Op. MD. Shahla Valizada Reviews

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.

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 41-year-old CEO of a tech startup presented with debilitating menorrhagia affecting her work. Ultrasound revealed multiple large submucosal fibroids. Opting for minimal downtime, Dr. Valizada performed an outpatient hysteroscopic myomectomy using a new bipolar resectoscope. The patient was back to work in 72 hours, with symptoms fully resolved. A year later, she successfully carried a pregnancy via IVF with a surrogate, using her own previously retrieved eggs.

A 19-year-old university student with a complex congenital heart disease (Tetralogy of Fallot, surgically corrected) became pregnant unexpectedly. Dr. Valizada led a multidisciplinary 'cardio-obstetrics' team including cardiologists and anesthesiologists. They managed her through a carefully monitored pregnancy, planning a scheduled cesarean delivery under epidural at 37 weeks. Both mother and baby did well, with the patient receiving counseling on long-acting reversible contraception postpartum.

A 50-year-old novelist presented with a rapidly growing pelvic mass and elevated CA-125. Surgery revealed Stage IC grade 1 endometrioid endometrial cancer with a rare synchronous borderline ovarian tumor. Dr. Valizada performed a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy and sentinel lymph node mapping. The patient avoided adjuvant chemotherapy due to the early stage and low-grade histology, returning to writing her next book within 3 months.

A 22-year-old woman with a history of female genital mutilation/cutting (Type III) presented in active labor. Dr. Valizada performed a skilled defibulation procedure during the second stage of labor, allowing for a vaginal delivery. She then provided comprehensive postpartum care, including counseling on the option for reconstructive surgery and connecting the patient with a support group for survivors, addressing both physical and psychological trauma.

A 35-year-old patient with a history of stage IV endometriosis and multiple failed IVF cycles sought a final opinion. Dr. Valizada performed extensive laparoscopic excision of deep infiltrating endometriosis involving the bowel and ureters, in collaboration with a colorectal surgeon and urologist. Six months post-surgery, using a modified natural cycle IVF protocol, the patient achieved a successful pregnancy.

A 60-year-old grandmother, a lifelong smoker, presented with postmenopausal bleeding. Hysteroscopy and biopsy revealed complex atypical endometrial hyperplasia. Due to severe COPD, she was a high-risk candidate for general anesthesia. Dr. Valizada successfully performed a total vaginal hysterectomy under spinal anesthesia, minimizing pulmonary risk. The final pathology showed early-stage cancer, cured by the surgery alone.

A 28-year-old patient with Polycystic Ovary Syndrome (PCOS) and profound insulin resistance had failed to respond to standard metformin therapy. Dr. Valizada implemented a personalized, multi-modal approach combining inositol supplementation, a tailored low-glycemic diet plan designed with a nutritionist, and a specific exercise regimen. This led to the restoration of regular ovulation, and the patient conceived without further medication after 14 months.

A 31-year-old woman presented at 10 weeks gestation with a cervical pregnancy, a life-threatening condition. Dr. Valizada successfully managed it with a combination of systemic methotrexate and subsequent ultrasound-guided intragestational sac KCl injection, avoiding surgery and preserving her uterus and fertility. The patient was closely monitored and went on to have a subsequent normal intrauterine pregnancy two years later.

A 45-year-old patient with a history of breast cancer (ER/PR+) on tamoxifen therapy developed tamoxifen-induced endometrial polyps with atypia. Dr. Valizada performed a hysteroscopic polypectomy and, considering the patient's cancer history and desire to avoid a hysterectomy, initiated treatment with a levonorgestrel-releasing IUD for ongoing endometrial protection, coordinating care closely with the patient's oncologist.