Consultation hours / Outpatient clinics

Further information

The gynaecological outpatient clinic at the Women's Clinic is often the first point of contact for our patients. As an emergency outpatient clinic, it is staffed around the clock so that we can provide emergency gynaecological care at any time. It is also the first point of contact if your gynaecologist recommends an additional examination or clarification. Your gynaecologist will therefore usually refer you to our gynaecological outpatient clinic for further diagnostics and treatment planning. We treat patients with benign or malignant changes in the female genital tract as well as complex or treatment-resistant gynaecological diseases.

If you have specific questions, you will be referred to one of our clinic's specialised consultation hours as part of your further care. Our top priority is to provide you with the best possible care, specially adapted to your clinical picture.

As we also treat emergencies in addition to regular gynaecological consultations, there may sometimes be long waiting times. We apologise for this. You can be sure that we will take plenty of time for you and your individual complaints.

General gynaecology "

Further information

In our private consultation, gynaecological diseases are treated by the Director of the Women's Clinic, Prof. Dr Wolfgang Janni, or his deputies. The consultation focuses in particular on surgical and medical treatment of benign and malignant gynaecological diseases. It is important to us to advise you individually, competently and in a pleasant atmosphere. You are also welcome to come to the private consultation for a second opinion.

Prof. Dr Wolfgang Janni is a nationally and internationally recognised expert in the field of gynaecology, with a particular focus on senology (diagnosis and treatment of breast diseases) and gynaecological oncology. As a board member of the Association of Gynaecological Oncology (AGO), spokesman for the Breast Organ Commission and head of international study groups, he has a high level of expertise, particularly with regard to new, innovative treatment strategies.

When you visit the private consultation, you can expect a detailed discussion about the reason for your visit, your medical history and a clinical examination, usually including an ultrasound scan. Depending on the underlying disease, further modern examination methods will complete the diagnostic measures if necessary.

In the case of malignant diseases, your case will be presented at one of our interdisciplinary tumour conferences and discussed by experts from various specialist disciplines in order to determine the best treatment for you based on the latest research. We take plenty of time to discuss the treatment recommendation and the next steps with you in detail at a follow-up appointment.

Further information

We see ourselves as a partner to your gynaecologist and offer further clarification and, if necessary, treatment for abnormalities that have arisen during an examination. In our dysplasia consultation, we look after patients with the following abnormalities or complaints:

• Clarification and, if necessary, treatment for abnormal cervical smear tests or other abnormal findings as part of a cancer screening examination by your gynaecologist
• Advice on human papillomavirus (HPV) as well as vaccination and diagnostics
• Care for pregnant women with abnormal cancer screening smears
• Treatment of precancerous lesions of the external genitalia (labia, vaginal entrance and perineal area), vagina and cervix
• Diagnosis and treatment of skin changes such as lichen sclerosus, open sores (ulcerations/erosions) or warts (condylomas) in the external genital area
• Clarification of chronic itching or burning (in collaboration with the urogynaecological consultation)

In addition to clarifying abnormal findings, our aim is to provide comprehensive counselling for affected women and thus allay their fears and worries. In the vast majority of cases, abnormal findings can be treated gently and without complications.

Dysplasia centre "

► Dysplasia consultation and clarification colposcopy information sheet

Further information

Girls of all ages, from infants and toddlers to adolescent girls, are among the patients at our paediatric and adolescent gynaecology consultation. In this consultation, we take the time to deal sensitively with the child and to talk to concerned parents.

Our intensive and expert advice is available to you for

• Vaginal bleeding
• Vaginal discharge
• Itching
• Adhesion of the labia
• Malformations of the female reproductive organs
• Disorders of the hormonal balance
• Disorders of pubertal development
• Foreign bodies in the vagina
• Disorders of sexual development
• Suspicion of sexual abuse

Paediatric and adolescent gynaecology "

Further information

Our daily breast consultation is the first port of call for women and men with suspected benign or malignant changes in the breast. You can also come to us for a consultation and further treatment planning if you already have breast disease. If you would like a second opinion, our experts will also be happy to help you.

We can quickly clarify any changes in the breast or abnormal findings. As part of the initial consultation, we will carry out a palpation and ultrasound examination of the breast in addition to a detailed discussion. In all cases, we document the breast using photography. In the case of abnormal findings, a sample (biopsy) can be taken immediately after clarification. Further biopsies, e.g. under mammography or MRI control, can be organised for you by our radiology colleagues if required.

For findings with a completed or planned biopsy, second opinions or patients with malignant diseases, a presentation is then made in our interdisciplinary tumour conference. At the Breast Centre, we then discuss the treatment recommendation from the tumour conference with you in detail and plan all further steps together.

Routine ultrasound checks, e.g. as part of follow-up care or preventive care, do not take place during our consultation hours. Please make an appointment with your gynaecologist for this.

