Where does an endocrinologist see a gynecologist? Treatment of hormonal disorders in women. When should you contact a gynecologist-endocrinologist?

Gynecological endocrinology is a discipline at the intersection of gynecology, andrology, endocrinology and dermatology. The scope of activity of a gynecologist-endocrinologist is the prevention, diagnosis and treatment of diseases associated with disorders of a woman’s hormonal system.

It is hormones that determine the state of the reproductive organs and the proper development of a woman’s body. In addition, hormonal disorders directly affect the emotional, mental and general physical state of a woman and her health.

The correct functioning of the hormonal system in one way or another has a positive effect on all organs of the female body (vessels, bones, brain, lacrimal glands, etc.). That is why disturbances in the functioning of the ovaries cause painful disorders throughout the body, and not just in the genitourinary organs.

If you need the best gynecologist-endocrinologist in Moscow, contact Central Clinical Hospital No. 6. The cost of a consultation with a gynecologist-endocrinologist is from 1200 rubles.

Our doctors

At the clinic of Central Clinical Hospital No. 6, two gynecologist-endocrinologists are receiving appointments: and.

What is the difference between visiting a gynecologist-endocrinologist?

A consultation with a gynecologist-endocrinologist is very similar to a consultation with a gynecologist. The only difference is that in addition to the examination, the doctor conducts a detailed conversation with the woman about her life and the state of her general health.

A gynecologist-endocrinologist helps to create a menstrual calendar and prescribes additional laboratory tests. In short, he does everything necessary to study the hormonal status of a female patient and the state of her endocrine system.

If dysfunctions are detected, the gynecologist-endocrinologist prescribes and carries out a course of treatment.

What does a gynecologist-endocrinologist treat?

• Excessive hair growth (appearance of hair on the face, chest, thighs and other parts of the body similar to male hair growth).
• Acne.
• Obesity caused by neurometabolic endocrine syndrome.
• Infertility caused by one or another ovulation disorder. Prevention of this disease prevents inflammatory processes (including the occurrence of ovarian cancer) and generally has a beneficial effect on reproductive function.
• Amenorrhea, dysmenorrhea, polymenorrhea and other syndromes leading to menstrual irregularities and disorders of the reproductive system of the female body.
• Menopause (decrease in sex hormones in women after 45 years, and in some cases up to 45 years). Symptoms of the onset of menopause are: vaginal dryness, painful sexual intercourse, frequent hot flashes and changes in mood, feeling hot.
• Premenstrual syndrome.

Often women experience diseases associated with various hormonal imbalances. Female hormones: progesterone, estrogen and testosterone are produced by the ovaries. Therefore, a gynecologist-endocrinologist deals with the treatment and prevention of diseases of the female genital area associated with changes in the hormonal levels of the female body.

When should you contact a gynecologist-endocrinologist?

You should contact a gynecologist-endocrinologist if you suspect hormonal imbalances, because any endocrinologist deals with disorders in the endocrine system, that is, hormonal disorders. The gynecologist is responsible for women's health.

The following symptoms indicate a hormonal imbalance in the female body:

early puberty: the appearance of secondary sexual characteristics in a girl and the onset of menstruation before 10 years;

late puberty, delayed puberty: secondary sexual characteristics and menstruation do not appear after 14 years of age;

irregular monthly cycle;

juvenile bleeding during reproductive age and premenopause;

pronounced premenstrual syndrome;

surgical removal of the ovaries;

a history of recurrent miscarriage or undeveloped pregnancies;

the appearance of secondary sexual characteristics of the male type, hair growth;

early cessation of menstruation;

dysfunctional bleeding;

heavy or painful periods;

various forms of enometriosis;

infertility caused by hormonal disorders;

obesity or sudden weight loss;

the need to consult a doctor about the selection of contraceptives.

The main diseases treated by a gynecologist-endocrinologist.

ovarian dysfunction;

infertility;

endometriosis;

obesity;

mastopathy;

premenstrual syndrome with severe symptoms;

pronounced climacteric syndrome;

condition after surgical removal of the ovaries;

In addition, a gynecologist-endocrinologist selects contraceptives, taking into account the individual characteristics of each woman’s body.

How is an appointment with a gynecologist-endocrinologist?

An appointment with a gynecologist-endocrinologist differs from an appointment with a regular gynecologist. Typically, a consultation with this specialist requires more time. This is especially true for the initial appointment.

At the first consultation, in addition to the usual gynecological examination, the gynecologist-endocrinologist asks the patient in detail about her state of health in detail, as well as about her immediate family.

