---
title: "Transvaginal Ultrasound in Tirana | Klinika Gjata"
description: "Transvaginal gynecological ultrasound in Tirana: how it works, does it hurt, preparation and what it shows. Done by Assoc. Prof. Dr. Elinda Gjata. Book a visit."
lang: en
url: https://klinikagjata.com/en/services/ultrasound-exams/transvaginal-ultrasound/
alternates:
  sq: https://klinikagjata.com/sherbimet/ekografi-ekzaminime/ekografi-endovaginale/
  en: https://klinikagjata.com/en/services/ultrasound-exams/transvaginal-ultrasound/
  it: https://klinikagjata.com/it/servizi/ecografia-esami/ecografia-transvaginale/
  fr: https://klinikagjata.com/fr/services/echographie-examens/echographie-endovaginale/
---

# Transvaginal (endovaginal) gynecological ultrasound in Tirana

> A transvaginal (endovaginal) ultrasound is a scan in which a slim, covered and lubricated probe is gently placed in the vagina to look closely at the uterus, the endometrium and the ovaries. It is the most accurate way to assess pelvic pain, irregular bleeding, cysts, fibroids, ovulation and early pregnancy. At Klinika Gjata in Tirana, the scan is performed and interpreted during your visit by Assoc. Prof. Dr. Elinda Gjata herself, using a GE Voluson ultrasound system.

- **What it is:** An internal ultrasound of the uterus and ovaries using a slim vaginal probe
- **Duration:** Usually 10–20 minutes for the scan itself
- **Preparation:** Empty bladder; no fasting needed
- **Does it hurt?:** Usually not; you may feel pressure or mild discomfort
- **Radiation:** None – it uses sound waves, not X-rays
- **Results:** Explained by the doctor during the same visit
- **Where:** Klinika Gjata, Rruga Hasan Sufa, Tirana · +355 4 234 0059

## What is a transvaginal (endovaginal) ultrasound?

A transvaginal ultrasound is a gynecological ultrasound scan in which the probe is placed inside the vagina, very close to the organs being examined. “Transvaginal”, “endovaginal” and “internal” or “vaginal” ultrasound all describe the same test.

The probe (transducer) is slim – roughly two fingers wide – and is always fitted with a new single-use cover and gel. It sends out high-frequency sound waves that bounce back from the tissues as echoes and are turned into a live image on the screen.

Why inside rather than over the abdomen? Because the closer the probe is to an organ, the clearer the picture. With the vaginal route there is no abdominal muscle, fat or gas-filled bowel in the way, so the doctor can see details an abdominal scan often misses: small follicles in the ovaries, the structure of the endometrium, small fibroids, polyps or a very early pregnancy.

Short definition: transvaginal ultrasound is the standard imaging method for the female pelvis in gynecology, because it gives the most detailed view of the uterus, endometrium and ovaries without radiation and without anesthesia.

- Organs assessed: the uterus (size, shape, muscle wall), the endometrium (the inner lining of the uterus), the cervix, the ovaries, the area of the tubes and the space behind the uterus (pouch of Douglas).
- Safety: according to the NHS, ultrasound uses sound waves and involves no ionising radiation, unlike X-rays or CT scans.
- When useful, it can be combined with an abdominal scan during the same visit.

## When and why is a transvaginal ultrasound recommended?

A transvaginal ultrasound is recommended whenever a gynecologist needs a precise view of the uterus and ovaries: to find the cause of a symptom, to follow up a known condition, or to plan fertility treatment. The most common reasons are:

- Pelvic or lower abdominal pain, sudden or long-standing.
- Very heavy, painful or irregular periods, or bleeding between periods.
- Bleeding after menopause – this should always be assessed without delay.
- Suspected uterine fibroids (myomas). They are very common: by age 50 about 70% of white women and more than 80% of Black women have fibroids (Baird et al., American Journal of Obstetrics and Gynecology, 2003), most of them without symptoms.
- Ovarian cysts, felt during an examination or seen on another scan.
- Suspected polycystic ovary syndrome (PCOS) – infrequent periods, acne, excess hair growth.
- Signs that may point to endometriosis: very painful periods, pain during sex, difficulty getting pregnant. The ESHRE 2022 endometriosis guideline places transvaginal ultrasound as the first imaging step, before laparoscopy.
- Assessment of the endometrium: its thickness and appearance in relation to the cycle day, hormone therapy or menopause.
- Checking the position of an IUD (coil) after insertion or when the threads cannot be felt.
- Fertility assessment: ovarian reserve (antral follicle count), uterine anomalies, ovulation and follicle monitoring.
- Early pregnancy: confirming the pregnancy is inside the uterus, the number of embryos, the heartbeat, and ruling out an ectopic pregnancy. NICE (guideline NG126) recommends transvaginal ultrasound for pain or bleeding in early pregnancy.

