First appointment

prof pd ddr richard schwameis first appointment meeting talk

A warm welcome to you!

In addition to specialist medical care, your well-being is the focus of my attention. My years of experience as a gynecologist as well as my profound expertise in the field of gynecological oncology make it possible for me to assure you of optimal medical care at every stage of your life.

What can you expect during your first visit when you consult me as a specialist in gynecologic oncology?

At your first appointment, I first take a detailed medical history. This is the first and often most essential step in making a diagnosis. Please bring documents of your previous illnesses or previous operations to this appointment. This is very helpful for a thorough diagnosis.

After taking a medical history, I perform a detailed gynecological examination including taking a cytology (PAP), a type-specific HPV test and an ultrasound examination. In some cases, further examinations such as a colposcopy or vulvoscopy including biopsy removal under local anesthesia are necessary. This is followed by a breast examination.

In a final meeting I will answer all your questions and we will discuss further steps together.

FAQ - You still have questions? Here you may find the answer!

The Pap smear is one of the most successful cancer tests. For over 50 years, it has reduced the mortality rate from cervical cancer by two-thirds. The smear test is quick and painless.

The findings of the PAP smear are classified into different ranges:

  • PAP 0: In this case, the findings cannot be assessed because too little cell material is present.
  • PAP 1: Represents an inconspicuous overall appearance.
  • PAP 2: This finding is the most common. PAP 2 means a typical situation at the cervix with harmless changes.
  • PAP 3: Here the findings are still unclear. Inflammatory or degenerative changes as well as higher grade cell changes (dysplasia).
  • PAP 3D: Mild cell changes (dysplasias) due to HPV infection.
  • PAP 3G: Abnormal glandular cells of the cervical canal or endometrium.
  • PAP 4: Moderate to severe cell changes (dysplasias) also an expanding carcinoma is not excluded.
  • PAP 5: Cells of a cervical cancer are already present in the smear.