Д-р Ирери Астейнза Кастро — гинеколог и акушер с _doctor_8530_летним_ опытом работы, специализирующаяся на лечении заболеваний шейки матки. Она получила диплом Национального автономного университета Мексики с отличием и имеет сертификаты Мексиканского совета по гинекологии и акушерству. Ее опыт включает процедуры конизации и индивидуальный подход к лечению пациентов.
Клиника д-ра IRERI ASTEINZA имеет специалистов, готовых оказать помощь пациентам из любой страны, независимо от их культуры или языка. Подход включает персонализированную заботу и соблюдение самых высоких мировых стандартов качества. Исключительная забота отличает сервис, уважая разнообразие пациентов и гарантируя медицинский опыт высшего уровня.
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Она также имеет сертификаты по гинекологической лапароскопии и гистероскопии, оба одобрены Министерством здравоохранения Турции.","linkedin":"https://www.linkedin.com/in/dr-esra-%C3%A7abuk-c%C3%B6mert-a12a08205/?originalSubdomain=tr","specialities":[{"id":"frt.002","name":"Репродуктолог","illness_kind_id":68},{"id":"oag.001","name":"Акушер-гинеколог","illness_kind_id":35},{"id":"oag.002","name":"Гинеколог","illness_kind_id":35}]},"direction":{"id":35,"name":"Акушерство и гинекология","alias":"akusherstvo-i-ginekologiya"},"illness_kind":{"id":35,"name":{"en":"Obstetrics and Gynecology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local","local_sedation","general","regional"],"back_to_work_days":{"min":3,"max":10,"unit":"days","qualifier":"Office-type work after cold-knife or LEEP conization; physically demanding work may need longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 30 days, mainly bleeding or infection; serious ones under 2%."},"contraindications":["Active acute cervical or pelvic infection (usually treated first)","Invasive cervical cancer where conization isn't definitive treatment","Pregnancy (relative; performed only for strong indication)","Uncorrected bleeding disorder or unplanned therapeutic anticoagulation (relative)","Unfitness for anesthesia"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night only if bleeding risk or anesthesia needs observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise after bleeding and discharge settle; longer after large excisions."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Approximate cervical healing; clinical outcome (clearance of disease) is assessed at follow-up cytology/HPV testing, typically around 6 months."},"fly_home_after_days":{"min":2,"max":5,"unit":"days","qualifier":"After same-day discharge; delayed bleeding can occur at days 7–14, so earlier flights depend on surgeon clearance."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Histology review including margin status, counted from the procedure."}},{"purpose":"assessment","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"Test-of-cure cytology/HPV testing, commonly about 6 months after the procedure."}},{"purpose":"wound_check","requirement":"conditional","after":{"min":7,"max":28,"unit":"days","qualifier":"Only if heavy bleeding, fever, foul discharge or persistent pain."}}],"indications":["High-grade cervical intraepithelial neoplasia (CIN 2–3) or adenocarcinoma in situ","Persistent CIN/abnormal cytology with inadequate or discordant colposcopy/biopsy","Suspected microinvasive disease needing diagnostic excision","Endocervical lesion not fully visible at colposcopy"],"main_risks":["Bleeding during or after procedure (delayed at 1–2 weeks)","Infection","Cervical stenosis","Cervical insufficiency; 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excludes anesthesia preparation and recovery."},"initial_assessment_documents":["Cervical biopsy histology report","Colposcopy report","Recent Pap smear (cytology) report","HPV test result","Colposcopy images (if available)","Gynecologist referral letter or summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage procedure; stay 2-5 days. 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concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably 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