Dr. Alex Pavlenko, Obs & Gyn

15/09/2025

🌸 Did you know?
A normal menstrual cycle lasts 21–35 days, and the bleeding usually lasts 2–7 days.

❌ Very heavy bleeding
❌ Severe pain
❌ Irregular or absent periods

— these are not normal and may signal fibroids, hormonal imbalance, or other gynecological issues.

👉 Regular check-ups help detect problems early and keep you healthy.
💜 Your health is your strength.

24/07/2025

"😱 40 Years with a Stone Baby!"

🪨 Lithopedion – The “Stone Baby” Phenomenon 👶
These stunning CT scans show a 73-year-old woman with a lithopedion, or “stone baby” – one of the rarest medical conditions ever recorded.

What is it? 🤔
When a fetus dies during an abdominal (ectopic) pregnancy and cannot be absorbed or expelled, the mother’s body “mummifies” and calcifies the fetus to protect itself from infection. The term comes from Greek: lithos (stone) + paidion (child).

How rare? 🌍
Since the 16th century, fewer than 400 cases have been reported! Many women live for decades unaware of it, with discovery often happening by accident during scans — just like in this case.

History flash 📜:
The oldest known lithopedion was found in a 92-year-old woman — she had carried it for over 60 years!

Why does this happen?❓️
The human body has incredible self-preservation mechanisms. When it cannot expel something dangerous, it can isolate and calcify it — a natural defense to protect the mother’s life.
These 3D CT images remind us how amazing and protective the human body can be.

12/03/2025

🦜
It is possible and even necessary‼️ to treat teeth during pregnancy. You should not tolerate toothache, it is stressful for the expectant mother and baby. In addition, oral sanitation is also indicated for other reasons: to remove areas of chronic infections and reduce the risk of complications.
Urgent treatment is required for caries, periodontitis, inflammatory diseases of the gums and soft tissues: gingivitis, periodontitis. Also, urgent care is indicated for injuries, such as a fracture of the tooth root, chips, cracks, and the need for surgical intervention for abscesses, etc. In some cases, orthodontic, orthopedic treatment, as well as whitening, can be postponed. For example, the installation of braces or one dental implant can be postponed to a more favorable time, after the birth of the baby.
During tooth treatment doctor can use any materials according to the indications. The lamps used for curing are NOT harmful to the fetus.
🙃Dental treatment during pregnancy can be accompanied by high-quality pain relief. The specialist selects antibiotics which can be used during pregnancy, carefully weighing the potential danger in the absence of treatment and the possible harm to the fetus. There are antibiotics that are approved for use during pregnancy and do NOT have a teratogenic effect.
First trimester — remineralizing therapy, professional teeth cleaning without ultrasound exposure are allowed.
Dental treatment in the 2nd trimester of pregnancy — from the 13th to the 24th week — is the safest period 🫶

26/12/2023

Education.
Bilateral theca lutein cysts in a normal term pregnancy🤰
An ovarian theca lutein cyst is a pathological formation in the tissues of internal organs, which are filled with atretic follicles formed from layers of thecal lutein cells. This type of disease is the most common among tumor diseases of the cyst glands (by 10%). These neoplasms known to be associated with twins, molar pregnancy and erythroblastosis fetalis, but they are only rarely associated with a normal singleton pregnancy. Their natural course is postpartum spontaneous regression. 🧑‍🏫

29/11/2022

Do you know how or**sm is in females?🤔

Biology of Female or**sm3dmedicalanimationanimation video is made and copyrighted_by_Dandelion _TeamFertilization medical animationhttps://youtu.be/u0y2Wvc0J...

06/04/2022

👨‍🏫Uroge***al chlamydia is the most common s*xually transmitted disease. At least 10-15% of young s*xually active people are infected with 🦠chlamydia. Chlamydia occurs 2-3 times more often than gonorrhea. Given that chlamydia often occurs without pronounced symptoms. The main danger of chlamydia lies in the complications that it causes.
💄In women, 87% are lesions of the cervix: erosion, cervicitis, dysplasia, and inflammation of the adnexa, which in turn leads to infertility, ectopic pregnancy, pathology of fetal development, infection of the newborn. In 68% of cases, chlamydia causes acute urethral syndrome - frequent painful 🤬urination.
In addition to various complications of the ge***al organs, chlamydia causes damage to other organs: eyes 👀 (chlamydial conjunctivitis), joints, skin, liver, spleen, lungs, kidneys, central nervous🧠 and cardiovascular systems. About chlamydia, we can say with confidence that it is much easier to avoid than cure.
❗️Therefore, you should follow the rules of s*xual hygiene, which will protect against various s*xually transmitted diseases:
🔹permanent s*xual partner and complete trust;
🔹refusal of casual s*x and a double method of protection: a condom plus local va**nal products
🔹at the slightest suspicion of infection, contact the doctor.
😲It is very interesting that animals also get sick with chlamydia. Koalas 🐨are one of the important symbols of Australia, but these animals are becoming less and less. The reason for their extinction lies in the fact that the animals suffer from real venereal diseases, in particular from chlamydia.
A specific strain of chlamydia is dangerous for koalas, different from the virus that infects humans.
Also according to scientists from 🇦🇺Australia, birds can be infected with a strain of Chlamydia psittaci similar to Chlamydia trachomatis, which causes a flu-like🤧 illness and can be transmitted to people who have direct contact with an infected bird.
It is worth noting that Australian authorities have previously reported cases of human infection with Chlamydia psittaci from birds🦜. So, in the Australian city of Bright (Victoria), 16 people became infected with Chlamydia psittaci as a result of contact with bird droppings💩 while working in the garden.