Please note: ultrasound is not recommended as routine “screening” for ovarian cancer in women without symptoms. The large UK trial UKCTOCS (2021) showed no reduction in deaths from screening, and the US Preventive Services Task Force (USPSTF) recommends against it. Ultrasound is most valuable when there is a clinical reason – and that is something the doctor decides together with you.

## How does an endovaginal ultrasound work?

An endovaginal ultrasound works by echoes: the probe sends out high-frequency sound pulses, tissues reflect them differently depending on their density, and the machine turns these echoes into a live grey-scale image. Fluid (such as a simple cyst) looks black; dense tissue (such as a fibroid) looks brighter.

Vaginal probes use higher frequencies than abdominal ones (typically around 5–9 MHz), which gives better resolution at short distances. This is why the 2023 International PCOS Guideline specifies follicle counts with a vaginal probe of 8 MHz or more.

During the scan the doctor moves and angles the probe gently to view the uterus lengthways and crossways, then each ovary in turn. Measurements are taken directly on screen: the length of the uterus, the thickness of the endometrium, the size of the ovaries, follicles or a cyst.

Klinika Gjata uses a GE Voluson ultrasound system, a platform dedicated to gynecology and obstetrics. But the quality of a scan does not depend on the machine alone: above all, it depends on the experience of the doctor performing it and interpreting it in the context of your history.

Safety: ISUOG (the International Society of Ultrasound in Obstetrics and Gynecology) recommends the ALARA principle – using the lowest energy that still gives a good diagnosis – and disinfecting the probe between patients. Diagnostic ultrasound has been used for decades with no proven harm.

## How is a transvaginal ultrasound done, step by step?

A transvaginal ultrasound appointment follows a few simple steps, and you can stop the process at any time. This is what usually happens at Klinika Gjata:

1. A short conversation. The doctor asks about the reason for your visit, the date of your last period, previous pregnancies, surgery, contraception and any medication.
2. Explanation and consent. You are told why a vaginal scan is needed and how it will be done. If you have never had sex, or would prefer a different approach, say so now – an alternative is chosen together.
3. Empty your bladder. You will be asked to pass urine beforehand, because an empty bladder gives a clearer picture and makes the scan more comfortable.
4. Getting ready in privacy. You undress from the waist down only, behind a screen, and are given a sheet to cover yourself.
5. Positioning. You lie on the examination couch with your knees bent, as for a routine gynecological examination.
6. Preparing the probe. The probe is fitted with a new single-use cover and lubricating gel. If you are allergic to latex, tell the doctor beforehand.
7. Inserting the probe. The probe is slowly inserted just a few centimetres into the vagina. Breathe deeply and relax your pelvic floor muscles – this makes it much easier.
8. The scan. The doctor gently moves the probe to view the uterus, endometrium and ovaries and takes measurements. You may feel some pressure, especially over a tender area. Say straight away if anything hurts.
9. Finishing. The probe is removed, you are given tissues to wipe off the gel, and you get dressed.
10. Explaining the result. The doctor tells you what she saw, often showing you the images, and discusses the next steps.

The scan itself usually takes 10–20 minutes; the whole visit, with the conversation and explanation, takes longer. The NHS gives a range of 10–45 minutes for an ultrasound appointment in general.

## How do I prepare for a transvaginal ultrasound? Bladder, cycle timing and periods

Preparation for a transvaginal ultrasound is minimal: come with an empty bladder, no fasting is needed, and bring information about your cycle. Unlike an abdominal scan, you do not need to drink water beforehand.

