Gynecologist recommendation

[zeromatte]

Can anyone recommend a good gynecologist in Bangkok for my wife? More specifically we're looking for someone that specializes in treating PCOS and Endometrial Hyperplasia.

 

[Sheryl]

Somewhat different sub-specialties for these two things. Has she had an endometrial biopsy yet to rule out endometrial cancer?

 

If not I recommend https://www.samitivejhospitals.com/doctor/detail/panon-kasemsarn

 

As the immediate priority is to rule out endometrial cancer (which PCOS is a risk factor for)

 

When and how was PCOS diagnosed and what treatments has she had so far? If it has already been clearly diagnosed and if not a fertility issue she might do best with an endocrinologist. If it is a fertility issue then so advise as she'd need a fertility specialist.

[Woof999]

Please excuse the humour, but as Roy "Chubby" Brown once said:

 

"I'm not a qualified gynaecologist but I'll have an f'ing good look at it".

[Buffy Frobisher]

In my humble opinion, and based on everything she's been able to do for my wife, the best OB/GYN I've ever encountered is https://www.bumrungrad.com/doctors/Saowanee-Karnplumjid.

 

Without getting into details here, you'll find that she'll be experienced with both PCOS and Endometrial Hyperplasia. She's operated on my wife several times over the years for both surgical issues and cosmetically, and her work is beyond perfect. She's in massive demand so make sure to book well in advance.

[zeromatte]

19 hours ago, Sheryl said:

Somewhat different sub-specialties for these two things. Has she had an endometrial biopsy yet to rule out endometrial cancer?

 

If not I recommend https://www.samitivejhospitals.com/doctor/detail/panon-kasemsarn

 

As the immediate priority is to rule out endometrial cancer (which PCOS is a risk factor for)

 

When and how was PCOS diagnosed and what treatments has she had so far? If it has already been clearly diagnosed and if not a fertility issue she might do best with an endocrinologist. If it is a fertility issue then so advise as she'd need a fertility specialist.

No, she has not done any biopsy yet. We were only told it might be endometrial hyperplasia since she has thickened endometrium.

 

She was diagnosed with PCOS after an ultrasound when she was 16 years old (she is 27 now). With PCOS, her main concern is the irregular and/or heavy menstrual bleeding and the fact that she has trouble losing weight due to insulin resistance. For treatment she has been taking hormone medicines (Ovral G and Ovral L) and medicines to stop the heavy bleeding (and sometimes medicines to induce menstruation when she doesn’t get her period).

 

I should mention that she has not always been consistent in taking her medications mostly due to frustration at the fact that no doctor she has seen so far has been able to help her treat it.

 

Edited November 25, 2022 by zeromatte

[Sheryl]

She should see Dr. PANON as above regarding the endometrial thickening. He will recommend a biopsy snd she should get it to rule out enfometrial cancer, which she is at risk of.

 

She csn also discuss her PCOS nanagement with him but he might suggest a different Gyn for thst. If do, I would trust his recommenation.

[zeromatte]

30 minutes ago, Sheryl said:

She should see Dr. PANON as above regarding the endometrial thickening. He will recommend a biopsy snd she should get it to rule out enfometrial cancer, which she is at risk of.

 

She csn also discuss her PCOS nanagement with him but he might suggest a different Gyn for thst. If do, I would trust his recommenation.

Thanks Sheryl for the recommendation! I have never been to Samitivej Hospital before. Is it expensive? How much should we be expecting to pay there?

 

Also is this the same doctor at Bangkok Hospital? 

 

Dr. PANON KASEMSARN | Bangkok Hospital

Edited November 25, 2022 by zeromatte

[Sheryl]

31 minutes ago, zeromatte said:

Thanks Sheryl for the recommendation! I have never been to Samitivej Hospital before. Is it expensive? How much should we be expecting to pay there?

 

Also is this the same doctor at Bangkok Hospital? 

 

Dr. PANON KASEMSARN | Bangkok Hospital

Yes same doctor.

 

Will ccst about  the same at either place.

 

Consultation about 2000 baht.

 

Biopsy if done under IV sedation is about 30-40k plus there are labs EKG etc beforehand. It would be less if done in office without IV sedation but pretty unpleasant.

[NDbv]

Dear ladies,

 

Could you please recommend a highly qualified gynecologist on Samui. I'm trying to find a decent doctor for my gf.

Her periods often last longer than seven days and I just want to know that everything's ok. Tell me if I should be worried about it because I'm clearly not an expert on women's health.

