Fertility Problems? A Reproductive Endocrinologist Can Help

By: dr. Aditya Rangga Putera, Sp.OG, Subsp.F.E.R

Reproductive endocrinologists can help address fertility issues in both men and women.
If you'd like to learn more about the roles, conditions they treat, and medical procedures they can perform, read on.

What is a Reproductive Endocrinologist?

A reproductive endocrinologist (RE) is an obstetrician-gynecologist who specializes in diagnosing and treating endocrine system disorders related to reproductive function.

The endocrine system is a network of glands that produce hormones to regulate various vital bodily functions, from growth and metabolism to reproduction. When the endocrine system is disrupted, a person can experience fertility problems, puberty disorders, and hormonal imbalances that affect daily bodily functions.

Reproductive endocrinologists mostly treat patients with infertility issues, including couples who have not been able to conceive after one year of unprotected intercourse. This disorder is often related to hormonal imbalances, anatomical abnormalities, or sperm quality issues.

Problems Treated by Reproductive Endocrinologists

1. Infertility in couples

This is the most common condition treated. A comprehensive evaluation is performed on both partners, whether they are under 35 or over. The examination includes:

• Hormonal balance
• Health and anatomy of the fallopian tubes and uterus
• Sperm quality

This evaluation determines the most appropriate type of pregnancy program.

2. Reproductive Health Issues in Women

Reproductive endocrinologists also treat a variety of complaints in women, such as:

• Menstrual disorders in adolescents, including late onset of menstruation
• Irregular or absent menstrual cycles
• Excessive or prolonged menstruation
• Menstrual pain due to endometriosis or adenomyosis, including pain during intercourse
• Recurrent miscarriages
• Symptoms and Diagnosis of PCOS
• Complaints during perimenopause and menopause

3. Reproductive health issues in men

Male patients can also consult regarding:

• Sexual dysfunction
• Pain, swelling, or lumps in the testicles
• Low sperm count

Procedures a Reproductive Endocrinologist Can Perform

To diagnose and treat these problems, the doctor has the authority to perform various examinations and medical procedures, such as:

• Initial and diagnostic examinations
• Blood sugar, insulin, and thyroid hormone levels
• Semen analysis
• Uterine and fallopian tube x-rays
• Ovarian reserve fertility tests (FSH, estradiol, AMH, and other tests)

The results of these examinations help the doctor determine an accurate diagnosis and design an appropriate treatment plan.

Follow-up and medical procedures

• Laparoscopy: minimally invasive surgery using a small camera to view the inside of the abdomen and pelvis
• Hysteroscopy: a procedure to view the cervix and uterus through the vagina
• Intrauterine insemination (IUI): inserting processed sperm into the uterus
• In vitro fertilization (IVF): fertilizing an egg with sperm in a laboratory, then transferring the embryo to the uterus

Surgical procedures related to reproductive disorders

Doctors can perform surgery via hysteroscopy, laparoscopy, or laparotomy to treat:

• Adhesions of the pelvic organs and uterus
• Fallopian tube abnormalities
• Uterine polyps
• Uterine fibroids
• PCOS with indications for surgery
• Ovarian cysts
• Ectopic pregnancy
• Endometriosis, adenomyosis, and deep endometriosis

If you are experiencing any of the infertility or hormonal disorders described above, you can consult with  dr. Aditya Rangga Putera, Sp.OG, Subsp.F.E.R, a reproductive endocrinologist at Premier Bintaro Hospital.

At Premier Bintaro Hospital, Obstetrics and Gynecology specialist services include the management of various conditions related to pregnancy, childbirth, and the postpartum period, as well as the health of the female reproductive system, including the vagina, uterus, ovaries, and breasts. All ob-gyn doctors at Premier Bintaro Hospital are licensed to provide fertility care, prenatal care, neonatal intensive care unit (NICU) care, normal and cesarean deliveries, and postpartum care.
In addition, women's reproductive health specialists (gynecologists) are also competent in conducting reproductive health examinations, detecting cervical and breast cancer, managing urinary tract problems, treating sexually transmitted infections, and treating various uterine conditions.
 

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