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Gynecology
Gynecology

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 .

  • Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult Consult

    Gynecological anesthesia

    ARE Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Denis Sousa Da Silva, ARE Dr Pierre Grassin, ARE Dr Delastre Robin, ARE Dr Therese Simonet
    Consultation schedule

    Obstetric anesthesia

    ARE Dr Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Denis Sousa Da Silva, ARE Dr Pierre Grassin, ARE Dr Delastre Robin, ARE Dr Therese Simonet
    Consultation schedule

    Ambulatory anesthesia

    ARE Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Denis Sousa Da Silva, ARE Dr Pierre Grassin, ARE Dr Delastre Robin, ARE Dr Therese Simonet
    Consultation schedule

    Pelvic oncology

    Pr Raffaèle Fauvet, Dr Estelle Jamard, Dr Mélusine Turck, Dr Maxime Trupheme
    Consultation schedule

    Reassignment Surgery

    Professor Raffaele Fauvet
    Consultation schedule

    Benign gynecological surgery

    Pr Raffaèle Fauvet, Dr Cécile Feyeux, Dr Estelle Jamard, Dr Sophie Lubrano, Dr Meriem Mouadil, Dr Mélusine Turck, Dr Delphine Vardon, Dr Anne Villot, Dr Maxime Trupheme
    Consultation schedule

    Robotic surgery

    Dr Estelle Jamard, Dr Melusine Turck
    Consultation schedule

    Colposcopy

    Dr Estelle Jamard, Dr Sophie Lubrano, Dr Clara Oudar, Dr Claire Reynaud, Dr Mélusine Turck
    Consultation schedule

    Pelvic ultrasound

    Dr Claire Gourbesville, Dr Sophie Lubrano, Dr Alice Lecacheur
    Consultation schedule

    Gynecological endocrinology

    Dr Claire Gourbesville
    Consultation schedule

    Endometriosis

    Pr Raffaèle Fauvet, Dr Estelle Jamard, Dr Sophie Lubrano, Dr Mélusine Turck
    Consultation schedule

    Female under 21

    Dr Marion Rousseau
    Consultation schedule

    Medical gynecology

    Dr Anne-Sophie Belin, Professor Michel Dreyfus, Dr Estelle Jamard, Dr Marion Rousseau
    Consultation schedule

    Diagnostic hysteroscopy

    Dr Sophie Lubrano, Dr Delphine Vardon, Dr Dr Stanislas Mulot de Lacroix, Dr Maxime Trupheme
    Consultation schedule

    Complex menopause

    Dr Delphine Vardon
    Consultation schedule

    Orthogenics Abortion

    Dr Marion Rousseau, Dr Jeanne Lebas, Dr Léa Nicolle, Dr Clara Oudar, Dr Anne-Sophie Belin, Dr Alice Lecacheur, Dr Amélie Scornet
    Consultation schedule

    Breast pathology

    Pr Raffaèle Fauvet, Dr Estelle Jamard, Dr Mélusine Turck
    Consultation schedule

    Vulvar pathology

    Pr Raffaèle Fauvet, Dr Mélusine Turck
    Consultation schedule

    Support for sexual mutilation

    Dr Delphine Vardon, Ps Christine Albert
    Consultation schedule

    pelvic floor

    Dr Cécile Feyeux, Dr Maxime Trupheme
    Consultation schedule

      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 unit

      It 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 emergencies

      The 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 unit

      The 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 Abortion

      A 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.

       

      Pathologies

      Endometriosis

      Endometriosis is a frequent gynecological pathology (10 to 15% of women of childbearing age) , defined by the presence of tissue of the uterine lining (endometrium) in an abnormal situation, in the fallopian tubes, ovaries, or even other organs such as the digestive tract or the bladder.

      It causes sometimes violent and debilitating pelvic pain, often punctuated by the cycle. It can be responsible for infertility.

      Medical treatments exist, consisting of temporarily blocking the functioning of the ovaries, but surgery is often necessary.

      Uterine Fibroids

      Uterine fibroids affect about 20% of women. These are lumps in the lining of the uterus resulting from overgrowth of the muscle of the uterus. Most do not cause symptoms. They can cause abnormal bleeding during or outside of menstruation, pelvic pain, and can in some cases interfere with conception of pregnancy.

      Bleeding can be treated medically, but surgical interventions are sometimes necessary: ​​myomectomy (removal of the fibroid(s) while preserving the uterus) or hysterectomy (removal of the uterus) . In some cases, a treatment called embolization may be offered by interventional radiologists.

