Make an appointment with a pediatric gynecologist. Department of Pediatric Gynecology. What does a doctor do

Parents need to know that girls have “female” diseases. In to school age Inflammation of the genital organs is more common. In newborns and girls of twelve years of age, developmental anomalies (deformities) of the genital organs are found more often than at other times. From the age of nine, deviations in sexual development and menstrual irregularities can be expected.

Problems are not always detected in a timely manner. The girl and her parents may not suspect anything, especially if they don’t know what to look for. Meanwhile, there are 4 main signs: leucorrhoea, pain, bleeding and impaired puberty. It rarely happens that the same girl has all these signs at the same time. Even one of them is a sufficient cause for concern. True, it does not always turn out to be justified. Parents, even before contacting a doctor, should understand what happened, and if necessary (if there is no doctor nearby), provide first aid.

Pathological leucorrhoea

Leucorrhoea - discharge, discharge from the genital slit. This is not always a sign of illness. Scanty, odorless, watery discharge Every woman has them, at any age. In girls of the first year of life, as well as over the age of 8 years, leucorrhoea is profuse; it may contain streaks of viscous mucus that do not cause skin irritation or itching. When they dry out, they simply leave yellowish, starchy-looking stains on the panties.

It is useful for parents to know that there are children who, not only at school age, but also in preschool age, have copious viscous or watery discharge. These are “loose” girls, prone to being overweight, more often blonde, with thin mucous membranes, superficial location blood vessels. In this case, leucorrhoea is nothing more than an “effusion” of the liquid part of the blood. You may notice an increase in leucorrhoea after the girl was worried, quarreled, or ate chocolate, pickles, marinade, or roast. Without dramatizing this, you should more carefully monitor personal hygiene rules and remind your daughter of the need to abstain from spicy foods.

So far we have been talking about normal, physiological leucorrhoea, but there are also pathological ones. They often indicate inflammation of the genital organs.

How to recognize inflammation? The mother asks the girl to lie down on a table or trestle bed, covered with a clean diaper, and bend her knees. With thoroughly washed hands, carefully part the labia. Long preparations and staring can disturb and confuse the child. The easiest way to do the inspection is in the bathroom, before bathing.

If the inflammation has started recently (a few days), redness and swelling (edema) will be visible. labia, skin of the perineum, including the anus area. The inflamed surfaces are sometimes covered with a moist yellowish-gray film. Less common are itching and bloody discharge, ulceration of the affected areas (as if the skin was torn off), pain. General health hardly worsens.
Pathological leucorrhoea is a constant sign of inflammation. Their difference from physiological ones immediately catches the eye: abundant, mucous-purulent or purulent, foamy, with an admixture of curdled crumbs or blood. Very characteristic putrid smell, smell of feces, rotten fish, etc. If the child is not treated, inflammation from the genital organs passes to anus, rectum, bladder. Prolonged inflammation can lead to adhesion and fusion of the labia or wart-like growths.

Inflammation of the genital organs occurs in weakened girls, in children with inflammatory disease of the liver, kidneys or intestines. It can also be caused by worms. But most often it is caused by errors in compliance with hygiene rules. It is no coincidence that inflammation occurs more often in girls from those boarding schools and orphanages where hygiene requirements are relaxed, and from families in which this issue is not taken seriously.

Gonorrhea

Gonorrheal inflammation of the genital organs is rare in girls. If at an older age infection occurs as a result of sexual intercourse, then children become infected exclusively by everyday means from parents, from service staff. Domestic infection gonorrhea, trichomoniasis and others venereal diseases possible with poor care for a child, when using a washcloth, towel, bathtub and basin shared with adults or other children (not previously disinfected), when being in the same bed with sick people.

Purulent and profuse leucorrhoea, as well as worsening general well-being, increased body temperature, difficulty urinating - these are the signs for which you should immediately consult a doctor. After treatment, the schoolgirl is allowed to return to classes immediately after being discharged from the hospital.

Stomach ache

They are often associated with intestinal lethargy and constipation. Usually the pain disappears after the bowels are regulated and the stool is normalized. Consequently, abdominal pain does not always indicate a gynecological disease: it occurs with worms, inflammation of the gallbladder, prolapsed kidney, inflammation of the intestines, etc. Distinguishing these features is not the task of the parents, but pediatric surgeon, however, parents should navigate this issue.

