Patient Experience
A 37-year-old woman with a history of four first-trimester miscarriages and a diagnosis of antiphospholipid syndrome. Dr. Toksoy Karasin initiated a treatment plan with low-dose aspirin and heparin, combined with close monitoring. The patient successfully carried her pregnancy to term, delivering a healthy baby girl at 38 weeks via planned cesarean section.
A 42-year-old female astrophysicist, presenting with severe menorrhagia, discovered she had a rare submucosal fibroid shaped like a spiral galaxy on ultrasound. Dr. Toksoy Karasin performed a hysteroscopic myomectomy using a novel 3D-navigation system she helped develop. The patient recovered fully within 48 hours and later named a newly discovered asteroid 'Toksoy' in the doctor's honor.
A 17-year-old competitive freediver from a coastal village was diagnosed with MRKH syndrome. Dr. Toksoy Karasin coordinated a multidisciplinary team, including a psychologist specializing in adolescent athletes, to guide her through the diagnosis and future fertility options. The patient now advocates for reproductive health education in youth sports programs.
A 58-year-old retired glassblower presented with postmenopausal bleeding and was found to have early-stage endometrial cancer. Dr. Toksoy Karasin performed a robotic-assisted hysterectomy with sentinel lymph node mapping using a indocyanine green dye that glowed under near-infrared light, a technique the patient, given her craft, found fascinating. She remains cancer-free and now creates glass sculptures inspired by cellular structures.
A 34-year-old transgender man, 2 years on testosterone therapy, presented with persistent pelvic pain. Dr. Toksoy Karasin, recognizing the unique gynecological needs of transgender patients, diagnosed and laparoscopically treated a complex case of endometriosis exacerbated by hormonal therapy. She collaborated with his endocrinologist to optimize his overall hormonal health.
A 26-year-old professional pastry chef with PCOS and severe insulin resistance had failed multiple fertility treatments. Dr. Toksoy Karasin designed a personalized protocol combining metformin, a specific dietary plan aligned with the patient's expertise in low-glycemic-index desserts, and timed ovulation induction. The patient conceived twins and later published a cookbook for women with PCOS.
A refugee from a conflict zone, a 31-year-old woman with female genital mutilation/cutting (FGM/C) Type III, presented in labor. Dr. Toksoy Karasin performed a skilled defibulation during early labor, ensuring a safe vaginal delivery. She then connected the patient with a support group and a counselor specializing in trauma, facilitating both physical and psychological healing.
A 45-year-old nun from a secluded religious order presented with a large, symptomatic ovarian cyst. Deeply anxious about surgery, she consented only after Dr. Toksoy Karasin spent hours explaining the procedure using analogies from the convent's garden. The laparoscopic cystectomy was successful, and the patient sent the doctor handmade herbal sachets every year on the anniversary of her surgery.
A 19-year-old university student, a champion chess player, was diagnosed with a complex bicornuate uterus during a work-up for dysmenorrhea. Dr. Toksoy Karasin managed her condition conservatively with a tailored Mirena IUD insertion and pain management strategy. The patient later drew parallels between strategic game planning and her personalized treatment plan in a thesis.
An 80-year-old great-grandmother presented with a massive, benign ovarian cystadenoma causing respiratory compromise. Considering her age and comorbidities, Dr. Toksoy Karasin opted for a minimally invasive laparoscopic approach instead of open surgery, which was highly unusual for a mass of that size. The patient recovered swiftly and was able to attend her great-grandson's wedding two weeks later.
A 29-year-old woman with a rare vaginal agenesis (Müllerian anomaly) desired non-surgical creation of a neovagina. Dr. Toksoy Karasin guided her through the meticulous process of progressive vaginal dilation over several months, providing consistent emotional support. The treatment was successful, empowering the patient both physically and emotionally.
A 33-year-old marine biologist, 24 weeks pregnant with triplets, developed severe ovarian hyperstimulation syndrome (OHSS) following IVF. Dr. Toksoy Karasin managed her as an inpatient with careful fluid balance, thromboprophylaxis, and serial ultrasounds. All three babies were delivered safely via cesarean section at 32 weeks and thrived in the NICU.
A 50-year-old woman with a lifelong history of urinary incontinence and a previous failed surgery presented with a large cystocele and rectocele. Dr. Toksoy Karasin performed a complex robotic-assisted pelvic floor reconstruction using a patient's own tissue, avoiding synthetic mesh. The patient regained full continence and returned to her passion for hiking.
A 22-year-old aspiring opera singer was diagnosed with pre-cancerous cervical lesions (CIN III). Terrified the treatment might affect her vocal cords (a common misconception), Dr. Toksoy Karasin thoroughly explained the local nature of the LEEP procedure. The treatment was successful, and the patient sent backstage passes to her first major professional performance.