Elena Pushina

Elena Pushina, MD, is an obstetrician-gynecologist with clinical experience in Russia and Portugal. She sees adult patients, children, and adolescents, provides preventive gynecologic care, diagnoses and treats gynecologic conditions, supports pregnancy planning, and provides prenatal care throughout pregnancy.

Dr. Pushina completed her medical degree and specialty training in obstetrics and gynecology in Izhevsk, Russia. She moved to Portugal in 2017, completed the formal recognition process, and obtained Portuguese equivalency of her Obstetrics and Gynecology specialty in 2020. She worked at Hospital Garcia de Orta and continues to practice in Portugal, including within the CUF network.

Appointments at UMC Lisbon are provided in Russian and Portuguese. The clinic can also support English-speaking patients. Portuguese Medical Association professional license: 63214.

Reasons to See Dr. Pushina

• routine preventive gynecologic examination;
• irregular menstrual cycles or absent periods;
• heavy, prolonged, or painful periods;
• premenstrual syndrome;
• lower abdominal or pelvic pain;
• genital itching, burning, redness, swelling, or unusual discharge;
• candidiasis, bacterial vaginosis, and pelvic inflammatory disease;
• sexually transmitted infections;
• discomfort with urination or recurrent cystitis;
• possible polycystic ovary syndrome;
• endometriosis, uterine fibroids, and endometrial hyperplasia;
• cervical disease, dysplasia, and HPV-related conditions;
• vulvar conditions;
• contraceptive counseling;
• perimenopause and menopause symptoms;
• preconception care, difficulty becoming pregnant, and infertility;
• prenatal care, including complicated and high-risk pregnancy.

What to Expect During Your Appointment

Dr. Pushina reviews your symptoms, menstrual and reproductive history, general medical history, previous reports, and test results. Depending on the reason for the visit, she performs an appropriate gynecologic examination and develops a diagnostic, treatment, or preventive care plan.

When clinically indicated, a pelvic ultrasound, specimen collection for laboratory testing, HPV vaccination, or another outpatient gynecologic procedure may be completed during the same visit.

Pelvic Ultrasound During the Visit

Dr. Pushina performs gynecologic ultrasound, including transvaginal pelvic ultrasound. This examination evaluates the uterus, endometrium, ovaries, and other pelvic structures and may be used for pelvic pain, abnormal bleeding, possible fibroids, endometriosis, ovarian cysts, or other conditions.

Ultrasound is a separate diagnostic service and is billed in addition to the consultation. The physician determines the appropriate examination based on the patient’s symptoms and clinical circumstances.

Laboratory Testing and Preventive Screening

Specimens may be collected during the gynecologic visit for:

• liquid-based cervical cytology;
• human papillomavirus, or HPV, testing;
• sexually transmitted infection testing;
• other swabs or laboratory studies when clinically indicated.

Specimen collection and laboratory testing are separate services. Fees depend on the ordered panel and are not automatically included in the consultation.

HPV Vaccination

UMC offers vaccination against human papillomavirus with Gardasil 9. Before vaccination, the doctor reviews the patient’s medical history, contraindications, and individual schedule. The vaccine may be administered during the visit when it is available and there are no contraindications.

The consultation and vaccination are separate services; the vaccine and its administration are billed separately. Please confirm vaccine availability and current pricing when booking.

Contraception, Intrauterine Devices, and Implants

Dr. Pushina helps patients choose an appropriate contraceptive method based on age, health, reproductive plans, and individual risk factors. Available in-clinic services include:

• insertion or removal of an intrauterine device, or IUD;
• insertion or removal of a contraceptive implant;
• ultrasound assessment of IUD position;
• review and adjustment of previously prescribed hormonal contraception.

The contraceptive device, insertion or removal procedure, and any required ultrasound are separate services. Same-day scheduling, preparation, and device availability should be confirmed in advance.

Pregnancy Planning and Prenatal Care

Dr. Pushina provides preconception counseling, evaluates relevant risk factors, develops an appropriate testing plan, and provides prenatal care throughout pregnancy. Her experience includes complicated and high-risk pregnancies.