Intermittent, mild pain in the lower abdomen in the form of short attacks often appears at the very beginning of puberty (from 7 to 9 years of age or at 12 years of age), as a harbinger of the imminent appearance of menstruation. Severe paroxysmal pain at 12-13 years of age can be caused by a tumor of the genital organs or a congenital malformation.

Minor pain, a feeling of heaviness in the pelvis, aches, are observed in every third girl during menstruation. As you get older, these symptoms go away on their own. However, about 1 in 10 girls have severe pain. They do not allow you to continue studying and may be accompanied by vomiting, loss of consciousness, itching, hives, swelling, etc. In such cases, the help of a pediatric gynecologist is necessary.

Deviations in puberty

Violation of the “sequence” of such events or a significant shift in timing towards advance (premature ripening) or lag (delayed sexual development) should attract the attention of adults around the girl and become a reason for an immediate visit to the doctor.

The absence of menstruation in a girl over 14 years old should be alarming. True, if her secondary sexual characteristics are well expressed, then after establishing a diet and routine, menstruation will finally come. If at the same time the daughter complains of monthly abdominal pain that lasts 1-3 days, we can assume that menstruation is already coming and is just missing menstrual flow. This happens with congenital closure of the genital tract. Most often, the obstacle is the hymen, in which there is no hole (like congenital feature). The prognosis in this case is the most favorable. It is possible that there is not only no menstruation, but also weakly expressed secondary sexual characteristics (underdeveloped breasts, sparse pubic and armpit hair); in this case, numerous studies and observations by an endocrinologist, geneticist, gynecologist and long-term, long-term treatment will be required.

Inflammation of the genital organs (external) and vagina

If the problem appeared for the first time and not very long ago (1-2 weeks), then it may be possible to do without the help of doctors. This is especially important for those who live far from the clinic. It is enough to exclude spicy, irritating foods from the diet, carefully follow the regime, change panties daily (clean, ironed on both sides), regulate bowel function and local treatment using sitz baths.

sedentary medicinal baths the results are not inferior to vaginal irrigation, spraying medicinal aerosols, injecting powders, or introducing “balls” or “sticks” with medicinal substances into the vagina.

Simultaneously with the start medicinal baths and then for 2 weeks you should feed the child more than usual amounts of acidophilus, yogurt, sour cream, and cottage cheese.
In case of unsuccessful treatment or recurrence of inflammation soon after treatment, the girl should be urgently shown to a specialist.

Warn so you don't have to treat

IN childhood the reproductive system is still unstable and fragile, so any “little thing” can disrupt the functioning of the gonads for a long time and even forever (as, for example, after a long fast “for the sake of being slim” or overeating).

A girl experiences intoxication (poisoning) especially often during her life. The poison enters the girl’s body, as a rule, unintentionally: when frequent constipation, for worms, for infectious diseases, for appendicitis, etc. Timely treatment reduces the degree of poisoning and reduces the risk of late complications.

Smoking, drugs, and alcohol have a very adverse effect on the unformed body. The longer this lasts, the more the paths to future motherhood are cut off. Every drop of poison (nicotine, alcohol, other “poison”) is a “blow from around the corner” into the unborn child. Female reproductive cells are not renewed or replaced with new ones; “traces of indiscretion” are imprinted on them, as if in wax.
However, to today's girl, future motherhood seems distant, unrealistic and not very desirable (this is an omission family education). The task of adults is to warn, to reason, to show the dubiousness of pleasure (“high”).

Violate puberty maybe excessive physical or mental load. So, not everyone can play big sports. Some parents, for reasons of prestige, require their daughter to get exceptional grades at school. In addition, the girl manages to study in several schools or clubs at once: languages, soft toy, music, dancing, singing, etc. This is a child who is always sleep-deprived, nervous, bitter or lethargic, weak-willed, with a sore stomach, poor posture, upset menstrual cycle - all this is called by doctors - “disease of excellent students.”

Sexual processes may also be deviated due to disruption of circadian rhythms. If a girl reads or does homework late into the night, watches TV, i.e. lacks sleep and gets upset menstrual cycle as one of the main rhythmic processes dependent on the change of day and night. For girls who come from a different time zone, the menstrual cycle is often disrupted.

