Children's gynecology hospital. Children's gynecological diseases

The Morozov Hospital for Pediatric Gynecology is the only one of its kind in Moscow that provides both emergency and planned medical care. assistance to children and adolescents with gynecological pathologies. It is carried out only for residents of Moscow, the Moscow region, and the Moscow regions.
The Department of Gynecology of the Morozov Hospital has 20 beds, including shared accommodations for young children (only with one parent).
In the gynecological department, treatment is provided to children up to 18 years of age who have any defects due to gynecological diseases, as well as defects of the reproductive system.
In pathology, the problem of the reproductive health system, both in early childhood and neonatal age, is, first of all, a violation of sexual development, which is directly proportional to the violation of the endocrine system, neoplasms, as well as fermentopathy, various mutations at the gene level. Also, this applies to malformations, both internal genitalia and external, the formation of the perineum. The given data quite often exist together with other vices. At an older age, patients with pathologies of a reproductive nature undergo both surgical and medical correction for malformations, and they are also provided with high-quality adaptation after surgery in a certain field, depending on the disorders.
Every year, more than 50 reconstruction operations are performed for various defects regarding the formation of the pelvic organs. Innovative methods are used that were created and introduced at the Morozovskaya Children's Clinical Hospital of the Department of Health when carrying out operations regarding gender corrections.
Children of all ages who have a violation of puberty are under supervision in the pediatric gynecology of the Morozov hospital. And also, dysmenorrhea, bleeding of the uterus, various tumors in the uterus. Qualified assistance is provided to children with lesions of the genital organs of a traumatic nature, including those with acute, chronic diseases of both the external genital organs and internal ones. This provides both recovery and general improvement in the patient's condition.
Adolescent girls with breast diseases (such as ductal ectasia, various kinds of cysts, malformations, mastitis, fibroadenomas) receive high-quality treatment.
The Department of Gynecology at the Moscow Children's City Clinical Hospital today is the main practical basis of the Department of Reproductive Medicine, as well as Surgery of the FPDO MGMSU (Head of the Department - Academician of the Russian Academy of Medical Sciences, Chief Freelance Specialist in Obstetrics and Gynecology of the Ministry of Health of the Russian Federation, Professor, Doctor of Medical Sciences L.V. Adamyan). Employees of the gynecological department constantly conduct scientific research, consistently providing the public with the latest scientific discoveries and achievements at conferences and the press.
On the basis of the Morozov Children's Health Clinical Hospital, a reproductive center for children was formed, including a reproductive health school for children and their parents. They are formed in order to carry out sanitary and consulting work in a timely and high-quality manner, as well as to improve the literacy of the population in the field of medicine.
The department of gynecology of the Morozov hospital is equipped with the latest equipment in the medical field. All operations performed are performed only with the help of high technologies, namely, the best innovative endoscopic techniques.

Examination methods performed by the gynecological department of the Moscow City Clinical Hospital:
colposcopy
vaginoscopy
hysteroscopy
cervicoscopy
ultrasound examination (department of radiation type diagnostics)
computed tomography (department of radiation type diagnostics)

Manipulations and rapid surgical interventions performed by pediatric gynecology:
removal of foreign bodies from the vagina
removal of tumors from the vagina
puncture, hematoma and abscess drainage of external reproductive organs
dissection of the synechia of the labia minora
puncture, hematoma and abscess drainage of the mammary glands
removal of benign neoplasms in the mammary glands
diagnostic laparoscopy
laparoscopic adnexectomy
cystectomy of a laparoscopic nature, removal of cysts of the paraovarian type
laparoscopic tubectomy
laparoscopic oophorectomy
detorsion and fixation of the laparoscopic type relative to the appendages in case of torsion of the uterine appendages
laparoscopic pelvic biopsy
removal of the laparoscopic nature of the gonads, gonadal cords
removal of the laparoscopic nature of the uterine horn of the additional type
electrocoagulation of the laparoscopic type (cauterization of the ovaries)
wedge-shaped laparoscopic type ovarian resection
dissection of the laparoscopic type and excision of adhesions of the female genital organs
division of intrauterine synechiae
excision of the intrauterine septum
reconstruction of the vulva and perineum
reconstruction of the vaginal walls
removal of neoplasms on the labia
feminizing-type plastic surgery in relation to the external genitalia
resection of the labia minora
clitoral surgery
vaginal reconstruction
excision and closure of the fistula of the female genital organs
incision of the hymen
restoration of the hymen