08/02/2022

Looks like a really impossible is possible 😉🤯

In a rare case, a 33-year-old woman in Canada found there was a foetus growing inside her liver.

05/11/2021

👨‍🏫Vaginismus is one of the s*xual disorders in which a woman💄 has involuntary spasms of the muscles that ⛔️block the entrance to the va**na. This prevents the insertion of the p***s into the va**na or gynecological examinations. It is accompanied by reflex hips and contraction of the muscles of the abdominal wall, bending and other protective movements of the body. Vaginismus is possible in women of any age and is expressed in very different degrees. It is estimated that 2 – 3% of women suffer from vaginismus. The convulsive contraction of the muscles is preceded by the fear😱 of pain during defloration, but in some cases it occurs suddenly, unexpectedly for the patient. Three degrees of severity of vaginismus can be distinguished:
✔️I degree - the reaction occurs when a p***s or instrument (during va**nal examination) is inserted into the va**na;
✔️II degree - the reaction occurs when you touch the ge***als or expect to be touched;
✔️III degree - the reaction occurs with one presentation of s*xual in*******se or gynecological examination.
In some women, vaginismus is accompanied by a fear😱 of s*xual activity. However, for most women with this disorder, s*xual💕 arousal is relatively easy. Moisturizing the va**na is normal, foreplay can be pleasant and satisfying; the ability to or**sm is often retained.
👨‍⚕️Treatment of vaginismus includes restorative measures, psychotherapy with correction of misconceptions about the pain and danger of defloration, elimination of the inflammatory process of the ge***al organs. In true vaginismus, psychotherapy is the main treatment🧘‍♀️.
More severe forms of vaginismus are often refractory to various treatments such as Kegel exercises, dilator therapy, psychotherapy, s*xual counseling, physical therapy, hypnotherapy, biofeedback, antidepressants, anti-anxiety medications, but can be used alternative treatment, such as botox💉 treatment. Result of Botox therapy can last for 2-4 months. It provides the initial relaxation and lack of pain on pe*******on that allows the body to become used to the sensation without tensing up🥳.

22/09/2021

📌Fresh news from UpToDate (subscription-based resource designed to provide physicians access to current clinical information) on the impact of COVID-19 💉vaccination on spontaneous abortion rates.
🎉Fortunately, there is no🙅‍♂️ impact and experts recommend vaccination for pregnant ❗️and planning.I recommend vaccination against COVID-19 regardless of pregnancy status.
1. https://pubmed.ncbi.nlm.nih.gov/34496196/
2. https://pubmed.ncbi.nlm.nih.gov/34495304/

Spontaneous Abortion Following COVID-19 Vaccination During Pregnancy

04/08/2021

Medical education. 32 years female🙋 with complaints of infertility.
Performed hysteroscopy🔎... As a result found cause of infertility: multiple endometrial polyps. Same time polyps were removed and patient discharged home since 2🕔 hours.
🧐In general, hysteroscopy is a therapeutic and diagnostic method for assessing the state of the uterine cavity and performing minimally invasive gynecological interventions. It is carried out by introducing a special instrument into the uterine cavity - a thin optical tube with a camera🎥 at the end. The magnification of the image allows you to reproduce the picture of the uterine cavity on a computer 💻monitor and examine its structure in detail. Hysteroscopy of a polyp allows you to remove the formation with minimal intervention and tissue damage🌻.

07/06/2021

ℹChemical pregnancy also known as “biochemical pregnancy🧪” its absents of identifiable pregnancy despite of positive ✅pregnancy test. ☹️Such situation can happen during IVF or during normal conception.
So what is happening during chemical pregnancy❓:
📌Pregnancy test is positive, level of hCG around 1000-1500 mM0/ml, in most of the cases level of hCG is 1000 and with next blood test suddenly decreasing;
📌With ultrasound examination pregnancy is not identifiable. It’s because embryo firstly implanted in the endometrium but after stops developing;
Such pregnancy NO need terminates; menstruation will start on it's own.
What is next?
📌In most of the cases cause of chemical pregnancy it’s embryo anomaly. Need to be done 🔬tests: couple karyotyping and embryos PGT-A (preimplantation genetic testing in case of IVF);
📌Also cause of chemical pregnancy can be pathology in the endometrium, such as inflammation, infection, deficiency. In such case need to perform hysteroscopy.
📌Uterus abnormality: septum, bicornuate uterus etc. Need to perform hysteroscopy as well.
📌Changes in endometrial oestrogen receptors and progesterone receptors.
📌Male 🧔factor (additional 🔬tests MAP, DNA🧬, EMIC).
📌In some cases, endocrine system pathology (thyroid dysfunction, diabetes etc.)
📌Or (rare) factors of 🌋environment.

14/05/2021

👉Patient had infertility ☹️due to big uterine fibroid. Performed 🔍laparoscopic myomectomy ( fibroid removed without🙅 opening abdomen ( see first 📸photo)). 7 months later patient conceived👏. Last two 📸photos: same patient during C-section 🐣( on the second photo visible area of scar after laparoscopic myomectomy,1+ year after). Stitches🧵 completely dissolved and scar absolutely good 🏆🥇