Gynecology
Gynecology
This specialty provides medical monitoring for women, from puberty to menopause, as well as the management of all conditions of the genital system, whether medical or surgical.
The department also manages maternity, obstetrics and reproductive medicine services .
This specialty provides medical monitoring for women, from puberty to menopause, as well as the management of all conditions of the genital system, whether medical or surgical.
The department also manages maternity, obstetrics and reproductive medicine services .
Consultations & Team
- Healthcare professional
- All healthcare professionals
- ARE Dr. Anne-Laure Lepori
- ARE Dr. Delastre Robin
- ARE Dr Denis Sousa Da Silva
- ARE Dr. Mathilde Lermuzeaux
- ARE Dr. Pierre Grassin
- ARE Dr Stephanie Deryckere
- ARE Dr. Thérèse Simonet
- Dr. Alice Lecacheur
- Dr. Amélie Scornet
- Dr. Anne-Sophie Belin
- Dr. Christine Denoual-Ziad
- Dr. Claire Gourbesville
- Dr. Claire Reynaud
- Dr. Clara Oudar
- Dr. Cécile Feyeux
- Dr. Stanislas Mulot de Lacroix
- Dr. Elsa Berujon
- Dr. Estelle Jamard
- Dr. Léa Nicolle
- Dr. Marion Rousseau
- Dr. Mélusine Turck
- Dr. Sophie Lubrano
- Dr. Clara Oudar
- Ms. Jessie Rousselet (midwife)
- Professor Michel Dreyfus
- Professor Raffaèle Fauvet
- Consultation
- All Consultations
- Outpatient anesthesia
- Anesthesia in Gynecology
- Obstetric anesthesia
- Pelvic oncology
- Reassignment Surgery
- Benign gynecological surgery
- Robotic surgery
- Colposcopy
- Gynecological Endocrinology
- Endometriosis
- Woman under 21 years old
- Medical Gynecology
- Diagnostic hysteroscopy
- Complex Menopause
- Orthogenics · Abortion
- Breast pathology
- Vulvar pathology
- Support for female genital mutilation
- Pelvic statics
- Pelvic ultrasound
Pelvic oncology
Professor Raffaèle Fauvet, Dr Estelle Jamard, Dr Mélusine TurckConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mReassignment Surgery
Professor Raffaèle FauvetBenign gynecological surgery
Professor Raffaèle Fauvet, Dr Cécile Feyeux, Dr Estelle Jamard, Dr Sophie Lubrano, Dr Mélusine Turck, Dr Elsa BerujonRobotic surgery
Dr. Estelle Jamard, Dr. Mélusine TurckConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mColposcopy
Dr Estelle Jamard, Dr Sophie Lubrano, Dr Clara Oudar, Dr Claire Reynaud, Dr Mélusine TurckConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mPelvic ultrasound
Dr Claire Gourbesville, Dr Sophie Lubrano, Dr Alice LecacheurConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mGynecological Endocrinology
Dr. Claire GourbesvilleEndometriosis
Dr Christine Denoual Ziad, Pr Raffaèle Fauvet, Dr Estelle Jamard, Dr Sophie Lubrano, Dr Mélusine TurckConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mWoman under 21 years old
Dr. Marion RousseauMedical Gynecology
Dr. Anne-Sophie Belin, Professor Michel Dreyfus, Dr. Marion RousseauDiagnostic hysteroscopy
Dr Elsa Berujon, Dr Sophie Lubrano, Dr Dr Stanislas Mulot de LacroixComplex Menopause
Orthogenics · Abortion
Dr. Marion Rousseau, Dr. Léa Nicolle, Dr. Alice Lecacheur, Dr. Amélie Scornet, Ms. Jessie Rousselet (midwife)Consultation hoursMonday to Friday, 9am to 5pmBreast pathology
Professor Raffaèle Fauvet, Dr Estelle Jamard, Dr Mélusine TurckVulvar pathology
Professor Raffaèle Fauvet, Dr. Mélusine Turck, Dr. Elsa Berujon, Dr. Clara OudarSupport for female genital mutilation
Dr. Elsa BerujonPelvic statics
Dr. Elsa Berujon, Dr. Cécile FeyeuxConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mObstetric anesthesia
ARE Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Thérèse SimonetConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mAnesthesia in Gynecology
ARE Dr Mathilde Lermuzeaux, ARE Dr Anne-Laure Lepori, ARE Dr Stephanie Deryckere, ARE Dr Thérèse SimonetConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mOutpatient 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 Thérèse SimonetConsultation hoursMonday to Friday, 8:30 a.m. to 5 p.mService composition
- 1 Hospital Practitioner · Head of Department
- 2 University Professors · Hospital Practitioners
- 18 Hospital Practitioners
- 1 Head of Clinic at the Universities · Assistant at the Hospitals
- 74 Midwives
- 4 State-Certified Nurses
- 44 Caregivers
- 18 Hospital Service Agents
- 16 Secretaries
- 4 Midwifery Healthcare Professionals
- 1 Nursing Supervisor
- 1 Senior Midwife
- 2 Psychologists
- Healthcare professional
Our services
Activities
Outpatient consultation unitIt includes consultations by appointment (gynecology, ultrasound, colposcopy, hysteroscopy, anesthesia, sexology, psychology…) 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).
