Gynecological operations
Gynecological operations are aimed at the surgical treatment of diseases and conditions of female reproductive organs (uterus, ovaries, fallopian tubes, vagina). These procedures help correct anomalies, alleviate pain, and solve functional problems, improving the patient’s health and quality of life.
When to see a specialist
- Cervical dysplasia: Abnormal changes in cervical cells that require removal (e.g., conization, LEEP).
- Hysteroscopy: Diagnostic procedure of the uterine cavity.
Common symptoms
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Abnormal PAP test result
Results that indicate changes in cervical cells. -
Abnormal vaginal bleeding
Heavy, prolonged, or irregular menstrual bleeding, postmenopausal bleeding. -
Difficulty conceiving (infertility)
A situation where a couple is unable to conceive after regular unprotected intercourse for a certain period (usually one year).
How to prepare for your appointment
- Bring your ID card or another identification document.
- Inform the doctor in advance about the use of blood-thinning medications (e.g., aspirin, Marevan, fish oil capsules), as well as allergies and other regularly taken medications, so that the doctor can advise you on taking medications – blood-thinning medications should not be used for at least 5 days before coming to the surgery. Bring regularly taken medications with you or take them as advised by the doctor.
- Before surgery performed under local anesthesia, you can eat and drink normally.
- Before surgery performed under general anesthesia, you must not eat for 6 hours and drink for 4 hours before the planned surgery. If you have not followed these rules, the surgery may be canceled for your safety.
- Before surgery, the surgical area will be shaved at the clinic if necessary. Do not shave the area yourself at home to reduce the risk of infection.
- Visit the dentist – oral diseases can cause complications.
- Before surgery, you may need to change into surgical clothing provided by the clinic.
- Come to the surgery only when completely healthy. Inform the clinic if you have fallen ill.
What to expect during your appointment
Pre-operative assessment
A gynecologist will assess your condition and confirm the surgical plan.
Anesthesia
Depending on the type and extent of the surgery, general anesthesia, regional anesthesia (e.g., spinal anesthesia), or local anesthesia will be used.
Surgical procedure
The gynecologist will perform the necessary operation.
Wound closure
The wound will be closed with sutures and covered with a sterile dressing.
Post-operative monitoring
After the surgery, you will be monitored in the recovery room to ensure a stable condition and pain control.
Rehabilitation
Post-operatively, instructions for recovery will be given, which may include physiotherapy or specific exercises.
Specialists providing this service
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dr Jaanika Heinväli
resident gynecologist
Rävala Clinic – Specialist Medical Care and Occupational Health
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Payment & Appointment Info
Prices
Tallinn
| Service | Price |
|---|---|
| Day-surgery internal examination of the uterine cavity, or hysteroscopy The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1200 € |
| Vaginal reconstruction The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1600 € |
| Cervical conisation The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 590 € |
Everywhere else in Estonia
| Service | Price |
|---|---|
| Day-surgery internal examination of the uterine cavity, or hysteroscopy The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1200 € |
| Vaginal reconstruction The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 1600 € |
| Cervical conisation The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 590 € |
Payment methods
With a doctor’s referral, Meliva Health Insurance covers this service under Inpatient Care coverage. Check your personal coverage limits in the ERGO app.
The service at Tartu Kvartal clinic is funded by the Health Insurance Fund. To book an appointment funded by the Health Insurance Fund, please call +372 605 1500 or write to klienditugi@meliva.ee.
Referral
An appointment with a specialist is required first to assess whether the service is suitable or necessary.
Clinics offering this service
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Frequently Asked Questions
What type of anesthesia is used for gynecological operations?
Depending on the extent and location of the surgery, general anesthesia, regional anesthesia (e.g., spinal anesthesia), or local anesthesia will be used. The doctor will explain the most suitable option for you.
Will post-operative scars be visible?
For minimally invasive procedures (e.g., laparoscopic, hysteroscopic operations), scars are small and inconspicuous. In the case of open surgery, scars are larger, but surgeons try to place them as discreetly as possible.
Will the operation affect my fertility?
Some gynecological operations may affect fertility, while others may improve it. The doctor will discuss this aspect with you before the operation, especially if you have future plans for pregnancy.
Are operations performed at Meliva?
Yes, if necessary and indicated, we can perform a wide variety of operations at Meliva, both under local anesthesia and general anesthesia. We perform day surgery at Meliva Rävala clinic.