Valvekliinik- evening appointments in the centre of Tallinn

Services

Appointment

Services Price
GP / Doctor’s appointment (no prior booking necessary) 50 €
Appointment with internist Dr. Sven Lindström 50 €
Consultation by phone or e-mail 20 €
Consultation using Skype or CureAssist 25 €
Shorter consultation, a comment etc. 25 €
House call ( prior booking necessary) 150 €
Nurse’s appointment 25 €
Montly fee/package (for additional information contact info@valvekliinik.ee) from 10 €
Concierge Doctor services by Dr. Ingmar Lindström from 100 €
Concierge Doctor services by Dr. Maria Pintsaar from 100 €

Gynecologist’s appointment

Services Price
Gynecologist appointment (prior booking advisable) 50 €
Diagnostic ultrasound done during a gynaecologists’ appointment 40 €
OSCAR test 170 €
NIPTIFY 290 €
Fetal echocardiogram test 110 €
Fetal ultrasound 80 €
Thorough ultrasound of the third trimester 80 €
Memory stick with fetus images 10 €
STDs (Sexually Trasmitted Diseases) test package 95-125 €
Chlamydia (Chlamydia Trachomatis) test 22 €
Gonorrhea (Neisseria Gonorrhoeae) test 22 €
Pap test for cytology analysis 25 €

Tests

Services Price
Blood tests (more information on site, by phone or via e-mail) from 10€
Rapid tests/analyses on site – CBC, CRV, influenza, angina (Group A Streptococcus), blood sugar, troponin – results within a few minutes from 10 €
Urinalysis / strip test 10 €
Referral for a COVID-19 test 70 €

Procedures

Services Price
ECG, or electrocardiogram 20 €
Thyroid ultrasound 40 €
Abdominal ultrasound 50 €
Ultrasound scan package 60-70 €
Prostate package (includes consultation, evaluation of prostate size, PSA test) 60 €
Dressing, removal of sutures / stitches 15 €
Remowal of ear wax (by irrigation or suction) 20 €
Joint injections and/or removal of fluid from joints from 20 €
Removal of moles or other skin lesions (using local anaesthetic) 110 €
Laboratory investigation of removed skin lesions (histology, cytology) from 35 €
Removal of ingrown nails (partial or complete) from 60 €
Vaccination against tick-borne encephalitis | 1 dose 45 €
Influenza vaccination 22 €

Certificates

Services Price
Issuing a COVID-19 certificate for travelling 20 €
Health certificate for motor vehicle drivers from 65 €
Renewal of prescription by phone 10 € At Valvekliinik 25€
Renewal of prescriptions for narcotic painkillers, sedatives etc (appointment should be booked for Dr. Ingmar Lindström) from 100 €

We accept card payments.

Gynecology and Pregnancy center

The gynecologists of the Gynecology and Pregnancy Center deal with all gynecological problems. Our goal is to provide professional help as soon as a woman needs it. Because of that, our patients can turn to us with questions that need a quick solution such as problems with vaginal flow, stomach pain, menstrual cycle issues, pregnancy confirmation, issues during pregnancy, and questions about contraception. We also advise on menopausal transition issues and ways to alleviate them. If necessary, we prescribe systemic or local hormone replacement therapy.

Excellent options for ultrasound examinations

We perform both pregnancy-related and gynecological ultrasound examinations, examinations for various sexually transmitted infections, and cervical cancer screening. Valvekliinik has a high-tech 3D/4D ultrasound machine, which is specifically designed to be used for gynecological and pregnancy-related examinations. 

Additional examinations available as needed

The special thing about our Gynecology and Pregnancy Center in Valvekliinik is that our patients have the chance to immediately turn to a general practitioner in Valvekliinik, in case a gynecologist does not find that their stomach pain is caused by gynecological issues. We can provide all needed analyses and examinations to help identify the diagnosis (for example urine analysis, inflammation indicators in the blood). This also works the other way around – the general practitioner can refer to a gynecologist from the Valvekliinik, if needed. In addition to that, it is very comfortable to book a time to a Valvekliinik ultrasound doctor in case the gynecologist or the general practitioner feels the need to perform an ultrasound examination of the abdomen, thyroid gland, or other organs.

Gynecologist monitors pregnancies from the beginning to the end

It is possible to have a pregnancy monitored in the Valvekliinik, this is done by a gynecologist. Gynecologist-monitored pregnancies are mainly meant for women who find that it is important to have direct contact with a doctor at every visit, as they may be in a risk group, have comorbidities, or have a past of health issues or miscarriage. The gynecologist performs an ultrasound examination during every visit. All visits and examinations are charged to the patient.

The monitoring of pregnancy in Valvekliinik is done according to the pregnancy monitoring guide from the Estonian Gynecologists` Society

What are the examinations that are performed during pregnancy?