The doctor draws up a menstrual calendar, determining the estimated date of ovulation.

The doctor pays great attention to the external examination of the patient: measures height, weight, examines hair and skin.

Usually the doctor gives a referral for additional tests.

All this helps to identify possible hormonal imbalances that caused the disease.

Gynecologist-endocrinologist specializes in the treatment of all kinds of hormonal imbalances leading to disruption of female reproductive health. The doctor studies the effects of female and male hormones on the body.

A gynecologist-endocrinologist in Moscow diagnoses, treats, and prevents hormonal pathologies - ovarian dysfunction, excess hair growth, excess weight, acne, absence of pregnancy for a long time, miscarriages, uterine bleeding of various etiologies, pronounced manifestations of menopause, failures during puberty in children and teenagers, etc. The doctor also selects individual hormonal methods of protection against unwanted pregnancy based on laboratory tests.

You should contact a gynecologist-endocrinologist if:

• the onset of menopause;
• pregnancy planning;
• identifying neoplasms in the mammary glands and ovaries.

A visit to this doctor is also necessary before the in vitro fertilization procedure. Parents of teenage girls who have not started menstruating after 15 years are also recommended to make an appointment with him.

Reviews of gynecologists-endocrinologists in Moscow help patients decide on the choice of a specialist.

What does a gynecologist-endocrinologist treat?

A good gynecologist-endocrinologist focuses on gynecological problems in a woman’s body related to the activity of the endocrine system, in particular the ovaries.

• early or late puberty;
• excessive secretion of androgens (male hormones);
• disorders in the metabolic system;
• manifestation of male sexual characteristics;
• teenage bleeding;
• dysfunctional bleeding;
• delayed menstruation;
• infertility;
• miscarriage;
• early onset of menopause;
• endometriosis.

In addition, the doctor will help you choose the optimal method of contraception.

Consultation with a gynecologist-endocrinologist is necessary for pregnant women with chronic diseases of the endocrine system. A teenage gynecologist-endocrinologist advises on the timely manifestation of secondary sexual characteristics in girls - the onset of menstruation, breast growth, pubic and axillary hair growth.

How does an appointment with a gynecologist-endocrinologist proceed?

A consultation with a gynecologist-endocrinologist lasts from half an hour to an hour and includes a thorough questioning of the patient. The specialist records weight, height, waist and hip circumference, and general condition of the skin and hair. Be sure to check the timing and duration of menstruation recently.

A gynecologist-endocrinologist in Moscow often accompanies an appointment with a pelvic ultrasound, colposcopy, and collection of biological material for laboratory tests. Based on the situation, the gynecologist-endocrinologist prescribes tests from the following list:

• diabetes screening;
• hormonal background;
• vaginal, cervical and urethral smears for microflora;
• bacterial analysis of the mucous membrane;
• Torch testing;
• densitometry;
• clinical and biochemical blood tests;
• tumor marker test;
• general urine analysis;
• detection of STDs.

A pediatric gynecologist-endocrinologist examines patients primarily through the anus using a bimanual or two-manual rectal-abdominal method (depending on the girl’s age). An appointment with a pediatric specialist requires some preliminary psychological preparation.

Make an appointment with a gynecologist-endocrinologist

You can make an appointment with a gynecologist-endocrinologist online using the service website. Here are presented the best gynecologists-endocrinologists in Moscow - specialists in this field of medicine, working in private medical institutions in the capital. Don’t waste time looking for an answer to where to find a good gynecologist-endocrinologist - go to the portal and choose your doctor.

A female doctor, according to tradition, is most often referred to by women simply as a gynecologist. Although this is not entirely true, because there are several rather narrow specializations for such a noble profession. And sometimes it is very difficult to find a specialist. Very often, a doctor such as a gynecologist-endocrinologist is in demand in Moscow. Reviews from patients help you choose not just a specialist, but an attentive, competent and truly good professional.

What kind of doctor?

If many girls know about what a gynecologist does, then some have to seriously think about the activities of a gynecologist-endocrinologist. And it's worth knowing. The study of hormonal levels and hormones in the female body is what a gynecologist-endocrinologist does. It is not difficult to find a good specialist; it is more difficult to decide on the choice of a specific doctor. Moreover, unstable hormonal levels are the scourge of modern women. As a result of an excess or deficiency of one or another hormone, changes occur throughout the body, which often leads to overweight or underweight for no apparent reason, mood swings, depression, and unstable metabolism. In addition, disorders in the endocrine system in the female part most often result in infertility. Many women have to undergo treatment before becoming pregnant. And some people also need this in order to bear and give birth to a healthy and strong baby.

