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Dr. Jordi Rovira Montané

Dr. Jordi Rovira Montané
Obstetrics & Gynecology
Tarragona


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Dr. Jordi Rovira Montané
Obstetrics & Gynecology
Tarragona

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Professional statement

Renowned specialist in Obstetrics and Gynecology, Dr. Rovira Montane is cancer expert in gynecological cancer and its treatment by surgery. In addition, he is a specialist in midwifery and gynecological laparoscopy and hysteroscopy. An MA in laparoscopic surgery and one in direction of hospitals and health services.

*Translated with Google translator. We apologize for any imperfection


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 Credentials

 Professional experience

• More than 20 years of experience
• Specialist in Gynaecology and Obstetrics Hospital of Bellvitge (2013-present)
• Specialist in Obstetrics and Gynecology at the Medical Clinic Tarragona (2012-present)
• Specialist Obstetrics and Gynecology at the University Hospital Joan XXIII (2009-2013)
• Specialist Obstetrics and Gynecology at the University Hospital Arnau de Vilanova in Lleida (2005-2009)
• Specialist Obstetrics and Gynecology at the Verge de la Cinta Hospital, Tortosa (2002-2005)
• Specialist in Gynaecology and Obstetrics Hospital Clínic i Provincial de Barcelona (2001-2002)
• Head of St. Barnabas Hospital (1999-2001)

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 Education

• Bachelor of Medicine and Surgery at the University of Navarra (1985-1991)
• Specialist in Obstetrics and Gynecology at the University of Navarra (1993-1997)
• Master in Laparoscopic Surgery from the Autonomous University of Barcelona (1998-1999)
• Master in hospitals and health services (2000-2001)

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Languages spoken

  • Catalan
  • Spanish
  • English

*Translated with Google translator. We apologize for any imperfection

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Diseases, Medical Tests and Treatments

Breast Cancer

Breast cancer is a disease that occurs when cancer cells develop in the tissues of the breast. It can affect both women and men and has a very small i ...

Gynecological Cancer

  Gynecologic cancer is any cancer that begins in the female reproductive organs. Although we refer to them as a group, in fact each has its own sy ...

Laparoscopic Surgery

Laparoscopy is a surgical technique inspection of the abdominal cavity that does not require large incisions. During the laparoscopic surgical procedu ...

Ovarian cancer

Ovarian cancer is generated in the female reproductive organs, is the fifth most common among women. Among the risk factors are: Have fewer chil ...

Surgical hysteroscopy

The operative hysteroscopy is a clinical procedure that involves inserting an optical instrument (one lighted tube connected to a video camera and a television monitor) through the vulva and vagina which allows the doctor to look inside specialist the uterine cavity. Being a closed space, it is necessary to distend the cavity. This generally used saline. This is a minimally invasive technique to diagnose some intrauterine pathologies that could not be clearly determined with other medical tests, such as a cancer or a polyp. Surgical hysteroscopy requires general or local anesthesia, and the patient returns home the same day the surgery. The technique often produces no further complications. ...

Anal condyloma

Condyloma, or genital wart is a disease that affects the skin area around the anus or genitals. Also called genital warts that appear as small warts grow in size and are spreading to the genital area. They are usually asymptomatic and, therefore, patients do not even know they have it until later. Genital warts are caused by the Human Papilloma Virus (HPV). It is a sexually transmitted disease in 95% of cases, so it is transmitted from person to person by direct contact, although other methods of transmission. ...

Babybirth

Childbirth is the time when childbirth occurs by leaving the womb, when nine months of gestation are met, as a rule, although they may occur prematurely. It is considered that labor starts when irregular uterine contractions and continuously, which are progressively increased in frequency and intensity appear. Alongside contractions, physiological changes in the cervix that eventually causing delivery. The pregnant woman should be moved to a hospital where he will receive all the relevant medical care. In some cases, birth control assistance and may require the help of anesthetic drugs or oxytocin, which is used when there are complications late. The ideal form of labor is when the baby is sliding down the mother's vagina spontaneously, without mediation of instruments or complications. But in many cases assistive devices during delivery, such as forceps, holding the baby's head to force him out are required. A lot of births are by Caesarean section, which is a surgical procedure in which an incision is made ​​in the abdomen and uterus to remove the baby when complications occur at birth. ...

