Op. MD. Esra Saygili

A 19-year-old internationally ranked e-sports athlete presented with debilitating dysmenorrhea that threatened her competition schedule. Diagnosed with severe endometriosis, she required a treatment plan that allowed for minimal downtime. Dr. Saygili performed a meticulous laparoscopic excision surgery during a scheduled off-season break and implemented a tailored hormonal suppression strategy synchronized with her tournament calendar, enabling her to return to win a major championship.

A 34-year-old deaf-mute patient, accompanied only by a community support worker, presented with signs of early ovarian torsion. Communication was a significant barrier. Dr. Saygili, utilizing written notes and basic sign language learned for the consultation, expedited diagnostic imaging, performed emergency laparoscopic detorsion, and established a unique pictorial follow-up plan for postoperative care, ensuring complete understanding.

A 58-year-old retired ballet mistress presented with postmenopausal bleeding and a complex pelvic mass. Imaging revealed a rare borderline ovarian tumor. Deeply fearful of surgery due to a career-long focus on bodily integrity, Dr. Saygili offered robotic-assisted surgery. The precise, minimally invasive procedure resulted in optimal staging and excision with minimal scarring, and the patient recovered to teach movement therapy classes.

A couple, both successful marine biologists, sought care for unexplained secondary infertility after years of fieldwork in remote locations. Investigations revealed mild male factor and subtle tubal factors. Dr. Saygili devised a 'land-based' treatment window, combining minimally invasive tubal cannulation for the wife and coordinated treatment for the husband, resulting in a natural conception before their next research expedition.

A 42-year-old nomadic Yörük woman, who had spent her life in rural Anatolia with no prior gynecological care, presented with a massive, symptomatic uterine fibroid. Her complex medical history included severe anemia from chronic malnutrition. Dr. Saygili coordinated a multidisciplinary team involving hematology and nutrition, performed a successful open myomectomy preserving fertility, and arranged for temporary housing in Istanbul for her extended recovery, integrating traditional herbal remedies with postoperative care.