: leiomyoma, dysfunctional uterine bleeding, intractable dysmenorrhea,pelvic pain, cervical intraepithelial neoplasia, neoplasia, endometriosis etc. all Gyn OP including cancers with some exceptions like?ovarian cancers, Huge Tumors, infection massive adhesions etc.

: 3 weeks(including four days hospitalization)

ⓐ Medical examination : 1 week before operation.
Undergo preoperative laboratory evaluation.
ⓑ Admission : The day of OP or 1 day before OP
obtain informed consent and undergo preoperative management.
ⓒ The time required for operation
: 3 hours.(From beginning to end of anesthesia)
Cancer can take longer.
ⓓ Admission to ICU
: not necessary in less there is a medical necessarity advices.
ⓔ Postoperative day 1
: ambulation, starting diet
ⓕ Discharge at postopertive day 1 to day 6
ⓖ F/U at office : 1 week after discharge

ⓐ Shower : postoperative day 2 according to Dr`s order.
ⓑ Avoid strenuous activity for the first 2 weeks, and increase activity level gradually.
ⓒ Avoid heavy lifting, douching, or sexual intercourse until instructed by the physician.
ⓓ Bath as needed using shower or tub baths.
ⓔ Gradually increase to regular diet on tolerable.
ⓕ Avoid straining for a bowel movement or urination. For constipations, use stool softner.
ⓖ Visit to hospital if excessive vaginal bleeding or fever occurs.
ⓗ Minimal vaginal discharge or spotting would be normal.

ⓐ Wide variation in women`s responses to hysterectomy.
ⓑ No proven evidence that hysterectomy increases the risk of depression.
ⓒ The incidence of sexual dysfunction after hysterectomy : not usually
ⓓ No proven evidence that hysterectomy affects libido our way or the other.
ⓔ Hysterectomy does not cause psychiatric problem.
ⓕ The best predictor of postoperative sexual functioning is the patient`s preoperative sexual function.

: leiomyoma, dysfunctional uterine bleeding, intractable dysmenorrhea,pelvic pain, cervical intraepithelial neoplasia, neoplasia, endometriosis etc. all Gyn OP including cancers with some exceptions like ovarian cancers, Huge Tumors, infection massive adhesions etc

: 3 weeks (including 7 days hospitalization)

ⓐ Medical examination : 1 week before operation.
Undergo preoperative laboratory evaluation.
ⓑ Admission : The day of OP or 1 day before OP
obtain informed consent and undergo preoperative management.
ⓒ The time required for operation
: 3 hours.(From beginning to end of anesthesia)
Cancer can take longer.
ⓓ Admission to ICU
: not necessary in less there is a medical necessarity advices.
ⓔ Postoperative day 2
: ambulation, starting diet
ⓕ Discharge at postopertive day 1 to day 6
ⓖ F/U at office : 1 week after discharge

ⓐ Shower : postoperative day 2 according to Dr`s order.
ⓑ Avoid strenuous activity for the first 2 weeks, and increase activity level gradually.
ⓒ Avoid heavy lifting, douching, or sexual intercourse until instructed by the physician.
ⓓ Bath as needed using shower or tub baths.
ⓔ Gradually increase to regular diet on tolerable.
ⓕ Avoid straining for a bowel movement or urination. For constipations, use stool softner.
ⓖ Visit to hospital if excessive vaginal bleeding or fever occurs.
ⓗ Minimal vaginal discharge or spotting would be normal.

ⓐ Wide variation in women`s responses to hysterectomy.
ⓑ No proven evidence that hysterectomy increases the risk of depression.
ⓒ The incidence of sexual dysfunction after hysterectomy : not usually
ⓓ No proven evidence that hysterectomy affects libido our way or the other.
ⓔ Hysterectomy does not cause psychiatric problem.
ⓕ The best predictor of postoperative sexual functioning is the patient`s preoperative sexual function.

: Patients who had vaginal hysterectomy

: 2 weeks (including 2 days hospitalization)

ⓐ Medical examination : 1 week before operation.
Undergo preoperative laboratory evaluation.
ⓑ Admission : The day of OP or 1 day before OP
obtain informed consent and undergo preoperative management.
ⓒ The time required for operation
: 3 hours.(From beginning to end of anesthesia)
Cancer can take longer.
ⓓ Admission to ICU
: not necessary in less there is a medical necessarity advices.
ⓔ Postoperative day 1
ⓕ Discharge at postopertive day 1 to day 6
ⓖ F/U at office : 1 week after discharge

ⓐ Shower : postoperative day 2 according to Dr`s order.
ⓑ Avoid strenuous activity for the first 2 weeks, and increase activity level gradually.
ⓒ Avoid heavy lifting, douching, or sexual intercourse until instructed by the physician.
ⓓ Bath as needed using shower or tub baths.
ⓔ Gradually increase to regular diet on tolerable.
ⓕ Avoid straining for a bowel movement or urination. For constipations, use stool softner.
ⓖ Visit to hospital if excessive vaginal bleeding or fever occurs.
ⓗ Minimal vaginal discharge or spotting would be normal.