Breast benign cancers

Breast cancer is the growth of cells or tissue in the breasts, which can be benign or malignant nature. Any suspicion of the presence of a tumor should make the necessary medical tests to analyze their nature. If it is cancerous tumors, depending on its size and grade it will proceed to chemotherapy, radiation or surgery to remove it. However, benign breast tumors are growths that have no carcinogenic nature. The most common are fibroadenomas, appearing especially in women under 30 years. It is related to hormonal changes in women, and not always need to be removed, since most go away on their own within two years; you can opt for surgery of benign tumors of the breast in cases of rapid increase in its size, aesthetic deformity or discomfort. Other benign tumors of the breast can be fibrocystic breast disease, adenomas, lipomas, etc. ...

Cervical Cancer and reoperations

Cervical cancer is one that occurs on the surface of the cervix, in the inside of the matrix, the bottom of the womb (uterus). The vast majority of cervical cancers are from the human papillomavirus (HPV). Also, other factors that can affect the appearance of this cancer: - Not be vaccinated against HPV. - Engaging in sexual intercourse at an early age. - Having multiple sexual partners. - A large number of births. ...

Contraception advice

Contraceptives prevent or reduce the chance of fertilization of women, thus preventing pregnancy and plan the best time to have a child. Currently, there are multiple types of contraception provided by oral, intravaginal and transdermal, injectable, by subcutaneous implant or physical means. Examples include the pill, the patch, the implant, the condom, vasectomy or IUD. Regarding its effectiveness, not all are classified in the same way, being abstinence and condom patches of the most reliable. The use of certain contraceptive methods such as condoms can prevent the contraction of sexually transmitted diseases. ...

Contraceptive Ring

The contraceptive ring ( also called NuvaRing) is a method of birth control that contains artificial forms of the hormones that are normally produced in the ovaries of women: estrogen and progestin. These prevent the ovary from releasing an egg during her menstrual cycle; the progestin, also helps to prevent sperm from entering the uterus, causing the mucus that exists in the cervix becomes thick. It is a flexible ring about five inches in diameter to the same woman placed inside the vagina. It is a monthly contraceptive: it must remain in the vagina for three weeks;after, retires for a week. However, keep in mind that it can produce side effects such as nausea, vaginitis or breakthrough bleeding. ...

Control of pregnancy

Management of pregnancy or prenatal care is necessary for the welfare of the mother and baby. Reviews should be monthly during the first seven months of pregnancy and more frequent as you approach your due date. In each event routine tests are performed to verify the proper conduct of gestation. Some surveys are conducted only in pregnancies of risk. ...

Cystitis

Cystitis is inflammation of the urinary bladder. You can be infected or not. Its main symptoms are burning sensation during urination, a strong urge to urinate, blood in urine and discomfort in the pelvic area. Cystitis caused by a bacterial infection is usually treated with antibiotics. Cystitis is more prevalent in women because they have shorter urethra and is closer to the anus. ...

Endometrial cancer

Endometrial cancer is the most common within the different types of uterine cancer. Currently, the exact cause is not known but may be related to increased levels of estrogen. It is given type of cancer among women in their 60s and 70s, still very rare in less than 40. The symptoms presented endometrial cancer are abnormal vaginal bleeding after menopause, low abdominal pain or cramping in the pelvis and white vaginal discharge. ...

Endometrial polyps

Endometrial polyp is a deformation which manifests itself in the uterine cavity. (Within the endometrium, the lining that covers the inside of the uterus). It may be of different size and shape, and has a slow growth, but sometimes it can occupy the entire endometrial cavity. Endometrial polyp is painless and usually does not cause problems, appearing especially in women past menopause. Signs of suspicion are: vaginal bleeding during or after menopause, excessive menstrual bleeding, heavy menstrual periods or longer than usual, cramps during or between periods, etc. Treatment or surgery for endometrial polyps usually require removal. Endometrial polyp operation is performed by hysteroscopy. ...

