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Dr. Pere Fuster Brull

Dr. Pere Fuster Brull
Obstetrics & Gynecology
Sitges


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Dr. Pere Fuster Brull

Obstetrics & Gynecology
Sitges

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Dr. Pere Fuster Brull area of expertise:

Diseases, Medical Tests and Treatments

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 (lig ...

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 ...

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 harml ...

Amniocentesis

Amniocentesis is a test that is done during pregnancy through a puncture in the matrix to obtain a small amount of amniotic fluid, which is the sac th ...

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. ...

Artificial insemination

  Artificial insemination is a method of insemination in which sperm is deposited in the vagina of women through mechanical means that replace copulation, and in the near ovulation time. In this way, the sperm travel up the fallopian tubes is shortened, and therefore, there are more likely to approach the more sperm egg. The aim is to increase the chances of pregnancy in couples who have difficulty conceiving a child. The technique consists, first, to collect a semen sample which is treated in the laboratory to concentrate sperm. The doctor inserts a speculum into the vagina to see the cervix and injecting the sperm into the uterus. Usually, it's a bit painful process, and usually accompanied by ovarian stimulation techniques. ...

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. ...

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 impact. There are certain factors that can influence the development of this disease, the most important of which are family history, age and unhealthy life style. The most effective prevention is early detection, so doctors recommend that women do breast self-examination regularly. Periodicals from 50 years to detect possible tumors mammograms also have to be made. Treatment of breast cancer depends on the stage of extension, as well as the patient's health, but is commonly used hormone therapy, chemotherapy and radiotherapy, along with the breast cancer surgery to remove the tumor. ...

Breast Reconstruction

  Breast reconstruction, also known as breast augmentation, is surgery done to restore the loss of a breast, usually removed because of breast cancer. Besides the aesthetic breast reconstruction with as closely as possible and texture to the original, this operation helps the patient to recover from the shock that implies suffering from cancer. Depending on each case, different surgical techniques are recommended: with breast implants, silicone containing besides other substances that vary depending on the prosthesis; techniques using the patient's own tissues to achieve a safer and more natural, generally extracted reconstruction abdomen, buttocks or thighs; or techniques that combine the two types of reconstruction as needed. Besides, after about 3 or 4 months after surgery, when the tissue is fully desinflamado, intervention for restoration of the nipple and areola, which are aesthetically perfect is performed. ...

Caesarea

A caesarean is a surgical procedure that involves removal of the fetus through an orifice. This surgical incision can be made either in the abdomen (laparotomy) or, in the womb of the mother. The use of this technique is indicated at the possibility that a vaginal delivery would lead to medical complications. The operation is relatively safe for the mother and child but requires a longer time than vaginal birth recovery period. ...

Cervicitis

Cervicitis is an inflammation of the cervix caused by an infection, usually caught during sexual activity. The most common infections are chlamydia, gonorrhea, genital herpes and genital warts. Women may not notice any symptoms affected, but usually the cervicitis increased vaginal discharge, causing pain during intercourse, burning, cystitis, abnormal vaginal bleeding (after intercourse, after menopause, between periods ), pelvic pressure or heaviness and even skin lesions around the pubic hair. If not treated in time, the infection can reach the fallopian tubes and uterus, but it is important to perform a pelvic examination at onset of symptoms. Cervicitis is usually treated with antibiotics in case of bacterial infections such as chlamydia and gonorrhea, with antivirals for herpes infections or hormone in women who have reached menopause. ...

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. ...

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 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. ...

Endometriosis surgery

Endometriosis is the presence and self-functional growth of the endometrium (the mucous membrane that lines the uterus) in an abnormal location; usually in the ovaries, behind the uterus, bowel or bladder. Although many women have no symptoms, this displaced tissue can cause pain, very heavy periods and pain during intercourse. The first sign may be the difficulty in achieving a pregnancy. Regarding the treatment of endometriosis or surgery will depend on the patient, in cases where it is not widespread, the doctor may prescribe pain medication to relieve pain, or drugs regulating hormones and birth control pills; in cases that present more complications, endometriosis operation, which aims to remove the endometrial tissue is practiced by places has spread ...