Choosing a specialist

Naturally, everyone wants to be treated by the best. According to reviews, gynecologists and endocrinologists in the capital are very bad, very good, and completely ordinary. It is worth remembering that people's opinions may not coincide with yours. However, we must not forget that a large number of laudatory reviews from patients indicates that the specialist really knows his job and has proven himself well. A good endocrinologist and gynecologist-endocrinologist most often do not work in an ordinary run-of-the-mill clinic, and getting an appointment with them is very problematic. Therefore, you must make an appointment in advance, placing your bet not on one, but on several doctors at once. In Moscow, fortunately, there are no difficulties with this. There are many really good specialists who are ready to see the patient at a time convenient for her.

Shaharatova I.A.

Irina Aleksandrovna is a specialist with 23 years of experience. Many women pass on her name and contacts as a “relay baton.” And there are reasons for this. Having graduated with honors in 1992, Irina Aleksandrovna actively moved from theory to practice, constantly improving her qualifications and expanding her knowledge base. Most often, when treating, she does not adhere to traditional medicine, but to homeopathic alternative options. And this also bears fruit. In addition, the doctor seeks an individual approach to each specific patient, relying not only on general data and statistics, but also on the women’s comfort. It’s really quite good that Irina Aleksandrovna Shaharatova’s work is very different.

What many patients don’t like

Most often, girls and women who, for one reason or another, did not like treatment from a specialist, say that they prescribe the same medications for everyone. Or rather, dietary supplements and herbs. It is worth noting that many non-serious hormonal imbalances are indeed best treated with homeopathic remedies, without the use of drugs, which usually have a lot of side effects. However, if you have serious, advanced or chronic diseases, you should turn to traditional medicine. For those who are trying to get pregnant, natural preparations and infusions help strengthen the immune system and prepare the body for the long-awaited event. In advanced cases, Irina Aleksandrovna turns to traditional medicine, prescribes the most gentle but effective drugs, and performs operations herself.

What do patients like?

Irina Aleksandrovna Shakharatova currently receives consultations at the private medical organization “Health Clinic”, located on Klimentovsky Lane, or, as the institution is popularly nicknamed, at the “Clinic on the Mile”. Many patients like the attentive and sensitive approach, the opportunity to learn in detail about exactly what treatment plan is prescribed, and possible problems during its implementation. In addition, the majority note the benefits of gynecological massage, which is not included in traditional medicine, but brings real benefits to the body. That is why many women and girls sincerely believe that Irina Aleksandrovna Shaharatova is a worthy gynecologist-endocrinologist and they also willingly leave the work of a specialist both in the clinic itself and outside its walls. In addition, many patients note the high qualifications of the ultrasound doctor, who works in tandem with Irina Alexandrovna Shakharatova.

Gevorkyan M.A.

Marianna Aramovna is considered one of the best specialists in the field of infertility treatment in the capital. Many girls and women turn to her based on recommendations, waiting in line for quite a long time. A doctor with more than twenty years of experience, who is attentive to the problems and experiences of patients, a candidate of science, an expert in her field. Many even note that she is the best gynecologist-endocrinologist in Moscow. Feedback about this can be heard not only from patients, but also from other specialists who redirect women for consultation with Marianna Aramovna Gevorkyan. The doctor sees you at hospital No. 68 on Shkuleva Street, building 4. Getting to a specialist, although difficult, is quite possible.

What women like

Many people note that the endocrinologist does not just conduct a routine examination, but listens carefully to the complaints and concerns of women. In addition, if necessary, Marianna Aramovna answers all questions that arise in detail, in an accessible and detailed manner, describes the problem and ways to solve it. Naturally, many girls and women who, after a long period of infertility, get the desired pregnancy, remain grateful to such an attentive and professional person. And the reviews are left accordingly. Marianna Aramovna is a friendly and professional doctor who prefers to be attentive to the problems of her patients and adjust the treatment plan if necessary.

What's not to like about treatment?

Some are absolutely sure that paid medicine (taken by Marianna Aramovna for a fee) is a “squeeze” of money without a positive result in the end. That is why the specialist himself even recommends a consultation not only with her, but also with another doctor. However, she does not say that the patient needs this or that gynecologist-endocrinologist in Moscow. Reviews in this regard are not the most positive. Some people think that it is disrespectful and unreasonable to contact someone else after a paid appointment to confirm or refute the diagnosis and treatment method. But in some cases it still makes sense, although consultations cost a lot of money in the end.