Endoscopic Surgery

Under the term endoscopic surgery, various techniques of direct observation of the inside of a body cavity or grouped using an optical instrument (lighted tube connected to a video camera and a television monitor) that is inserted through natural orifices human body or abdominal wall, such as hysteroscopy and laparoscopy. Gynecological endoscopic surgery allows diagnosis and treatment of diseases peculiar to this field. It is a minimally invasive surgery that has meant an advance over traditional open surgery, because it is a much more reliable and accurate technique, have fewer subsequent traumas and also the aesthetic results are better. ...

Family Planning

Family planning refers to fertility and contraceptive treatment techniques. This area of ​​medicine to organize the time interval between pregnancies who wish to have. ...

Human Papillomavirus (HPV)

The human papillomavirus (HPV) is a virus that infects the skin and mucous membranes in humans. There are over 100 different types, most of them harmless, but some are associated with an increased risk of cervical cancer or dysplasia (abnormal cell changes in the surface of the cervix). These are acquired through sexual contact with an infected partner, and can be low risk or high risk. The low-risk types can cause genital warts. The high-risk can cause cervical, vulva, vagina and anus cancer in women; and cancer of the penis and anus in men. It is possible that the affected person has no symptoms; in the case of women, regular Pap smears can detect changes in the cervix that may end up leading to cancer. There is no cure for HPV. The treatment of cervical dysplasia that does not go away, may include surgery to remove the abnormal tissue. ...

Human Papillomavirus Vaccine (HPV)

The vaccine against human papillomavirus (HPV) is a vaccine that protects against certain strains of this virus, which can be the cause of most cases of cervical cancer and genital warts (both men and in women). The HPV vaccine can be given from 9 years, and is recommended for children aged 11 to 12. The reason is that it is more effective if it has not had any sexual contact and also because the response to it is greater than during adulthood. Papillomavirus vaccine may have some side effects, the most common of which are: fainting, dizziness, nausea, and skin reactions in the area where the shot was given. ...

Intrauterine device (IUD)

An intrauterine device (IUD) is a plastic or metal T-shaped the gynecologist placed in the uterus of women. It is one of the most effective methods to prevent pregnancy. Once in place, it stays within the uterine cavity until it ask the doctor to remove it, and has a cord attached to the end so that women can make sure the device is in place in each period. What the IUD is to prevent sperm from getting into the egg by changing the lining of the uterus. Among its advantages in addition to its effectiveness, is the fact that it is cheap, can prevent pregnancy between 5 and 10 years, it begins to work very quickly, and the woman does not feel it in your body, so it does not cause discomfort. ...

Mastitis

  Mastitis is an inflammation of the mammary gland caused, generally, by infection. One cause may be lack of hygiene. But often occurs when a woman is breastfeeding, the skin of the nipples may crack and let the bacteria living on the skin penetrate the fatty tissue of the breast. The proliferation of bacteria produces an abscess it difficult exit milk ducts in the breast. The usual symptoms of breast inflammation include sore breasts, bloating, having a tender area and reddened, swollen glands in the armpits, fever, chills, fatigue, etc. To eliminate the infection, they are often prescribed antibiotics and analgesics for pain relief. Other recommendations are the local application of heat using wet cloths, extreme hygiene, removal of breast milk, getting enough rest and drink plenty of liquids. In any case, you can continue to breastfeed. ...

Menopause

It is called menopause to the disappearance of menstrual periods of women on a permanent basis because of the arrest of ovarian cycle. Arrivals at an age (on average at age 50), the ovaries produce less estrogen and progesterone, which are female hormones. For men, this process is called andropause, which is the loss of sexual power because of the low levels of the hormone testosterone in the body. The process of menopause can last a few years, and involves symptoms such as changes in the menstrual cycle, insomnia, vaginal dryness, mood disturbance, difficulty concentrating, hot flashes, weight gain, headache, increased facial hair, etc. . Some of these symptoms requiring medical treatment, such as intake synthetic hormones or tracking a diet indicated for reducing these troublesome symptoms. ...

Natural Childbirth

Natural childbirth is a way to give birth without the help of drugs, including the epidural. Some women with low risk pregnancies opt for this natural way of giving birth in order to avoid the risk that the drugs may pose. ...

