Gynaecology Unit

Gynaecological care should be adapted to the needs that arise at each stage of a woman’s life. Our unit provides ongoing care from the first gynaecological check-ups through adulthood and menopause, integrating prevention, diagnosis, contraception, reproductive health and the treatment of conditions that may develop at different stages.

Gynaecological check-ups and preventive care

Check-ups are tailored to each patient, taking into account her age, medical history, symptoms and risk factors. They include a gynaecological assessment and, when appropriate, the recommended tests for the prevention and early detection of certain conditions.

Contraception, reproductive health and gynaecological follow-up

The team provides advice on contraception, reproductive planning, menstrual and hormonal disorders, and other gynaecological problems that may arise throughout life. When necessary, care is coordinated with the fertility, pregnancy, pelvic floor or menopause units.

The combination of medical expertise and advanced diagnostic techniques allows us to assess different gynaecological conditions accurately and select the most appropriate investigations for each patient. The Grupo Pedro Jaén Gynaecology Unit offers procedures that complement conventional clinical examination and provide specific information about the uterine cavity, gynaecological anatomy, fertility and cervical conditions.

Diagnostic hysteroscopy and 3D ultrasound

Diagnostic hysteroscopy allows direct visualisation of the inside of the uterus to identify polyps, fibroids, adhesions and other abnormalities. It also enables targeted biopsies to be taken when indicated. 3D ultrasound complements this assessment by providing detailed images of the uterus, endometrium and ovaries, facilitating the investigation of certain malformations and gynaecological lesions.

3D HyFoSy and advanced colposcopy

3D HyFoSy enables ultrasound assessment of Fallopian tube patency without the use of radiation or iodinated contrast agents, providing valuable information during fertility investigations. Advanced colposcopy, meanwhile, allows magnified examination of the cervix and, when necessary, targeted sampling of areas requiring further investigation.

Our Gynaecology Unit uses minimally invasive surgical techniques to treat various conditions, aiming to reduce tissue trauma and facilitate patient recovery. The choice of procedure depends on the type, location and complexity of the lesion. Whenever possible, approaches that allow precise treatment while preserving healthy structures are prioritised.

Laparoscopy and mini-laparotomy

These techniques allow conditions such as certain fibroids, ovarian cysts, endometriosis and adhesions to be treated through small incisions. Compared with conventional open surgery, they can reduce surgical trauma and are often associated with faster recovery. The indication for each procedure is always determined individually according to the characteristics of the case.

Operative hysteroscopy and radiofrequency ablation for fibroids

Operative hysteroscopy allows the treatment of polyps, certain submucosal fibroids, adhesions and other abnormalities within the uterus without abdominal incisions. Radiofrequency ablation, meanwhile, can be used to treat selected fibroids through a transvaginal approach under ultrasound guidance, applying thermal energy directly within the fibroid to progressively reduce its volume and associated symptoms.

Hormonal changes, pregnancy, childbirth, menopause and other factors can lead to functional or anatomical changes in the genital area. The Gynaecology Unit carries out an individualised assessment to identify the underlying causes of symptoms and, when indicated, select from different medical, technology-based or surgical treatment options.

Treatments for intimate health

The assessment may address problems such as dryness, vaginal discomfort, changes in tissue elasticity or certain symptoms associated with genitourinary syndrome of menopause. Depending on the diagnosis, different therapeutic options and specific care measures may be considered and tailored to each patient.

Function, wellbeing and sexual health

Intimate health problems can affect sexual relationships and quality of life. The approach takes into account potential physical and hormonal factors, as well as other associated circumstances, rather than applying a single treatment to conditions that may have very different underlying causes.

Our unit provides a coordinated approach to the diagnosis and treatment of various breast conditions. Depending on the characteristics of each case, assessment and care may involve gynaecology, diagnostic imaging, surgery and plastic surgery, allowing treatment to be tailored to each patient’s medical and reconstructive needs.

Breast surgery and reconstruction

When surgery is indicated, treatment may include reconstructive techniques aimed at preserving or restoring breast anatomy. These include autologous reconstruction, which uses the patient’s own tissue. The most appropriate approach is selected according to the characteristics of each case.

