Medically Reviewed by Prof. Alex Perl | Updated 2026

Private Gynecology, High-Risk Pregnancy & IVF Hub

EliteMed's women's health team in Modi'in brings together ten senior gynecologists from Sheba, Shaare Zedek, Meir, Shamir and Wolfson, each in a defined subspecialty: high-risk pregnancy, prenatal anatomy scans, endometriosis and fertility, gynecologic oncology, urogynecology and menopause. A private gynecologist consultation is available within days, without a referral, at the Ayala 360 Center.

Rated 4.9 out of 5 from more than 1,800 verified patient reviews on MedReviews (September 2026)

When to see a private gynecologist

Most women have routine follow-up with a gynecologist at their health fund (kupat holim). A private subspecialist makes sense when a question calls for focused experience, when the public waiting time is too long for the urgency, or when you want a second opinion before a decision. Situations where a consultation is worthwhile:

  • High-risk pregnancy: gestational diabetes, high blood pressure or preeclampsia, a multiple pregnancy, pregnancy after age 40, or an underlying maternal condition.
  • An early anatomy scan (weeks 14-16) or a late anatomy scan (weeks 22-24) with an ultrasound specialist, and fetal echocardiography when indicated.
  • A finding on a scan or genetic test that requires a maternal-fetal medicine (MFM) specialist.
  • Chronic pelvic pain, severe period pain or pain during intercourse that raises suspicion of endometriosis.
  • Difficulty conceiving after a year of trying (six months over age 35), or the need for support through IVF.
  • Irregular bleeding, bleeding after menopause, or an ovarian or uterine finding on imaging.
  • An abnormal Pap smear or HPV result, or the need for a colposcopy.
  • Urinary leakage, pelvic organ prolapse or pelvic floor problems after childbirth.
  • Menopause symptoms: hot flashes, sleep disturbance, dryness, mood changes, and questions about hormone therapy.
  • A family history of breast or ovarian cancer that calls for hereditary risk assessment.

Heavy bleeding in pregnancy, sharp abdominal pain or reduced fetal movement require going straight to the women's emergency room, not a scheduled consultation.

What the consultation at EliteMed includes

The consultation is with the senior physician in the relevant subspecialty, not a general gynecologist. The doctor reviews your history and previous test and scan results, performs an examination and a gynecological or obstetric ultrasound when needed, and sets out a plan: follow-up, further tests, medication, referral for surgery, or support through a fertility process. Anatomy scans and fetal echocardiography are performed at the center on high-resolution ultrasound equipment.

What sets the center apart:

  • A subspecialist for every need. High-risk pregnancy with the head of an MFM unit, endometriosis with a professor who specializes in it, scans with an ultrasound specialist, oncology with gynecologic oncologists from Shaare Zedek and Sheba.
  • A private, discreet setting. The visit takes as long as it needs, in a private consulting room, without the bustle of a public clinic.
  • No public-system waiting. A gynecologist appointment is usually available within days, and for anatomy scans and urgent cases there is a 24-48 hour track.
  • No referral. Private consultations need no referral. Bring your pregnancy follow-up booklet, scan and genetic test results, and previous Pap and ultrasound reports.
  • A multidisciplinary center. Fetal echo in coordination with pediatric cardiology, breast imaging and biopsies with the ultrasound unit, and hormonal balance with endocrinology, all in the same building.
  • Insurance. Consultations and tests qualify as private specialist consultations and are reimbursable under most private policies (Harel, Phoenix, Menora and others) and health-fund supplementary plans, subject to policy terms.

Serving women from Modi'in-Maccabim-Re'ut, Shoham, Hashmonaim, Beit Shemesh and Rishon LeZion, including English speakers.

Private Specialist Reproductive Services

High-Risk Pregnancy (MFM)

Comprehensive maternal-fetal medicine follow-up for pregnancies with gestational diabetes, preeclampsia, multiple fetuses, a complex medical background or a previous obstetric history, led by the head of an MFM unit.

Prenatal Anatomy Scans

Early anatomy scan, late anatomy scan and nuchal translucency on high-resolution ultrasound, performed by an obstetric ultrasound specialist from Shaare Zedek, with a detailed explanation of the findings during the examination.

Endometriosis Hub, Pelvic Pain and Pelvic Floor

Diagnosis and consultation for endometriosis, adenomyosis and chronic pelvic pain, including planning of medical or surgical treatment, led by Prof. Alex Perl. Urogynecology for urinary leakage, pelvic organ prolapse and postpartum pelvic floor problems, with conservative care, pelvic floor physiotherapy and surgical solutions.

Complex Fertility (IVF), Hormonal Health and Menopause

Couples' infertility work-up, pre-treatment counselling and support through IVF programs by senior specialists, with a personalized approach and coordination with endocrinology, including hormonal evaluation for women. Menopause consultation: symptoms, hormone therapy or non-hormonal alternatives, and follow-up of bone and heart health after periods stop.

