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Preventive Gynaecological Check-ups in Gdańsk

Cervical screening, HPV testing, liquid-based cytology and personalised care

Table of Contents

    Preventive gynaecological check-ups in Gdańsk support your reproductive health and can help identify certain abnormalities before symptoms develop. At Tartaczna 2 Medical Centre, we tailor preventive care to your age, previous test results, family history, current treatment and individual needs.

    A gynaecological check-up does not mean having every available test at each appointment. Its purpose is to establish which examinations you need, when they should be repeated and what steps may help reduce your risk of disease. Your appointment is also an opportunity to discuss contraception, pregnancy planning, the menopause and HPV vaccination.

    What happens during a preventive gynaecological appointment?

    The appointment begins with a discussion about your health. The doctor will ask about your periods, any symptoms, previous pregnancies and procedures, medication and the results of previous cervical cytology, HPV tests and imaging examinations. A family history of breast, ovarian, endometrial or colorectal cancer is also important.

    Depending on the clinical indications and with your consent, the doctor may carry out:

    • an examination of the external genital area,
    • a speculum examination to assess the vagina and cervix,
    • a bimanual examination to assess the pelvic organs and any tenderness,
    • sample collection for HPV testing or liquid-based cytology if screening is due or there is another indication,
    • a gynaecological ultrasound scan, if needed,
    • a breast examination, depending on your symptoms and agreed care plan.

    The doctor will discuss the scope of the examination with you. You can ask questions, mention any discomfort and request that the examination be stopped.

    HPV testing and liquid-based cytology – cervical cancer prevention

    Persistent infection with high-risk human papillomavirus is the main risk factor for cervical cancer. High-risk HPV testing detects genetic material from the virus, while liquid-based cytology (LBC) assesses the appearance of cells collected from the cervix. These tests provide different, complementary information.

    In the current approach to cervical screening, high-risk HPV testing is used as the primary screening test. Further management depends on factors including the HPV type detected, the cytology result and previous screening history. A positive HPV result does not mean that you have cancer, but it does require an appropriate follow-up or diagnostic plan.

    At Tartaczna 2 Medical Centre, samples for a standalone HPV test are collected in a different medium from that used for liquid-based cytology. If you choose an HPV test alone and the result is positive, you will need to return for a separate sample to be collected for LBC. We cannot automatically perform cytology on a sample collected solely for HPV testing.

    The doctor will also assess whether colposcopy or another examination is indicated. You can find more information about the tests and preparation on our liquid-based cytology and HPV testing in Gdańsk page.

    How often should you have a gynaecological check-up?

    The timing of your consultations and individual screening tests may differ. The frequency of gynaecological reviews is determined individually, taking into account your age, symptoms, medication, previous results and risk factors.

    In an HPV-based screening programme, a negative high-risk HPV result may allow a five-year interval before the next screening test for patients who meet the relevant criteria. However, this does not mean that new symptoms should be ignored during that time or that the same interval is appropriate after every previous abnormal result.

    Patients who have been treated for precancerous changes, have persistent HPV infection or are immunocompromised may need a different follow-up schedule. The recommended date of your next test should be included in the advice provided after your appointment.

    Preventive gynaecological care and women's health check-ups

    When is a gynaecological ultrasound needed?

    Transvaginal ultrasound allows the doctor to assess the uterus, endometrium and ovaries. It is useful when investigating pelvic pain, abnormal bleeding, fibroids or ovarian cysts, and when monitoring previously diagnosed conditions.

    The doctor will decide whether an ultrasound is appropriate during a preventive appointment based on the clinical indications. It does not replace HPV testing or cervical cytology and cannot rule out every gynaecological condition.

    A standard ultrasound cannot determine whether the fallopian tubes are open. HyFoSy/HyCoSy tubal patency testing is a separate procedure used mainly in fertility investigations, rather than as part of routine preventive care.

    Breast cancer screening – mammography and breast ultrasound

    Your breast screening and examination plan depends on your age, symptoms, previous results and individual risk of breast cancer. Mammography is the main breast cancer screening examination for the appropriate age group. The Polish population screening programme covers women aged 45–74, usually at two-year intervals.