Is it possible to prevent deviation of sexual development? This issue is decided by the doctor individually. However, there are some common “home remedies”.

Thus, if there is a delay in physical and sexual development, extracurricular activities should be reduced, sleep hours increased, and the child taken to summer holidays to a dry, sunny area (not by plane, but by train, preferably with intermediate stops with friends; take this into account on the way back). Food must be rich in proteins, vegetables, herbs; To stimulate the appetite, marinades, pickles, caviar, and smoked foods are acceptable. Physical education classes are highly desirable, and games of average mobility are useful.

For girls who are noticeably ahead of their peers, it is important to streamline their study, rest, and sleep routines. Reduce the number of television programs you watch. Avoid stimulating or disturbing situations at school and at home. Excessive tanning and trips to the south are not advisable. It is important to limit such types of meat foods as fried and smoked meat, not to give strong broths (it is better to cook with vegetable broth); limit porridge, flour products, sweets, spices.

Tiny newborn girl already has it all female organs, she already has a uterus, the fallopian tubes and ovaries. And accordingly, specific, women's problems. And in this case, it is necessary to seek help from a pediatric gynecologist.

With mother's milk, the child receives maternal hormones. In this regard, one of the first possible problems - hormonal crisis child, which may be accompanied by discharge from the genital tract and painful sensations in the mammary glands of a girl.

In addition, inflammatory diseases caused by the introduction of microbes into the genital area are quite common. This may be due to poor hygiene or misuse diapers. With age, children begin to become interested in their organs and study them, which can also cause inflammation. If symptoms that resemble those of adult thrush occur, you should seek help from a pediatric gynecologist and conduct the necessary examinations.

The most common diseases of girls under 6-7 years of age are:

vulvovaginitis (inflammation of the vaginal mucosa);
malformations of the genital organs (underdevelopment of the vagina or uterus, impaired sexual differentiation - hermaphroditism),
congenital ovarian tumors,
ovarian cysts,
synechia (fusion) of the labia minora,
premature puberty (appearance of secondary sexual characteristics, enlarged mammary glands, growth of pubic hair and menstruation before age 8).

You should consult a doctor if the following symptoms appear:

redness of the skin and mucous membranes of the external genitalia, itching and burning, discharge from the genital tract;
itching and burning when urinating;
detection of bacteria and increased numbers of white blood cells in urine tests;
suspicion of abnormal structure of the child’s external genitalia;
the presence of acute or chronic pain in the abdomen or changes in its shape and size;
presence of allergic diseases;
detection inguinal hernias, especially double-sided;
illness of the mother of a newborn child with chlamydia, trichomoniasis, etc.;
absence of menstruation by age 14;
unsteady menstrual cycle;
menstruation is heavy and/or exceeds 7 days;
sharp painful menstruation;
cessation of menstruation for more than 2 months.

You should also consult a doctor if you have endocrine problems:

appearance overweight or underweight;
increased hair growth on the face, body, limbs;
stretch marks on the skin;
acne on the face and body;
asymmetry of mammary gland development;
enlargement or hypoplasia thyroid gland;
violation carbohydrate metabolism(increased blood sugar and insulin levels).

The process of puberty can also be associated with certain disorders: too early or, conversely, delayed development. In any case, this is a very individual process, directly related to hereditary factor. In this case, observation is carried out by both a pediatric gynecologist and an endocrinology specialist. It is also better to entrust control over the development of the menstrual cycle to a pediatric gynecologist.

The SM-Doctor clinic in Moscow has all the capabilities for diagnosing and treating children's gynecological diseases. You can be sure that the pediatric gynecologist will be as correct and friendly as possible during the examination. If necessary you can Call a pediatric gynecologist at home.

Our pediatric gynecology has its own office, it is equipped necessary equipment which will make the inspection comfortable and safe. All necessary tests are received and processed in the clinic’s own laboratory.

Pediatric gynecologist. Unfortunately, many people don’t even know that such a doctor exists... But he does exist! You can not only contact him with problems, but also come for a preventive examination.

When should you take your daughter to the gynecologist for the first time? Tells Oksana Slutskaya, obstetrician-gynecologist of the clinic:

Early diagnosis of disorders of sexual development in newborns is carried out in the maternity hospital, where they are examined by a neonatologist. If there are no problems, then the next time the child can be shown to the gynecologist for a medical examination, which the baby will undergo at 1 year, then before entering school, at 10-12 years old, and from 14 - annually, but this is only if There are no complaints; if any signs of gynecological pathology appear, you should immediately contact a specialist.

