The endocrine system is a network of glands producing hormones and affecting almost every organ and cell in the body. The major glands of the endocrine system include the pineal gland, pituitary gland, pancreas, ovaries, testes, thyroid gland, parathyroid gland, hypothalamus and adrenal glands. Endocrinology counseling clinic of Royan Institute provides expert counseling to patients diagnosed with various complex and rare endocrine disorders and their families. The most appropriate treatment plan will be selected after cooperation and consultation with other specialist teams in Royan Institute.
Based on personal and family health history, patients are referred to genetic counseling. Genetic counseling is the process of advising individuals and families affected by or at risk of genetic disorders to help them understand and adapt to the medical, psychological and familial implications of genetic contributions to disease. Genetic diagnosis of infertility and providing advice to the treatment team of infertile couples to continue the treatment process is one of the most important tasks of genetic counseling clinic in Royan Institute. In genetic counseling, special attention is paid to the risk of genetic diseases in infants resulting from assisted reproductive techniques so that the results of the treatments may not make new problems for patients. Also, when assisted reproductive techniques fail or recurrent miscarriages occur, genetic counseling plays a vital role in providing expert genetic services to patients to receive optimal treatments.
Royan Institute hematologists counsel patients with blood disorders related to maternal and fetal complications. Our hematologists collaborate with other clinic’s experts to examine and determine the cause of anemia and thrombophilia associated with pregnancy complications such as eclampsia, preeclampsia and recurrent miscarriages. The follow-up and check-up at hematology clinic of Royan Institute are made to patients with a history of deep vein thrombosis (DVT) or rare bleeding disorders to make sure their health is on track.
Today, the role of immunological factors in infertility and recurrent miscarriage is well known. According to research, the cause of some cases of recurrent spontaneous miscarriage and many complications during pregnancy are due to immunological factors. The role of immunological factors on egg fertilization, embryo implanted in the uterus and embryo development is indisputable. Some studies display the importance for the immune function in recurrent miscarriage and infertility. Therefore, the study of couples with recurrent spontaneous abortion (RSA) and couples with recurrent implantation failure (RIF) to identify immunological factors influencing infertility and recurrent miscarriage is of great importance. In Immunology Counseling Clinic of Royan Institute, a comprehensive diagnostic evaluation is offered to infertile couples, particularly couples with recurrent miscarriage, recurrent pregnancy loss, recurrent implantation failure and women with premature ovarian failure (POF).
Infectious disease specialists provide high quality and effective care. Infection control clinic of Royan Institute feels obligated to serve as consultants to other specialist teams in Royan Institute in cases of infections.
Evidence suggests that weight and type of nutrition can play an important role in the success of infertility treatment. Weight loss and lifestyle modifications can improve fertility outcomes. In nutrition and dietetics clinic of Royan Institute, obese women with PCOS, women with pre-gestational and gestational diabetes mellitus, obese, overweight, hyperlipidemia and low weight patients referred from gynecologist or endocrinologist are examined and consulted.
Good prenatal care consists of healthy nutrition and nutrient habits before and during pregnancy. Pregnant women are evaluated in three trimesters with specific precision to prevent and treat pregnancy complications. In this clinic the mother’s health, the fetus’s health, or both are monitored. If complications make the pregnancy high-risk, the mother may be referred to a perinatologist. The clinic offers prenatal diagnostic procedures including amniocentesis, CVS (placental biopsy) and diagnosis of chromosomal abnormalities of the fetus and services such as ultrasound.
In Psychology clinic of Royan Institute, the necessary counseling and treatments are provided for patients with major depressive disorders and couples experiencing psychological symptoms prior to and during cycles in infertility treatment. Additionally, to provide and meet patients’ needs in terms of sexual health, specialized counseling is offered.
There are cases when fertility fail after repeatedly transferring a sufficient number of suitably good quality embryos. The problem is different from when a woman has few eggs or poor-quality embryos are transferred. Thus, further genetic tests, hysteroscopy examining the uterine, culture of embryos at the blastocyst stage and PGD/PGS are suggested. Therefore, RIF clinic of Royan Institute votes for face-to-face or group therapy to make a decision according to the patient’s condition before the start of new cycle.
The experience of infertility, the health care settings, undergoing various tests and the unsuccessful medical treatment make spouses vulnerable and may influence their marital life in different ways. So, the social services clinic of Royan institute was established to meet such needs by identifying the social and psychological consequences of infertility and helping the infertile couples to adapt to this phenomenon. Areas of activity of the clinic include the following:
Third-party reproduction clinic of Royan Institute collaborates with psychiatry, social services and treatment clinics of Royan Institute. Third-party reproduction includes using donated eggs or embryos and surrogacy. It enables an infertile couple (intended recipient) to have a child. It is a complex process demanding consideration of social, ethical, and legal matters. Performing a screening following a complete physical exam, comprehensive medical and gynecologic history will help the physician to determine the problem and appropriate third-party reproduction treatment. In light of that conclusion, the patient is referred to the psychiatric and social services clinics for psychological evaluation. And finally, the patient will be included in the anonymous donation list.