General data Department of gynecology of the Morozov hospital
Qualified employees of the gynecological department
Head Department of Medical Sciences Elena Viktorovna Sibirskaya, chief specialist of a freelance nature, including a gynecologist for children and adolescents in Moscow and the Central Federal District of the Russian Federation. Obstetrician - gynecologist of the highest qualification category. Gynecologist - endocrinologist. Associate Professor of the Department of Reproductive Medicine and Surgery, Moscow State University of Medicine and Dentistry Member of the Russian Union of Obstetricians and Gynecologists, the interregional public organization "Association of Pediatric and Adolescent Gynecologists", member of the Society of Reproductive Medicine and Surgery, member of the Russian Association of Gynecologists-Endoscopists and the Russian Association of Endometriosis

In 2007, Elena Viktorovna Sibirskaya successfully defended her Ph.D. thesis in the direction “Mechanisms of menstrual-ovarian cycle disorders in women with type 1 diabetes mellitus”, in 2011 she also successfully defended her doctoral dissertation “Uterine bleeding of the pubertal period - new in clinic, diagnosis , treatment and prevention.
Today Elena Viktorovna Sibirskaya is the author of more than 250 works in science and medicine, including the first two sections in obstetrics and gynecology textbooks, three sections in international manuals and manuals, and two recommendations on methods. Participated in the formation of standards and protocols for the provision of medical care to women and girls with gynecological diseases.
Elena Viktorovna Sibirskaya has absolutely all types of gynecological operations of all complexities.

Parents of girls should always remember that care for the reproductive health of their daughters does not begin after they encounter the first problems, but immediately after their birth. After all, anatomically, a newborn girl is no different from an adult woman, all organs are still formed in utero, in the first three months after conception. Of course, up to 8 years old is at rest, but this does not mean that before this age there is no need to visit a specialized doctor.

Many parents do not even know what problems their babies have. Sometimes only a pediatric gynecologist can determine sluggish inflammatory diseases of the vagina, vulva, see adhesions on the labia minora, notice congenital malformations of the reproductive organs, or too early

So, in some cases it is necessary to visit a doctor already in the first months of life. Many people know that often the mother's hormones are transferred to a newborn girl, which can begin to work. Parents will definitely notice this, because the baby's breasts will swell, vaginal discharge may appear in the form of mucus, and sometimes bloody. By the end of the fourth week of life, all changes should stop. If this did not happen, and by 2-3 months the crumbs have all the same manifestations of the work of female hormones, then you need to contact a specialist. Only a pediatric gynecologist will conduct an adequate examination, assess the condition of the baby and prescribe treatment.

Increasingly, girls have such a problem as synechia. If the neonatologist in the maternity hospital did not conduct an examination too carefully or did not pay attention to this fact, then the young mother may not even be aware that something is wrong with the newborn daughter. Even if there were no problems at birth, the examination of the external genital organs should be regular. At each appointment during the first year of life, this must be done by a pediatrician. It is he who, in case of problems, should notice the changes and send them to a specialist in time. A pediatric gynecologist will definitely determine if there are synechia and select the optimal treatment regimen. In one case, it can help, while in others, surgical intervention is necessary.

The reasons can be both certain infectious diseases, and excessive efforts of the mother. Washing too often with detergents that dry out the skin is often the cause of synechiae.

That is why you should not think that in vain a children's gynecologist is included in the list of doctors who must be visited before going to kindergarten. Also, it will be necessary to bring the girl to him before starting school and during puberty. And from the age of 14, visits should become regular, at least once a year a growing woman should be examined by a doctor.

You should not get upset if the local children's district did not inspire confidence in you - this is a city where there are many qualified doctors. First, talk to the girls' mothers you know, perhaps they can advise a specialist. After all, such a doctor should be not only a good gynecologist, but also a psychologist who can dispel the fears of the mother and the baby herself. It is unlikely that you will like a pediatric gynecologist, whose reviews are not the most pleasant and suggest that children after such a visit are afraid to go to the doctors.

Pediatric gynecologist

For diseases of the genitourinary organs in girls, you should make an appointment with a pediatric gynecologist. Most often, this specialist deals with the treatment of diseases such as premature sexual development or delayed puberty in girls, irregular periods in adolescence, and inflammatory processes in the genital area.

