Dr. NELI HACHEMIAN
Gynecologist
A visit to the gynecologist is a very personal and intimate affair.
Therefore the human contact and friendly interaction
with my patients is very important.
I am your trusted contact for all questions.
Monday: 09:00 - 11:00
Wednesday: 09:00 - 19:00
Thursday: 09:00 - 12:00
Online appointments at any time here possible
Private practice, no health insurance
Online at any time:
Here to your appointment
NEW OPENING HOURS from October 2025:
Monday: 12:00 - 20.00
Tuesday: 10:00 - 16:00
Thursday: 14:00 - 17:00
Friday: 09.00 - 13:00
We look forward to seeing you!
19.01.2023, "Look" award ceremony & interview
"A WOMAN for WOMEN"
Gynecologist
A visit to the gynecologist is a very personal and intimate affair.
Therefore the human contact and friendly interaction
with my patients is very important.
I am your trusted contact for all questions.
Studied human medicine at the Medical University of Vienna,
Promotion 2001
Specialist training in gynecology and obstetrics at the Medical University of Vienna, AKH
Senior physician at the Department of Obstetrics and Fetomaternal Medicine at the University Clinic for Gynecology (Medical University of Vienna), AKH
Until October 2025, I was head of the multiple pregnancy outpatient clinic at the Medical University of Vienna and since then I have only been available for you in my practice. Thanks to my many years of experience with high-risk and multiple pregnancies, I can offer you safe pregnancy and birth support.
My research focus is on
Premature births and multiple pregnancies.
The gynecological check-up includes the Breast examination the cancer smear (PAP smear - named after the Greek doctor Papanicolaou, who developed the cervical cancer smear test in 1928) and the Vaginal ultrasound.
While PAP I and II are 'normal' results, PAP III/III D and IV should be examined for further clarification. Colposcopy be carried out.
Vaginal ultrasound allows the uterus, endometrium, ovaries and early pregnancies to be visualized and assessed.
A gynecological check-up should be carried out at least once a year.
Myomas, cysts, conization, curettage, prolapse surgery, aesthetic surgery of the genital area - I am happy to answer your initial questions in my FAQ section and in my practice
One Colposcopy is the magnifying examination of the cervix, vagina and vulva using a microscope (= colposcope). To make conspicuous cell changes (dysplasia) visible with the colposcope, the cervix is dabbed with a 31TP3 vinegar solution.
Suspect areas appear like white spots and are biopsied and sent to the histologist for further processing. The bleeding that occurs, which is usually very slight, is stopped with a lapis stick. The procedure rarely requires local anesthesia.
HPV is the abbreviation for human papillomavirus. These viruses can cause genital warts (condylomas) and can also cause cancer (cervical cancer).
With the HPV test various HP viruses can be detected.
Low-risk HP viruses (with a low risk of developing dysplasia and cancer, the most common of which are types 6 and 11) and high-risk HP viruses (more frequently associated with the development of dysplasia and, in the absence of treatment, also with cancer, the most common of which are types 16 and 18).
How is the HPV test carried out?
Cell material is taken from the cervix using a brush, just like a cancer smear test. The brush is then sent to a laboratory for testing.
Increased or abnormal vaginal discharge, inflammatory redness, itching or pain are often due to an infection.
If an infection is suspected, the secretions are examined as part of the gynecological examination and appropriate treatment is initiated.
During pregnancy, vaginal infections can cause premature labor and even premature rupture of the membranes. I therefore routinely take regular prophylactic smears during pregnancy to reduce the risk of premature birth.
Advice on the pill, hormonal coil, copper or gold coil, copper chain, copper ball, three-monthly injection, hormone implant, vaginal ring, contraceptive patch, barrier methods, natural family planning or surgical contraceptive methods.
Before prescribing combined hormonal contraceptives (pill, vaginal ring, patch), it is particularly important to check for the presence of thromboses (blood clots). However, other medications taken and pre-existing internal illnesses such as high blood pressure or epilepsy or smoking habits are also taken into account when deciding on adequate contraception.
If there is a medical history of thrombosis, there is also the option of a special blood test to clarify an increased risk of thrombosis (determination of APC resistance)
Contraceptive advice during breastfeeding.
During the menopause, there is a natural drop in sex hormones (primarily gestagens, oestrogens and androgens).
For example, 1/3 of all women suffer from hot flushes, sweating, sleep disorders, weight gain, dry mucous membranes, dry vagina, mood swings, but also an increase in blood lipids, high blood pressure and heart palpitations as well as loss of bone density.
I will be happy to advise you on the treatment options.
In the case of additional illnesses that begin during the menopause, I work together with internists, among others.
I am happy to provide you with a second opinion on any gynecological questions or concerns you may have.
Endometriosis as the cause of lower abdominal pain
The onset of endometriosis is usually gradual. If the mucous membrane outside the uterus causes pain, it is often associated with menstruation, sexual intercourse, urination or stool.
Treatment: As a rule, endometriosis lesions can be removed using minimally invasive laparoscopic surgery. However, depending on the severity of the disease, medication may also be an option.
Adenomyosis (a special form of endometriosis) is usually initially treated with medication.
