• More than 35 years of experience• Acting Clinical Chief in Catedra II of Obstetrics and Gynecology of the Hospital Clinico Universitario de Madrid, School of Medicine, from the 1-8-1.985 2-2-1.985
• Acting Chief Residents 2-8-2.985 to 30-9-1.985. On October 1, 1985, I was appointed Specialist Area (FEA ) office held until October 2000• Head of Section Obtained by Opposition in the chair of Obstetrics and Gynecology of Hospital Clinico of Madrid in July 2001• Since 2000 Head of Service in the Department of Obstetrics and Gynecology of the Hospital Clinico of Madrid, when it was required by the Head of Service and authorized by Medica Address ...
• Coordinator and Senior Lecturer from 1980-1985 in both daily work as Research and Teaching Laboratory of Pathology Gynaecology Department of Obstetrics and Gynecology of the Hospital Clinico San Carlos in Madrid, led by Dr. Nogales Ortiz• Associate Professor of Obstetrics and Gynecology: position held from 1986 to 2000, during that time I have taught classes and seminars to students of Degree Course, assigned me the Catedratico
• Professor of Obstetrics and Gynecology, Faculty of Medicine, Complutense University of Madrid. since 2000• Full Professor of Obstetrics and Gynecology, Faculty of Medicine, Complutense University of Madrid. since 21/06/2008 ...
Publications and conferences
• Multiple national and international publications• Multiple Communications and Presentations at Conferences
• Multiple Courses, Seminars and Conferences ...
Prizes and awards
• 1983 Honours Degree (Section Surgery ). Granted in April 1983 U.C.M• 1985 Special Prize of Doctorate awarded in February 1985 UCM
*Translated with Google translator. We apologize for any imperfection
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The 4D ultrasound consists in obtaining four-dimensional images per second. This will get to see the baby and moving in real time. Best 4D ultrasoundsThe 4D ultrasound consists in obtaining four-dimensional images per second. This will get to see the baby and moving in real time. Best 4D ultrasounds are obtained between 24 and 30 weeks gestation. Thanks to the proportion of amniotic fluid and intermediate size baby enable optimal viewing.
5D ultrasound creates three-dimensional moving images. The difference is the 4D ultrasound images have higher resolution, sharpness and even shades of5D ultrasound creates three-dimensional moving images. The difference is the 4D ultrasound images have higher resolution, sharpness and even shades of shadows that give a more realistic look baby sets. Thanks to improved technology, 5D US allows diagnose abnormalities. The test can be performed at any time, although it is recommended to do between weeks 24 and 30.
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
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 symptoms and risk factors. The can get any woman, but it is known that the risk increases with age. Major gynecological cancers are cervical, ovarian and uterine cancers; less frequently, cancer of the fallopian tube and primary peritoneal. Treatment depends on various factors such as the type of cancer, its stage and location. You may be required to perform surgery to remove it gynecologic cancer, and / or radiotherapy or chemotherapy.
It is called menopause to the disappearance of the menstrual periods of the woman permanently, because of the arrest of the ovarian cycle. At a certaiIt is called menopause to the disappearance of the menstrual periods of the woman permanently, because of the arrest of the ovarian cycle. At a certain age of the woman, the average is around 50 years, the ovaries produce less amount of estrogen and progesterone, which are female hormones. After this process the woman can no longer get pregnant. In the case of men this process is called andropause, which is the loss of sexual potency due to the low levels of the testosterone hormone in the body. The menopause process can last several years.
What symptoms does it present?
Menopause has symptoms such as changes in the menstrual cycle, insomnia, vaginal dryness, mood alteration, difficulty concentrating, hot flashes, weight gain, headache and more facial hair, among others. Some of these symptoms require medical treatment. For example, the intake of bioidentical hormones or the follow-up of a diet indicated to reduce the annoying symptoms.
Causes of menopause or why it occurs
Menopause occurs due to the low production of female hormones. Sometimes surgical menopause can occur, which is when a surgical treatment causes a decrease in estrogen. On the other hand, it is important to note that there are certain drugs such as those used for chemotherapy or hormone therapy for breast cancer that can cause menopause.
Can it be prevented?
Menopause is a part of a woman's natural development and can not be prevented. What you can do is take into account certain care to reduce the risk of long-term problems such as osteoporosis and heart disease. It is important not to smoke, exercise regularly, ingest calcium and vitamin D and control blood pressure and cholesterol.
What is the treatment?
The treatment may be a change in lifestyle or hormone therapy. The application of one or the other depends on many factors such as the severity of the symptoms, the general health and the preferences of the patient.
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.
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.
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.
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.
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.
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 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.
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.
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.
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 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.
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.
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 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.
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.
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 ... ).
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.
Robotics and robotic surgery is that surgery done using robots. It is a very technologically advanced technique that allows the surgeon to perform surgical procedures in a very precise way. The surgical instrument is attached to the robot arms, and the specialist handled by remote control, ie, no need to be in the operating room in person, since you can control everything through a computer station. The robot reproduces the movements of the surgeon. The advantages of robotic surgery over traditional open surgery is that, to make minor and precise incisions, recovery time and pain associated with surgery is less.
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 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.
Tubal ligation is a surgical procedure performed on women to close the fallopian tubes (tubes that connect the ovaries to the uterus). The goal is to prevent access of eggs to the tubes and the matrix, which is a permanent form of contraception. This procedure can be performed on an outpatient basis or through membership in a medical center and lasts about 30 minutes. Anesthesia may be epidural, local or general, depending on the case. Usually tubal ligation is a reversible method should permit a permeabilization to allow pregnancy. The risks are common to any surgery, including bleeding, infections and allergic reactions to drugs.
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.
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.
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.
- Thrush is not spread through sexual contact. But some men may have a rash on the penis after sexual contact.
Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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