For preventive purposes, an appointment with a pediatric gynecologist is necessary before the girl enters school (at the age of 6-7 years). It is also advisable to visit at 11-12 years old. At this time, menstruation appears and the menstrual cycle is formed. Against this background, pathologies and anomalies of the reproductive system may appear. From the age of 15, an annual visit to the gynecologist is recommended.


Pediatric and adolescent gynecologists at JSC Family Doctor

Where can I get a consultation from a pediatric gynecologist in Moscow?

If you are looking for an opportunity to make an appointment with a good pediatric gynecologist in Moscow, contact JSC "Family Doctor". Girls are tested differently than adults. As a rule, the doctor is limited to a visual examination. In some cases, a digital examination can be carried out through the rectum. Diagnostic procedures such as taking a smear, ultrasound examination of the pelvic organs are also carried out. If necessary, hormonal studies may be prescribed.

Below you can specify the cost of an appointment with a pediatric gynecologist, as well as make an appointment by choosing a polyclinic located in the most convenient area of ​​​​Moscow for you.

Consultation of a pediatric gynecologist may include preventive (dispensary) examinations of girls and adolescent girls, as well as medical and diagnostic care for gynecological diseases occurring in childhood and adolescence. The most common problems of pediatric gynecology are malformations of the genital organs, vulvovaginitis, synechia of the labia minora, violations of the formation of menstrual function. Consultative reception of a pediatric gynecologist includes an assessment of complaints, an external examination of the genital organs, examination with the help of special children's mirrors or a rectal examination, vaginoscopy, pelvic ultrasound, smear examination. During the consultation of a pediatric gynecologist, educational work is carried out with children and parents on the issues of puberty for girls, intimate hygiene, and adolescent contraception.

Reasons for visiting a doctor

The question of whether it is necessary to introduce a girl to a pediatric gynecologist at a young age, long before the appearance of "female" problems, is, perhaps, of concern to every mother raising her daughter. Pediatric gynecologists recommend bringing a healthy girl for an examination for the first time at the age of 1 year. During the examination, which is carried out visually, without the use of additional instruments, the pediatric gynecologist will assess the correct structure of the genitourinary organs and the compliance of their development with the age norm, give advice on hygiene measures, and answer questions that concern the mother. During this period of time, the girl may show anomalies in the development of the genitals, or such acquired problems as adhesions of the labia minora and vulvitis, the timely treatment of which under the guidance of a pediatric gynecologist will avoid unwanted complications in the future.

The next scheduled visit to a pediatric gynecologist is recommended when the girl is 3-4 years old. At this age, recurrent vulvovaginitis associated with chronic urinary tract infections, helminthic invasions, foreign bodies entering the vagina, allergic diseases, etc. are common gynecological problems. The next preventive examination of the child by a pediatric gynecologist should be scheduled for 6-7 years, i.e. before admission to school.

Particular attention should be paid to the health of the girl during prepuberty and puberty. The next visit to a pediatric gynecologist should take place as soon as possible after the onset of menstruation (12-13 years). This is necessary in order for the specialist to assess the adequacy of sexual development to age, the nature of the menstrual cycle, and give explanations on intimate hygiene issues, including on “critical days”. For girls older than 9 years old, pediatric gynecologists recommend that they be vaccinated against HPV, which allows them to protect them in adulthood from diseases such as genital warts, cervical dysplasia, cervical cancer, etc. Until the age of 14, a girl’s examination by a pediatric gynecologist should be carried out in the presence of parents or legal representatives.

Girls over 14-15 years old need to visit a pediatric gynecologist already in the "adult" mode, that is, at least once a year, even in the absence of any complaints. When working with adolescents, a pediatric gynecologist pays special attention to issues of sexuality education, STI prevention and contraception.

In addition to scheduled visits, the reason for an extraordinary appeal to a pediatric gynecologist should be: the appearance of redness, burning and itching of the vulva in the child; pain in the lower abdomen, discharge from the genital tract; discomfort and restlessness when urinating. Parents should be alerted by the early onset of the girl's puberty (breast enlargement, the appearance of pubic and underarm hair before 8-9 years old), the absence of signs of puberty at 13-14 years old; lack of menstruation by 14-15 years; irregular menstrual cycle; prolonged (more than 7 days), painful or heavy periods, juvenile uterine bleeding. If the girl is overweight, stretch marks on the skin, excessive hair growth on the face and body (hirsutism), acne, high or short stature, then in addition to a pediatric gynecologist, the child should be shown to a pediatric endocrinologist.