What to know:

- Bladder: pass urine shortly before the scan. A full bladder pushes the uterus away and makes a vaginal scan less clear and less comfortable.
- Food and medication: eat and drink normally; keep taking your usual medication unless told otherwise.
- Clothing: a skirt or two-piece outfit is easiest, as you only undress from the waist down.
- Hygiene: your usual hygiene is enough. There is no need to shave or wax, and no need for vaginal douching (which is not advised anyway).
- Tampon or menstrual cup: remove it before the scan.
- Documents: bring previous scans, tests (for example hormones or beta-hCG) and reports, plus the date of your last period.

When in the cycle? It depends on the reason:

- For a general assessment, the scan can be done on any day of the cycle.
- For assessing the endometrium and polyps, the first half of the cycle, just after the period, is often preferred, when the lining is thinnest.
- For ovarian reserve (antral follicle count), the first days of the cycle are usually chosen, around day 2–5.
- For ovulation monitoring, scans usually start around day 8–10 and are repeated every 1–3 days, according to the doctor’s plan.
- For endometriosis, no particular cycle day is needed (AP-HP, Paris).

Can it be done during a period? Yes. A transvaginal ultrasound can be done during menstruation and is not harmful. On heavy days the view of the endometrium may be slightly less clear, so if the reason is not urgent, the doctor may suggest another day. If you have pain or unusual bleeding, do not postpone your visit because of your period.

## Does a transvaginal ultrasound hurt? Comfort and privacy

A transvaginal ultrasound usually does not hurt. Most women feel only pressure or mild discomfort, similar to inserting a tampon or to a routine gynecological examination. The NHS describes it as possibly “uncomfortable” when the probe is inserted or moved, but not as a painful procedure.

Discomfort may be greater if:

- you are very tense and your pelvic floor muscles are tight;
- you have an infection, endometriosis or an inflamed area that is tender to touch;
- you are past menopause, when the vaginal wall is drier;
- you have had an unpleasant or traumatic experience before.

What helps:

- Slow, deep breathing, relaxing your pelvic floor as if you were passing urine.
- Saying freely if something hurts – the doctor will change the angle or pressure, or stop.
- You can ask to insert the probe yourself, an option the NHS also mentions.
- You can ask for a chaperone during the examination.

Privacy and dignity are part of the examination, not an extra. You undress behind a screen, you stay covered with a sheet throughout, and nobody unnecessary is in the room. You are in control: the scan is only done with your consent and can be stopped at any moment.

After the scan you can go straight back to work and your usual activities. A little spotting is possible, especially in pregnancy or when the cervix is sensitive, and is usually nothing to worry about.

## Ultrasound for girls and women who have never had sex

If you have never had sex, a transvaginal ultrasound is usually not performed and an alternative is chosen – first of all an abdominal (over the tummy) ultrasound. This is standard practice in gynecology and there is nothing to feel embarrassed about – one sentence at the start of the visit is enough.

The alternatives discussed:

- Abdominal ultrasound with a full bladder. The probe moves over the abdomen with gel. A full bladder pushes the bowel aside and acts as a “window” onto the uterus and ovaries. You are usually asked to drink about 0.5–1 litre of still water 1–1.5 hours before and not to pass urine until the end.
- The transrectal route. In some cases, when an abdominal scan is not enough to answer the clinical question, the medical literature also describes ultrasound through the rectum as an alternative. This is discussed only if truly needed and done only with your consent.
- Other tests. If the clinical question remains unanswered, the doctor may discuss other steps, such as magnetic resonance imaging (MRI).

What an abdominal scan can show: it shows the size and shape of the uterus well, larger fibroids, ovarian cysts and many causes of pain or menstrual problems. Fine details, such as very small follicles or small endometrial polyps, are less clearly seen.

The decision is yours. The examination is chosen together, weighing what needs to be seen against what you feel comfortable with. Nobody will perform an internal examination without your clear consent. If you are under 18, a parent or guardian can be present.

## What can a transvaginal ultrasound show – and what can’t it show?

A transvaginal ultrasound shows the structure of the uterus, endometrium and ovaries in detail, but it does not replace every other test. Some diagnoses need blood tests, hysteroscopy, MRI or a biopsy.