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. ...

Fertility Study

The fertility testing is a medical protocol that aims to diagnose the causes of infertility in order to find the necessary help to get pregnant, within which can be seen assisted reproduction techniques. The study is conducted to the two partners, if they take at least a year trying to conceive a child without contraception without success. Studies generally last between one and two months, they are relatively simple and consist in finding out if the man has a sperm of normal characteristics, if the sperm reach the uterus after intercourse, if the woman has a right ovulation or the uterus and the fallopian tubes are normal. To do this, the fertility study may include tests such as transvaginal ultrasound, bacteriologías, hormonal study and hysterosalpingography, in the case of women; in the case of men, sperm count and sperm capacitation test. ...

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. ...

In vitro fertilization (IVF)

  In vitro fertilization (IVF) is the union of egg and sperm artificially in the laboratory in order to obtain a suitable number of embryos to transfer to the uterus and fertilize; thus she becomes pregnant women. This procedure can solve certain cases of infertility, and is usually resorted to when other assisted reproduction techniques have failed, such as artificial insemination. Insemination of the oocytes can be performed by conventional technique or IVF using intracytoplasmic sperm injection (ICSI), which is used mainly when there is a male sterility factor. ...

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. ...

Laparotomy

Laparotomy or surgical exploration of the abdomen is a surgery that aims to explore the organs and structures of the lower abdomen, such as the appendix, intestines, kidneys, liver, pancreas, gallbladder, bladder, uterus, etc. It is recommended when you have not received an accurate diagnosis with medical tests such as X-rays and CT scans. The surgeon removes a sample of tissue (biopsy) for later laboratory analysis. The exploratory laparotomy, which is performed while the patient is asleep under general anesthesia, it is useful to diagnose and treat diseases such as ovarian cancer, ectopic pregnancy, endometriosis, gallstones, appendicitis, etc. ...

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. ...

Myoma

Fibroids are a series of benign (ie, noncancerous) of variable size that develop in the muscular wall of the uterus. Generally, women with these tumors do not suffer any symptoms, it is usually detected when the relevant medical examinations are performed. In cases where symptoms occur, they usually are: heavy menstrual bleeding and more durable than usual, bleeding between periods, pelvic cramps, heaviness in the lower pelvic area and legs ... The treatment or surgery Fibroids can range from oral contraceptives to help control heavy periods, to NSAIDs, such as ibuprofen for cramps or pain. In severe cases, treatment requires removal of fibroids. ...

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. ...

Ovarian Stimulation

Ovarian stimulation is used to increase the number of eggs in women who want to undergo assisted reproduction technique, either by artificial insemination or in vitro fertilization, because they have difficulty getting pregnant. The treatment involves placing a subcutaneous injection of a hormone prepared daily from the third day of the menstrual cycle. On the fourth day begins tracking the number and size of follicles (where the eggs will develop future) by vaginal ultrasound to determine the best day for the egg retrieval. Oocytes are extracted for several cycles to fertilize and then implanting the embryo in the uterus. Ovarian stimulation may increase the risk of a multiple pregnancy. Meanwhile, intercourse is usually applied directed, a treatment that involves sex on your most fertile days. ...

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. ...

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 ... ). ...

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. ...

Robotic Surgery

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. ...

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. ...

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. ...

Tubal Ligation

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. ...

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. ...

Uterine malformations

During fetal development, the uterus is formed by two small tubes called Mullerian ducts, which are joined together to form a single larger body: the uterus. However, sometimes these tubes are not attached in the center of the pelvis, and that's when we speak of uterine malformations. The most common are: unicorne uterus (only form one side of the Mullerian ducts), double uterus (the ducts develop but fail to merge, so that the patient has double vagina) and bicornuate uterus (the part It is bifurcated above the uterus). A uterine malformation that causes no symptoms does not usually require treatment, but there is the possibility of an intervention surgery to remove uterine malformations vaginal canal or two uterine cavities gather into one, for example, and is performed by endoscopic surgery or open abdominal surgery. ...

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. ...

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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