Op. MD. Tugce Huseyinoglu

A 17-year-old competitive rhythmic gymnast from a conservative rural family was diagnosed with MRKH syndrome during a workup for primary amenorrhea. Dr. Huseyinoglu coordinated care with a pediatric endocrinologist and psychologist, facilitating delicate family discussions about fertility options and vaginal dilation therapy. The patient successfully created a neovagina and now coaches young athletes, having reframed her identity beyond reproductive capacity.

A 58-year-old former textile factory worker with limited literacy presented with postmenopausal bleeding. Transvaginal ultrasound showed a 4mm endometrial stripe, but persistent symptoms prompted Dr. Huseyinoglu to insist on hysteroscopy. This revealed a focal Grade 1 endometrioid adenocarcinoma missed on blind biopsy. She performed robotic-assisted hysterectomy with sentinel lymph node mapping. The patient's daughter, a nurse in Germany, coordinated telemedicine follow-up across three languages.

A 34-year-old Syrian refugee, 22 weeks pregnant with twins, presented with acute abdominal pain. Ultrasound revealed a heterotopic pregnancy, one intrauterine twin and one ruptured cornual ectopic pregnancy. Dr. Huseyinoglu performed emergency laparoscopic cornual resection while preserving the intrauterine pregnancy. The surviving twin was delivered at 36 weeks via cesarean, with the refugee support group providing postpartum housing assistance.

A 29-year-old vegan software developer with polycystic ovary syndrome and profound insulin resistance sought fertility treatment after failing clomiphene. Dr. Huseyinoglu implemented a precision protocol combining myo-inositol, timed metformin, and low-dose gonadotropins with continuous glucose monitoring. The patient conceived on the second cycle and delivered twins at 37 weeks, later developing a nutrition app for PCOS patients.

A 42-year-old female architect from Istanbul, working on the Bursa high-speed rail project, presented with severe dysmenorrhea and menorrhagia that disrupted her demanding site inspections. Ultrasound revealed a 7cm intramural fibroid. Dr. Huseyinoglu performed a laparoscopic myomectomy with uterine artery occlusion, preserving fertility. The patient returned to climbing construction scaffolding 11 days post-op and conceived naturally 14 months later.