In rare cases, fibroids cause lower abdominal pain, for example when they press on nerves or neighboring organs, and if fibroids need to be removed, this is usually done using minimally invasive procedures such as laparoscopy.
Cycle disorders - menstrual pain
Almost every woman is familiar with menstrual pain - fortunately, it usually remains episodic. However, if almost every menstrual cycle is accompanied by pain, it may be a case of chronic lower abdominal pain syndrome, which should be investigated.
The basic assessment of urinary incontinence is first carried out by the Medical history.
After that, a so-called Micturition protocol which is used, for example, to record for several days exactly how much you drink and when and how much urine is passed, when an urge to urinate occurs and when urine is lost.
In addition, a urinalysis is carried out using test strips to rule out a urinary tract infection and residual urine is measured using ultrasound.
The cough test (when the bladder is full, the patient is made to cough and it is observed whether urine comes out of the urethra) completes the basic clarification.
I will then be happy to advise you on conservative, medicinal and surgical treatment options.
Every 4th to 5th couple is affected by infertility. There are different types of infertility. I would be happy to discuss these and their clarification with you in our personal session.
The basic clarification in the case of an unfulfilled desire to have children is carried out on the woman through hormone determinations and ultrasound examinations.
This fertility disorder can often be remedied with medication alone or by supporting the cycle with hormones. If this therapy does not result in pregnancy, the couple will be referred to a specialized fertility center.
In order to provide you and your baby with the best possible medical care, I offer you a variety of examinations at regular intervals, all of which comply with the latest medical standards.
At every maternity check-up, I carry out urine, blood pressure and maternal weight tests as well as an ultrasound examination of the fetus. In the event of existing risks (e.g. premature birth or conization) or if the cervix is shortened, the length of the cervix (cervix measurement) is measured using vaginal ultrasound in order to detect a possible risk of premature birth in good time.
Infections are detected by a vaginal swab and laboratory blood tests and can be varied: rubella, influenza, chickenpox, parvovirus B19, measles, mumps, hepatitis, cytomegaly, herpes, Lyme disease, TBE, chlamydia, syphilis and B-streptococcal infections should be tested and treated if necessary.
Pre-eclampsia screening is carried out at the time of the first trimester screening in the 12th to 14th week of pregnancy and consists of
Taking a Folic acid supplementss already 2 to 3 months before planning a pregnancy minimizes the probability of a neural tube defect in the child
Review of the Vaccination status (especially against measles, mumps, rubella, hepatitis B, chickenpox, diphertia, tetanus and whooping cough)
And appropriate vaccination advice for pregnant women too.
Dental status check before pregnancy
Medical history of Pre-existing illnesses and possible change of medication that is "compatible" with the pregnancy.
The risk of miscarriage due to a shortened cervix can be a major concern for expectant mothers.
The good news is that you can control the risk of a shortened cervix and prolong the pregnancy.
Cervical suture/cervical cerclage: In a cervical cerclage, a suture is placed on the cervix so that it remains closed. A cerclage has a success rate of 85 to 90 percent. If possible, the cerclage is maintained until the 36th to 38th week of pregnancy. This procedure is offered to women who have had one or more premature births or late miscarriages or who have undergone cervical surgery.
I treat all patients with high-risk pregnancies
Diagnosis of chorionicity and advice on management and delivery of various constellations of multiple pregnancy.
Care of a pregnancy with a ringworm until delivery and postpartum.
Close monitoring with regard to the risk of premature birth, pre-eclampsia, gestational diabetes and growth discordance or complications in monochorial Gemini pregnancies such as feto-fetal transfusion syndrome or TAPS syndrome. I am happy to offer you the space and time in my practice to discuss all your questions in detail.
I will be happy to look after your pregnancy right through to delivery, regardless of the mode of delivery you choose. I will be happy to explain all the details and answer any questions you may have about vaginal birth or caesarean section.
'Even with issues such as miscarriages or medically indicated abortions, I know how to accompany you in the best possible way and prepare you for a possible subsequent pregnancy, should that be your wish.
I will be happy to give you a second opinion on any questions or concerns you may have about pregnancy.
Address
Silbergasse 18/3
A-1190 Vienna
(Google Maps)
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Please schedule your appointment via phone under:
Monday: 09:00 - 11:00
Wednesday: 09:00 - 19:00
Thursday: 09:00 - 12:00
You may schedule online at any time via
Contact us
German, English, French, Persian (Farsi)
Private practice, no health insurance
New opening hours from October 2025
"Dear patients,
Our surgery is open for you at the following times:
Mon: 12pm – 8pm
Tue: 10am – 4pm
Thu: 2pm – 5pm
Fri: 9am – 1pm
Call us to schedule your appointment during the following hours:
Mon: 9am – 11am
Wed: 9am – 7pm
Thu: 9am – 12pm
Your medical team,
Dr. Neli Hachemian
"Dear patients,
Our surgery will be closed from 17.04.25 to 25.04.25.
In urgent cases, please visit a gynecology outpatient clinic in one of Vienna's public hospitals or private hospitals.
Your medical team Neli Hachemian."
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