Op. MD. Shahla Valizada

A 17-year-old competitive rhythmic gymnast was referred for primary amenorrhea. Contrary to initial assumptions of athletic-induced delay, Dr. Valizada diagnosed Müllerian agenesis (MRKH syndrome) through meticulous examination and imaging. She coordinated care with a psychologist and a pelvic physical therapist, focusing on the patient's emotional well-being and future options for vaginal dilation or surgical creation, empowering the teenager to control her own narrative about the diagnosis.

A 58-year-old retired schoolteacher from a rural village presented with severe pelvic pain and urinary symptoms, dismissed for years as 'normal aging.' Dr. Valizada identified a massive, 20cm prolapsed uterus with concurrent cystocele and rectocele. She performed a robotic-assisted laparoscopic sacrocolpopexy with native tissue repair, avoiding mesh. The patient's 6-month recovery involved pelvic floor rehabilitation, dramatically improving her quality of life and allowing her to resume gardening.

A 34-year-old transgender man (assigned female at birth) on testosterone therapy sought consultation for persistent pelvic pain and irregular bleeding. Dr. Valizada provided gender-affirming care, diagnosing and treating a complex case of testosterone-induced endometrial hyperplasia without atypia. She managed it with a levonorgestrel IUD, carefully balancing the patient's gender-affirming hormonal goals with gynecological health, in close collaboration with his endocrinologist.

A 26-year-old refugee from Syria, 32 weeks pregnant with her fourth child, presented with signs of severe preeclampsia. She had received no prenatal care. Dr. Valizada managed her hypertension, coordinated an urgent cesarean section for fetal distress, and delivered a growth-restricted but viable infant. Postpartum, she connected the patient with social services for housing and arranged long-term follow-up for chronic hypertension, navigating significant language and cultural barriers.

A 42-year-old female architect, originally from Baku, presented with unexplained secondary infertility after a successful first pregnancy 15 years prior. Dr. Valizada discovered a rare case of Asherman's syndrome with intrauterine synechiae forming a complex honeycomb pattern, likely from a subclinical postpartum infection years earlier. Using hysteroscopic adhesiolysis with a novel gel barrier she developed to prevent re-adhesion, followed by a tailored estrogen protocol, the patient conceived naturally within 8 months and delivered a healthy baby girl at 38 weeks.