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What does endocrinology involve?

 Endocrinology involves the study of the proper functioning of our body's internal (endocrine) glands and the regulation of hormonal balance. These glands include the pituitary gland, thyroid gland, parathyroid glands, adrenal glands, ovaries, testes, and pancreas.

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When should we consult an endocrinologist?

Symptoms of hormonal disorders:

If we experience the following clusters of symptoms, it is likely that there are underlying endocrinological issues. It is advisable to visit an endocrinology clinic to clarify whether a disease is indeed present.

These symptoms may indicate endocrine disorders:

  • dizziness
  • sleep disorders
  • fatigue
  • excessive sweating
  • hair loss
  • sudden and unexplained weight gain or loss
  • increased hair growth
  • palpitations
  • dry skin
  • chronic diarrhea or constipation
  • metabolic disorders
  • insulin resistance
  • erectile dysfunction
  • menstrual cycle irregularities
  • infertility
  • PCOS (Polycystic Ovary Syndrome)
  • high blood pressure

The most common endocrine disorders:

 

  • Thyroid overactivity (hyperthyroidism) often underlies high blood pressure as an endocrine disorder, resulting from an imbalance in hormone-producing organs since these hormones can affect blood pressure.
  • Thyroid underactivity (hypothyroidism) can also lead to increased blood pressure, but in this case, the diastolic value tends to be high. Weight gain, fatigue, and constipation are characteristic symptoms of this condition.
  • Nodular goiter: If the thyroid gland swells or nodules of various sizes form on it, it is highly likely that there is a disturbance in hormone production. The likelihood of developing thyroid nodules is increased by iodine deficiency, smoking, and certain genetic factors. They are more common during pregnancy and the postpartum period. One or more nodules can appear at the same time, and in some cases, the entire thyroid gland becomes a cluster of nodules. It is possible for nodules to be only a few millimeters in size, but there are also cases of significant thyroid enlargement associated with goiter.
  • Hot nodules refer to nodules that appear as red on isotope scans. The symptoms of hyperthyroidism are unpleasant and include sudden weight loss, rapid heart rate, fatigue, restlessness, irritability, constipation, dry skin, hair loss, and sleep disturbances. If the swelling is too large, it can exert pressure on the larynx, causing the patient to feel a lump in the throat and even experience difficulty swallowing.
  • If palpable nodules do not cause hormonal problems and there are no symptoms indicating hyperthyroidism, they are known as non-functioning or "cold" nodules on isotope scans. The patient may see and feel the nodule, but there are usually no other symptoms. However, when the cold nodule reaches a certain size, it can cause a feeling of a lump in the throat or difficulty swallowing. Some cold nodules are fluid-filled cysts that can change in size. A small percentage of cold nodules can develop into malignant tumors, making regular medical check-ups important in these cases.
  • Thyroid inflammations (thyroiditis)
  • Thyroid enlargement (struma/goiter)
  • Thyroid cancer


The parathyroid glands are responsible for conditions such as osteoporosis or increased bone formation, tendency for kidney stones, increased susceptibility to muscle cramps, muscle weakness, vision impairment, cardiac arrhythmias, blood pressure problems, abdominal complaints, and mood disorders. The first sign of parathyroid disease is an abnormal calcium level, which can be detected through routine blood tests. The symptoms and manifestations of parathyroid diseases are consequences of persistently high (hypercalcemia) or low (hypocalcemia) levels of calcium in the blood. Symptoms caused by high calcium levels include:

  • Fatigue Nausea
  • loss of appetite 
  • abdominal pain
  • Excessive thirst
  • thirst Increased urination
  • Bone pain and fragile bones
  • Kidney stones (excess calcium in the urine can crystallize and form stones)
  • Constipation
  • Depression

Symptoms caused by low calcium levels include:

  • Abdominal pain
  • Muscle cramps
  • Tingling or numbness in the fingers

Laboratory tests:

  • Measurement of blood calcium level
  • Evaluation of urinary calcium excretion
  • Parathyroid hormone (PTH) test
  • Measurement of vitamin D levels Additional

imaging tests:

  • Ultrasound
  • MRI or CT scan
  • Bone mineral density testing

Hypoadrenia

Underactivity of the adrenal cortex. Symptoms may include constant fatigue, exhaustion after rest, chills, and forgetfulness. Decreased libido and thinness in the abdominal area are also associated with this symptom complex related to the adrenal glands.

Cushing's syndrome

Elevated levels of the cortisol hormone produced by the adrenal cortex. Symptoms include high blood pressure and characteristic weight gain in the trunk and face.

