Office gynecology is an outpatient medical service that focuses on the diagnosis, treatment, and management of women’s reproductive health and all related processes.

At Caraps Medline, we follow international medical protocols and guidelines, combining multidisciplinary expertise with an individualized approach to ensure accurate diagnosis and effective treatment.

Our specialists provide comprehensive care for a wide range of gynecological conditions, including:

Infection Diagnostics (PCR Method)

At Caraps Medline, infectious diseases of the reproductive system are diagnosed using the PCR (Polymerase Chain Reaction) method - a highly accurate molecular technique that detects even minimal amounts of viral or bacterial DNA. This ensures precise and early identification of infections, allowing timely and effective treatment.

Colposcopy

Colposcopy is a diagnostic method used for microscopic examination of the cervix to detect existing abnormalities or precancerous changes.

At the Caraps Medline Office Gynecology Department, we combine medical expertise with advanced technology to improve women’s quality of life.
Our colposcopic examinations are performed using the latest-generation DYSIS colposcope, equipped with AI-assisted DYSIS technology.

This innovative system provides exceptional accuracy in identifying abnormal cervical areas and, when necessary, allows for targeted biopsy.
The examination is conducted using a combined diagnostic approach, and the device can detect precancerous cervical lesions in 31% to 60% of cases, significantly improving early diagnosis and prevention.

MonaLisa Touch

Within the field of office gynecology, instrumental CO₂ laser therapy using the MonaLisa Touch device enables the performance of advanced aesthetic gynecological treatments.

Certain conditions - such as congenital pathologies, past surgical interventions, or menopause - can lead to a decrease in estrogen production in the ovaries. This hormonal decline often results in vaginal atrophy, as the vaginal tissues are particularly sensitive to hormonal changes.
Low estrogen levels cause symptoms that can disrupt a woman’s quality of life, including vaginal dryness, discomfort, urinary incontinence, and pain during intercourse.

To address these concerns, Caraps Medline utilizes the latest-generation MonaLisa Touch CO₂ laser, produced by the renowned Italian medical technology company DEKA.
Globally recognized for its safety and effectiveness, MonaLisa Touch is considered the gold standard for vaginal rejuvenation and a non-hormonal alternative to hormone replacement therapy during menopause.

The laser treatment stimulates collagen regeneration and tissue remodeling, restoring elasticity, hydration, and normal function of the vaginal mucosa.
The number and frequency of sessions are determined individually by the physician, based on the patient’s condition and treatment goals.

Indications for MonaLisa Touch Treatment

In cases of vaginal atrophy, patients most commonly report burning sensations, dryness, and discomfort. These symptoms are often accompanied by vaginal discharge (lymphorrhea).
Many women also experience pain and slight bleeding during sexual intercourse, which may lead to reduced sexual activity, emotional distress, and relationship difficulties.

MonaLisa Touch treatment is recommended for the following conditions:

• Vulvovaginal and urethrovaginal atrophy, particularly during menopause
• Thinning, inflammation, or changes of the vaginal mucosal epithelium
• Dyspareunia (painful intercourse)
• Disruption of vaginal microflora and pH balance
• Early-stage urinary incontinence
• Mild stress urinary incontinence due to atrophy or slight anterior vaginal wall prolapse
• Vaginal wall laxity, enlargement, or loss of tone (often postpartum)
• Perineal or anal fissures
• Loss of color or tone in the vulvar mucosa and external genital area
• Vaginal trauma or scarring
• Pigmentation disorders in the genital area related to hormonal imbalance

Advantages of MonaLisa Touch

• Treatment duration: 15–30 minutes
• Minimal recovery time - you can resume normal activities immediately
• Restores both functional and aesthetic aspects of vaginal health
• No restrictions on sexual activity following the procedure
• Completely outpatient treatment - no anesthesia or medication required

During the procedure, tissue oxygenation improves and the collagen matrix is renewed, resulting in:

• Balanced vaginal pH and microflora, relieving dryness, itching, burning, and discharge
• Improved tone and elasticity of the vaginal mucosa and external genital area (reduced vaginal diameter and natural lifting of the vaginal walls)
• Relief from dyspareunia and urinary incontinence
• Enhanced libido and overall sexual well-being

MonaLisa Touch offers a safe, non-surgical solution designed to restore comfort, confidence, and intimate wellness at every stage of a woman’s life.

PRP - Platelet-Rich Plasma Therapy

PRP (Platelet-Rich Plasma) therapy is an advanced regenerative treatment widely used in leading medical centers across the world for gynecological, urological, reproductive, dermatological, and aesthetic purposes. It’s a safe, non-surgical procedure performed on an outpatient basis, using the body’s own natural healing potential.

How is Platelet-Rich Plasma obtained?

PRP is derived from the patient’s own venous blood. Within just a few minutes, the sample is processed in a centrifuge, which separates the platelets and plasma - the components rich in growth factors responsible for cell regeneration and repair.

PRP for vaginal rejuvenation and sexual wellness

One of the most innovative applications of PRP is the O-Shot® procedure, designed to improve vaginal health and sexual function. During the treatment, platelet-rich plasma is carefully injected into specific vaginal areas, stimulating stem cell activity, increasing blood flow, and promoting the regeneration of healthy, youthful tissue.

0

Platelets play a crucial role in the body’s natural repair process. They are rich in nutrients, hormones, peptides, vitamins, and growth factors that:

• Stimulate cell renewal and collagen production
• Enhance blood circulation
• Reduce inflammation and discomfort
• Support faster tissue healing and regeneration

As a result, PRP therapy restores balance, vitality, and comfort - offering a natural and scientifically proven way to rejuvenate intimate health and improve overall well-being.

How is Platelet-Rich Plasma (PRP) administered?

Platelet-Rich Plasma is carefully injected into targeted areas of the body using microinjections, precisely where tissue regeneration or healing is required.

The procedure is minimally invasive, safe, and performed entirely on an outpatient basis, without the need for anesthesia or downtime.

Applications of PRP Therapy in Gynecology

In modern gynecology, PRP therapy is used to restore vaginal and reproductive health, enhance sexual function, and accelerate post-treatment recovery - naturally and non-surgically.

PRP therapy is effective in treating:

• Sexual dysfunction (pain or dryness during intercourse)
• Reduced libido, anorgasmia, and orgasmic dysfunction (O-Shot® and G-Shot® procedures)
• Menopausal and genitourinary syndrome (vaginal dryness, discomfort, stress urinary incontinence)
• Postpartum recovery and tissue regeneration
• Sclerosing lichen
• Vulvodynia
• Vaginismus
• Vaginal dryness and irritation
• Lichen planus
• Vestibulitis
• Post-traumatic deformities of the cervix or perineum
• Accelerated healing following surgical or aesthetic procedures

Invasive PRP Applications (in Operating Rooms)

PRP therapy can also be performed in a surgical setting, where it significantly enhances healing, accelerates tissue regeneration, and improves aesthetic outcomes.

It is used for:

• Wound care and post-surgical healing
• In combination with labiaplasty, vaginoplasty, vaginal tightening, or perineoplasty to promote faster recovery and achieve natural rejuvenation of the external genital area

Key Advantages of PRP Therapy

• Minimal risk of side effects or complications
• Quick and comfortable procedure (approximately 30 minutes)
• Virtually painless and requires no downtime

PRP therapy delivers remarkable results, especially when combined with energy-based devices (EBD) such as the CO₂ laser MonaLisa Touch™, enhancing tissue restoration and rejuvenation effects.