My name is Anna Petruseva, and I am an obstetrician-gynecologist with 17 years of experience. I specialize in the treatment of various gynecological conditions, particularly focusing on treating women with hormonal disorders at different stages of life, from adolescence to menopause, as well as treating vulvar, vaginal, and cervical pathologies. Additionally, I perform plastic surgery on the external genitalia.

Regularly participate in scientific conferences and seminars both in Israel and abroad. This allows me to stay up-to-date with the latest advancements in medicine and apply modern diagnostic and treatment methods.

I believe that the key to successful treatment lies in a trusting relationship between the doctor and the patient. That’s why I am always ready to listen, offer support, and provide detailed answers to any questions, helping women feel confident and at ease.

[ + ] About me

[ + ] Education & advanced training

2012 – 2018 years

Residency in Gynecology and Obstetrics at Rambam Medical Center, Haifa, Israel

2019 year

Fellowship in Sexology, Budapest, Hungary

2019 – 2020 years

Course on Menopause, Tel Aviv University

2022 year

Course in Aesthetic Surgery in Gynecology

[ + ] Professional activity

Rambam Medical Center:

[ ] Head of the Menopause Clinic

[ ] Gynecologist-Sexologist in the Consulting Clinic

[ ] Gynecologist in the Clinic for Women who have experienced sexual violence

[ ] Responsible Lecturer on gynecology and obstetrics for the medical licensing exam preparation course

Sharap Plus Medical Center:

[ ] Private Practice at Sharap Plus Medical Center ( Istadrut 55, Cinema Mall, Lev HaMifratz )

Consultations and treatment for various gynecological conditions

[ + ] Services

Consultation and treatment for women with menopause symptoms, regardless of age or the cause of menopause.

Menopause

Consultation and treatment for women with sexual disorders (pain during intercourse, decreased libido, difficulty achieving orgasm)

Sexual disorders

Consultation and treatment for women with vaginal and vulvar conditions (e.g., lichen sclerosus, vaginal mucosal atrophy due to menopausal changes or breast cancer therapy).

Vaginal and vulvar conditions

Botox treatment for vaginismus (spasms of the vaginal and pelvic floor muscles triggered by attempts to insert anything into the vagina).

Botox injection therapy

Consultation and treatment for women with cervical conditions (e.g., colposcopy procedure following a positive HPV test, post-coital bleeding, or the presence of a cervical polyp).

Cervical conditions

A gynecological checkup, including testing for HPV, cytology, and ultrasound of the pelvic organs.

Gynecological checkup

Treatment with hyaluronic acid injections for reshaping and resizing the labia majora, as well as for treating vaginal dryness, augmenting the G-spot, and tightening the vaginal opening.

Treatment with hyaluronic acid injections

Performing plastic surgeries on the external genitalia (labiaplasty – changing the shape of the labia majora and minora, hymenoplasty – restoration of the hymen).

Plastic surgery of the external genitalia

Selection of contraception methods, including the insertion of intrauterine devices.

Contraception

Pregnancy Management

Consultation and treatment of women with polycystic ovary syndrome.

Consultation and treatment of women with endometriosis

Polycystic ovary syndrome (PCOS)

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The main diseases, symptoms and procedures I specialize in

[ + ] Diseases, symptoms

Menopause

A transitional period in a woman's life when the ovaries stop functioning and stop producing sufficient amounts of estradiol, a female sex hormone. The decrease in blood estradiol levels causes various menopause symptoms.

all symptoms

Menopause symptoms:

[ ] hot flashes (a sensation of heat in the chest, neck, and head, often accompanied by excessive sweating, sometimes with palpitations and panic attacks)

[ ] mood disturbances leading to aggressive behavior or depression

[ ] unexplained fatigue

[ ] lack of energy

[ ] bone and joint pain

[ ] hair loss

[ ] weight gain

[ ] loss of interest in life

[ ] sleep disturbances

[ ] dry skin and mucous membranes

[ ] memory deterioration and decreased concentration

Complaints related to the genitourinary system should be noted separately:

[ ] vaginal dryness

[ ] pain during intercourse

[ ] recurrent vaginal and bladder infections (cystitis)

Regardless of the age at which a woman enters menopause, and whether it is natural or induced (as a result of ovary removal surgery or cancer treatment), it is crucial to choose the right treatment to ease the transition and prevent aging, as well as to reduce the risk of developing conditions such as osteoporosis, coronary heart disease, dementia, and other diseases.

Pain during intercourse

The cause of this condition may be inflammation of the vaginal mucosa, vulvar diseases, involuntary muscle spasms of the vagina and pelvic floor muscles.

all symptoms

Symptoms:

[ ] hypersensitivity of the mucosa at the vaginal entrance and in the area of the hymenal remnants

[ ] thick and inelastic hymen

[ ] vulvar diseases

[ ] inflammation of the vaginal mucosa

[ ] endometriosis

[ ] scars after childbirth or surgical interventions in the area of the external genitalia

In any case, it is important to understand that there should be no pain during sexual intercourse, and it is strongly recommended to consult a specialist for diagnosis and appropriate treatment.

