We provide professional support in Gynecology and obstetrics.
We successfully serve in our Gynecology and Obstetrics Department, which consists
of experienced specialist physicians and professional staff, provides
uninterrupted service 24 hours a day, 7 days a week, and has advanced
Our Gynecology and Obstetrics Department works in cooperation with other branches.
Immediately after the birth, periodic vaccinations of the baby are carried out under the
control of pediatricians by evaluating with specialist pediatricians.
In the Gynecology and Obstetrics Departments, services are provided in many areas
such as general women’s health, menopause-osteoporosis, pregnancy follow-up,
monitoring risky pregnancies and assisted reproductive techniques.
Painless normal delivery is performed with epidural analgesia.
Tests performed to screen for possible chromosome abnormalities during pregnancy can
be examined in two groups. The first of these are Amniocentesis (taking a
sample from the amniotic fluid surrounding the baby) and ultrasound and
biochemical tests that show whether there is a change in age-dependent
risk. Every woman has the risk of having a baby with chromosomal
abnormalities at any age. The most common of these anomalies is Down syndrome
(Mongolism) and its incidence increases with advancing age. Down syndrome
is a congenital disease that is caused by the 21st chromosome being 3 (trisomy’s),
not 2, and is accompanied by mental retardation and sometimes with other body
abnormalities. The risk of carrying a baby with Down syndrome increases
significantly from the age of 35 and goes above the amniocentesis risk
(1/200). For this reason, amniocentesis is conventionally recommended for
expectant mothers who are over 35 years old when they deliver their
baby. The risk of Down syndrome increases mathematically in expectant
mothers with twin pregnancies due to the presence of two babies. The age
at which amniocentesis should be performed in twin pregnancies is accepted as 31.
The sensitivity of screening tests has increased in recent years and especially
11-14. The possibility of diagnosing babies with Down syndrome without
amniocentesis has increased with the measurement of nuchal skin thickness and
the presence of nasal bone during pregnancy weeks. The necessity of
performing amniocentesis has shifted to more advanced ages and even now it has
become decided by looking at screening tests for all ages. Screening test
for 11-14 weeks and in some cases between 16-18 weeks. Although the risk
is very low in women who have normal trimester screening and do not have any
marker to be associated with Down syndrome on ultrasound, it is not
zero. Amniocentesis may not be performed in women who have these features
and are over the age of 35. Especially under the age of 38, this practice
is becoming more common. The decision not to have an amniocentesis should
be made by the expectant mother and father. Physicians are only guiding
and do not undertake the decision of amniocentesis as medico-legal (medical-legal
reasons). Those who have undergone amniocentesis have the risk of giving
birth to a baby with Down syndrome, and those who are not at risk of losing a
healthy baby. These risks should be balanced with the risk of testing and
should be decided by the couple after discussing them with their physician.
Infertility is defined as not having pregnancy within 1 year despite regular sexual
intercourse. The waiting period may be longer for young couples. If
the woman is over 35 years old, or if there are any findings related to
infertility in the history and physical examination, investigations should be
In order for pregnancy to occur, sexual intercourse should be at least once a
week. In cases where sexual intercourse is less frequent, the chance of
pregnancy decreases. The ideal frequency of intercourse for pregnancy is
2-3 times a week.
Menopause is the cessation of menstrual bleeding in women. According to the data
obtained from Western societies, the average age of menopause is 51.5 and has
not changed in the last 100 years. If the menopause is before the age of
40, premature menopause is before the age of 45, it is called premature
menopause. Especially, there is a close relationship between the age of
menopause of the mother and the age of menopause of the girl child. The
risk of early menopause is higher in women whose mothers have a premature
menopause. Menopause occurs later in women who have given birth than those
who have not, and women who have used birth control pills compared to those who
have not. In women who smoke 10 or more cigarettes a day, the age of
menopause is 1.5 years earlier. Loss of one of the ovaries as a result of
surgical intervention, endometriosis, and chemotherapy and radiotherapy given
for cancer are the factors that cause menopause to come earlier.
PAP Smear test
Bone density measurement
Genetic Risk Profiling