A pleasant atmosphere and sufficient time for conversation are particularly important in gynaecological practice.
In every phase of life, from young girl to mature woman, different needs and issues require special attention.
A trusting relationship with my patients is very important to me. I try to understand the individuality and particularity of each woman and to meet her individual needs. I guarantee a careful gynaecological examination and therapy according to the newest standards, if desired also supplemented by the knowledge of the traditional Chinese medicine.
More information about Dr. Michaela Rabl.
Empathy with the patient is the basic requirement of my work as a doctor. Our mutual communication is based on your personal characteristics, particularities and needs and on my medical experience. I treat my patients to the best of my knowledge and the latest medical standards. The focuses of my clinical-scientific work are infections in gynaecology as well as obstetrics.
More information about Prof.Dr. Ljubomir Petricevic.
The first visit to the gynaecologist
Puberty brings many changes of the body with it. It is often difficult for young girls to accept their body. There are many questions that they want to discuss in a trusting atmosphere. The first visit to the gynaecologist should leave a positive impression. The monthly period, all the changes of the body as well as sexuality and contraception are discussed. If there are no major problems, a gynaecological examination is only necessary after the first sexual intercourse. The first examination is carried out unhurriedly and every single step of the examination is explained in detail beforehand.
Gynaecological check-up
Most of the time it is the gynaecological check-up that leads patients to the gynaecologist. After a detailed discussion, a cell smear (PAP test)is taken from the cervix (precaution carcinoma of the uterus). If the smear turns out to be conspicuous, the mucous membrane of the cervix will be examined with a coloscope to identify possible changes. The condition of the vaginal fluid, or rather vaginal flora, is examined under the microscope. Possible milieu disorders, bacterial infections or vaginal yeast infections can be detected using this method. The shape and size of the uterus can be assessed by palpation. The ultrasound examination shows the appearance and possible changes of the organs in the small pelvis (uterus, uterine tube, ovaries, urinary bladder). Finally, a palpation of the breast is carried out (precaution breast cancer, more information on the Austrian Breast Cancer Early Detection Programme can be found here )
Sexuality, Contraception
Every woman has an individual view and attitude towards sexuality and contraception. The wide range of options of contraceptive methods, from natural birth control to hormonal and hormone-free methods and sterilisation, should be available to women. An individual consultation should precede the decision of the appropriate method. In order to discuss intimate problems in sexuality and partnership a trusting relationship with the doctor and sufficient time is needed.
Pregnancy, Childbirth, Breastfeeding
Pregnancy is a time of joyful anticipation. Most pregnancies, apart from the “typical aches and pains”, are uncomplicated and unproblematic. 5 Mother-child pass examinations are planned to monitor the pregnancy closely and to identify possible risk factors.
At the end of the pregnancy from the 36th week, we offer acupuncture for birth preparation. This can shorten the opening phase of the cervix at birth by an average of two hours.
Private birth attendance: Every woman should, if possible, be able to deliver just as she wishes. Whether natural birth or planned caesarean section, we respect your wishes and are happy to help and advise you.
A happy lactation begins with an intensive mother-child contact immediately after the birth and good council in childbed.
Hormonal disorders
Many gynaecological complaints can be traced back to hormonal imbalances, e.g. menstrual irregularities, the absence of menstrual bleeding, bleeding disorders (intermenstrual bleeding, severe menstrual bleeding, etc.), PMS. By simply taking a blood sample directly in the practice, the hormones can be determined and the cause of the problems can be detected (hormone status).
Menopause
Some women have no problems during menopause. Nevertheless, some preventive examinations (e.g. to prevent osteoporosis, etc.)are necessary during this time. In case of severe menopausal pains, that limit the quality of life of women, there are a number of alternative possibilities of relieving the symptoms (e.g. traditional Chinese medicine) next to hormone replacement therapy.
Operations
Caesarean section is the most frequently performed routine operation in obstetrics. In the field of gynaecology, the most frequently performed operations are minor procedures (curettage, hysteroscopy, conisation, etc.). Many operations on fallopian tubes or ovaries can be performed by laparoscopy. Operations on or the removal of the uterus can be done from the vagina or by abdominal incision. We operate in the following hospitals: Universitätsklinik für Frauenheilkunde AKH, Privatklinik Döbling, Goldenes Kreuz, Rudolfinerhaus.
Pelvic floor weakness and incontinence
Uncontrolled loss of urine is a taboo subject in our society. This symptom can have several causes: vaginal births, constitutional weakness, but also erring conduct in everyday life. You can counteract this through regular pelvic floor training and mindful day-to-day behaviour.Surgical treatment is also sometimes necessary.
Oncology and aftercare
The best possible drug treatment for advanced malignant diseases is just as important as the well-executed surgery itself. In the course of an interdisciplinary session, a treatment plan in collaboration with oncological internists, radiologists and pathologists will be tailored to your individual needs and afterwards discussed with you. In the case of malignant diseases of the gastrointestinal tract, regular laboratory and X-ray examinations as well as endoscopic check-ups are part of an adequate aftercare. With the help of a reliable contact person, who takes care of examination intervals and the evaluation of all findings, a lot of pressure can be taken from the already stressful situation.
Oncological aftercare
The primary care of cancer patients should take place at an oncological centre. Only there it is possible to provide the best treatment. The aftercare examination can be carried out by the specialist in collaboration with the centre. In a difficult phase of life, patients appreciate being accompanied by a doctor they can trust.
Family planning, unfulfilled desire for children
Many couples consciously chose the time when they want to have a child. Observation of the cycle with or without technical aids can be learned easily. A pregnancy can thus be avoided or targeted. An unfulfilled desire to have children can be distressing and can burden the relationship.
A clarification of both partners makes sense after one year of unprotected intercourse without the onset of a pregnancy at the earliest. Depending on the problem, simple measures for fertility treatment can be carried out in the practice, complex diagnostics and treatment should be carried out in a fertility centre. (Contacts Fertility Centres: Fertility Centre Döbling, Fertility Centre Goldenens Kreuz, Wunschbaby Institut Feichtinger, Children Wunsch Kliniken Dr. Loimer)
Paediatric Gynaecology
Gynaecological problems occur only rarely in childhood. There are hardly any serious diseases. Sometimes little girls suffer from vaginal discharge or inflammation in the genital area. It is particularly important to treat the girls carefully and sensitively and to allow a lot of time for the examination.
Traditional Chinese Medicine (TCM) in Gynaecology and Obstetrics
Traditional Chinese Medicine is a medicine that has been tried and tested for 2000 years. In addition to acupuncture, which is very well known and practiced in the Western nations, the Chinese herbal medicine is less well known despite being able to be used much more widely. For disorders such as menstrual pain, PMS, menopausal symptoms and cycle disorders, conventional medicine offers few or for many women unsatisfactory treatment options. TCM does not primarily treat the symptom but the whole person. TCM is a great enrichment of the spectrum of medical treatment possibilities.