      Prolapse

      Also called “organ descent”, this pathology is caused by a defect in the support of the organs of the pelvis, namely the bladder, the uterus and the rectum, which by collapsing creates a “lump” perceived in the vagina or even outside. of the vulva, and possibly heaviness.

      It is a benign pathology, which can induce discomfort in daily or sexual life. When the discomfort caused is too great, an intervention can be proposed, by natural means or by endoscopic way.

      Postmenopausal metrorrhagia

      Bleeding occurring during menopause should be the subject of a consultation and an ultrasound. These metrorrhagia can be due to atrophy of the mucous membrane, but also to polyps, which must then be the subject of excision and analysis.

      Ovarian cysts

      They are diagnosed incidentally during a routine examination, or occasionally with pelvic pain. They can be functional, linked to ovulation and therefore disappear spontaneously, or require surgery for excision, which can most often be performed by laparoscopy.

      Gynecological oncology

      Gynecologists treat cancerous pathologies of the uterus (cervix and body) and ovaries. These diseases of various manifestation and diagnostic mode most often require surgery, and complementary treatments which may be chemotherapy or radiotherapy.

      Vulvar pathologies

      monthly consultation dermatology department team .

      Useful documents

      Assistance during childbirth

      Assistance during childbirth

      Follow-up to Antenatal Diagnosis

      Follow-up to Antenatal Diagnosis

      Antenatal diagnosis follow-up booklet
      Trisomy 21 screening

      Trisomy 21 screening

      In pregnant women
      Endometriosis

      Endometriosis

      Understanding endometriosis
      Orthogenic booklet

      Orthogenic booklet

      Orthogenic welcome and information booklet
      Robot Assisted Laparoscopy

      Robot Assisted Laparoscopy

      Laparoscopic intervention assisted by a surgical robot
      Appointment of trustworthy person

      Appointment of trustworthy person

      Trustee Designation Form
      Recording media

      Recording media

      Consent form for the use of medical photographs and/or audio or video recordings
      Pre-OP Consent

      Pre-OP Consent

      Preoperative Consent Form
      lumpectomy

      lumpectomy

      What is a breast lumpectomy?
      Myomectomy

      Myomectomy

      What is a myomectomy?
      Mammography

      Mammography

      What is a mammogram?
      Hysteroscopy

      Hysteroscopy

      What is a hysteroscopy?
      Vaginal hysterectomy

      Vaginal hysterectomy

      What is a vaginal hysterectomy?
      Laparoscopic hysterectomy

      Laparoscopic hysterectomy

      What is a laparoscopic hysterectomy?
      Abdominal hysterectomy

      Abdominal hysterectomy

      What is an abdominal hysterectomy?
      Pap smear screening

      Pap smear screening

      What is a cervical smear?
      Intra-Uterine-Device

      Intra-Uterine-Device

      IUD
      Genital prolapse

      Genital prolapse

      Vaginal cure
      Genital prolapse

      Genital prolapse

      Cure by laparoscopic promontofixation
      Cure of stress urinary incontinence

      Cure of stress urinary incontinence

      What is stress urinary incontinence?
      Conization

      Conization

      What is a conization?
      Laparoscopy

      Laparoscopy

      What is a laparoscopy?
      Essure Device Removal

      Essure Device Removal

      Answer to your questions
      Menopause

      Menopause

      What is menopause
      Preserve your fertility

      Preserve your fertility

      What to do after certain obstetric acts or certain gynecological surgeries?
      • Transversal structures

        Maternity
        Maternity - obstetrics service

        The CHU Caen Normandie maternity hospital has 72 traditional hospital beds.

        It is a level III maternity ward , with a neonatology resuscitation service taking care of newborns from 24 weeks of amenorrhea.

        Reproductive medicine
        Reproductive medicine

        reproductive medicine department is to provide care for couples having difficulty starting a pregnancy.

        Competence Center and AMP Center

      • The latest news related to the service…

      Locate / contact service

      Gynecology

      Woman-Child-Hematology Hospital

      Avenue de la Côte de Nacre
      CS 30001
      14033 Caen cedex 9


      Gynecology

      Service Secretariat


      Level GPS accessCar park Hall
      Gynecology Department Obstetrics
      Hospital Woman Child Hematology
      Level : 2
      GPS Access: Main
      Car Park: Car Park 1
      Main Entrance of Caen Normandy University Hospital
      Emergencies Gynecology Obstetrics 24/24 7/7
      Hospital Woman Child Hematology
      Level : 2
      Pediatric Emergency Entrance