GYNECOLOGY
From your first consultation to the most complex diagnosis, precise, discreet and deeply personal care at every stage of life.
At Nexxmedis, gynaecology is not just our main specialty, it is our commitment.
Dr. Diana Dram-Flutur brings over 15 years of hospital-level expertise to every consultation, combining state-of-the-art technology with a genuinely human approach.
Comprehensive care, from prevention to treatment.
01
Routine care & screening
Annual gynaecological examinations, Pap smear, HPV testing, ultrasound and preventive screenings of the female reproductive system
02
Fertility & family planning
Infertility investigation and treatment, ovarian reserve testing, family planning consultations, contraception and IUD insertion.
03
Menopause & hormonal health
Comprehensive evaluation and personalised treatment for menopause-related conditions, including hormonal replacement therapy, osteoporosis and cardiovascular risk management.
04
Breast health
Diagnosis, treatment and follow-up care for breast pathologies.
05
Sexual health
Testing and treatment of sexually transmitted infections, vaginal and urinary infections.
06
HyCoSy (Hysterosalpingo Contrast Sonography) test
Is a specialized, outpatient ultrasound procedure designed to check the permeability (patency) of the fallopian tubes. It determines if the fallopian tubes are open or blocked, a crucial factor in diagnosing infertility
07
An Antral Follicle Count (AFC)
Is a transvaginal ultrasound test, usually done on day 3 of the menstrual cycle, that counts small, fluid-filled sacs (2–9 mm) in the ovaries to assess a woman's ovarian reserve and predict IVF response. It is a reliable marker for estimating egg supply and diagnosing PCOS.
08
Ovulation monitoring via transvaginal ultrasound (also called a follicular study or follicle tracking)
Is a series of short scans used to observe the growth of ovarian follicles in real-time. It identifies the exact window of maximum fertility by verifying when a follicle reaches maturity and succe
09
The Ultrasound Timeline (Standard 28-Day Cycle)
A typical monitoring cycle involves 3 to 5 quick ultrasound sessions scheduled at strategic points:
-> Days 2–3 (Baseline Scan): Performed during early menstruation to check the Antral Follicle Count (AFC) and rule out any residual ovarian cysts from previous cycles.
-> Days 8–10 (Initial Tracking): Started around this time to identify the emergence of the dominant follicle—the single sac destined to release the egg.
-> Days 11–14 (Peak Monitoring): Repeated every 1 to 2 days as the dominant follicle grows rapidly, measuring roughly 1–2 mm per day.
-> Post-Ovulation Scan: Conducted to visually confirm that the follicle has collapsed, indicating successful ovulation. > Key Clinical MeasurementsMature Follicle Size: Ovulation generally occurs when the dominant follicle reaches 18 mm to 25 mm in diameter.
-> Endometrial Thickness: The ultrasound simultaneously measures the thickness of the uterine lining. A healthy, multi-layered lining of 7 mm to 12 mm is optimal for embryo implantation.
-> Main Uses for This TrackingOptimizing Natural Conception: Pinpoints the exact days to prioritize timed intercourse.
-> Medicated Cycles (OI/IUI): Dictates when to administer a "trigger shot" (hCG injection) to control ovulation timing perfectly before an Intrauterine Insemination (IUI).
-> Investigating Infertility: Confirms whether anovulation (lack of ovulation) or poor follicular development is an underlying iss
10
Prenatal care
Careful assessment and guidance in the early stages of pregnancy, with ultrasound evaluation and clear next steps.
Meet Dr. Diana Dram-Flutur
Dr. Diana Dram-Flutur trained at UCL (Louvain Catholic University) spent 12 years as a gynaecologist and obstetrician at St. Michel Hospital, Cliniques de l’Europe, Brussels.
Dr. Diana brings a solid clinical background to every consultation, from routine care and fertility investigations to complex surgery and menopause management.
She holds international surgical qualifications from France, Germany and Belgium in laparoscopy, hysteroscopy, minimal access surgery and perinatal medicine. But what her patients remember most is something else entirely.
“She listens. She explains. She gives you a clear answer and a concrete plan, every single time.
Whether you are coming in for a routine check-up or facing something more complex, you will leave her consultation knowing exactly where you stand.”