Gynecological and obstetric emergenciesThe Gynecology-Obstetrics Emergency Department (UGO) is located at the entrance to the delivery rooms. Midwives and doctors are available there 24/7 to receive patients with gynecological problems (miscarriages, pain, etc.) or problems related to maternity.
Location : Access via the pediatric-gynecology-obstetrics emergency department, East side – elevator dedicated to the UGO delivery room .
Conventional hospitalization unitThe team of this gynecological surgery unit, composed of gynecological surgeons, anesthesiologists, nurses, nursing assistants and hospital service agents, welcomes patients admitted for an intervention via laparoscopy, laparotomy or vaginal route.
Surgery for benign conditions (prolapse, urinary incontinence, fibroids, endometriosis) using minimally invasive laparoscopic techniques, as well as surgery for gynecological cancers (uterus, ovaries, vulva), are particularly well-developed there. The monitoring and treatment of gynecological infectious diseases (such as herpes, endometritis, salpingitis, etc.) are also provided.
The gynecology operating room:
The gynecology operating rooms provide 24/7 care for gynecological and obstetric emergencies as well as scheduled procedures.
Orthogenics · AbortionIn France, a Voluntary Termination of Pregnancy can be carried out up to 14 weeks of pregnancy (16 weeks of amenorrhea) .
Family planning doctors and outpatient surgery nurses take care of women wishing to have an abortion, in accordance with current legislation.
The process for a woman requesting an abortion in the family planning unit is as follows:
- Two medical consultations are required , but there is no longer a mandatory 7-day waiting period between them. If you wish, the first consultation can be with your general practitioner or midwife, who will provide you with a certificate of initial application.
- During this family planning consultation, the doctor answers questions, performs an ultrasound to date the pregnancy and presents, depending on the stage of pregnancy, the different abortion techniques.
- During the second consultation, the date of the abortion will be scheduled. It will take place either at the hospital in the outpatient surgery department or at home. Unless there is a specific contraindication or the department's protocol dictates otherwise, the choice of abortion method is left to the woman.
- A consultationabortion is scheduled 3 to 4 weeks later. If the method is medical, this consultation must take place in the family planning unit. In the case of a surgical abortion, the patient has the choice of healthcare provider (general practitioner, gynecologist, midwife, sexual health center, or in the family planning unit).
Any patient can request anonymity; she indicates this when making the appointment.
The law requires that the minor be accompanied by an adult of her choice and that she undergo a psychosocial interview (inquire at the sexual health center at 02 14 47 50 47) which will be documented.
The entire process is explained in the information booklet.
Menopause informationPerimenopause (formerly called "premenopause") is a transitional period defined by the WHO as: "the period beginning when the firstclinical and/or biological signs appear that announce the onset of menopause; it ends at least one year after the last menstrual period." It is caused by a hormonal imbalance, alternating between phases with "too much estrogen" (breast tenderness, abnormal bleeding) and phases with "not enough estrogen" (hot flashes).
Menopause is the cessation of ovarian function and the permanent end of menstruation. It is considered established when menstruation has ceased for one year without any hormonal treatment. The average age of menopause is 50, with a possible age range between 40 and 56. A woman's life expectancy is 85 years. Therefore, a woman lives more than a third of her life in menopause.
