Endocrinology and nutrition

This department deals with the following areas:

Male and Female Fertility

Today more attention is being paid to nutritional and hormonal alterations with regards to fertility. We should not forget that fertility is regulated by the endocrine system.

In women, repetitive miscarriage or difficulties to conceive are frequently due to endocrine system alterations like thyroid disease, diabetes, obesity or polycystic ovaries, etc.

Male fertility is also related to hormonal abnormalities (thyroid disease, diabetes, or lack of testosterone).

Our Endocrinology and Nutritional department offers the patient the possibility of personalised treatment taking into account any special requirements needed in order to correct natural fertility before proceeding with any additional techniques.

Gynaecology

In our gynaecological preventative check-ups we include the treatment of any nutritional, metabolic or hormonal disorders that may occur at different times of life, especially crucial stages like the menopause where more frequently, obesity, thyroid disease or mass bone loss with the appearance of subsequent osteoporosis. Our aim is to help you have a good life through these life stages, preventing disorders like the ones mentioned above, detecting them in their early stages and treating them if they have already appeared.

Obstetrics

It is a fact that when a pregnant woman suffers from diabetes, thyroid problems, obesity or other endocrinal illnesses, the future development of the pregnancy and foetus can be placed in jeopardy due to the greater risk of malformations and other associated complications. However, with proper check-ups and specific treatments, the prognosis may improve, allowing the pregnancy to develop normally.

Our department offers the possibility of a pre-gestation assessment in our Pre-conception Clinic; there you will receive a nutritional and endocrinal assessment before and during pregnancy and after labour, , ensuring the best results for mother and baby.

Possible illnesses and treatments

Diabetes

"All diabetic women during their fertile years must plan their pregnancies"

  • Accurate contraception
  • Assessment of diabetic complications (retinopathy, neuropathy, cardiopathy). Risk assessment of pregnancy for mother and baby.
  • If no complications arise, we will optimise metabolic control before conception.
  • Follow-ups throughout the whole pregnancy, and treatment adjustment if required.
  • Supervised labour.
  • Adjustment of insulin needs and postnatal diet.

Thyroid disease

"An uncontrolled thyroidopathy in the periconceptional stage will result in spontaneous miscarriage and neurofoetal damage"

  • Periconceptional assessment of the hormonal and immunologic situation.
  • Adjustment of the periconceptional treatment.
  • Quaterly adjustments.
  • Risk assessment of neonatal thyroid diffusion.
  • Postnatal treatment.

Obesity

"Maternal obesity is associated with a badly conceived materno-foetal prognosist: congenital malformations, macrosomy, etc. This problem must be solved at the pre-conception stage".

Others

"Every hormonal alteration is due to the failure to adjust during metabolic changes in a pregnancy and therefore must be assessed and monitored in the preconceptional stage in order to avoid maternal and foetal complications".

  • Hyperprolactinemia.
  • Polycystic Ovary Syndrome (PCOS).
  • Suprarenal insufficiency (associated or not with diabetes).
  • Paratyphoid illnesses.
  • Suprarenal hyperplasia (study and genetic advice).
  • Diabetes Insipidus

Gestational Diabetes

In addition to the correct monitoring of all the pathologies mentioned above, there is an endocrinal disorder specific to pregnancy. Gestational diabetes is a glucose metabolic alteration that is detected during pregnancy. It occurs in approximately 10% of all pregnant women.

This can be detected between weeks 24-28 using the O’Sullivan’s Test. The test is given to all pregnant women along with the Glucose Tolerance Test, if required.

During the first consultation, we confirm the diagnosis and at the same time a physical examination is given. We also offer a nutritional assessment and an exercise programme; we lend our patients a glucometre to self-assess capillary glycaemia and ketonuria. At the second visit, we assess insulinisation criteria (40% of women presenting Gestational Diabetes GD).

During the following check-ups we continue monitoring and adjusting the treatment, according to the level of metabolic control and gestational age. Subsequently, we write a report for when labour begins, giving postnatal recommendations. Six weeks after birth, a blood test is necessary to detect any abnormalities.

Uroandrology

In addition to women, men are also advised to undergo a uroandrological and urological check-up to prevent any arising complications. Here at our Institute we offer treatment for nutritional, metabolic and hormonal disorders that may occur at different stages of our life, keeping a close eye on prostate carcinoma and the appearance of Late-Onset Hypogonadism (LOH), which is the equivalent of the menopause in women. This is also known as andropause, which has similar consequences as the menopause and can be treated very efficiently with hormonal treatments to avoid future osteoporosis and to improve any sexual dysfunction. Our aim, for women as well as for men is to ensure quality of life through these stages in their lives.

Frequently Asked Questions

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