Registration and Preparation
How do I book an appointment?
- For an urgent consultation in the case of a confirmed oncological condition - directly by phone: +359 2 45 22 115
- For planning hospital surgical treatment - directly by phone: +359 2 45 22 115, during the treating physician's office hours
- For a scheduled consultation - through the Superdoc online platform, during the treating physician's office hours
- For planning an outpatient treatment procedure - directly by phone: +359 2 45 22 115, during the treating physician's office hours
- For follow-up after treatment - through the Superdoc online platform
- For a discussion of histology results - by phone: +359 2 45 22 115, during the treating physician's office hours
How should I plan my treatment?
It is best for treatment to be planned and carried out in the first 2-3 "clean" days after the end of menstruation. Postponing menstruation with medication is possible, but not recommended. It is important to inform your treating physician in advance if you are allergic to medications and anesthetics, if you have recently taken or are currently taking medications that affect blood clotting (e.g., aspirin), or if in the meantime you have developed a discharge with inflammatory characteristics. In such a situation, it is better for the treatment to be postponed.
How should I prepare?
It is recommended that you have no sexual intercourse and do not use vaginal medications or douches for several days before treatment. No specific preparation is required, unless it has been recommended by your treating physician.
About the Procedure
What is tissue-destructive treatment of dysplasia?
Regardless of the type of treatment method offered to you, the goal of the procedure is to remove, within healthy margins and according to specific rules, a precancerous area previously identified by colposcopy and biopsy. The treatment is precise, colposcopically controlled, and removes as much as is needed for healing, while preserving the anatomical functionality of the cervix. Various energy sources with specific characteristics are used, approved for use in these conditions and selected by the treating physician according to the specific circumstances.
How does the treatment itself proceed?
The treatment is carried out after prior planning in the gynecological office. You do not need to fast, and you will not be admitted to the hospital. It proceeds like a regular examination with colposcopy, the cervix is numbed with a special local anesthetic, and the procedure itself takes a few seconds to a minute and is completely painless. Afterward, you get dressed and leave. You should arrange for an escort so that you are not alone. Do not consume alcohol and do not drive for the next 6-8 hours. Avoid taking medications that affect blood clotting (e.g., aspirin) for the next 12-24 hours.
If short-term intravenous anesthesia is planned for your treatment, you will receive explicit instructions in advance from your treating physician. A few days before the treatment, you will need to have blood tests and a consultation with an anesthesiologist. Please note that you must NOT eat or drink for at least 6 hours before the procedure, that you will need to remain under observation in bed with us for a few hours, and that you will be able to leave the center with an escort only after you feel alert. You must not drive or consume alcohol for the next 24 hours.
Is it painful?
No. There is no pain during the procedure. You may feel something like a mild contraction or a sensation of warmth.
After the Treatment
Does it hurt after the anesthetic wears off?
There is usually no pain in the following hours. Mild discomfort similar to premenstrual cramps may occur, which does not require painkillers. If you feel the discomfort is more pronounced, contact the office or your treating physician.
What should I expect after the treatment?
You will notice scant pale pink or period-like spotting of varying intensity and sometimes an unpleasant odor, in an amount not exceeding your usual menstruation. This is normal and may continue from a few days until your next regular period. Use a sanitary pad; menstrual tampons and cups are not recommended. If pain or heavier bleeding occurs, contact the office or your treating physician.
Do I need to follow any restrictions after the treatment?
You will receive recommendations for a lighter physical regimen verbally and in writing when you leave, but in general it is important not to take long trips, not to lift heavy objects, not to have sexual intercourse, not to exercise, and not to go into the sea, a pool, or a bathtub until your next period.
We recommend that you read carefully and strictly follow the restrictions described in the written instructions provided to you.
When can I return to work?
If your profession does not involve physical exertion - the same day, but it is recommended that you do not work and that you rest on the day after the procedure.
Follow-up
How is follow-up after treatment planned?
You will receive instructions about follow-up and the number of visits from your treating physician.
How do I know if my treatment was successful?
You will receive information from your treating physician after the histology results are available, approximately 14 working days after the procedure. This is usually done by phone on your physician's office days, and you will receive the histology result as a document at your first scheduled visit. You do not need to worry about the result, and it is good to know that these treatment procedures usually lead to a cure.
When should I come in for another examination?
You will plan your next visits with your treating physician.
What medical documentation will I receive?
All diagnostic and treatment procedures, as well as post-treatment follow-up, are carried out in accordance with the current recommendations of the European Federation for Colposcopy (EFC), the International Federation for Cervical Pathology and Colposcopy (IFCPC), as well as the analogous Bulgarian diagnostic and treatment algorithms created by the Bulgarian Association of Oncogynecology (BAOG) and the Bulgarian Society of Obstetrics and Gynecology (BSOG).
Each treatment procedure is accompanied by standard medical documentation, including an outpatient record, an operative report, instructions on hygiene and activity regimen, and recommendations for post-treatment follow-up.
Follow-up is individualized and planned with your treating physician.
Diagnoses, treatment, and follow-up results are reported in the National Health Information System (NHIS).
Before a treatment procedure is performed, you must declare your consent by signing a standard document. It is important that you keep the original operative report. It contains important information for the obstetrician-gynecologist who will monitor your future pregnancy.
What comes after the treatment?
Your treating physician will give you specific instructions depending on the treatment results achieved and the colposcopic findings.
When can I return to routine screening?
You will receive explicit instructions from your treating physician at the end of follow-up.
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