Breast Centre "

Further information

Have you been indicated for breast removal or do you have a family history of breast and ovarian cancer? In the consultation for reconstructive and aesthetic breast surgery, we will provide you with comprehensive information about the options for further surgical treatment. Patients who have already undergone surgery at another clinic and are now planning a second stage of reconstruction will be given detailed advice on the various treatment options. We also advise patients on aesthetic and medical problems such as breast reduction and breast augmentation.

As for the daily breast consultation, we ask you to bring any existing treatment documents with you to the agreed appointment. If the operation has previously been rejected by the health insurance company, please also bring the rejection with you. We will be happy to help you apply for the desired operation.

As a university centre, we offer the complete spectrum of breast surgery with all options for reconstructive and aesthetic breast surgery:

• Breast reconstruction with implants
• Mesh or matrix-supported breast reconstruction with implants
• Breast reconstruction with autologous tissue (pedicled and free flaps)
• Plastic coverage of chronic wounds in the breast area
• Breast reconstruction with autologous fat
• Oncoplastic breast surgery
• Breast reduction
• Breast augmentation with implants or autologous fat
• Breast correction for congenital breast malformations
• Correction of breast asymmetry
• Treatment for Poland syndrome
• Second opinion

Breast centre "

Further information

Have you been diagnosed with a tumour in the genital area or are you suspected of having one? As experts in this field, we would like to help you. You are not alone. Make an appointment for an initial consultation with us.

The individual consultation includes, among other things

• What kind of illness do I have?
• What are the next steps?
• Is an operation necessary and if so, how will it be carried out?
  We will work with you to create a personalised treatment plan.
• Can I still have children? (Counselling for women who wish to have children)
• Offer of accompanying psycho-oncological counselling

During the initial consultation, we take plenty of time to explain the disease and answer all your questions. To get a comprehensive picture, we need all the findings that have already been obtained externally (please bring these with you to the appointment). In addition to a detailed discussion, we will carry out a gynaecological examination including ultrasound. In certain situations, further examinations may be necessary (e.g. computer tomography). You are welcome to bring your partner or a relative with you to this initial consultation for support.

Once all the necessary examinations have been carried out, we will discuss the "case" together with other specialist colleagues in our interdisciplinary tumour conference and recommend the best treatment for you based on the latest research. We will also check whether participation in a trial is an option for you. This allows you to participate directly in progress and benefit from an innovative and new therapy.

Gynaecological Tumour Centre "

Further information

For people from families with breast and/or ovarian cancer, we are available for interdisciplinary consultation, genetic diagnostics and intensified early detection as part of our tumour risk consultation.

Individual counselling includes, among other things

• Compilation of your family tree
• Information on the hereditary background of breast and ovarian cancer
• Calculation of disease probabilities
• Information about genetic tests and how they are carried out
• Offer of accompanying psycho-oncological counselling
• Counselling regarding risk-reducing measures

In addition to counselling, we also offer intensified early detection with clinical examination, ultrasound examination, mammography and magnetic resonance imaging of the breast as part of our consultation hours, if the conditions are right.

Centre for familial breast and ovarian cancer "

Contact
Institute of Human Genetics "

Further information

Depending on the therapy concept, you will receive chemotherapies, antibody therapies, anti-hormone therapies, immunotherapeutics and also drugs that intervene in bone metabolism at our IOT. Together with the team at the study centre, we also offer you the opportunity to receive new innovative therapies as part of clinical studies. You will be looked after by our experienced team in the chemotherapy outpatient clinic. The doctors and nurses looking after you are specially trained in tumour therapy and will accompany you through this difficult time.

Our aim is to master the therapy together with you. It is important to us to avoid or at least alleviate side effects in order to make the therapy as pleasant as possible for you. We can also offer you psycho-oncological care or support from the social counselling service on site at the IOT if required. The IOT also offers the option of nutritional counselling by a specially trained nutritionist. Cosmetic seminars and yoga courses are further offers of our oncological day clinic.

Of course, we are also available around the clock in the time between therapies if you have any questions or problems. Even when the IOT is closed, you can contact the gynaecological clinic's emergency outpatient department at night or at weekends. You will receive help there quickly.

We are aware of the anxiety and stress that a tumour and its treatment can cause you and your family. That is why, in addition to high-quality treatment, it is important to us to provide you with a safe, protective environment and, above all, that you feel that you are in good hands with us.

Medical oncology "

Further information

Patients with an underlying gynaecological oncological disease, such as breast cancer, ovarian cancer, uterine cancer, cervical cancer or other rarer tumour diseases, can present at the oncology consultation.