By the way, today, according to our legislation, all girls at the specified ages are examined by a gynecologist as part of a medical examination, i.e. these inspections are mandatory.

Many parents, if their girls are not worried, will not go to the doctor. Is there a certain group of children who must be brought for a preventive examination?

It is highly advisable to contact a pediatric gynecologist if the girl is suffering allergic diseases, infections urinary tract and kidneys, diseases of the thyroid gland and adrenal glands, diabetes mellitus. Also, the daughter should be taken to a gynecologist if the mother had complications during pregnancy and childbirth.

Oksana Slutskaya

Doctor of the first category with 13 years of work experience, certification in the Federal State budgetary institution « Science Center obstetrics, gynecology and perinatology named after academician V.I. Kulakov" of the Ministry of Health Russian Federation, Moscow city.

Such pathological conditions pregnancy, how oxygen starvation fetus (hypoxia) during pregnancy and childbirth, birth injury, can provoke premature sexual development. In addition, the gynecologist should observe a child with obesity, underweight, neuroses, or previous organ surgeries. abdominal cavity, especially regarding complicated appendicitis.

Mothers are afraid that an examination by a gynecologist could harm the little girl.

There is special equipment for examining children - small thin mirrors with special lighting, fiber optics. All inspections are carried out very carefully and gently. Fears that the baby may be harmed hymen, completely in vain. Instrumental vaginal examinations are carried out only by a doctor and only for special indications (bleeding, suspicion of a tumor, the presence of a foreign body, determining the causes of pain). A simple examination is carried out through the rectum, painful sensations the child does not experience this.

The mother must calmly and seriously explain to the child what will happen. By the way, the girl’s calmness during the examination significantly depends on the mother’s mood. In addition, care should be taken in advance to ensure that the bladder and intestines (a cleansing enema will help here) are emptied.

A pediatric gynecologist must not only be a professional in his field, but also, to a certain extent, a psychologist. An adult woman openly tells the gynecologist about the problems that brought her to him and answers the questions posed with utmost precision. The girl hides a lot from the doctor - either she is embarrassed, or does not understand the question correctly, or believes that there is no need for the doctor to talk in detail about all sorts of little things.

Isn’t it possible to take your child to a “regular” adult gynecologist?

I really want the child to be examined by a specialist. Reproductive system girls have their own characteristics that differ from the characteristics of the reproductive system adult woman. In particular, diseases genitourinary system in children they have mild symptoms and require particularly careful diagnosis to identify them. And pediatric gynecologists are able to do this due to their special vocational training. However, if there is no pediatric gynecologist nearby or you do not know where to find one, and the situation is urgent, contact our clinic.

Is there a division into certain periods in the sexual development of girls?

Certainly. From birth to 8-9 years go by the so-called neutral period, when the reproductive system future woman"sleeping." At this time, the most important thing is to follow the rules of hygiene and do it competently. Girls are much more likely to get infected than boys. Teach your daughter to wash herself properly. Unfortunately, few adult women know how to do this. You just need to wash yourself warm water, in the direction “from front to back”, from the pubis to the anus, and always with clean hands. Explain to your daughter what not to use for washing. regular soap(there is a risk of violation acid-base balance). Teach your girl from childhood to use it for intimate hygiene special means.

The next period is puberty. Is it true that today’s children experience it earlier?

You are absolutely right, modern girls start it at the age of 9-10. First, the mammary glands enlarge, then pubic and axillary hair appears, and menstruation “arrives.” Puberty is a critical and very responsible age, from its correct flow Almost the entire future of a girl - a woman and a mother - depends. By the beginning of menstruation, a girl should know what is happening to her, why and what will happen next. Mom (of course, mom!) must explain to the teenager that from a little girl she is turning into a girl, a woman, and everyone has gone through this path - both mother and grandmother.

Most girls begin menstruation at 11-12 years of age. If it began earlier than 10 years, the child must be shown to a doctor. You also need to bring your daughter to a specialist if, after 9 years, she does not show any signs (listed above) of puberty. Advice: The onset and development of puberty is greatly influenced by the stress on the child. If, in addition to school, your little daughter attends a lot of classes, then she may experience fatigue, irritability, sleep disturbances, headaches... This is how disruptions begin in the just-forming reproductive system, and the body gives you a signal. Don't ignore it. Chronic overload can provoke a delay in physiological development, menstruation may not begin or stop.