She's 26, last time visited some Thai gynecologists four years ago and they prescribed her some hormones without even taking blood tests.

 

I googled three options:

1. Dr. Rapheephan Nattheeraphong @ Rapheephan O&G Clinic (link) //That is my first pick so far since it's a women health clinic and I can see the doctor's credentials
2. Dr. Wikanda Rojanasirisawad @ Wattanapat Hospital Samui (link)
3. Dr. Siwaporn Peerananrangsee @ Bangkok Hospital Samui (link)

Please share your experience with these doctors or recommend me another one.

I would especially like to hear @Sheryl opinion, it's always nice to read your expertise.

[Sheryl]

Of these choices I would also opt for  Dr. Rapheephan. But before seeing a doctor for something that might well be unnecessary:

 

1 - What type of birth control is she using?  And for how long?

 

2 - Exactly how long do her periods last and for how long have her periods been of this duration? (by the way up to 7 days is within normal range)

 

3- Is that duration a period of full bleeding or is it just spotting for part of it?

 

4- are her periods regular?

 

5- has there been any change in the amount of blood (heavier or lighter, spotting?)

 

6- Are you certain this is all true, or might she be using menstruation as an excuse? (not unusual)

 

7- any pain associated with either her periods or with intercourse? If yes, when did it start?

 

BTW one would not usually  expect any blood tests to be done at a GYN check up. Exactly what "hormones" were prescribed to her 4 years ago and for what reason/diagnosis?

 

 

 

 

 

[NDbv]

Dear Sheryl,

 

Thank you for your reply. I'll get back soon when I have the answers (around 5pm, my gf is at class right now with her students, she works as a teacher).

 

6 - Yes, I'm quite certain this is all true.

[NDbv]

So that's what I could find out:

1. She just finished taking birth control pills 4 or 5 month ago, but she was taking those pills for several years "every month". For the last year she used Minny (attached file).
2. Last period in October was for 11 days. Usually the duration of her period is 7 days at least, but she can't tell the exact duration.
3. Sometimes it's a period of full bleeding and sometimes it's just spotting for part of it.
4. Her periods are postponed sometimes.
5. It always changes, depends on a month.
6. Yes.
7. Rarely feels pain, mostly "the usual".

And about hormones: she doesn't remember the name of it, government doctor didn't explain much, just presctibed it. But she was taking some hormones 5 month ago (felt some pain and chose some medicine by herself - I told her to never do it again ofc).

Edited October 26, 2023 by NDbv

[Sheryl]

1 hour ago, NDbv said:

So that's what I could find out:

1. She just finished taking birth control pills 4 or 5 month ago, but she was taking those pills for several years "every month". For the last year she used Minny (attached file).
2. Last period in October was for 11 days. Usually the duration of her period is 7 days at least, but she can't tell the exact duration.
3. Sometimes it's a period of full bleeding and sometimes it's just spotting for part of it.
4. Her periods are postponed sometimes.
5. It always changes, depends on a month.
6. Yes.
7. Rarely feels pain, mostly "the usual".

And about hormones: she doesn't remember the name of it, government doctor didn't explain much, just presctibed it. But she was taking some hormones 5 month ago (felt some pain and chose some medicine by herself - I told her to never do it again ofc).

Are you sure what she took 5 months ago was "hormones"? Seems very unlikely if self purchased. And nto what any pharmacist would advise for pain. Other than birth control pills, not much in the "hormone" department one can but over the counter, whole business sounds odd.  Does she know the name of it?

 

It s very common to have irregular periods after stopping birth control pills, sometimes for as much as a year. If she in fact took some sort of "hormone" after stopping that would add to it.

And a one-off episode of an 11 day period is not alarming. Indeed some women always have periods that long especially if  mild spotting is counted.

 

I really don't see any cause for concern about her menstrual cycle at this point. That said, every woman her age should have periodic thin preps (pap smears) and if she hasn't seen a GYN in 4 years then obviously she hasn't, and that would be a good idea.

[Sheryl]

P.S.  What is she using since stopping the pill? Is she by any chance using injection instead?

[NDbv]

56 minutes ago, Sheryl said:

Are you sure what she took 5 months ago was "hormones"? Seems very unlikely if self purchased.

That's exactly what I thought when I heard about it. And she can't remember the name of it too.

 

2 minutes ago, Sheryl said:

P.S.  What is she using since stopping the pill? Is she by any chance using injection instead?

No, she doesn't use anything after she stopped taking those pills.

 

Thank you so much for the consultation and your time, Sheryl.