The reasons for presentation can be very different:

• Request for a second opinion for an underlying oncological disease
• Initial diagnosis of metastasis or progression of an underlying oncological disease for treatment planning
• Discussion of the results of imaging procedures such as CT or MRI
• Discussion of decisions made at interdisciplinary tumour conferences and planning of treatment
• Check-ups during ongoing therapy
• Follow-up care in special situations or as part of studies
• Participation in oncological studies
• Assistance with symptoms associated with the disease or therapy

Further information

Patients with breast cancer can present at the consultation forcomplex / drug-based tumour therapy. This may involve questions that arise when breast cancer treatment is first diagnosed, or that arise during the course of chemotherapy, antibody therapy or anti-hormone therapy regarding the indication, effectiveness or tolerability of a therapy, but also questions or problems that arise in the case of advanced complex breast cancer or distant metastases. Patients can also come to this consultation for follow-up checks during oncological therapies.

In addition, we advise patients with gynaecological tumoursin the event of a recurrence or if the tumour has already spread to other regions. If you require surgical treatment, we will arrange for you to be seen in the gynaecological oncology surgery consultation.

You are welcome to come in for a second opinion or if you would like to find out about the possibilities of treatment as part of a clinical trial. Consultations are possible regardless of your insurance status (private or statutory insurance).

Drug oncology "

Further information

In our endometriosis consultation, we treat patients with suspected endometriosis or with existing endometriosis for counselling and further treatment planning or to obtain a second opinion.

We offer comprehensive diagnostics with high-resolution imaging techniques and the full range of minimally invasive surgical procedures. From the initial consultation, we work with you to develop a customised treatment concept that meets your needs and wishes.

For holistic treatment, we work closely with various specialist disciplines at the university hospital as required. The advantages of this interdisciplinary cooperation are obvious: care is provided centrally in the gynaecological clinic - from here we coordinate the necessary appointments in other departments for you in a timely manner.

If there is a desire to have children in addition to endometriosis, we also recommend an appointment at our UniFee Fertility Centre. In close cooperation with the fertility centre, we will draw up a tailor-made treatment plan to help you with your endometriosis and fulfil your desire to have children.

Endometriosis centre "

Further information

Our urogynaecological consultation focuses in particular on female urinary incontinence, prolapse problems and chronic cystitis. These conditions are often caused by a weakness in the pelvic floor.

In addition to these classic urogynaecological conditions, we also take a lot of time to talk about sexuality and existing problems. If you wish, we will also be happy to invite your partner to the consultation.

Our diagnostic and treatment spectrum also includes chronic pain in the lower abdomen and pelvic area, as well as in the external genital area, as it is particularly important in these cases to take the time for a detailed discussion.

Pelvic floor centre "

Further information

Our four birthing rooms offer you the atmosphere for a harmonious birth experience. The delivery room area is spacious. Our birthing rooms are modern, cosy and yet functional. Even more important than the rooms, however, are the people who work in them: our team is passionate about ensuring the most natural birth possible.

Only in a few births do serious problems occur. We are also well prepared for these situations. A fully equipped operating unit, ready for use at any time, is available directly in the delivery room. The paediatricians can also treat several children requiring intensive care at the same time directly in the delivery room.

Most importantly, however, due to the large number of women who entrust themselves to us, we have a particularly wealth of experience - also and especially in the case of rare complications. Our competent team of midwives, gynaecologists and paediatricians is there for you around the clock and offers you a high level of safety.

Obstetrics section "

Further information

On 1 October 2018, we opened our new premises for the antenatal clinic and emergency outpatient clinic for pregnant women.

The midwives at the antenatal clinic / emergency outpatient clinic are there for you:

• Questionable start of labour or complaints
• Rupture of membranes
• Emergency outpatient clinic outside the opening hours of the gynaecologist
• Admission of high-risk pregnant women
• Care of inpatient pregnant women including heart sound checks and labour inductions

Outside opening hours or in acute situations such as strong contractions and heavy bleeding, please contact thedelivery room".

Obstetrics section "

Further information

Pregnancy and childbirth are not illnesses - which is why you do not normally have to present to us before the birth.

However, sometimes there is something special: high blood pressure, a pregnancy diabetes, concerns about the growth of the child, a previous caesarean section and much more. In these cases, your gynaecologist will advise you to visit our antenatal clinic. Together we will discuss your situation and how to proceed. This will give you the security you need for the rest of your pregnancy and for a successful birth.

Obstetrics section "

Further information

A serious illness can have an impact on a pregnancy. These include, for example, a maternal heart or lung disease, a rheumatic disease or many more. Even if significant complications have occurred in a previous pregnancy, this will affect a subsequent pregnancy. Pregnancy-related illnesses can also occur at any time during pregnancy.

In these cases, specialised advice and, if necessary, co-care is important - often even before pregnancy. This requires a lot of time and expertise, and this is guaranteed in this consultation.