What it shows well:

- Fibroids (myomas): number, size and location – under the lining, within the wall or on the outside – which affects symptoms and treatment.
- Ovarian cysts: functional cysts (follicular or corpus luteum), endometriomas (“chocolate cysts”), dermoid cysts and masses that need further assessment. Specialists use standardised rules such as those of the IOTA group to tell benign-looking cysts from those needing further study.
- The endometrium: thickness and appearance, possible polyps or hyperplasia. After menopause, according to ACOG (Committee Opinion No. 734), an endometrium of 4 mm or less in a woman with bleeding has a negative predictive value above 99% for endometrial cancer.
- Polycystic ovaries: according to the 2023 International PCOS Guideline, the ultrasound criterion in adults is 20 or more follicles in one ovary and/or an ovarian volume of 10 ml or more. Ultrasound is not recommended for diagnosing PCOS within 8 years of the first period.
- Adenomyosis and signs of deep endometriosis, when assessed with a dedicated technique.
- Anomalies in the shape of the uterus (for example a septate uterus).
- The position of an IUD.
- Free fluid in the pelvis, which can accompany a ruptured cyst or an ectopic pregnancy.
- Early pregnancy: the gestational sac is usually visible at around 5 weeks and the embryo’s heartbeat at around 6 weeks.

Limitations:

- A normal scan does not rule out endometriosis: small superficial lesions on the peritoneum are often not visible (ESHRE 2022).
- Ultrasound cannot show whether the tubes are open; dedicated tests are needed for that (for example hysterosalpingography).
- It does not replace the smear (Pap/HPV) test for the cervix, or tests for infections.
- Ultrasound suggests the nature of a mass, but the final tissue diagnosis is made by histology.
- Organs lying high in the abdomen, or high-lying ovaries, may also require an abdominal scan.

## Transvaginal ultrasound results and next steps

At Klinika Gjata you get your result straight away: the scan is performed and interpreted by the same doctor during the visit, so there is no waiting for a report, and the findings are discussed in the context of your symptoms.

What may happen after the scan:

1. Normal findings. Many scans show normal organs, which is a valuable answer in itself. The doctor explains what else could be causing your symptoms.
2. A finding that only needs monitoring. Many functional cysts disappear on their own within 2–3 cycles. RCOG Green-top Guideline No. 62 states that in premenopausal women simple cysts under 50 mm usually need no further follow-up.
3. Further tests. You may be asked for hormone tests, beta-hCG, tumour markers or a Pap/HPV test.
4. Other examinations. Hysteroscopy for polyps or fibroids inside the cavity, MRI for complex cases, or tests of the tubes.
5. A treatment plan. Medication, surgery or a fertility plan, discussed with you step by step.

When to seek urgent help (without waiting for an appointment):

- severe, sudden pain in the abdomen or pelvis, especially on one side;
- very heavy bleeding (for example soaking a pad every hour for several hours);
- a positive pregnancy test with pain, bleeding, dizziness, fainting or shoulder-tip pain;
- a high temperature with pelvic pain.

These can be signs of an ectopic pregnancy, ovarian torsion or a serious infection. In these cases go to the emergency department immediately or call 112.

## Follicle monitoring: transvaginal ultrasound for ovulation and fertility

Follicle monitoring (follicle tracking) is a series of transvaginal scans during one cycle to follow the growth of follicles in the ovaries, the thickness of the endometrium and the timing of ovulation. It is part of the fertility service at Klinika Gjata.

Why it is used:

- to confirm whether and when ovulation happens in a natural cycle;
- to identify the best days for intercourse or for insemination;
- to follow the response to ovulation-stimulating medication and avoid excessive growth of many follicles;
- to time the trigger injection that induces ovulation.

How it works:

1. A baseline scan in the first days of the cycle (often day 2–5) to look at the ovaries and the antral follicle count.
2. Repeat scans, usually from day 8–10, every 1–3 days depending on growth.
3. Measuring the dominant follicle. It usually grows by about 1–2 mm a day and reaches about 18–24 mm before ovulation.
4. Assessing the endometrium, which should thicken and take on its typical pre-ovulatory appearance.
5. A post-ovulation scan, where needed, to confirm that the follicle has released the egg.

Each scan takes only a few minutes and uses the same preparation: an empty bladder. The exact number of visits depends on your cycle and your treatment plan.

Follicle monitoring is not just “measuring”. It is linked to the couple’s history, hormone tests and semen analysis, and is interpreted by a doctor specialised in infertility. Assoc. Prof. Dr. Elinda Gjata is an infertility specialist and a member of ESHRE (the European Society of Human Reproduction and Embryology).

