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Treatment of infertility

​Today, life is full of psychological strain, stress and adverse environmental effects.

This, unfortunately, has a negative impact on a person's reproductive function and significantly affects the harmony of family life.

Our specialists provide infertility diagnosis and treatment. We carry out all the necessary examinations. If there is a need to perform laparoscopic diagnostics or treatment, it is performed in Jurmala Hospital.

The service is provided by doctors:

Juris Iljenkovs

Renars Parādnieks


Dr. Juris Iljenkovs also specializes in artificial insemination.

Our goal is to give each of us the opportunity to enjoy the happiness of becoming parents.

Neauglības ārstēšana

Operative gynecology


Minor gynecological operations are performed under general anesthesia:

  • in case of pregnancy pathology;

  • termination of pregnancy by vacuum excochleation method;

  • gynecological surgery in the case of diseases that require interventions in the uterine cavity for therapeutic or diagnostic purposes, such as:

  • endometrial hyperplasia,

  • uterine myoma, endometrial or cervical polyp,

  • genital bleeding of unknown origin and other pathological conditions;

  • plastic surgery in gynecology;

  • other gynecological operations that can be performed as part of a day hospital

Operatīvā ginekoloģija

STD diagnosis and treatment


STD examinations should be performed if:

  • had sexual contact with a person infected with an STD;

  • there are changes in the body (especially in the genitals) that raise the suspicion of STD;

  • have several sexual partners and do not use contraception.


Tests for STDs are also recommended for preventive purposes.



Cervical cancer is a type of malignant tumor caused by infection - oncogenic types of human papilloma virus - HPV. The presence of exactly two types - HPV 16 and HPV 18 - was found in approximately 70% of cervical cancer cases.


"Any sexually active woman, regardless of age, can be infected with this virus. A previously infected HPV infection does not form sufficient immunity that could protect against repeated infection, so the risk of infection remains for women throughout their lives"


Ten women die of cervical cancer in Latvia every month. It is the second most common cancer in women under the age of 45 and the third most common cause of cancer death in women after breast and lung cancer. In many European countries, thanks to regular and early inspections and examinations, the incidence of cervical cancer has significantly decreased in the last 15-20 years. On the other hand, in Latvia, mortality from this tumor has increased by 20% in the last ten years.


Cervical cancer prevention can only be ensured by regular examinations and vaccination. Vaccination, along with regular examinations, will reduce the incidence of cervical cancer by 94%."


The vaccine is an additional option to the usual gynecologist examinations to protect yourself from contracting cervical cancer. According to the data of the European epidemiological surveillance (Eurosurveillance, 2008), at least 11 European countries have carried out a cost-effectiveness evaluation of the introduction of HPV vaccination. They show that the benefits of HPV vaccination consist not only in the number of cervical cancers prevented, but also in the number of precancerous lesions prevented.


DUBULTU DOKTORĀTS offers the opportunity to get vaccinated against the papilloma virus (which causes cervical cancer). The vaccine is designed to give a woman immunity against infection without causing her to experience the disease or its symptoms. The HPV vaccine does not contain cancer cells.


We recommend vaccination for women of any age, but it is especially recommended for girls before starting sexual life

STS dignostika un ārstēšana

Preventive visits


  • Visual examination of the external genitalia

  • Vaginal examination, which, if necessary, is combined with ultrasound examinations;

  • Palpation of the mammary glands.



  • Oncocytological smears from the cervix;

  • Laboratory analyses: vaginal smears and diagnosis of sexually transmitted diseases;

  • USG examination of the pelvic organs;

  • Ultrasonographic examination of the fetus;

  • Cardiotocography - evaluation of fetal condition and heartbeat during pregnancy;

  • Doppler examination of the fetus

Profilaktiskās pārbaudes


Our doctors will find and recommend a safe method of contraception that would be acceptable to you.

Taking into account life stage, preferences, lifestyle habits and health status.


An IUS is a small, soft, T-shaped device with a reservoir containing the hormone progestin that is inserted into the uterus. The IUS works by continuously releasing small amounts of progestin from the intrauterine system into the uterus. It thickens the cervical mucus, which makes it difficult for the sperm to move and reach the ovum, and also makes the uterine lining thinner. With 99.8% efficiency, you are as protected as possible with a contraceptive method. It's a great method for the always organized, the forgetful, frequent travelers, and basically anyone who doesn't want to get pregnant. However, there are some individual risk factors why IUS are not recommended for some women. Therefore, consult your doctor to clarify your individual situation.


IUI may sound a little cosmic, but it's simply the name for an intrauterine device, intrauterine meaning it's inside the uterus. It may look funny, but it is a very effective, small, T-shaped device containing a copper wire or coils that the doctor inserts into the uterus. IUS releases copper ions that make the sperm immobile and very difficult to move into the uterus, but it does not stop the ovaries from continuing to release Ovums. In the rare cases when the sperm manages to break through, the copper prevents the fertilized ovum from implanting in the uterine wall. IUS, once placed in the uterus, can remain there for up to 5 or 10 years (depending on the type) or until you decide to remove it. Nothing cosmic - just common sense.


Contraceptive implant, highly effective, easily concealed contraceptive. About the size of a match, the implant is inserted just under the skin of the upper arm, where it continuously releases the hormone progestin in small doses into the bloodstream from a reservoir. The hormone prevents the ovaries from releasing ovums, and also thickens the cervical mucus, making it difficult for sperm to move in the uterus and fertilize an ovum.


Sterilization is the last method of contraception. It is a permanent method of contraception suitable for people who are sure that they do not want children or do not want more children. Sterilization is available for both men and women and there are several types of procedures that have the same outcome - no babies and no going back. Before you make a decision about sterilization, you should consult an independent counselor or talk to your gynecologist. There are other long-acting contraceptive methods that are just as effective but reversible.

It is only sometimes possible to restore fertility, and there are no guarantees. Restoration involves a complex operation that may fail. The second option is artificial insemination.


The most common types of female sterilization are surgical and non-surgical techniques. Both methods completely eliminate the possibility of the sperm meeting the ovum in the uterus, but the way this happens is slightly different. One way is tubal ligation. The fallopian tubes are sealed tightly using an electric tool or clamped with clips, clamps or rings so that the sperm cannot fertilize the ovum. A medical device is inserted into the fallopian tube through the vagina with the help of a special catheter. Sometimes even a small piece of fallopian tube is removed.

Non-surgical sterilization blocks the fallopian tubes by filling them. A small, flexible metal coil is inserted into the fallopian tubes through the vagina with the help of a special catheter. It causes scar tissue to form around itself. As a result, the fallopian tubes get blocked and you can no longer get pregnant. Another method of contraception must be used for the first 3 months, but once the process is complete, it is permanent.

Sterilization is performed in a hospital under general anesthesia. The surgery only affects a woman's fertility potential and has no effect on her libido or ability to have sex. It is important to talk to your doctor first to get advice on the benefits and risks. It is also important to know about alternative long-acting reversible methods, such as the IUS, IUI or implant.

Sometimes it is possible to restore fertility, but there are no guarantees. Restoration involves a complex operation that may fail.

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