    Breast ultrasound is an important diagnostic tool, particularly for younger women and when assessing a palpable lump. It may also complement mammography, but it does not automatically replace mammography for women eligible for screening.

    A new lump, nipple or skin retraction, spontaneous discharge from one nipple or another persistent change should be assessed regardless of when your last examination took place. A clinical breast examination alone does not replace appropriate imaging.

    Should tumour markers be tested as part of a routine check-up?

    Tumour markers such as CA-125 and HE4 are not recommended as routine screening tests for asymptomatic women at average risk of ovarian cancer. A normal result does not rule out cancer, while an elevated result may have a non-cancerous cause and lead to unnecessary investigations.

    Tumour marker testing may be useful in specific clinical situations, for example when assessing an already identified mass, but the decision should be made by a doctor. There is also no universal set of screening tests that can reliably rule out ovarian, fallopian tube and endometrial cancer in every healthy patient.

    If there is a family history of cancer, particularly at a young age or in several relatives, it is worth discussing whether genetic counselling and an individual prevention plan are appropriate.

    When are additional investigations needed?

    An abnormal screening result, a suspicious finding or persistent symptoms may require further investigation. Depending on the circumstances, the doctor may recommend colposcopy, a biopsy, hysteroscopy, a specialist ultrasound scan or magnetic resonance imaging.

    Colposcopy, hysteroscopy and laparoscopy are not a standard set of preventive examinations for every patient. Each procedure has specific indications.

    If endometriosis is suspected, an expert endometriosis ultrasound scan may be needed. At Tartaczna 2 Medical Centre, this examination is performed by Dr Dominika Kozikowska. A normal routine ultrasound does not rule out all forms of endometriosis.

    HPV vaccination as part of preventive care

    HPV vaccination helps prevent infection with the HPV types covered by the vaccine and the diseases associated with them. It offers the greatest benefit before exposure to the virus, but vaccination can also be discussed with a doctor later in life.

    Vaccination does not treat an existing infection and does not remove the need for recommended cervical screening.

    Symptoms that should not wait until your next check-up

    Arrange a consultation if you notice:

    • bleeding or spotting after the menopause,
    • bleeding between periods or after sexual intercourse,
    • worsening period pain or persistent pelvic pain,
    • unusual vaginal discharge, itching, burning or changes affecting the vulva,
    • persistent abdominal bloating, feeling full quickly or an increase in abdominal size,
    • a new breast change,
    • a significant change in your usual menstrual pattern.

    Sudden severe abdominal pain, fainting or very heavy bleeding requires urgent medical assessment. This is particularly important if you have pain or bleeding and pregnancy is possible. Do not wait for a routine preventive appointment in these circumstances.

    How should you prepare for your check-up?

    Bring previous cervical cytology, HPV, ultrasound and breast examination results, together with records of any previous treatment. Prepare information about your last period, current medication and any family history of cancer.

    If a cervical sample is planned, check the preparation instructions for the specific test. Do not stop prescribed treatment without medical advice. If you have abnormal bleeding or other symptoms, do not delay your consultation simply to find the “ideal” day of your cycle.

    Preventive gynaecological check-ups in Gdańsk – fees and appointments

    The cost depends on the type of consultation and the tests performed. Details are available in the individual doctors' price lists or from reception. Before your appointment, please confirm whether the fee includes ultrasound, sample collection and laboratory testing.

    Our gynaecologists at Tartaczna 2 Medical Centre are:

    Visit Tartaczna 2 Medical Centre in the Śródmieście district of central Gdańsk, at ul. Tartaczna 2/1A.

    To arrange an appointment, please contact our reception team or call +48 58 719 10 25.

    You can also book through ZnanyLekarz: Dr Marek Korożan, Dr Dominika Kozikowska or Dr Volha Khitrun. Please select the Tartaczna 2 Medical Centre location in Gdańsk.

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    Specialists
    Marek Korożan - ZnanyLekarz.pl
    Volha (Olga) Khitrun - ZnanyLekarz.pl
    Dominika Kozikowska - ZnanyLekarz.pl