Consultation:
Adolescent Consultation (First Love)

Many girls feel nervous before their first gynecological visit because they don’t know what to expect. I aim to alleviate this fear by offering an informative conversation during your first visit.

I can explain topics such as the female body, menstrual cycles, period discomfort, contraception options, and what happens during an annual gynecological check-up.

You are welcome to come alone or bring someone you trust. The discussion will be treated confidentially.

If you wish to start taking the pill, I will take a blood sample to determine whether the pill is suitable for you from a medical perspective. A follow-up appointment will then focus on choosing the best contraceptive method.

I only conduct gynecological examinations for girls who are no longer virgins. Otherwise, I perform an abdominal ultrasound only.

Contraceptive Options:

Hormonal Contraceptives

Birth Control Pill:

• Combination Pills (Estrogen and Progestin): Taken with a break week, during which withdrawal bleeding occurs.
• Mini Pill (Progestin-only): Taken continuously without a break, often resulting in no regular period but sometimes causing spotting.

For first-time prescriptions of a combination pill, I always check coagulation status through a blood test, as the pill can influence blood clotting and increase the risk of thrombosis and embolism in those with genetic predispositions.

Combination pills are not recommended for smokers or overweight women.
Side effects may include mood swings, headaches, decreased libido, nausea, spotting, and water retention.

Implanon (Hormonal Implant):
A progestin-only implant inserted under the skin on the inner side of the upper arm under local anesthesia. It releases the active ingredient continuously. Women are advised to try a progestin-only pill for three months beforehand to check for tolerance. If well-tolerated, the implant can remain in place for three years.

Contraceptive Patch:
Changed weekly, with a one-week break during which menstruation occurs.

Vaginal Ring:
Used for three weeks, followed by a ring-free week when menstruation occurs.

3-Month Injection:
A depot injection every three months.
Side effect: Reduced bone density, not suitable for young girls.

Hormonal IUD:
Placed in the uterine cavity, it releases hormones continuously for 3 or 5 years (depending on the type).

Non-Hormonal Contraceptives

Copper IUD:
This method prevents implantation by altering the uterine lining and reducing sperm motility.
Suitable for women who want to avoid artificial hormones, but it may cause heavier periods.

Pregnancy Care:

I provide at least five mother-child passport examinations as required by the program.

At every check-up, an ultrasound is performed, blood pressure is measured, and urine is tested. I also address any questions or concerns you may have.

Two blood tests and a Group B Streptococcus swab are conducted at the appropriate times.

Additionally, I recommend two external specialized screenings:

• First-trimester screening between the 11th and 14th weeks of pregnancy.
• Organ screening around the 20th week of pregnancy, conducted by specialized colleagues.

Menopause:

I am happy to guide you through this sometimes challenging phase of life.

The balance between estrogen and progesterone shifts, creating a “hormonal carousel.”

Whether you choose to address these changes through lifestyle adjustments, mental and physical activity, healthy eating, plant-based remedies, or hormone therapy, the goal is to ensure you enjoy an active and fulfilling second half of life.