## Why have your transvaginal ultrasound at Klinika Gjata in Tirana?

At Klinika Gjata the scan is performed and interpreted by the gynecologist herself, during the same visit, so the diagnosis and the plan are discussed with you straight away, without being passed from one specialist to another.

- Experience: Assoc. Prof. Dr. Elinda Gjata, MD, Dr. Sc., is an obstetrician-gynecologist with more than 25 years of experience and an infertility specialist.
- Academic role: Associate Professor at the University of Medicine, Tirana.
- Ultrasound training: trained at the Ian Donald School, an international school of ultrasound in obstetrics and gynecology.
- European standards: member of ESHRE.
- Equipment: a GE Voluson ultrasound system, dedicated to gynecology and obstetrics.
- Continuity: from the first scan to follicle monitoring and fertility treatment, you are followed by the same doctor.
- Calm and discretion: a private clinic in Tirana since 2009, where time for your questions is part of the visit.

The clinic is on Rruga Hasan Sufa, Tirana. To book, call +355 4 234 0059. Many patients from the diaspora (Italy, Greece, France and beyond) plan their visit while staying in Albania – bring your previous scans and tests so they can be compared.

## How much does a transvaginal ultrasound cost? What affects the price

The cost of a transvaginal ultrasound depends on the type of visit and on what needs to be assessed, so the most accurate way to find out is to call the clinic for the current price. Prices are not published on this page because they can change.

The main factors:

- Whether the scan is part of a full gynecological consultation or a separate check.
- The purpose: a general check, follow-up of a cyst or fibroid, or a fertility assessment.
- The number of scans: follicle monitoring needs several visits within the same cycle.
- Whether an abdominal scan is also needed during the same visit.
- Any further tests or examinations recommended after the scan.

Practical tip: when you call, mention the reason for your visit (for example “pelvic pain”, “cyst follow-up”, “ovulation monitoring”), so you get accurate information and the most suitable cycle day can be booked. Phone: +355 4 234 0059.

## Frequently asked questions

### How long does a transvaginal ultrasound take?

The scan itself usually takes 10–20 minutes. The whole visit, with the conversation beforehand and the explanation afterwards, takes longer. Follicle-monitoring scans are usually shorter.

### What is the difference between an abdominal and a transvaginal ultrasound?

An abdominal scan is done over the tummy with a full bladder and gives a wider view. A transvaginal scan is done with a probe in the vagina, with an empty bladder, and gives much finer detail of the uterus, endometrium and ovaries. The two often complement each other.

### Is a transvaginal ultrasound safe? Is there radiation?

Yes, it is safe. Ultrasound uses sound waves and involves no ionising radiation, unlike X-rays or CT. The probe is fitted with a new single-use cover and disinfected between patients, in line with ISUOG recommendations.

### Can a transvaginal ultrasound be done in pregnancy? Can it harm the pregnancy?

Yes, transvaginal ultrasound is the standard method in early pregnancy and does not cause miscarriage. It is used to confirm where the pregnancy is and to see the heartbeat. NICE recommends it for pain or bleeding in the first weeks.

### When can a pregnancy be seen on a transvaginal ultrasound?

The gestational sac is usually visible at around 5 weeks from the last period and the embryo’s heartbeat at around 6 weeks. If the scan is done very early, a second scan 7–14 days later may be needed, often together with a beta-hCG blood test.

### Can I have a transvaginal ultrasound on my period?

Yes. The scan is not harmful during menstruation and is sometimes requested precisely in the first days of the cycle, for example for ovarian reserve. On heavy days the view of the endometrium can be less clear, so a routine check may be moved to another day. Remove a tampon or menstrual cup before the scan.

### Is a transvaginal ultrasound done on women who are virgins?

Usually not. For girls and women who have never had sex, an abdominal scan with a full bladder is the first choice. Just mention it at the start of the visit; the approach is decided together, and no internal examination is done without your consent.

### Is light bleeding after a transvaginal ultrasound normal?

Light spotting can happen, especially in pregnancy or when the cervix is sensitive, and usually settles quickly. If bleeding is heavy, lasts or comes with severe pain, contact your doctor or the emergency department.

### Can I have sex before the ultrasound?

For a routine gynecological scan there is no restriction. During fertility monitoring, the doctor may give you specific advice about timing intercourse according to the treatment plan.