Management of breast conditions

The unit manages conditions ranging from benign breast disorders to diseases requiring surgery and specialist follow-up. When necessary, gynaecologists, plastic surgeons and other specialists work together to plan diagnosis, treatment and postoperative recovery.

Menopause is a normal physiological stage that may be accompanied by symptoms that vary considerably between women. Medical assessment helps identify changes associated with declining hormone levels and establish an individualised approach that considers vasomotor symptoms, genitourinary health, emotional wellbeing, bone health and other relevant factors.

Genitourinary syndrome of menopause

Dryness, reduced lubrication, vaginal discomfort and certain urinary symptoms may be associated with genitourinary syndrome of menopause. Various local and systemic treatment options are available, including hormonal and non-hormonal therapies. The choice depends on each patient’s symptoms, medical history and individual characteristics.

A comprehensive approach to menopause

Follow-up care may include recommendations on exercise, nutrition and healthy lifestyle habits, together with assessments of sexual, emotional and metabolic health. When necessary, care is coordinated with other Grupo Pedro Jaén specialists to address the different changes associated with this stage of life.

The Pelvic Floor Unit specialises in the comprehensive diagnosis and treatment of disorders affecting the support and function of the pelvic organs. Care is tailored to each patient’s circumstances and includes medical and surgical treatment, supported by expertise in vaginal, reconstructive and minimally invasive surgery.

Pelvic floor disorders

The unit manages conditions such as pelvic organ prolapse, urinary incontinence and other functional pelvic floor disorders. Individualised assessment helps determine the most appropriate treatment, including reconstructive surgery and vaginal or laparoscopic procedures when indicated.

vNOTES: minimally invasive surgery via the vaginal route

The unit offers vNOTES for selected gynaecological procedures in appropriately selected patients. This technique combines vaginal access with endoscopic visualisation, allowing surgery to be performed without incisions in the abdominal skin. Its suitability is assessed individually according to the condition being treated, the patient’s anatomy and other relevant characteristics.

The Grupo Pedro Jaén Gynaecology Unit provides comprehensive care for reproductive difficulties, from investigating potential causes of infertility to assisted reproductive treatments and reproductive surgery when indicated. Each strategy is developed individually, taking into account age, ovarian reserve, gynaecological anatomy, semen parameters, medical history and the reproductive plans of each patient or couple.

Fertility assessment and assisted reproduction

Investigations may include hormone blood tests, transvaginal ultrasound, 3D HyFoSy to assess tubal patency and semen analysis. Depending on the results, various assisted reproductive treatments may be considered, including artificial insemination, in vitro fertilisation (IVF), intracytoplasmic sperm injection (ICSI), the ROPA method, egg donation or cryopreservation.

Reproductive surgery

When anatomical abnormalities may interfere with conception or the progression of a pregnancy, reproductive surgery can be used to treat certain conditions affecting the uterus, ovaries or Fallopian tubes. Whenever possible, minimally invasive techniques such as hysteroscopy and laparoscopy are used as part of a comprehensive fertility strategy.

The Grupo Pedro Jaén Gynaecology Unit provides comprehensive pregnancy care from the first weeks of gestation through to the postnatal period. Monitoring is tailored to the patient’s age, medical and obstetric history, method of conception, progression of the pregnancy and any emerging risk factors. Care combines maternal and fetal monitoring, prenatal diagnosis and ongoing support throughout each stage.

Prenatal diagnosis and personalised monitoring

Pregnancy care includes the ultrasound scans, blood tests and screening investigations indicated to assess fetal development and wellbeing while monitoring maternal health. When necessary, assessment may be extended to include cell-free fetal DNA testing using maternal blood or other diagnostic investigations. The frequency of appointments is adapted to the progression of the pregnancy. Where maternal medical conditions or pregnancies requiring closer monitoring are involved, care is coordinated with other specialists.

Preparation for childbirth and postnatal care

During the final weeks of pregnancy, maternal and fetal monitoring becomes more frequent, and the patient receives information to prepare for childbirth, including the onset of labour, pain relief options and possible modes of delivery. Care continues after birth, with assessment of physical recovery, pelvic floor health, breastfeeding, contraception and emotional wellbeing, providing continuity of care beyond pregnancy.