- Languages: English ~ French ~ Romanian
MEDICAL TECHNOLOGY
Accurate diagnosis starts with the right equipment.
At Nexxmedis, we invest in state-of-the-art medical technology so that
every examination is as precise, comfortable and informative as possible.
3D/4D Ultrasound GE
Our General Electric Voluson system delivers high-resolution 3D and 4D imaging for gynaecological and obstetrical examinations, providing detailed, real-time visualisation that supports accurate diagnosis at every stage.
Dysis Colposcope
The Dysis colposcope is a computer-aided system that maps the cervix with precision, identifying areas of concern that traditional colposcopy may miss. A significant step forward in early cervical cancer detection.
Emsella
A non-invasive, FDA-cleared treatment for pelvic floor dysfunction and urinary incontinence. Emsella uses high-intensity focused electromagnetic technology to strengthen pelvic floor muscles, no surgery, no downtime, no discomfort.
Your first visit, step by step.
Many women postpone their gynaecological appointment for the same reasons, uncertainty about what the consultation involves,
discomfort about discussing intimate health concerns, or simply not knowing where to start.
At Nexxmedis, we have thought carefully about every step of your visit,
so that from the moment you walk through the door, you feel informed, respected and at ease.
01. Book your appointment
You can book online, by phone or by email, whichever feels most comfortable for you. There are no forms to fill in, no complicated processes.
Our team responds promptly, confirms your appointment and shares everything you need to know before your visit. If you have questions before you even arrive, we are here to answer them.
02. Your medical history
Your consultation begins with a private, unhurried conversation.
Dr. Diana Dram-Flutur will ask about your symptoms, your medical history, your lifestyle and any concerns you may have, however small or sensitive they feel.
Nothing you share will be judged. Everything you say stays between you and your doctor. This is the foundation of a diagnosis that is truly tailored to you.
03. Examination & diagnosis
The clinical examination is conducted with the utmost care and discretion.
Each step is explained to you in advance, ensuring that you are fully informed and comfortable throughout. Where diagnostic imaging or further investigation is required, our on-site equipment allows for prompt results, often within the same consultation.
04. Your personalised plan
At the conclusion of your consultation, Dr. Diana Dram-Flutur will present her findings in clear, accessible language.
You will receive a thorough explanation of your diagnosis, a personalised treatment plan and clear guidance on the steps ahead.
The objective is simple: that you leave your consultation with complete clarity, full confidence in your care and no unanswered questions.
Questions you may have before your first visit.
How often should I have a gynaecological check-up?
It is generally recommended that women attend a routine gynaecological examination once a year, even in the absence of symptoms. Regular screenings allow for early detection of conditions that may not yet present any visible signs. Dr. Diana Dram-Flutur will advise you on the appropriate frequency based on your age, medical history and individual health profile.
At what age should I have my first gynaecological consultation?
A first gynaecological consultation is recommended between the ages of 18 and 21, or earlier if you become sexually active. However, there is no wrong time to seek medical advice regarding your reproductive health. If you have concerns at any age, a consultation is always appropriate.
Is the consultation painful or uncomfortable?
At Nexxmedis, patient comfort is a clinical priority. Every examination is conducted gently and at your pace. Dr. Diana Dram-Flutur will explain each step before proceeding and will adjust the examination according to your comfort level at all times.
What should I bring to my first appointment?
We recommend bringing any previous medical records, laboratory results or imaging reports that may be relevant to your consultation. If you are currently taking any medication, please bring a complete list. If this is your first gynaecological visit, no prior documentation is required.
Are consultations available in English and French?
Yes. Dr. Diana Dram-Flutur consults fluently in English, French and Romanian, ensuring that language is never a barrier to receiving quality medical care.
Can I book an appointment for a specific concern rather than a routine check-up?
Absolutely. Whether you are experiencing a specific symptom, seeking a second opinion or requiring investigation for a particular condition, Dr. Diana Dram-Flutur offers consultations tailored to your individual needs and circumstances.
How long does a consultation typically last?
A standard gynaecological consultation at Nexxmedis lasts approximately 20 minutes. Complex consultations or those involving diagnostic procedures may require additional time. You will never feel rushed.
Is my personal and medical information kept confidential?
All personal and medical information shared during your consultation is strictly confidential and handled in full compliance with Belgian medical privacy legislation and GDPR regulations.
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