Our generation of mothers was forced by their parents to wear warm pants and not sit in the cold. Is it really that important?

Of course, such vital organs must be kept warm. Moreover, today it is not at all difficult: ugly pants are a thing of the past. You can always offer your daughter some nice warm underwear or warm beautiful tights; taking into account modern fashion, you can wear jeans with a warm lining. Only the clothes must strictly correspond to the thermal regime in which the girl is, because prolonged overheating indoors can provoke hypothermia when going outside. Choose your clothes wisely!

Do little girls get mastitis too? This is true?

Happens. Mastitis - inflammatory disease. Its development does not depend on the level of hormones, but is a typical purulent-inflammatory process caused by infection. Mastitis can begin either on its own or in combination with typical symptoms ARVI. As is the case with others infectious diseases, the risk of mastitis, its duration and possible complications largely depend on the child’s immunity. Clinical manifestations of mastitis, especially in initial stages diseases characterized by an increase mammary gland and availability painful lump. At this stage, it is possible to be conservative, i.e. non-surgical treatment: use of antibiotics, physiotherapy - bandages, ointments. Sometimes surgery is required.

Why can there be injuries to the genital organs?

They can occur when playing sports, cycling, or bad falls. If injury could not be avoided, especially if bruising or bleeding appears in the genital area, your daughter should be immediately shown to a gynecologist.

If you notice any deviations in sexual development in your daughter, there is no need to put off visiting the doctor “for later.” In childhood, correct some violations reproductive health(reproduction - reproduction, reproduction by organisms of their own kind) in many cases is much easier, and even defects in the structure reproductive organs, their developmental defects can be eliminated with minor corrective or plastic surgeries.

7 reasons to contact a pediatric gynecologist:

sexual development begins in a girl before 8 years of age;
no menstruation by 14-15 years of age;
the menstrual cycle is irregular, menstruation exceeds 7 days;
menstruation is sharply painful and requires medication medicines;
if you have pain in the lower abdomen, even not related to menstruation;
menstruation suddenly stopped;
strange discharge from the genital tract appeared.

We are always glad to see you and your girl in our cozy clinic!

Girls with preventive purpose, when there is genetic predisposition To women's diseases or in case of detection of any dysfunctions of the female genital area. Visit pediatrician gynecologist - a very tortious question, which it is advisable to carry out in a very correct form, taking into account the age and unformed psyche of the child. In order to establish a diagnosis of the disease, the pediatric gynecologist will conduct a survey and examine the genital organs. The qualifications of the doctor in this situation are very great importance, in the Semeynaya clinic you will find specialists of a high professional level.

When should a girl be taken to a pediatric gynecologist?

Girls, just like adult women, have planned, preventive examinations which gynecologists recommend following:

1.5-2 years is the age when it is recommended to show the girl to a gynecologist for the first time to check if birth defects genitals
5-6 years - the so-called transitional age, during which the immune system can malfunction and any slightest simple colds can lead to inflammation of the genital organs
10-11 years - the age when secondary sexual characteristics are formed
13-15 years - age of puberty, appearance of the monthly menstrual cycle
from 15 years old - annual examination

Symptoms that require a visit to a pediatric gynecologist

discomfort in the area of the labia and vaginal opening, in the form of itching and burning;
unnatural discharge;
pain when emptying the bladder;
the appearance of spotting at an early age;
spicy pain syndrome in the lower abdomen;
hormonal disorders, expressed in inconsistency of development with the age of the child.

Make an appointment with a pediatric gynecologist

How a girl is examined by a gynecologist

The examination is very delicate, taking into account the age and psychological discomfort of the little patient. A pediatric gynecologist examines little girls on a couch rectally, through the final section of the intestine. If, to diagnose a disease, there is a need to examine the vagina, the doctor uses special dilators and a vaninoscope, without causing unpleasant sensations and without affecting the girl’s hymen. There are times when you need more precise instrumental examination, then the doctor may prescribe:

echography;
laboratory testing of blood and urine;
hormonal testing;
additional examination by specialized specialists.

