Gynecology
Gynecology
This specialty ensures the medical follow-up of women, from puberty to menopause, but also the management of all affections of the genital system, whether medical or surgical.
maternity, obstetrics and reproductive medicine services .
This specialty ensures the medical follow-up of women, from puberty to menopause, but also the management of all affections of the genital system, whether medical or surgical.
maternity, obstetrics and reproductive medicine services .
-
Consulting & Team
Composition of service
- 1 Hospital Practitioner Head of department
- 2 University Professors Hospital Practitioners
- 18 Hospital Practitioners
- 1 Head of University Clinic · Hospital Assistant
- 74 Midwives
- 4 State-certified nurses
- 44 Caregivers
- 18 Hospital Service Agents
- 16 Secretaries
- 4 Midwifery health managers
- 1 Nursing officer
- 1 senior midwife
- 2 Psychologists
-
Our support
Activities
Outpatient unitIt includes consultations by appointment (gynecology, ultrasound, colposcopy, hysteroscopy, anesthesia, sexology, psychology, etc.) carried out by hospital doctors, attached practitioners, midwives and psychologists.
The outpatient unit is equipped with high-level ultrasound scanners (2D, 3D, 4D and color Doppler) .
Obstetric gynecological emergenciesThe Gynecology-Obstetrics Emergency Department ( UGO ) is located at the entrance to the delivery rooms. Midwives and doctors welcome there, 24 hours a day, 7 days a week, patients with gynecological problems (miscarriages, pain, etc.) or related to maternity.
Location UGO birth room .
Conventional inpatient unitThe team of this gynecological surgery unit, made up of gynecological surgeons, anesthesiologists, nurses, nursing assistants and hospital service agents, welcomes patients admitted for laparoscopic surgery, by laparotomy. or even vaginally.
Surgery for benign pathologies (prolapse, urinary incontinence, fibroids, endometriosis ) by the minimally invasive laparoscopic route, as well as surgery for gynecological cancers (uterus, ovaries, vulva) are particularly developed there. Monitoring and treatment of gynecological infectious diseases (such as herpes, endometritis, salpingitis, etc.) are also covered there.
The gynecology operating room:
The gynecological operating theaters provide 24-hour care for gynecological and obstetrical emergencies as well as scheduled interventions.
Orthogenics AbortionA Voluntary Interruption of Pregnancy can be practiced, in France, up to 14 weeks of pregnancy (16 weeks of amenorrhea) .
Orthogenic doctors and outpatient surgery nurses take care of women wishing to have an abortion , in accordance with the legislation in force.
The course of a woman requesting an abortion in the orthogeny unit is as follows:
- 2 medical consultations are necessary but there is no longer any obligation for a reflection period of 7 days between the two. If you wish, the first consultation can be made by your general practitioner, midwife who issues you a certificate of first request.
- During this orthogenic consultation, the doctor answers questions, performs an ultrasound to date the pregnancy and presents, depending on the term of the pregnancy, the different abortion techniques.
- During the second consultation, the date of the abortion will be scheduled. It will be done either at the hospital in the outpatient surgery department or at home. Unless there is a particular contraindication and service protocol, the choice of abortion method is left to the woman.
- A abortion consultation should be scheduled 3 to 4 weeks later. If the method is medicinal, this consultation must take place in the orthogenic unit. It is left to the patient's free choice in the event of surgical abortion (general practitioner, gynecologist, midwife, sexual health center or in the orthogenic unit) .
Any patient can request anonymity , she indicates it as soon as the appointment is made.
The law requires that the minor be accompanied by an adult of her choice and that she carry out a psychosocial interview (ask for information from the sexual health center on 02 14 47 50 47 ) which will be the subject of a certificate.
The whole process is explained in the information booklet
Menopause Information
Perimenopause (called before “premenopause”) is a transition period defined as follows by the WHO: “period beginning when the first clinical and/or biological signs appear which announce the onset of menopause; it ends at least one year after the last period”. It is due to a hormonal imbalance that alternates phases with “too much estrogen” (taut breasts, abnormal bleeding) and phases with “not enough estrogen” (hot flushes).