Chronic itching of the external genitalia

One of the most common causes of prolonged itching in the vulva area is Lichen Sclerosus – a benign, chronic progressive autoimmune skin disease.

all symptoms

Symptoms :

There is significant dystrophy of the vulvar skin and mucous membranes. Without treatment, scarring of the clitoris, thinning of the labia minora, fusion with the labia majora, and scarring of the vaginal entrance will occur.

Diagnosis requires vulvoscopy, and in some cases, a biopsy to confirm the diagnosis. Treatment includes various corticosteroid creams, plasma therapy, and hyaluronic acid injections.

Polycystic ovary syndrome (PCOS)

A common hormonal disorder found in women of reproductive age. PCOS usually begins in adolescence, but its symptoms may change over time.

all symptoms

Symptoms:

[ ] heavy, prolonged, irregular periods with delays or absence of menstruation

[ ] hormonal imbalance

[ ] infertility

[ ] acne and oily skin

[ ] bone and joint pain

[ ] hair loss

[ ] excessive androgen levels and ovarian cyst formation

[ ] excessive hair growth on the face or body

[ ] male-pattern baldness or hair thinning

[ ] dry skin and mucous membranes

[ ] irregular menstrual cycle

PCOS increases the risk of developing other disorders, including:

[ ] type 2 diabetes

[ ] hypertension (high blood pressure)

[ ] high cholesterol levels

PCOS is a leading cause of infertility. According to estimates, the syndrome occurs in 8–13% of women of reproductive age, with up to 70% of cases remaining undiagnosed. The symptoms of PCOS are varied and often individual.

[ ] heart disease

[ ] endometrial cancer (cancer of the uterine lining)

A diagnosis of PCOS is made when at least two of the following criteria are present:

[ 1 ] Signs and symptoms of high androgen levels (excessive hair growth on the face or body, hair loss on the head, acne, or elevated testosterone levels in a blood sample) – after ruling out other causes.

[ 2 ] Irregular menstrual cycle or absence of menstruation – after ruling out other causes.

[ 3 ] Polycystic ovaries on ultrasound.

After diagnosis, it is important to choose the right treatment.

Endometriosis

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside it. This can cause severe pelvic pain and make it difficult to conceive.

all symptoms

Symptoms:

[ ] severe, life-disrupting pain during menstruation

[ ] pain during intercourse

[ ] pain during bowel movements and/or urination

[ ] chronic pelvic pain

[ ] increased fatigue

[ ] infertility

[ ] nausea

[ ] sometimes also depression and anxiety disorder

Approximately 10% (190 million) of women and girls of reproductive age suffer from endometriosis. It can start at the first menstruation and continue until menopause.

The cause of endometriosis is unknown. It cannot be cured, but medical treatment and sometimes surgery can help reduce the symptoms of the disease.

Colposcopy

A modern diagnostic method that involves the examination of the cervix and vagina using a special optical instrument – a colposcope. The device magnifies the area being examined by 10-30 times, allowing the structure of the epithelial layer of the cervix and the condition of the mucosa to be seen. The procedure is painless and informative. It allows for the early detection of cervical pathology and signs of an oncological process.

more about procedure

Procedure:

During colposcopy, the patient is placed in a gynecological chair. For a more detailed and extended examination, the doctor inserts a speculum into the vagina for better visualization. The outer surface of the cervix is treated with a mild Lugol's solution and 3% acetic acid. This increases the informativeness of the study: affected areas of the epithelium become more defined. A colposcope, equipped with an optical lens system and a lighting element, is placed a few centimeters from the entrance.

The total duration of the procedure is 10-15 minutes. During this time, the condition of the cervix, vulva, vaginal walls, vascular pattern, and changes in the mucous membrane can be accurately assessed. If necessary, a biopsy is taken for further histological examination.

Labiaplasty

A surgery aimed at changing the shape or size of the labia. The goal of the surgery is to eliminate aesthetic imperfections.

more about procedure

Procedure:

The procedure is most often performed for cosmetic purposes, although it can be prescribed for medical reasons, such as pain during intercourse or discomfort when wearing tight clothing due to enlarged labia minora. Healing after the surgery is quick, with scars barely noticeable in the future. The surgery is performed under local anesthesia.

Hymenoplasty

A surgery to restore the hymen. The hymen is part of the vaginal mucosa that fully or partially covers the vaginal entrance. The tissue often tears after the first sexual intercourse.

more about procedure

Procedure:

The procedure is performed under local anesthesia and involves stitching the remnants of the natural hymen located on the vaginal walls. Regardless of the reason, the hymen can be restored, provided the hymenal tissue remnants can be found. However, permanent hymenoplasty is not possible for women who have had multiple sexual encounters or have given birth to many children.

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