During prenatal care, she monitors maternal health, orders necessary tests and imaging, prepares medical documentation and referrals, and helps the patient navigate the Portuguese healthcare system.

Planning for Delivery

Dr. Pushina helps the patient select an appropriate delivery setting based on the course of pregnancy, place of residence, insurance coverage, and personal preferences. She prepares relevant reports and referrals and explains when and where to seek care when labor begins or warning symptoms develop.

Deliveries are not performed at UMC. Prenatal care at the clinic is combined with referral to an appropriate public or private maternity hospital.

Ultrasound During Pregnancy

Dr. Pushina’s professional background includes gynecologic and obstetric ultrasound, Doppler studies, and preeclampsia risk assessment. However, fetal screening ultrasounds are not performed at UMC. Patients are referred to an appropriate diagnostic center or maternity hospital for fetal screening and other specialized obstetric imaging.

Pediatric and Adolescent Gynecology

Dr. Pushina sees girls from birth through adolescence. Reasons for evaluation may include inflammation, itching or discharge, pain, menstrual problems after menarche, or other gynecologic symptoms.

The examination is adapted to the child’s age and limited to what is clinically necessary. Parent or legal guardian participation depends on the patient’s age and applicable medical consent rules.

Menopause and Endocrine Gynecology

Patients may seek care for hot flashes, sleep problems, mood changes, vaginal dryness, menstrual changes, and other perimenopause or menopause symptoms. Dr. Pushina evaluates symptoms and individual risk factors and discusses appropriate treatment options.

Gynecologic Surgery

Dr. Pushina’s professional interests include gynecologic and minimally invasive surgery. UMC provides consultations, examination, ultrasound, and the outpatient procedures listed by the clinic. If surgery or hospital-based evaluation is needed, the doctor assesses the indication and helps coordinate care at an appropriately equipped facility.

Education and Professional Experience

• medical degree, Izhevsk State Medical Institute, Russia, 1994;
• specialty qualification in Obstetrics and Gynecology, Hospital No. 1, Izhevsk, 2000;
• clinical practice at Hospital No. 1, Izhevsk — 1995–2016;
• clinical practice at Hospital Garcia de Orta, Almada — 2017–2020;
• Portuguese equivalency of the Obstetrics and Gynecology specialty — 2020;
• clinical practice in Portuguese healthcare organizations, including CUF.

Professional Memberships and Academic Activity

• Portuguese Society of Gynecology — SPG;
• International Society of Ultrasound in Obstetrics and Gynecology — ISUOG;
• Fetal Medicine Foundation — FMF;
• Russian professional societies in obstetrics and gynecology, endocrine gynecology, menopause, and gynecologic and obstetric ultrasound.

Dr. Pushina has authored and coauthored scientific publications and presentations in obstetrics and gynecology and has served as an invited speaker at professional events.

Languages

• Russian;
• Portuguese.

When to Seek Emergency Care

Severe or increasing lower abdominal pain, heavy bleeding, loss of consciousness, a positive pregnancy test accompanied by pain or bleeding, or significant deterioration during pregnancy requires urgent evaluation. Go to an emergency department or call 112. A scheduled gynecology appointment is not a substitute for emergency care.

Frequently Asked Questions

1. Can a pelvic ultrasound be performed during the appointment?

Yes. Dr. Pushina performs gynecologic ultrasound during the visit. Ultrasound is a separate diagnostic service and is billed in addition to the consultation.

2. Can liquid-based cytology and HPV testing be collected during the same visit?

Yes. Specimens can be collected during the gynecologic examination. Liquid-based cytology, HPV testing, and other laboratory tests are separate services.

3. Can an IUD be inserted or removed at the clinic?

Yes. IUD insertion and removal are available when clinically appropriate. The procedure, device, and any required ultrasound are billed separately; arrangements should be confirmed when booking.

4. Does Dr. Pushina provide prenatal care and help patients choose a maternity hospital?

Yes. She provides prenatal care, prepares relevant documentation, and helps coordinate the delivery pathway. The delivery itself takes place at a public or private maternity hospital, not at UMC.

5. Does Dr. Pushina see children, and which languages does she speak?

Yes. She sees girls from birth, adolescents, and adults. Consultations are provided in Russian and Portuguese.