How is the consultation

Diagnosis of gynecological diseases in childhood requires special professional training of a specialist, the establishment of a trusting relationship between a doctor and a young patient, and the creation of a comfortable emotional environment. Therefore, a responsible approach to the choice of a pediatric gynecologist in Moscow seems to be so important on the part of parents.

Consultation of a pediatric gynecologist includes taking an anamnesis of sexual development and the formation of menstrual function, acquaintance with complaints, assessment of physical development indicators, examination of the mammary glands, external examination of the genitals, palpation of the abdomen. If necessary, a pediatric gynecologist takes material for microscopic examination of a smear, PCR analysis or bacteriological culture, rectal-abdominal (virgins) or vaginal-abdominal examination (girls who are sexually active). Examination of young girls (up to 3 years old) is carried out on a changing table or couch; older girls - on a children's gynecological chair. If it is necessary to carefully visualize the vulva, vagina and vaginal part of the cervix, a pediatric gynecologist performs vulvoscopy or vaginoscopy for a child.

In order to assess the structure of the internal genital organs, ultrasound of the pelvic organs is performed; according to MRI of the pelvis. Of the additional examination methods in pediatric gynecology, functional diagnostic tests, RDD (for juvenile bleeding), probing of the vagina and uterine cavity (for malformations, foreign bodies of the vagina, suspected hematometer or pyometra), hysterosalpingography (if genital tuberculosis is suspected, developmental anomalies genitals), etc.

Preventive examination of girls by a pediatric gynecologist is preferably carried out on the 5-7th day of the menstrual cycle.

Treatment Methods

The main approaches to the treatment of diseases in pediatric gynecology involve early correction of identified disorders, gentle pharmacological stress on the body, and the use of minimally invasive surgical methods.

So, with vulvovaginitis in girls, preference is given to local treatment (sitz baths, washing the genitals with antiseptic solutions, introducing suppositories, using ointments, etc.). If a long course of vulvovaginitis has led to fusion of the labia, a pediatric gynecologist can perform a low-traumatic mechanical separation of the synechia.

The use of modern combined oral contraceptives in the practice of pediatric gynecologists has made it possible to effectively solve the problem of menstrual disorders, polycystic ovaries, gonadal dysgenesis, etc.

With an overgrown hymen, a pediatric gynecologist performs a surgical dissection of the hymen before menarche in order to exclude the formation of hematocolpos.

In pediatric gynecology, physiotherapeutic methods of treatment are widely used: drug electrophoresis

You can make an appointment with a pediatric gynecologist in Moscow using the phone numbers listed on the website or the online appointment function. In the section "Consultation of a pediatric gynecologist" you can also find the prices for a specialist appointment in various clinics in Moscow.

Who is a pediatric gynecologist

A pediatric gynecologist is a doctor who studies the normal activity of the female body, as well as diseases that are associated at different periods of a woman's life with the characteristics of her body. A pediatric gynecologist observes, monitors and prevents the child's diseases in this area.

Competence of a pediatric gynecologist

The task of a pediatric gynecologist is to prevent gynecological diseases, so that the girl (future woman) is aware of all the possible troubles associated with gynecological diseases that interfere with the normal reproductive function of a woman.

A pediatric gynecologist prepares the girl's body so that she can become a mother without hindrance in the future and give birth to healthy children. He examines the genitals of girls, observes congenital diseases, treats and advises in matters relating to puberty and maturation.

An examination by a pediatric gynecologist can be done at the children's polyclinic, aesthetic medicine clinic and gynecological consultations at the place of residence.

When examining girls, the gynecologist examines the genitals and, if necessary, performs vaginoscopy. This is an examination of the vagina with a special device - a vaginoscope. This is done, often when a foreign body is suspected in the vagina. After that, smears are taken, sowing on the pathogenic flora with the determination of sensitivity to meninges, as well as analyzes for urogenital infection.

What is the difference between a pediatric gynecologist and an adult

The functions and structure of the genital organs of women and girls are different. To understand the peculiarities of children's diseases, the doctor should receive special training, so a gynecologist and a pediatric gynecologist are different specialties.

Gynecological diseases in children often occur without pronounced manifestations characteristic of women. Therefore, they are difficult to identify, which can lead to a chronic form of the disease. Specialized training of a pediatric gynecologist allows them to be identified and then treated.

A qualified pediatric gynecologist with leading questions can find out from a child and a teenager about existing problems that children are embarrassed to talk about due to age and shyness.