Ovarian Cyst

The ovarian cyst is a sac or pouch filled with liquid that forms in the ovary or on it. The most common are functional cysts, which are formed as a result of ovulation, which are divided into follicular cysts, when the follicle does not open to release the egg; corpus luteum cysts, if the follicle that held the egg is sealed after release. Usually, no specific treatment is necessary since they produce mild symptoms and disappear on their own in about 6 or 7 weeks. In addition, the cysts are common in women of childbearing age, and are usually benign, but can also be malignant or cancerous. In many cases it may require treatment by surgery adequate ovarian cysts: in benign can only remove ovarian area becomes ill, through a laparoscopic intervention ovarian cyst; however, in the case of malignant cysts, often requires removing the entire ovary. ...

Pelvic Floor

The pelvic floor is the set of muscles and ligaments surrounding the abdominal cavity at its bottom. Holding all the pelvic organs (bladder and urethra, uterus and vagina, and rectum) and ensure their normal operation.   The pelvic floor is dynamic, adapting to our movement while still maintaining adequate voltage to hold the organs inside the pelvis. When the pelvic floor is weakened, as problems that can affect urine leakage, discomfort, pain and even the fall of the abdominal organs arise. ...

Pelvic Pain

Pelvic pain features occur in the lower abdomen as both intermittent steadily. Pelvic pain in women can occur during menstruation or during intercourse. It may be a sign that there is a problem in the pelvic organs such as the uterus, ovaries, fallopian tubes or the vagina. To discover the cause of the pain suffered by the patient, several clinical tests must be performed, and the treatment of pelvic pain depends on the results. Women may also experience an infection of the lining of the uterus, fallopian tubes or ovaries called pelvic inflammatory disease (PID), which is caused by bacteria that cause chlamydia and gonorrhea. ...

Polycystic ovaries

The polycystic ovary syndrome is a condition that occurs when there is an imbalance in the female ovaries or adrenal glands so they produce more male hormones than normal. The result is the development of cysts (tiny fluid-filled balloons) in the ovaries. Women can develop the syndrome during the teen years or reproductive age, being more common in obese women. Although sometimes no symptoms are experienced, it is common irregular, infrequent or absent menstrual periods are given. Other effects may include infertility, pelvic pain, excess hair on the face, chest, abdomen and fingers, hair loss or weak hair, acne, oily skin or dandruff. Birth control pills can help regulate the period and reduce male hormone levels, so treatment usually polycystic ovaries. When the ovaries produce multiple small cysts (no more than 1 cm in diameter), we speak of " micropoliquísticos ovaries syndrome ", which usually have the same symptoms. Likewise, treatment of micropoliquísticos ovaries may also be based on the administration of the contraceptive pill. ...

Pregnancy

Pregnancy is the period of 40 weeks from fertilization to birth in which the fetus is gestated.

Premenstrual syndrome

Premenstrual syndrome is a cluster of physical symptoms and / or mood that women may have one to two weeks before menstruation and disappear when it starts. The vast majority of women experience at least one of these symptoms: joint pain, tender and swollen breasts, migraine, acne, fatigue, constipation, irritability, hot flashes, depression, changes in mood, loss of interest in sex , etc. Sometimes they are severe enough to interfere with their normal life. There is no definitive treatment of premenstrual syndrome, but it is generally recommended to exercise regularly, take medications such as analgesics or evening primrose and follow a healthy diet (avoiding sugars, refined foods by substituting whole, reducing fat ... ). ...

Prenatal Diagnosis

Prenatal diagnosis is the set of tests to find the right training and development of the fetus. Different techniques are both invasive and noninvasive. - Test of fetal DNA in maternal blood. From week 10 you can know the risk of Down syndrome or other abnormalities related comorsomas. - Ultrasound. Several throughout pregnancy are performed. Three months to detect some images of markers comosomopatías and second you can diagnose possible malformations. - Amniocentesis. Get amniotic fluid surrounding the fetus to detect chromosomal abnormalities. ...

Preparation for babybirth

  Under the term "birth preparation" set of tools that are useful to prospective parents the time to prepare for the birth of a baby from the beginning of pregnancy are included. They are usually briefings in which an introduction is made ​​to fetal development and existing medical checks, psychological aspects of pregnancy, childbirth and postpartum, the delivery operation; quarantine period after birth, breastfeeding, etc. Besides, in practical classes in preparation for childbirth, a specialized instructor Teaching the pregnant body postures and exercises that will help provide greater elasticity to the muscular structures to facilitate the birth process, and breathing and relaxation techniques that will allow greater self-control at the time of labor contractions. ...