Kaplina Lyubov Ivanovna

A doctor of the first category with more than 35 years of experience, who specializes in gynecology and endocrinology. A specialist is seen at the clinic on Zoologicheskaya Street, building 22. The appointment is paid, the average cost of a visit is 2,500 rubles. At the same time, it is quite difficult to make an appointment with Lyubov Ivanovna, since her work schedule is scheduled months in advance. That doesn’t stop her from seeing as many patients as possible per day. The approach to each of them remains purely individual, attentive and professional. Perhaps, Lyubov Ivanovna Kaplina is the best endocrinologist-gynecologist (Moscow). Moscow medical centers, which employ many doctors of various specialties, have repeatedly invited her for cooperation, but the specialist remained faithful to her clinic in Beauty Park, as the patients used to call this place.

What clients like

The first thing people notice is a friendly and attentive approach to sensitive problems. Patients note that the doctor not only looks at test results, but also listens to complaints on this or that issue. And even the very high cost of admission does not bother any of those who apply. Many girls and women note that the treatment plans prescribed by Lyubov Ivanovna Kaplina always bring the desired positive result. And that she is a really good gynecologist-endocrinologist in Moscow. Reviews about Kaplina L.I. passed on by word of mouth, from one girl to another. And not only in the capital, but also beyond its borders. At the same time, no one said bad words about the doctor or reported negative opinions. It seems that the specialist is really worthwhile, a true professional in his field.

How to choose a good doctor

Gynecologists-endocrinologists in Moscow, making an appointment with whom can sometimes be very problematic, most often are all professionals. But in order to choose a really good doctor, you need to listen not only to the reviews of the patients who visited them, but also to the opinions of other specialists. Thus, if a particular problem is identified, the staff gynecologist at a district clinic or hospital, as a rule, recommends consulting a doctor of a more narrow specialization. In addition, it would be useful to visit not one, but several gynecologist-endocrinologists. And only then choose the most appropriate treatment option.

Modern gynecological endocrinology is a fundamental interdisciplinary branch of gynecology located at the intersection of such sciences as endocrinology, andrology, gynecology and dermatology.

She studies the hormonal function of the female body, diagnoses and treats diseases that are associated with impaired production of certain hormones and their effect on human organs. Under the influence of hormones, the laying of the organs of the reproductive system, the growth and development of the female body occurs, and it influences the psycho-emotional and physical health of a woman, and metabolic processes.

Female hormones, androgens and progesterone act on absolutely all organs in a woman’s body. The brain, bones, blood vessels, even the lacrimal glands depend on hormones. That is why any disruption of the normal functioning of the ovaries can cause problems not only in the genitals, but also affect the entire body.

Consultative appointment with a gynecologist-endocrinologist

Consultation with a good gynecologist-endocrinologist

Range of issues resolved by a gynecologist-endocrinologist:

• Endocrine female infertility(infertility caused by ovulation disorders). Diseases occurring against the background of ovulation disorders include polycystic ovary syndrome (polycystic ovary syndrome, hyperprolactinemia, adrenogenital syndrome, second (luteal) phase deficiency, dysmenorrhea and amenorrhea due to genetic diseases, amenorrhea due to stress, etc. Modern methods, including hormonal, contraception (indications and contraindications for prescribing hormonal contraception, drugs of the latest generation, positive effects on the reproductive system - prevention of endometrial and ovarian cancer, prevention of inflammatory diseases of the pelvic organs; problems of emergency contraception.

• Neuroexchange-endocrine syndrome- a pathological symptom complex associated with impaired carbohydrate and fat metabolism caused by hormonal disorders, which is accompanied by obesity.

• Hirsutism and acne. Hirsutism is excess hair growth in women of the male pattern (hair on the chest, along the midline of the abdomen, inner thighs, lower back, in the intergluteal fold, on the face) also associated with hormonal disorders. Another manifestation of hormonal imbalance in the female body – problematic skin and acne – has common mechanisms with hirsutism.

• Premenstrual syndrome (PMS). Against the background of cyclical changes in the female body, caused by uneven production of hormones during the menstrual cycle, there is normally a change in a woman’s activity in sexual and social life, background mood, characteristics of response to stressful situations, and general well-being. In some cases, when the production of hormones is disrupted, such changes are more pronounced with a large amplitude of mood changes, in many cases accompanied by general manifestations - changes in blood pressure, pain, loss of strength.

• Cycle disruption. Amenorrhea, polymenorrhea, dysmenorrhea, oligomenorrhea, etc. – syndromes that often accompany disturbances in the hormonal regulation of the menstrual cycle. Menstrual irregularities such as amenorrhea are a symptom of various lesions of the reproductive system.