The doctors of Valvekliinik perform all necessary pregnancy-related examinations based on the developmental stage of the fetus: detection of pregnancy, OSCAR test, fetal anatomy examination or second trimester examination, fetal echocardiography or extended heart examination, third trimester ultrasound examination to assess fetal weight and circulatory parameters. There are usually three ultrasound examinations for a normal pregnancy. 

To start the pregnancy monitoring process, we advise women to turn to a gynecologist when the pregnancy is approximately 7 weeks along. During the first visit, we perform a vaginal ultrasound examination to determine the size, viability, and location of the pregnancy, determine the number of fetuses and assess the condition of the ovaries. In addition to that, we can take analysis from the cervix – to complete a PAP test to evaluate the cells of the cervix and perform a test for sexually transmitted chlamydia.

We advise that blood analysis would be done in the 10th week of pregnancy – blood is checked for antibodies of different infectious diseases, for the hemoglobin content, blood sugar, to determine blood type and Rhesus (Rh) factor, and perform hormone tests for the OSCAR test. From the 10th week of pregnancy, it is also possible to give a blood sample for the Niptify test, which is the most accurate and safest way to assess the risk of fetal chromosomal diseases. The Niptify test also provides the chance to find out the sex of the fetus early on in the pregnancy, being 100% accurate.

What does the OSCAR test show?

When the pregnancy is between 11 and 14 weeks, the first trimester screening called the OSCAR test is performed, which allows a very accurate assessment of the risk of fetal chromosomal diseases. This test evaluates the risks of three chromosomal diseases – Down, Edwards, and Patau syndrome. Also, this test evaluates the risk of preeclampsia. Preeclampsia is a disease, which causes the mother’s blood pressure to rise in the second half of the pregnancy, also protein appears in the urine, changes in blood tests may occur and in some cases, it can cause fetal growth retardation. In the first trimester, the risk of preeclampsia can be assessed very accurately and, if there is an increased risk, prevention can be started with Aspirin.

The OSCAR test also focuses on examining the anatomy of the fetus, as organ systems of the fetus are already visible in the first trimester and it is possible to evaluate their development according to the pregnancy size. Also, the date of delivery can be specified. 

The OSCAR test includes a blood sample to check three hormones in the mother’s blood as well as an ultrasound examination to measure the femoral neck fold and to assess fetal development.

Then, the results of the blood analysis and ultrasound examination are entered into a special risk assessment program, which calculates the individual risk for chromosomal diseases and preeclampsia for each pregnancy. In case the OSCAR test shows that the risk of chromosomal diseases is high, the woman is offered additional examinations – in some cases, a cell-free DNA test, called the Niptify test, may be performed, but in many cases, an invasive test, such as a chorionic biopsy or amniocentesis, is recommended. Invasive tests are performed in a hospital and they are referenced by the doctor who has performed the OSCAR test.

Second and third trimester examinations for pregnancies

The fetal anatomy ultrasound is considered to be one of the most important examinations for the whole pregnancy. The best time to perform this second trimester screening is between weeks 19 and 21, as by that time, all organs of the fetus have developed and the gynecologist can perform a thorough examination. During this ultrasound, the doctor examines all fetal organ systems, measures the fetal weight, assesses the placenta position, and measures the amniotic fluid. If the mother wants to, they are told the sex of the fetus. The fetal anatomy screening can detect more than half of congenital malformations. However, it should be borne in mind that ultrasound examinations during pregnancy do not guarantee the birth of a healthy baby.

In the third trimester of the pregnancy, the ultrasound examination is done to assess the position of the fetus, the presumed weight and circulatory parameters, the amount of amniotic fluid, and the position of the placenta. If the fetal position permits it and there is enough amniotic fluid, then the best time to take pictures of the face of the fetus is between weeks 30 and 32. 

Can pregnancy be terminated at the Valvekliinik?

Pregnancy cannot be terminated at the Valvekliinik at this time. We advise on emergency contraception and it is possible, so to speak, to install a copper coil after unprotected intercourse. We advise on contraceptive methods and we help to make a choice based on individual needs.

Can women turn to the Valvekliinik regarding menopausal transitioning?

Yes. We advise women about menopausal transitioning issues, offer blood analyses if needed, prescribe hormone replacement. If there is a need or wish to do so, there is also the option to immediately consult a general practitioner, perform EKG and measure blood pressure. 

Does Valvekliinik provide tests for sexually transmitted diseases?

Yes. It is possible to test for sexually transmitted diseases in Valvekliinik, we take samples both from men and women. We complete analyses based on urine samples for men and for women we complete a cervical smear for a sample. We also offer the option to test blood for HIV, syphilis, and hepatitis.