A pediatric gynecologist is required to know pediatrics and child psychology, except for gynecology.

What organs does a pediatric gynecologist treat?

The list of organs that a pediatric gynecologist deals with includes:

  • Fallopian tubes, uterus, vagina.
  • Vagina, thyroid gland.

Diseases treated by a pediatric gynecologist

The doctor of this branch of medicine treats:

  • Cystitis, vulvitis and vulvovaginitis.
  • Candidiasis (thrush).
  • Juvenile bleeding and absence of menstruation.
  • Endometriosis, inflammation of the uterine appendages.
  • Swollen genitals.

In what situations should you contact a pediatric gynecologist

For the first time, a pediatric gynecologist examines a girl in a maternity hospital in order to identify abnormalities in the development of the genital organs. Newborns may experience hormonal crises, which are associated with the intake of hormones from the mother through breastfeeding. In this case, the mammary gland may increase and hurt, the discharge from the labia may increase.

The problem in girls is inflammation of the vulva. Often this is not an infection from adults, but the introduction of microbes from the intestines, skin, dirty hands against the background of diaper rash or chafing from a diaper.

In older girls, there may be inflammation of the vagina due to touching the organs and entering a foreign body into them. In this case, the symptoms are like those of a thrush (candidiasis).

The two required ages to see a gynecologist are at 6-7 years old before entering school and at 11-12 years old before puberty. At the age of 7, a girl should know about the hygiene rules that should be followed when caring for herself. At 12, this is the beginning of the menstrual cycle, when you should educate the girl about how the menstrual cycle proceeds and about the possible problems that may be associated with it.

From the age of 14, it is desirable that the girl regularly visits a pediatric gynecologist with or without her parents.

In adolescents, often at the beginning of the onset of menstruation, there is an irregularity in its passage. The reason for this can be stress, unfavorable ecology, nervous stress, malnutrition, poor sleep and daily routine, etc.

Laboratory tests and diagnostics that a pediatric gynecologist can prescribe

  • Detailed analysis of blood and urine.
  • Urinalysis according to Nechiporenko and Zemnitsky.
  • Blood group Rh factor.
  • Urinalysis for ketones and daily priteinuria.
  • Fecal analysis for helminthiasis, coprogram.
  • Scraping analysis for enterobiasis.
  • Analysis of feces for occult blood.
  • Alpha-fetoprotein (AFP), tumor marker of the uterine body CYFRA Ca 21-1; breast tumor marker (CA 15-3).
  • Ovarian tumor marker (CA 125); cancer embryonic antigen (CEA); dehydroepiandrosterone sulfate (DHEA-S).
  • Cortisol, estradiol, luteinizing hormone (LH), osteocalcin.
  • Paratrohormone, progesterone, prolactin.
  • Somatotropic hormone (STH), total and free testosterone.
  • Urine culture and follicle stimulating hormone (FSH).

Diagnostics:

  • Cytological examination of scrapings from the cervix and histological examination.
  • Microscopy of the urogenital smear, vaginoscopy.
  • Ultrasound, polypectomy.

In adolescence, girls should carefully observe the rules of hygiene of the genital organs than in a small one. During the maturation period, the uterus secretes a secret under the influence of female sex hormones (pubertal leucorrhoea). Therefore, if the genitals are not washed away, they can cause irritation, itching and inflammation.

Adolescents who do not have periods should wash the external genitalia 1-2 times a day.

During menstruation, the genitals are especially susceptible to infections. Blood is an ideal environment for the life and reproduction of bacteria. Therefore, at this time, you should wash the external organs with water and detergents for intimate hygiene. During this period, visiting saunas and baths is prohibited. You should wash your face in the shower, and wash the genitals with movements from top to bottom, the anus last. Underwear should be changed daily.

During menstruation, it is better to use sanitary pads, and tampons in exceptional cases. Both should be changed as often as possible. Pads soaked with menstrual flow are a source of unpleasant odor and a favorable place for the development and reproduction of bacteria.

General and intimate hygiene should also be observed in the armpits and chest. In adolescence, the sweat glands are actively functioning, so if you do not wash your armpits, pores will clog and an unpleasant odor will appear. Taking a shower twice a day should be the rule for life.

In adolescence, increased hair growth often appears on the thighs, legs, chest, and arms. Girls actively begin to fight this (pluck, shave, depilate and epilate). With this problem, you should consult a doctor, because increased hair growth can be caused by endocrine disorders.