### An ovarian cyst was found on my scan. Is it dangerous?

Most cysts in women of reproductive age are functional and disappear on their own within 2–3 cycles. According to RCOG Guideline No. 62, simple cysts under 50 mm before menopause usually need no follow-up. Complex, large or postmenopausal cysts are assessed more carefully, sometimes with blood tests or MRI.

### What does it mean if the scan shows fibroids (myomas)?

Fibroids are benign growths of the uterine muscle and are very common. Many cause no symptoms and are simply monitored. Treatment depends on their size, location and symptoms, such as heavy bleeding, pain or difficulty getting pregnant.

### What does a “thick endometrium” mean?

The endometrium changes thickness through the cycle and is naturally thicker before a period, so it is always judged against the cycle day. After menopause, an endometrium over 4 mm in a woman with bleeding usually needs further assessment (ACOG). The doctor will explain whether the finding is normal for your situation or whether hysteroscopy or a biopsy is needed.

### Can PCOS be diagnosed with a transvaginal ultrasound?

Ultrasound is one of three criteria, not the only one. A PCOS diagnosis also relies on irregular cycles and on signs or blood tests for androgens. Under the 2023 guideline, the ultrasound criterion is 20 or more follicles in one ovary and/or a volume over 10 ml, and ultrasound is not used for diagnosis within 8 years of the first period.

### Can a transvaginal ultrasound detect endometriosis?

Transvaginal ultrasound detects ovarian endometriomas well and, with a dedicated technique, many forms of deep endometriosis. It does not show small superficial lesions well, so a normal scan does not rule out endometriosis (ESHRE 2022).

### Can an IUD (coil) be checked with a transvaginal ultrasound?

Yes. The scan shows whether the IUD is correctly positioned inside the uterus. A check is advisable after insertion, when the threads cannot be felt, or if there is unusual pain or bleeding.

### Do I need a transvaginal ultrasound after menopause?

Yes, when there is a reason: in particular, any bleeding after menopause should be assessed without delay, and transvaginal ultrasound is the first step to measure the endometrium. If the vaginal wall is dry, the doctor uses more gel and proceeds slowly.

### Should I have a transvaginal ultrasound every year as a check-up?

Ultrasound is not recommended as routine screening for ovarian cancer in women without symptoms (USPSTF; UKCTOCS trial 2021). Regular gynecological check-ups and the Pap/HPV test have their own role; ultrasound is done when there are symptoms, previous findings or fertility reasons.

### What should I bring to my ultrasound appointment?

The date of your last period, a list of your medication, previous scans and tests (especially if you are coming from abroad) and any questions you want to ask. A comfortable two-piece outfit makes the visit easier.

### Which day of my cycle is best for a gynecological ultrasound?

It depends on the reason for the scan:

- For a general check, polyps or assessment of the endometrium, the best time is usually just after your period ends, around days 5–10 of the cycle, when the lining is thin.
- For ovulation monitoring, scans are done on specific days as advised by the doctor.
- For ovarian reserve, usually early in the cycle, around days 2–5.
- For some ovarian cysts, a follow-up after 6–8 weeks may be needed, as many disappear on their own.

If you have severe pain, unusual bleeding or think you might be pregnant, do not wait for the “ideal” day: contact the clinic. When booking, tell us the reason for your visit and the date of your last period so we can suggest the right day.

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- [Pregnancy ultrasound](https://klinikagjata.com/en/services/ultrasound-exams/pregnancy-ultrasound/)
- [Abdominal ultrasound](https://klinikagjata.com/en/services/ultrasound-exams/abdominal-ultrasound/)
- [Doppler ultrasound](https://klinikagjata.com/en/services/ultrasound-exams/doppler-ultrasound/)
- [Colposcopy](https://klinikagjata.com/en/services/ultrasound-exams/colposcopy/)
- [Pap smear test](https://klinikagjata.com/en/services/ultrasound-exams/pap-smear-test/)
- [HPV test](https://klinikagjata.com/en/services/ultrasound-exams/hpv-test/)

> The information on this page is general and does not replace a medical consultation.

- **Address:** Rruga Hasan Sufa, Pall. 3, Shk. 2, Ap. 12, Tiranë, Albania
- **Phone:** +355 4 234 0059
- **WhatsApp:** +355 69 400 6677
- **Email:** klinikagjata@hotmail.com
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