The consultation is open to patients with statutory health insurance and private patients.

Obstetrics section "

Further information

Well over 20,000 ultrasound examinations are carried out at Ulm University Women's Hospital every year. Around half of these are sonographies as part of prenatal diagnostics. We pay particular attention to fine organ diagnostics, both as part of first trimester screening and around the 20th week of pregnancy.

Our services in detail:

• Non-invasive prenatal test (NIPT)
• First trimester screening (nuchal translucency measurement)
• Chorionic villus sampling (placenta sampling)
• Amniocentesis (amniotic fluid puncture)
• Umbilical cord puncture
• Fine organ diagnostics
• Amniotic fluid drainage
• Foetal blood transfusions

We wish you an uncomplicated and happy pregnancy. However, should you require more intensive care, we will be happy to assist you at any time with our cooperation partners from the paediatric clinic, paediatric surgery, human genetics and psychosomatics as well as the pregnancy advice centres in Ulm and the surrounding area.

Prenatal medicine "

Further information

With the help of computerised databases, we can quickly and comprehensively provide you with up-to-date information on the use of medication during pregnancy and breastfeeding as well as on environmental factors that are harmful to fertility.

Our advice centre has set itself the following goals:

• Counselling doctors, patients, pharmacists and midwives on exposure to medication, infections, radiation and chemicals during pregnancy and breastfeeding
• Avoidance of abortions through scientifically sound information
• Follow-up and documentation of exposures during pregnancy to assess the reproductive toxicological risk
• Further training for professionals and education for interested laypersons

Our service is free of charge, but donations are welcome.

Drug counselling during pregnancy and breastfeeding "

Further information

Are you expecting a baby, have you planned the birth with us and would like to talk to a midwife? Then the midwife consultation is the right place for you. Here you have the opportunity to discuss everything to do with the birth with a midwife in a relaxed atmosphere.

Possible topics:

• All questions "All about birth" e.g. start of labour, stages of labour, birth positions, pain relief options, bonding, postpartum and much more.
• Preparation of your paperwork for the birth incl. medical history/prenatal history
• Information about the meaning & benefits of the physiological birth processes
• Discussion of your individual birth plan
• We talk about your worries and fears in relation to the birth
• Information on routine measures in the clinic such as heart rate monitoring, newborn prophylaxis, paediatric examination, visitors and visiting times, etc.
• We answer your questions about preparing for breastfeeding
• If you feel the need to discuss your birth again at our clinic, we are here for you.

The best time for an appointment with the midwife is between the 34th and 38th week of pregnancy. Please call at least 4 weeks in advance to make an appointment, as our appointment slots are limited.

Birth planning and counselling for high-risk pregnancies is only possible in the antenatal clinic in conjunction with a consultation with a doctor.

Download birth plan (PDF file)

In our trauma consultation, we offer you the opportunity to discuss stressful experiences in connection with your pregnancy and previous births. Other distressing events in life can also have serious consequences, trigger and intensify insecurity and fears.

In our consultation hours, we provide you with a safe space and support you sensitively in developing coping strategies.

Further information

Do you want to have children? Then you've come to the right place - at UniFee you will receive personalised advice, diagnostics and treatment recommendations.

We take time for you and your desire to have children. At UniFee, we offer you state-of-the-art diagnostics and treatment based on the latest scientific findings. We save you unnecessary journeys, as you receive all diagnostic steps and therapeutic procedures at Ulm University Hospital and we can therefore offer you treatment from a single source. When treating an unfulfilled desire to have children, it is important to us to work closely with you in a spirit of trust. On this basis, we create an individualised treatment plan for you.

We offer hormone analyses, specialised sonography (ultrasound) or a fertility check. We can perform uterine endoscopies on an outpatient basis or check the patency of the fallopian tubes in a minimally invasive procedure. We produce spermiograms and can collect sperm directly from the testicles or epididymis in close cooperation with the urology department at the University Hospital.

We offer you individualised treatment tailored to you to fulfil your desire to have children:

• Cycle monitoring
• insemination
• Artificial insemination using IVF and ICSI
• Blastocyst transfer
• Freezing of fertilised eggs - cryopreservation
• Freezing of unfertilised eggs - social freezing
• Preserving fertility before chemotherapy or radiotherapy - FertiProtekt
• Endometrial scratching

UniFee Fertility Centre "

Further information

We can advise you on hormonal changes in close co-operation with your registered doctors.

These can be diverse under certain circumstances and include, for example

• Polycystic ovary syndrome (PCOS)
• Adrenogenital syndrome (AGS)
• Contraception (contraception)
• Cycle disorders
• Menopausal symptoms
• Transsexuality/transgender

In addition to counselling, we naturally also carry out the necessary examinations for diagnosis and work with you to find the most suitable form of therapy.

UniFee Hormone Centre "