Marika Otkhozoria MD.

• Diagnosis/treatment of inflammatory and infectious diseases (vaginitis, vulvovaginitis, endometritis, pelvic inflammation, STIs).
• Hormonal disorders (menopause, ovarian dysfunction, menstrual disorders, hormone therapy and contraception).
• Reproductive health (infertility, tubal patency, endometriosis/adenomyosis, endometrial hyperplasia).
• Benign pathologies (cysts, myomas, fibroids, polyps, cervical erosion).
• Sexual dysfunction (vaginismus, vulvodynia, decreased libido).
• Aesthetic/reconstructive services (labiaplasty, vaginal lifting, plasmotherapy, atrophy treatment, hymenoplasty).
  Diagnostic procedures (colposcopy, biomaterial collection, IUD insertion/removal, HSG).

• Cervical surgery (conization, plastic surgery, coagulation, ablation, amputation).
• Vulvar and vaginal surgery (papillomas/condylomas, cysts/abscesses, Bartholin gland treatment, synechiae removal, vulvectomy, vaginoplasty).
• Minor gynecological surgeries (hysteroscopy, curettage, polyp excision, biopsy, laser/radiosurgery).
• Laparoscopic/laparotomy surgeries (myomectomy, ovarian neoplasms, tubotomy/tubectomy, endometriosis surgery, adhesions separation, ovariotomy/oophorectomy, ovarian resection, transposition).

• Onco-gynecological screening and high-risk HPV monitoring.
• Management of precancerous and cancerous pathologies of the uterus, cervix, appendages, vulva and vagina.
• Laser, plasma, photodynamic therapy.
• Organ-sparing surgeries and embolotherapy.

• 2002 - 2008 - Astrakhan State Medical Academy, specialty "Medical Business".
• 2008 - 2009 - Clinical residency at Astrakhan State Medical Academy.
• In 2009, received a state certificate in the specialty of obstetrics and gynecology.
• 2010 Operative and emergency gynecology.
• 2010 Cesarean section in obstetrics, small cesarean section in gynecology. Pregnancy and surgical tactics in the presence of tumors of the small pelvis. Astrakhan Regional Perinatal Center.
• 2014 Professional retraining in oncology.
• 2014 Selected issues in mammology and the specifics of narrowly targeted oncogynecology.
• 2015 Endocrinology in obstetrics and gynecology.
• 2015 Endocrine health of women (in puberty, adulthood and postmenopause). Professor Kalinchenko Training Center.
• 2016 Internship in laparoscopic surgery (pelvic surgery), surgical treatment of endometriosis. Maria Hospital, University of Stuttgart (Germany).
• 2017 Internship in HPV-associated mucosal (cervical) oncology, its prevention and immunization. University of Montpellier (France).
• 2018 Professional retraining in ultrasound diagnostics, obtaining a certificate. University (Department of Ultrasound Diagnostics).
• 2019 Endoscopic surgery in obstetrics and gynecology (practical course in hysteroscopy and hysteroresectoscopy). Moscow Medical and Dental University.
• 2019 Colposcopy with a practical course in laser-surgical treatment.N.I. Pirogov National Medical and Surgical Center.
• 2019 Additional professional education program in Assisted Reproductive Technologies. Peoples' Friendship University of Russia.
• 2020 Medical law. Legal security in the healthcare sector. Medical University of Innovations and Development.
• 2020 Female sexology and issues of sexopathology in gynecology.
• 2021 Expertise and control of the quality of medical care. National Technological University.
• 2022 Anti-age therapy and anti-aging methods.I.M. Sechenov Moscow State Medical University.
• 2022 St. Petersburg Otto Scientific Research Institute of Obstetrics and Gynecology and Reproductive Medicine, Doctor of Medicine.

• Tbilisi, Clinic “Initio” - Since 2025, Head of the Gynecological Department, Leading Specialist.
• Israel, Haifa. Hadassah Medical Center – 2018 -2025, Head of the Research Scientific Group, Surgeon Onco-Gynecologist, Mammologist, Reconstructive Medicine Surgeon, Radiological Research Surgeon.
• Russian Federation, Moscow, National Oncology Center - 2014 - 2022, Surgeon Onco-Gynecologist, Mammologist, Reconstructive Medicine Surgeon, Gynecologist-Endocrinologist of Reproductive Technologies.
• Russian Federation, St. Astrakhan, Kirov National Center for Emergency Surgery and Transplantology - 2009 - 2014, Head of the Gynecological Department, Surgical Onco-Gynecologist.

Participation in conferences and congresses:

• Since 2008, participated in various local and international conferences and congresses.

Knowledge of languages:

• Georgian – Native
• English – Advanced (B2)
• Russian – Advanced (C1)