Diagnostics, treatment and a safe plan
Irregular periods, missing cycles, heavy bleeding, very painful menstruation or suspected developmental disorders (e.g., delayed puberty, absence of menstruation in adolescence) are common reasons for a gynecological visit. At Polyclinic Cito we approach it calmly and thoroughly: conversation, gynecological examination (adapted to the age and situation), ultrasound and laboratory workup when needed. The goal is to identify the cause and build an individualized plan that restores confidence and quality of life.
Menstrual disorders are deviations in the rhythm, duration or intensity of bleeding, while developmental disorders are congenital or acquired changes in the development of the uterus, vagina or ovaries. They can be transient (e.g. in the first years after menarche) or a sign of a hormonal and/or gynaecological problem that needs a work-up. They occur in different periods of life but most often during puberty.
Note: Irregular cycles in adolescence can be common, expected and transient, but there are situations when it is important to carry out a work-up - especially in cases of heavy bleeding, severe pain or the complete absence of menstruation.
If you recognise some of the symptoms listed, a gynaecological examination can help to find the cause and provide an appropriate treatment plan.
We talk about menstruation, i.e. when the first period was, the rhythm of the cycle, the duration and intensity of bleeding, whether you have pain or other complaints. We ask whether you take medicines and whether stress, weight changes and sport affect the cycle.
We perform the examination gently and discreetly. In girls who have not yet had sexual intercourse, the examination is often limited or only an ultrasound over the abdomen is done.
Ultrasound helps us to see the uterus and ovaries and to check whether cysts, a PCOS appearance, fibroids or the endometrium are present.
If needed, we do hormone tests or blood tests (e.g. checking iron in cases of heavy bleeding) and a treatment and monitoring plan.
If you suspect pregnancy - tell us (important in cases of absent menstruation).
The aim of the examination is to find the cause of the complaints, i.e. for you to stop “guessing” and to get a clear cause and plan.
Problems with the cycle often create stress and uncertainty. It is important that the approach is calm, clear and expert and, most importantly, tailored to you. Our team of doctors provides:
Arrange an examination - you will receive a clear assessment and concrete steps.
The price at Cito Polyclinic is 40€. Additional tests such as a Pap test, ultrasound, HPV typing, colposcopy or swabs are charged separately, as needed.
You can get the first available appointment straight away by phone on +385 21 457 800 or by sending a short message via the contact form.
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Specialist in Gynecology and Obstetrics
Find answers to common questions about this service
Painful menstruation, cycles longer than 35 days, heavy bleeding and dysfunctional bleeding; causes include hormonal imbalance, coagulopathies and anatomical changes.
For severe pain, heavy/prolonged bleeding, absence of menstruation >3 months or suspicion of anemia. Ultrasound, laboratory tests and age-appropriate hormones are performed.
Most often conservatively: education, NSAIDs, hormonal cycle regulation and iron supplementation; invasive methods are rare.
They can, depending on the cause (PCOS, endometriosis, thyroid disorders). Timely diagnostics and therapy reduce the risks.
