a negative conditioning...

Vaginism can sometimes manifest itself in the inability to have sexual intercourse in any way, or in the reluctance after one or more painful and contractions-related sexual intercourse. The woman thus displaces the feeling of pain during sexual intercourse into her subconscious, and in this way the thought of feeling pain is anchored in the mind in all ongoing relationships and as "negative conditioning" (self-conditioning). This negative conditioning causes the feeling of pain as a result of contraction, which occurs during sexual intercourse.

What are the symptoms of vaginismus?

Inability to have sexual intercourse

The fear of gynecological examination and closing of the vaginal entrance, which means that the examination cannot be carried out due to contractions.

  • The inability to use tampons (during menstrual bleeding)
  • Very severe pain during sexual intercourse
  • The inability of the woman to feel comfortable during sexual intercourse and constant tension
  • Inability to insert a finger into the vagina
  • The perception of sexual intercourse by the woman, as a frightening and taboo act
  • Inability to have sexual intercourse because only part of the man’s penis can enter the vagina or there is no penetration completely
  • The inability of women to view the genital area or perception of the genital area as a dirty or shameful area

Our Vaginism Treatment Process

After you have registered with our clinic in Antalya, we will set an appropriate date for you and us.

During the conversation during the appointment, your reservations about vaginismus will be reduced. We mention that this problem can be fully resolved and explain our treatment process.

As already mentioned, the causes of vaginismus are most likely psychological reasons. However, we also carry out a physical examination in our treatment so as not to completely ignore the possibility that this situation may occur for a somatic reason. During a physical examination, we determine whether the cause of this disorder is somatic or not, and determine the treatment process accordingly.

We educate the couples about the process and say that they have to support each other in doing so.

If there are no physical problems, we offer the treatment they need to achieve a healthy and happy relationship by changing the psychological responses of women to sexual intercourse. These treatments include education, psychotherapy, behavioral therapy and other combination treatments.

Although the duration of treatment varies depending on the case on which the vaginismus problem is based and the openness of couples to treatment, with the Vaginismus treatment in Antalya we are doing our part to help you cope with the process in the most convenient and simpleway.

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