Menopause corresponds to the cessation of functioning of the ovaries with permanent cessation of menstruation. It will be considered as installed at the end of the rules for one year, excluding any hormonal treatment. The average age of onset of menopause is 50 years, with a possible age of onset between 40 and 56 years. A woman's life expectancy is 85 years. A woman therefore lives more than 1/3 of her life in menopause.
The consequences of menopause are as follows: :
- General symptoms affecting quality of life. They occur relatively quickly: Hot flashes and night sweats which affect 70 to 80% of postmenopausal women, joint pain, libido disorder (decreased sexual desire) , dry skin, hair loss, sleep disorder, fatigue, mood disorder, memory impairment, weight gain (mainly abdominal)
- SGUM : Genito-Urinary Syndrome of Menopause linked to vaginal “dryness” or atrophy. It explains painful penetration during intercourse, sometimes urinary incontinence.
- The consequences on health occur later: weakening of the bones (osteoporosis) , diabetes, increased cholesterol and cardiovascular complications (high blood pressure, heart attack)
The management of menopause must be comprehensive:
- Hygieno-dietary rules: balanced diet and regular physical activity
- Local estrogen and/or lubricant may be prescribed if vulvar gene and sexual disorders
- THM can be prescribed if the woman's quality of life is very impaired but must be prescribed after establishing a risk-benefit balance for each patient . This treatment must therefore be prescribed on a case-by-case basis, at the minimum effective dose and for the shortest possible duration. THM in preventing osteoporosis and lowering cholesterol.
- Monthly vitamin D supplementation
- Other treatments may be prescribed but less effective than THM according to studies: Homeopathy, Food supplements, Phytotherapy
- This care must be multidisciplinary: general practitioner, gynecologist, cardiologist, rheumatologist, endocrinologist, dermatologist, psychologist, etc.
What the CHU Caen Normandie offers for the management of menopause :
- A menopause center created in 2003. Its aim is mainly to take care of postmenopausal women with a complex situation. It is to assess their expectations, their symptoms and their pathologies as well as possible, then to offer personalized, global and adapted care thanks to a multidisciplinary and specialized approach. The advantages and disadvantages of a possible hormonal treatment are exposed and explained. This care is done in conjunction with the attending physician.
Useful document(s)
Maternity Access, Gyneco-Obstetrical and Pediatric Emergencies
Assistance during childbirth
Follow-up to Antenatal Diagnosis
Trisomy 21 screening
Endometriosis
Orthogenic booklet
Robot Assisted Laparoscopy
Appointment of trustworthy person
Recording media
Pre-OP Consent
lumpectomy
Myomectomy
Mammography
Hysteroscopy
Vaginal hysterectomy
Laparoscopic hysterectomy
Abdominal hysterectomy
Pap smear screening
Intra-Uterine-Device
Genital prolapse
Genital prolapse
Cure of stress urinary incontinence
Conization
Laparoscopy
Essure Device Removal
Menopause
Preserve your fertility
-
Transversal structures
MaternityReproductive medicine
reproductive medicine department is to provide care for couples having difficulty starting a pregnancy.
Competence Center and AMP Center
Rare Disease Competence Centercenter page Structurecenter page -
-
The latest news related to the service…
Uterine cancer: 3D surgery at the service of patients
News of June 17, 2024Green June
Main Access
Access Pediatric & gynecological / maternity emergencies
| Level | GPS access | Car park | Hall | |
|---|---|---|---|---|
|
Gynecology Department Obstetrics
Hospital Woman Child Hematology
|
Level :
2
|
GPS Access:
Main
|
Car Park:
Car Park 1
| 
|
|
Emergencies Gynecology Obstetrics 24/24 7/7
Hospital Woman Child Hematology
|
Level :
2
| 
|