The consequences of menopause are as follows :
- General symptoms impacting quality of life. They occur relatively quickly: Hot flashes and night sweats, affecting 70 to 80% of menopausal women, joint pain, decreased libido (reduced sexual desire), dry skin, hair loss, sleep disturbances, fatigue, mood swings, memory problems, weight gain (mainly abdominal).
- GSUM : Genitourinary Syndrome of Menopause, linked to vaginal dryness or atrophy. It explains painful penetration during sexual intercourse, sometimes urinary incontinence.
- The health consequences appear later: weakened bones (osteoporosis), diabetes, increased cholesterol and cardiovascular complications (high blood pressure, heart attack)
Menopause management must be comprehensive:
- Hygiene and dietary guidelines: balanced diet and regular physical activity
- Local estrogen and/or lubricant may be prescribed if there is vulvar discomfort and sexual dysfunction
- Hormone replacement therapy (HRT) may be prescribed if a woman's quality of life is severely impaired, but it must be prescribed after a risk-benefit assessment has been conducted for each patient. Therefore, this treatment should be prescribed on a case-by-case basis, at the lowest effective dose and for the shortest possible duration. HRT is also effective in preventing osteoporosis and lowering cholesterol.
- Monthly vitamin D supplementation
- Other treatments may be prescribed, but studies show they are less effective than HRT : Homeopathy, Dietary supplements, Herbal medicine
- This care must be multidisciplinary: general practitioner, gynecologist, cardiologist, rheumatologist, endocrinologist, dermatologist, psychologist…
What the Caen Normandy University Hospital offers for the management of menopause :
- A menopause center established in 2003. Its primary goal is to provide care for menopausal women with complex situations. Its aim is to thoroughly assess their expectations, symptoms, and medical conditions, and then offer personalized, comprehensive, and tailored care through a multidisciplinary and specialized approach. The advantages and disadvantages of potential hormone therapy are presented and explained. This care is provided in collaboration with the patient's primary care physician.
Pathologies
Endometriosis
Endometriosis is a common gynecological condition (10 to 15% of women of reproductive age), defined by the presence of uterine lining tissue (endometrium) in an abnormal location, at the level of the fallopian tubes, ovaries, or even other organs such as the digestive tract or the bladder.
It causes pelvic pain that is sometimes severe and debilitating, often linked to the menstrual cycle. It can be responsible for infertility.
Medical treatments exist, consisting of temporarily blocking the function of the ovaries, but surgical intervention is often necessary.
Uterine Fibroids
Uterine fibroids affect approximately 20% of women. They are growths in the uterine wall resulting from the excessive growth of the uterine muscle. Most do not cause symptoms. They can cause abnormal bleeding during or between periods, pelvic pain, and in some cases, can make it difficult to conceive.
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 prolapse", this pathology is caused by a lack of support of the pelvic organs, namely the bladder, uterus and rectum, which, when they sag, create a "bulge" felt in the vagina or even outside the vulva, and possibly a feeling of heaviness.
This is a benign condition that can cause discomfort in daily life or sexual activity. When the discomfort is too significant, intervention may be recommended, either vaginally or endoscopically.
Postmenopausal bleeding
Bleeding occurring during menopause should be investigated by a doctor and an ultrasound. This abnormal bleeding can be caused by atrophy of the vaginal lining, but also by polyps, which should then be removed and analyzed.
Ovarian cysts
They are often diagnosed incidentally during a routine examination, or in the context of pelvic pain. They can be functional, related to ovulation and therefore disappear spontaneously, or they may require surgical removal, which can most often be performed laparoscopically.
Gynecological oncology
Gynecologists treat cancers of the uterus (cervix and body) and ovaries. These diseases, which present with diverse symptoms and are diagnosed, most often require surgery and complementary treatments, which may include chemotherapy or radiotherapy.
Useful document(s)
Transverse structures
The maternity wardReproductive medicine
The reproductive medicine service aims to provide care for couples experiencing difficulties in starting a pregnancy.
Competence Center and AMP Center
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Locate / contact the service
Women's and Children's Hospital - Hematology
Gynecology
Secretariat of the department
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