Sexually transmitted diseases (STDs)

Sexually transmitted diseases (STDs) are a set of different microorganisms caused by infectious diseases, which have in common that are preferably spread during sex. More than 20 known STDs, including: chlamydia and lymphogranuloma, gonorrhea, genital herpes, acquired immunodeficiency syndrome (AIDS), genital warts caused by human papillomavirus, syphilis and trichomoniasis. Although most STDs affect both men and women, women have the most serious health problems. Not all STDs can be cured: those that are caused by bacteria, such as chlamydia, are fought with antibiotics, but they are caused by viruses, such as genital herpes, treatment is limited to alleviate the symptoms. ...

Transvaginal ultrasound

Transvaginal ultrasound is a medical diagnostic technique used to examine the genitals of women, including the uterus, ovaries and cervix. Images are formed by the use of ultrasound, and the physician observes a monitor by moving a probe while going through the area. The transvaginal ultrasound is usually done during pregnancy, when abnormal findings on physical examination (such as fibroid tumors or cysts), when there is abnormal vaginal bleeding and menstrual problems, pelvic pain, certain types of infertility, ectopic pregnancy, etc. Some of the problems that can be observed are the cancer of the uterus, ovaries, vagina, and other pelvic structures, as well as other infections and congenital abnormalities. ...

Ultrasound

  Ultrasound is a diagnostic imaging procedure that allows you to view organs and soft structures within the body. It is made using high-frequency sound waves that are emitted by a transducer that captures the echo of different amplitudes which occurs bounce off the organs. These signals, when processed by a computer, give a series of images of the tissues examined. Today may be two-dimensional, three-dimensional or 4-dimensional images. Ultrasound is a noninvasive technique, in which no radiation used and thus is used to visualize fetuses that are being formed. This procedure can differentiate clearly the shape and size of each structure within the body. In medicine it is used to see the heart, kidneys, liver and blood vessels, among other organs. ...

Urinary Incontinence

Urinary incontinence is the inability to control the bladder, which means that you can not always hold urine. It can affect anyone, but is most common in people over 50 years. Most control problems occur because the muscles that keep the bladder are too weak or too active. If they are weak, small amounts of urine to perform actions such as laughing or coughing are lost, which is known as stress incontinence. On the contrary, if they are too active, you can have an urgent need to go to the bathroom while having little urine in the bladder (urge incontinence or overactive bladder). Other causes include prostate problems and neurological damage. The treatment of urinary incontinence depends on the cause and type, but in general usually includes simple exercises, medicines and special devices. Surgery may be helpful at times. ...

Vaginitis

Vaginitis is a vaginal inflammation, usually due to an infection. The causes may be chemical or traumatic. Chemical due to the use of some creams or aggressive soaps near the vagina or urethra. Traumatic or external causes that cause inflammation of the vagina can range from sexual intercourse without sufficient lubrication or too aggressive, or practice sports without the necessary clothing. Sometimes, symptoms may go unnoticed, but usually present an abnormally excessive secretion, burning, painful urination, intercourse discomfort and irritation in the vulva and vagina. Treatment of vaginitis may be a cream or gel which is introduced into the vagina. Anyway, even if symptoms disappear, the infection may still be dormant. ...

Vulvar cancer

Vulvar cancer is generated in the external genitalia of women, usually affects the lips and folds of skin outside the vagina. It can also form, although less frequent, the clitoris or the vaginal opening. Vulvar cancer is rare. Among the risk factors are infection human papillomavirus, smoking or a history of cervical cancer. Women who have this cancer have symptoms such as itching around the vagina for years. ...

Yeast infections (Candidiasis)

Thrush is an infection caused by the fungus Candida, the most common is Candida albicans. It is found in small amounts in the vagina, mouth, digestive tract and skin, often without causing infection. However, the amount of Candida albicans may increase leading to a yeast infection. Most women have a yeast infection throughout their lives. The causes of candidiasis are: -Be Taking antibiotics used to treat other types of infections. -be Pregnant. Ser obese. -Having Diabetes. - Thrush is not spread through sexual contact. But some men may have a rash on the penis after sexual contact. ...

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