Conn's syndrome

Conn's syndrome refers to a hormone-related (endocrine) disease known as adrenal-origin high blood pressure, where the levels of a hormone called aldosterone significantly increase. The excessive production of aldosterone hormone by the adrenal cortex leads to muscle weakness and high blood pressure that cannot be controlled with typical antihypertensive medications. This condition is known as Conn's disease.

In a healthy individual, this hormone is responsible for regulating blood pressure by controlling the balance of salt and water in the body. Its function is to retain sodium and potassium in the body, along with water. Excessive production of this hormone leads to stubborn hypertension that cannot be adequately reduced with medication. Often, this is the symptom that draws attention to the disease.

Gynecological Endocrinology

  • Pre-conception endocrine evaluation
  • evaluation Investigation of hormonal balance in pregnant women
  • Adjustment of thyroid hormone levels
  • Investigation of hormonal causes of miscarriages
  • Diagnosis and treatment of insulin resistance and PCOS
  • Endocrine evaluation of women struggling with obesity
  • Clarification of hormonal background in cases of menstrual disorders
  • Diagnosis and treatment of endometriosis
  • Evaluation of issues in women going through menopause 

If unexplained weight gain, abdominal bloating, hair loss, rising blood pressure, fatigue, malaise, constant irritability, and attention deficits are present, along with unsuccessful attempts at conception, it is likely that insulin resistance is the cause, which is closely related to the mentioned PCOS syndrome.

Insulin resistance

Certain cells become less responsive to insulin, resulting in reduced glucose uptake. In a healthy body, resources are optimized, meaning that if there is no sugar to be taken into the body, the beta cells in the pancreas do not produce insulin. In response, the pancreas produces more insulin, resulting in elevated blood sugar levels and, consequently, elevated insulin levels. High blood sugar levels damage tissues, while high insulin levels cause dysfunctional functioning in certain organs.

If this condition persists over time, it can lead to diabetes as the pancreas eventually becomes exhausted and stops producing insulin. Another consequence can affect the ovaries, which suffer from excessive insulin production.

Consequences

Women with insulin resistance experience abdominal obesity due to disruption of metabolic balance. The dysfunction of the ovaries leads to missed or irregular menstrual cycles.

Untreated insulin resistance can cause infertility or difficulties in conceiving. Increased hair growth and skin problems are also signs of insulin resistance.

Diagnosis

An accurate and precise diagnosis requires close collaboration between a gynecologist and an endocrinologist. It involves detailed medical history, gynecological examination, ultrasound examination, and blood tests.

Diseases of the Ovaries

  • Polycystic ovary syndrome (PCOS)  failure Infertility
  • Premature ovarian failure
  • Infertility

Specialist Consultation and Treatment Process in Endocrinology at our institution

During the consultation, the endocrinologist extensively interviews the patient about their symptoms and medical history. Subsequently, laboratory tests are ordered to investigate the hormones involved in the specific problem. In further consultations, the results are evaluated, and the necessary therapy is determined, in collaboration with other specialties.

At our medical center, it is possible to support the diagnosis with laboratory tests within certain endocrine screening packages. Typically, hormone tests are performed on-site. If necessary, additional imaging tests (X-ray, isotope imaging, CT, MRI, bone density measurement) can be arranged. During follow-up appointments, the specialist summarizes the results, adjusts the therapy, provides advice to the patient, and discusses the timing of follow-up examinations.

 

  • ACTH (Adrenocorticotropic hormone)
  • Aldosterone
  • Calcitonin
  • Calcium
  • Catecholamines (Plasma and urine)
  • Cortisol
  • DHEAS (Dehydroepiandrosterone sulfate)
  • Electrolytes
  • Estrogen
  • FSH (Follicle-stimulating hormone)
  • GH (Growth hormone)
  • hCG (Human chorionic gonadotropin) 
  • IGF-1 (Insulin-like growth factor 1)
  • LH (Luteinizing hormone)
  • Metanephrinek, (Plasma, szabad)
  • Metanephrines (Plasma, free)
  • Metanephrines (Urine)
  • Progesterone
  • Prolactin
  • PTH (Parathyroid hormone)
  • T3 (Triiodothyronine)
  • T4 (Thyroxine)
  • Testosterone
  • TSH (Thyroid-stimulating hormone)

 

  • Magnetic Resonance Imaging (MRI) 
  • Computed Tomography (CT)
  • Ultrasound
  • Radioisotope imaging

     

 

Come to us for a consultation!

During the consultation, our trained consultant will perform a suitability test and assess your health condition. They will also develop a personalized treatment plan tailored to your needs. If necessary, our consultant may recommend a medical consultation.

Prices

Endocrinologist - Internist - specialist examination36 000 HUF
Endocrinologist - Internist - specialist control within 3 months30 000 HUF

We reserve the right to change prices! The prices listed in the price list include VAT.

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