ⓐ Wide variation in women`s responses to hysterectomy.
ⓑ No proven evidence that hysterectomy increases the risk of depression.
ⓒ The incidence of sexual dysfunction after hysterectomy : not usually
ⓓ No proven evidence that hysterectomy affects libido our way or the other.
ⓔ Hysterectomy does not cause psychiatric problem.
ⓕ The best predictor of postoperative sexual functioning is the patient`s preoperative sexual function.

: Total Abdominal Hysterectomy (TAH), Bilateral Adnexectomy, Bilateral Lymphectomy

: One Month (14 days hospitalization)

ⓐ Medical examination : 2-3days before operation.
Undergo preoperative laboratory evaluation.
ⓒ The time required for operation : 5~6 hours (From beginning to end of anesthesia)
ⓓ Admission to ICU
: not necessary in less there is a medical necessarity advices.
ⓔ Receive results of histological examination on 7th or 10th day after operation : Setting up an additional treatment plan
Additional treatment : Anti-cancer therapy (Hospitalize for 4 to 5 days every three or four weeks)
Radiotherapy (Ambulatory F/U every day at the Department of Radiation & Oncology)
Re-hospitalization day is set at the time of discharge if additional treatment is needed. (10 to 14 days of hospitalization)
ⓕ F/U at office : 1 week after discharge

ⓐ Shower : postoperative day 2 according to Dr`s order.
ⓑ Avoid strenuous activity for the first 2 weeks, and increase activity level gradually.
ⓒ Avoid heavy lifting, douching, or sexual intercourse until instructed by the physician.
ⓓ Bath as needed using shower or tub baths.
ⓔ Gradually increase to regular diet on tolerable.
ⓕ Avoid straining for a bowel movement or urination. For constipations, use stool softner.
ⓖ Visit to hospital if excessive vaginal bleeding or fever occurs.
ⓗ Minimal vaginal discharge or spotting would be normal.

ⓐ Wide variation in women`s responses to hysterectomy.
ⓑ No proven evidence that hysterectomy increases the risk of depression.
ⓒ The incidence of sexual dysfunction after hysterectomy : not usually
ⓓ No proven evidence that hysterectomy affects libido our way or the other.
ⓔ Hysterectomy does not cause psychiatric problem.
ⓕ The best predictor of postoperative sexual functioning is the patient`s preoperative sexual function.

: One month is required.

ⓐ Routine lab is carried out three days after the starting date of menstruation
ⓑ Hysterosalpingogram and chest x-ray one or two days after menstruation
: Looking to the inside of uterus to check atretic oviduct and presence of lesion
ⓒ Postcoital examination and cervical mucus test right before ovulation: Best time for semen analysis in cervical canal
ⓓ Confirm the ovulation through a progesterone test in blood around 7th day on the Basal body Temperature (BBT)
ⓔ Endometrial histological examination one to three days before the next menstruation on the BBT
: To see if the uterus is ready for implantation. Seven or so days are required.
ⓕ Semen analysis after sexual intercourse is banned for three or so days.
: Volume, motile sperm count, sperm motility, and shapes
ⓖ Prepare BBT (Basal body Temperature)
ⓗ Diagnostic laparoscopy (Final stage) - Check any lesion within the pelvis (One or two days of hospitalization)

(hospitalization is not necessary)

ⓐ Indication : Impossible to conceive through artificial insemination, Bilateral atretic oviduct, Male infertility, Endometriosis, and so on
ⓑ Process
(a-1) Hypodermic injection - Long-term therapy
Receive injections on the shoulders or subcutaneous injections on lower abdomen every day from 7 to 10 days ahead of the next menstruation (0.6cc for the first 10 days and then 0.3 cc till the day of receiving hCG injection)
(a-2) Hypodermic injection - Short-term therapy
Inject 0.6 cc from the second day of menstruation to the dayof receiving hCG injection
(b-1) Superovulation injection - Long-term therapy
Receive the superovulation injection for 7 to 10 days after two weeks of hyperdemia injection.
Observe the growth of follicles through the ultrasonography.
(b-2) Superovulation injection - Short-term therapy
Receive the superovulation injection for 7 to 10 days on the next day of hyperdemia injection.
Observe the growth of follicles through the ultrasonography.
ⓒ hCG injection - Grow and ovulate eggs (Intramusculer Injection)
Receive the injection at 7 to 9 PM of the day when the largest follicle grows up to18 mm and take eggs 36 hours later.
ⓓ Taking eggs - Accompanied by husbands (Semen is taken at the same time).
While looking at the transvaginal ultrasonography, follicular fluids are taken with a syringe to find eggs.
Embryo is fertilized in vitro up to eight or more cells.
Progesterone is intramuscularly injected at 1.5 to 2 cc from the very day of taking follicular fluid. When the patient gets pregnant, the injection continues for about 2 months.
ⓔ Embryo transfer - Two to three days after eggs are taken.
Insert embryos placed in a tube through the vagina into the uterus. No need for anesthesia. No pain.
Four or so embryos are inserted on the 3rd day of cultivation, and two or so embryos on the 5th day.
ⓕ Blood test for pregnancy
Confirm the pregnancy through the blood test (β-hcg) two weeks after eggs are taken.
The second blood test is carried out one week after when pregnancy is detected in the blood test.
When the number increases, the presence of an embryonic sac is checked through the ultrasonography one week later.