Gynecological Malignancies and Breast Imaging

Assessment of suspicious findings in the uterus, ovaries and cervix, hereditary risk assessment and oncological surgical planning by senior gynecologic oncologists from Shaare Zedek and Sheba. Breast ultrasound and ultrasound-guided biopsies are coordinated with the center's imaging unit.

Fetal Echocardiography

A focused ultrasound examination of the structure and function of the fetal heart, together with the center's pediatric cardiology team, when there is a family indication or a finding on the anatomy scan.

Preparing for the visit and what happens afterwards

For an obstetric visit, bring your pregnancy follow-up booklet, scan and genetic test results and recent blood tests. For a gynecological visit, bring Pap or HPV results, previous ultrasound reports and a description of your cycle in recent months. For a fertility work-up, bring your partner's test results too. At the end of the visit you receive a written summary with the findings, recommendations and next steps: follow-up, further tests, medication, or scheduling surgery at the hospital where the doctor operates. Anatomy scan results are given at the end of the examination with a detailed explanation and, with your consent, are also sent to your regular gynecologist.

The women's health physicians at EliteMed

Prof. Alex Perl

Prof. Alex Perl

Endometriosis & IVF | Sheba
Dr. Shira Fishman

Dr. Shira Fishman

High-Risk Pregnancy & MFM
Dr. Misgav Rotenstreich

Dr. Misgav Rotenstreich

Prenatal Scanning | SZMC
Dr. Noga Porat

Dr. Noga Porat

Gyn-Oncology | SZMC

Dr. Sagit Arbel Alon

Gyn-Oncology | SZMC

Dr. Yair Daykan

Urogynecology | Meir

Dr. Janine Cynamon

Menopause | Shamir

Dr. Amir Ravhon

IVF | Wolfson

Dr. Itay Yagel

Gyn-Oncology | Sheba
Dr. Yael Cohen

Dr. Yael Cohen

Obstetrics & Gynecology

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Medical FAQ & High-Risk Pregnancy Guidance

What counts as a high-risk pregnancy and who follows it?

A high-risk pregnancy involves gestational diabetes, high blood pressure or preeclampsia, multiple fetuses, an underlying maternal condition, older maternal age or a complex obstetric history. Follow-up is with a maternal-fetal medicine (MFM) specialist. At EliteMed the service is led by Dr. Shira Fishman, working alongside the patient's regular gynecologist.

In which week is the anatomy scan done, and is it performed at the center?

The early anatomy scan is done in weeks 14-16 and the late scan in weeks 22-24. Both are performed at EliteMed in Modi'in by Dr. Misgav Rottenstreich and the specialist team on high-resolution ultrasound, with the findings explained during the examination. Nuchal translucency and fetal echocardiography can also be scheduled.

How does private pregnancy follow-up differ from the health fund?

Health-fund follow-up covers the routine tests in the Ministry of Health schedule. Private follow-up adds time: longer visits, the same doctor throughout, availability for questions, and fast access to an MFM specialist if a complication appears. Many women combine both: routine care at the health fund and private consultations at decision points or in a high-risk pregnancy.

Who should I see if I suspect endometriosis?

When severe period pain, chronic pelvic pain, pain during intercourse or difficulty conceiving persist, see a gynecologist who specializes in endometriosis. Diagnosis combines a detailed history, examination and dedicated ultrasound, sometimes MRI. At EliteMed the field is led by Prof. Alex Perl of Sheba, and treatment may be medical, surgical or combined with fertility treatment.

When should I seek a fertility consultation?

After a year of trying without a pregnancy, or after six months if the woman is over 35. Recurrent miscarriage, irregular cycles, known endometriosis or a wish to preserve fertility also justify an early consultation. The work-up covers both partners, and the center's fertility specialists also support IVF programs carried out in hospital units.

Do I need a referral for a private gynecologist, and what should I bring?

No referral is needed. Bring your pregnancy follow-up booklet, scan results, genetic and blood tests, recent Pap or HPV results, previous gynecological ultrasound reports and a list of medications. For a fertility work-up, bring your partner's test results as well, if they have been done.

How much does a private gynecologist cost, and does insurance cover it?

The fee is given when you book, before the visit, and depends on the type of visit: consultation, anatomy scan, ultrasound or follow-up. Consultations and tests are reimbursable as private specialist consultations under most private policies and health-fund supplementary plans, subject to policy terms. The center provides an invoice and a medical summary for your claim.

Where is the center and how do I get there?

EliteMed is at the Ayala 360 Center, 21 HaMelachot Street, Building B, 5th floor, Modi'in. From Route 431, exit at the Paatei Modi'in interchange toward the Yishpro Center, opposite Yochananof supermarket. Free parking in the nearby shopping complexes; the building is accessible. Open Sunday to Thursday, 08:00-20:00, also serving Shoham, Beit Shemesh, Hashmonaim and Rishon LeZion.

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