The Author: Latvijas Avīze / Veselības centrs 4

Gynaecologist treats diseases that affect female reproductive organs – labia majora and labia minora, vagina, uterine cervix, uterus, oviducts, ovaries –, as well as hormonal problems that directly affect the function of ovaries, fertilisation, capacity to carry and deliver a healthy child. The physician also observes the woman during pregnancy.

Performs the ultrasound examination of lesser pelvis organs and ultrasound examination of pregnant women, as well as other diagnostic examinations (colonoscopy, hysteroscopy) and manipulations (insertion of uterine coil in the uterine cavity and removal thereof from the uterine cavity, diagnostic abrasion of the uterine cavity and cervical canal, laparoscopic surgeries of the lesser pelvis, removal of neoplasms from the uterine canal by using a hysteroscope, cervical conisation – a gentle surgical treatment of pre-cancerous condition of the cervix).

Upon the examination of the uterine cervix and vaginal walls with mirrors, the gynaecologist assesses vaginal discharge and the visual appearance of uterine cervix. Then the examination of the lesser pelvis organs (bimanual palpation) is performed, by palpating them simultaneously by hand through the vagina and the anterior abdominal wall.

Possibly, the physician will perform additional ultrasound of the lesser pelvis after the examination. At the end of examination, the gynaecologist will palpate the breasts to check for lesions in the breasts.

Gynaecologist will also recommend the most appropriate contraception method, considering the needs, as well as overall and gynaecological health status.

There are situations, when surgical intervention is required. Most surgical manipulations can be performed at the day care clinic. This means that the patient arrives shortly before the manipulation and after, within a certain period of time after the manipulation, can go home.

The newest technologies for female health and well being

MonaLisa Touch® procedure with DEKA laser device is available at the Gynaecology Department of Veselības centrs 4. It is used to treat vaginal atrophy (dryness of vagina, itching, burning sensations, frequent vaginal infections, painful sexual intercourse), elimination of menopause symptoms, stress urinary incontinence, to improve the quality of sexual life and sexual delight. An indispensable method for the therapy of the leukoplakia of vulva. DEKA laser device is also used for the removal of different lesions, cysts, condylomas and papillomas. Correction of labia.

FemiLift® procedure with Alma Lasers device is available at the Capital Clinic Riga of the Veselības centrs 4. The procedure enables high quality, fast and painless therapeutic and aesthetic gynaecological procedures for the therapy of stress urinary incontinence, restoration of the firmness of the vaginal canal, elimination of menopause symptoms, restoration of the vagina during postnatal period, prevention of vaginal dryness and frequent infections, improvement of sexual life quality without age limitations and side effects, as well as without the need to perform anaesthesia.

Gynaecological injections:

  • For the elimination of aesthetic defects of external reproductive organs - asymmetry, ageing, atrophy, reduced skin tone;
  • For the elimination of discomfort and unpleasant sensations - dryness, itching, burning sensations, pain during sexual intercourse, postnatal scars, atrophy of vaginal mucosa;
  • Injections into erogenous zones (G spot) for the improvement of sexual life quality and sexual delight, restoration of the firmness of vaginal canal and reduction of its size after delivery, as well as during the menopause.

The following procedures are available at the Gynaecology Department of Veselības centrs 4, at the branch of the centre Dermatoloģijas klīnika and at the company of the group Capital Clinic Riga:

NEAUVIATM ORGANIC hyaluronic acid injections

Eliminates aesthetic defects, discomfort and unpleasant sensations of external reproductive organs (dryness, itching, burning sensations, pain during sexual intercourse, postnatal scars, atrophy of vaginal mucosa). Improves quality of sexual life and sexual delight.

I-PRF* injections

Treats chronic diseases of the vulva (leukoplakia) by directly affecting the problem area, reduces postnatal discomfort, tear/cut wounds, stria. Used in the event of stress urinary incontinence (as an auxiliary therapy after laser procedure)

Most common gynaecological examination methods:

Ultrasound of the lesser pelvis – examination of the uterus, endometrium or the internal layer of the uterus, ovaries and uterine cervix with the ultrasound. It can be performed in two ways: transvaginally – a probe is inserted into the vagina during examination; transabdominally – the examination is conducted through the anterior wall of the abdomen.

Foetal ultrasound – ultrasound examination of the foetus transvaginally (mainly in the first trimester of pregnancy and, in certain cases, also in the second and third trimester) and transabdominally.

4D foetal ultrasound examination – ultrasound examination of the foetus in real time – spatial image and movements of the foetus is visualised during the examination and the changes of the image over time. Assessment of the superficial tissue of the foetus is possible during the examination.

Hystero Contrast Sonography – ultrasound testing of the patency of the uterine cavity and/or oviducts by injecting 5–10 ml of physiological solution into the uterine canal.

Smear from the uterine cervix to determine microflora – collection of the material from the uterine cervix with a sterile cotton swab. The composition of vaginal microflora can be determined during microscopic examination of the smear.

Oncocytological smear – collection of material with a special cytological brush from the external aperture of the uterine cervix and the posterior vaginal vault. Microscopic examination of cells allows early detection of malignant changes in uterine cervix. If no cellular changes are detected, oncocytological smear or uterine cervix screening must be performed once every three years. If deviations from the norm are detected in the smear, the physician will draw up further therapy and observation plan.

Colposcopy – examination of the uterine cervix and vagina under strong magnification by treating the uterine cervix with special liquid. The areas affected by changes are stained white and tissue sample (samples) – biopsy – can be collected from them for in-depth examination. Based on the examination results – histology report – the assessment of the depth and degree of uterine cervix changes can be assessed. Furthermore, now in Latvia, the new generation DYSIS (dynamic spectral imaging) colposcope is available at the Gynaecology Department of Veselības centrs 4. It differs from other devices with homogeneous application of spray and spectral analysis, which indicates the site, from which the biopsy for diagnostics must be taken, with the highest degree of precision. This enables earlier detection of cervical cancer.

Diagnostic abrasion of the uterine cavity and uterine cervix – the procedure involves the use of special instruments to remove the internal uterine layer and collect tissue sample from the canal of uterine cervix along its entire length under intravenous anaesthesia.

Hysteroscopy – an endoscopic examination of the uterine cavity under intravenous anaesthesia. During examination, a small probe is used to visualise the uterine cavity. If required, the removal of endometrial polyps and the removal of the internal layer of the uterine cavity under visual control is performed.


National Health Service (NHS), insurance company and paid services are available.


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