Reproductive Endocrinology and Infertility
Reproductive endocrinology and infertility specialists are physicians dealing with infertility and hormonal disorders in women. Reproductive endocrinology and infertility department deals with all health problems such as infertility, excessive hair growth and irregular menstrual periods due to hormonal irregularities. The treatments applied by the reproductive endocrinology and infertility department are determined depending on the type and stage of the diagnosed disease, the general health status of the patient, lifestyle, age, weight and similar characteristics.
The duties and responsibilities of the experts can be listed as follows:
- After listening to the complaints of the patients, performing a physical examination and analyzing the findings,
- If infertility is suspected, to get help from blood analysis, ultrasonography and other radiological imaging techniques,
- Referring the patient's spouse to a specialist urologist if necessary,
- To ensure that the necessary hormone tests are made for the diagnosis of diseases,
- To diagnose diseases correctly based on all test results and examination findings,
- To prepare the most appropriate and effective treatment plan for the diagnosed disease,
- To raise awareness of the patient and his spouse about health problems,
- Obtaining the consent of the patient by giving information about methods such as vaccination or in vitro fertilization,
- Referring to the psychiatry department if support is required to protect the psychological health of the spouses during the treatment process,
- To follow the patient from the first examination to the birth,
- If deemed necessary, to cooperate with the relevant branch physicians,
- To carry out the necessary studies in order for the candidates to gain the necessary experience and equipment.
- Reproductive endocrinology and infertility department specialists can work together with gynecologists, radiologists or other relevant physicians in diagnosis, follow-up and treatment processes.
Which diseases does the reproductive endocrinology and Infertility look into?
The most common diseases can be listed as follows:
- Polycystic Ovary Syndrome: This condition, briefly called PCOS, means the formation of small cysts in the ovaries. These cysts usually grow to a maximum of 8 to 10 mm in diameter. At the same time, it is seen in ultrasonography images that the ovaries are larger than expected. Because this disease, which causes hormonal imbalance, prevents the development of eggs, pregnancy cannot occur. It causes symptoms such as male-pattern hair growth, intense painful and irregular menstrual periods, more or less menstrual bleeding than expected.
- Hyperprolactinemia Disease: It is the name given to the condition where the prolactin hormone is secreted more than the healthy range. The increase in the blood of this hormone responsible for milk production causes the ovulation periods and egg quality to deteriorate. The most common symptoms are irregular periods and a few drops of milk coming from the breasts during the day. With its treatment, the ovulation process takes place in a healthy way.
- Estrogen Hormone Deficiency: The long-term insufficient release of the estrogen hormone, also known as the female hormone, is one of the conditions that prevent pregnancy. Genetic predisposition may occur due to problems such as excessive exercise, eating disorders, continuous regimen, frequent recurrence of infectious diseases in the pelvic, pituitary gland or kidney failure. It causes problems such as osteoporosis, premature menopause and infertility. It shows symptoms such as frequent infection problems in the urinary tract, headache, focusing problems, feeling exhausted and tired, sensitization of breasts, pain sensation during sexual intercourse, irregular menstrual periods and a depressed mood.
- Hyperplasia Disease: It is the problem that the lining of the uterus becomes thicker than expected. In a normal menstrual period, the uterine wall layer, which thickens with the release of estrogen and prepares for the attachment of the fetus, returns to its normal form by shedding again (with menstrual bleeding) if ovulation does not occur. However, if sufficient progesterone production is not seen, the inner layer cannot be poured and the thickening process continues with the taken estrogen. This can lead to serious health problems such as infertility or uterine wall cancer.
- Infertility: Infertility is the case when pregnancy does not occur despite having unprotected sexual intercourse at the right time. However, infertility is not suspected for the inability to conceive in less than 1 to 2 years. If the problem of infertility is seen due to hormonal irregularities in women, the treatment process is carried out by reproductive endocrinology and infertility specialists. For this, the most suitable and effective methods will be preferred for couples.
Diseases for which the reproductive endocrinology and infertility department is concerned may occur due to underlying health problems such as malfunctioning of the pituitary gland or endocrine diseases. In these cases, multiple treatments can be applied with the relevant branch physicians.
Which treatments does the reproductive Endocrinology and Infertility apply?
The most common methods can be listed as follows:
- IVF Treatment: It is an artificial insemination technique applied in cases where pregnancy does not occur naturally. With the help of medicines, a large number of eggs are formed and developed. Eggs that reach healthy sizes are taken and fertilized with sperm under laboratory conditions. When the embryo starts to develop, it is placed back into the uterus and followed up. In this way, it is possible to have a healthy pregnancy period.
- Vaccination Method: It is the process of stimulating hormones and triggering egg development with the help of injection or oral tablets. On average, 1 to 3 eggs are expected to form in each period. A cracking needle is made in the case of eggs that reach sufficient dimensions. Then the sperm that are made suitable in the laboratory are transferred. In this way, the fertilization process takes place at the most appropriate time and with the most efficient quality.
- Hormonal Treatments: These are treatments applied by oral tablets or injection method. It is based on the principle of suppressing excessive hormone secretion or supplementation in insufficient cases. Multiple drug therapies may be required depending on the hormone irregularities seen in the patient. With the return of the hormone levels to the healthy range, the complaints are also resolved.
- Surgical Operations: It can be applied as open or closed method. It is the case of surgical treatment of tumors that prevent pregnancy, deformations due to pelvic infections or damage due to hormonal disorders. The surgery to be performed and the method of application are determined depending on the needs of the patient.
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