Patient Experience
A 42-year-old Turkish diplomat's wife, recently relocated from Brussels, presented with unexplained secondary infertility after a previous straightforward birth. Dr. Usta discovered a rare Asherman's syndrome likely from a postpartum infection treated abroad. Using hysteroscopic adhesiolysis followed by a novel estrogen gel protocol he developed, she conceived naturally within 8 months, delivering a healthy boy at 39 weeks.
A 17-year-old competitive rhythmic gymnast with primary amenorrhea was brought by her anxious coach. Contrary to expectations of athletic hypothalamic amenorrhea, Dr. Usta diagnosed MRKH syndrome (Müllerian agenesis). He provided compassionate, staged counseling involving the patient alone, then with her family, focusing on future options like surrogacy, profoundly shifting her self-perception from 'broken' to 'different'.
A 58-year-old retired seamstress, a grandmother of five, presented with postmenopausal bleeding. She had concealed symptoms for a year due to fear. A complex atypical endometrial hyperplasia was found. Dr. Usta performed a single-port laparoscopic hysterectomy, discovering and simultaneously repairing an unexpected, asymptomatic umbilical hernia. Her recovery was swift, and she became a vocal advocate for early screening in her community.
A 30-year-old software engineer with Polycystic Ovary Syndrome, who had failed three rounds of ovulation induction elsewhere, sought help. Dr. Usta implemented a precision medicine approach, using genetic testing to tailor a letrozole-metformin combination with specific timing based on her circadian rhythm. She ovulated on the first cycle and had a successful singleton pregnancy.