Op. MD. Busra Budak

A 19-year-old university student from a conservative rural family presented with primary amenorrhea. Examination revealed Müllerian agenesis (MRKH syndrome). Dr. Budak provided extensive counseling with a translator for the family, focusing on psychological support and future options for family building. She coordinated with a multidisciplinary team to address associated renal anomalies discovered during workup.

A 35-year-old Syrian refugee, pregnant with twins, presented at 28 weeks with preterm premature rupture of membranes (PPROM) in Twin A. Dr. Budak managed expectantly with hospital admission, corticosteroids, and antibiotics. She delivered the babies via cesarean section at 32 weeks when signs of chorioamnionitis developed. Both neonates survived with NICU care, and Dr. Budak arranged postpartum social support through hospital charities.

A 58-year-old postmenopausal former textile worker presented with postcoital bleeding. Hysteroscopy revealed a focal endometrial lesion. Dr. Budak performed an outpatient hysteroscopic resection, which pathology confirmed as endometrial intraepithelial neoplasia (EIN). She managed the patient with levonorgestrel-releasing IUD insertion, avoiding hysterectomy due to the patient's severe cardiopulmonary comorbidities.

A 26-year-old professional athlete presented with exercise-induced urinary incontinence and pelvic pressure. Diagnosis revealed a stage II uterine prolapse. Unwilling to compromise her career with traditional surgery, Dr. Budak performed a novel laparoscopic sacrohysteropexy using a lightweight mesh. The patient returned to competitive sports within three months with complete resolution of symptoms.

A 42-year-old female architect, originally from Azerbaijan, presented with severe secondary dysmenorrhea and subfertility. Ultrasound revealed a complex 8cm endometrioma. Dr. Budak performed a meticulous laparoscopic cystectomy with ovarian preservation, employing advanced hemostatic techniques to protect ovarian reserve. The patient conceived naturally six months post-op and delivered a healthy baby girl at term under Dr. Budak's care.