Where to find a pediatric gynecologist

At the Semeynaya clinic, pediatric gynecologists see comfortable conditions, with all the necessary diagnostic equipment available, which allows you to do all the diagnostics in one visit and not force the child to go through the procedure of visiting a gynecologist several times. Our doctors have a wealth of experience and treat their little patients very correctly.

Consultation with a pediatric gynecologist

To ensure that an appointment with a gynecologist does not cause unpleasant sensations in your child, go through the first consultation with qualified specialists. To do this, call the Semeynaya clinic and make an appointment with a doctor.

Pediatric gynecology at Semeynaya - effective treatment at affordable prices.

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The Department of Pediatric Gynecology is the only department in Moscow for emergency and planned medical care children and adolescents with gynecological pathology, living in Moscow, the Moscow region and regions.
The gynecology department has 20 beds, including children early age with one of the parents staying together.
In our department, children under 18 years of age with all gynecological diseases and defects of the reproductive system are treated.
Pathology problem reproductive system in neonatal and early childhood - this is a violation of sex formation associated with both endocrine disorders, neoplasms, and with fermentopathy, genetic mutations; malformations of the external and internal genitalia, perineum, often combined with other developmental defects. At an older age, patients with pathologies of the reproductive system continue to receive medication and surgical correction developmental defects, complex postoperative adaptation in the selected field in case of violations of its formation.
More than 50 are held per year reconstructive operations with malformations of the pelvic organs. Unique techniques developed at the State Budgetary Healthcare Institution are used. Morozovskaya Children's City Clinical Hospital DZM" during gender reassignment operations.
Children and adolescents with puberty disorders, dysmenorrhea, uterine bleeding, tumors and tumor-like formations of the uterine appendages. Help is provided to children with traumatic lesions of the external genitalia, acute and chronic diseases internal and external genitalia.
Teenage girls with breast diseases also receive treatment ( non-lactational mastitis, duct ectasia, solitary and multiple cysts, fibroadenomas, malformations).
The gynecological department of the Moscow Children's Clinical Hospital is the clinical base of the department reproductive medicine and surgery 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). The department's employees are actively involved scientific activity, regularly publish in journals and take part in scientific conferences.
The department is fully equipped. All operations in the gynecology department are performed using high technology— modern endoscopic techniques.

Research methods performed in the department:

vaginoscopy
cervicoscopy
colposcopy
hysteroscopy
ultrasound examination (radiology department)
Computed tomography (radiology department)

Manipulations and surgical interventions performed in the department:

deletion foreign bodies vagina
removal of vaginal tumors
puncture, drainage of hematomas and abscesses of the external genitalia
dissection of synechiae of the labia minora
puncture, drainage of hematomas and abscesses of the mammary glands
deletion benign neoplasms mammary glands
diagnostic laparoscopy
laparoscopic adnexectomy
laparoscopic cystectomy, removal of paraovorial cysts
laparoscopic tubectomy
laparoscopic oophorectomy
laparoscopic detorsion and fixation of the appendages for torsion of the uterine appendages
laparoscopic biopsy of pelvic organs
laparoscopic removal of gonads, gonadal cords
laparoscopic removal of the accessory uterine horn
laparoscopic electrocoagulation (ovarian cauterization)
laparoscopic wedge resection ovaries
laparoscopic dissection and excision of adhesions of the female genital organs
separation of intrauterine synechiae
excision of the intrauterine septum
restoration of the vulva and perineum
restoration of the vaginal wall
removal of labia tumors
feminizing plastic surgery of the external genitals
resection of the labia minora
clitoral surgery
vaginal reconstruction
excision and closure of the fistula of the female genital organs
hymen incision
hymen restoration

Medical staff of the department:

Doctor of Medical Sciences, chief specialist gynecologist for children and youth in Moscow, obstetrician-gynecologist of higher education qualification category, gynecologist-endocrinologist, professor of the Department of Reproductive Medicine and Surgery of Moscow State Medical University named after. A.I. Evdokimova, Head of the Department of Gynecology, Morozov Children's City clinical hospital, member Russian society obstetricians - gynecologists, interregional public organization"Association of Pediatric and Adolescent Gynecologists", member of the Society of Reproductive Medicine and Surgery, member Russian Association gynecologists - endoscopists and the Russian Association of Endometriosis.

Gynecologist