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Mustafa Çelik
Mustafa Çelik Liv Hospital Content Team
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Uterine Fibroid Embolization: Amazing Relief
Uterine Fibroid Embolization: Amazing Relief 4

Uterine fibroid embolization (UFE) is a non-surgical option for women with fibroid symptoms. Many worry about pain after the procedure. We know that thinking about medical procedures can be scary, especially when it comes to pain.

Recent studies have looked into the pain after UFE. A study on the National Center for Biotechnology Information website found that most patients feel pain. But, how bad and for how long it lasts can differ. At Liv Hospital, we focus on making sure you’re comfortable. We use the latest methods to control pain.

Key Takeaways

  • Most patients experience pain after UFE, but the severity varies.
  • Pain typically peaks within 6-8 hours and gradually declines over 24 hours.
  • Effective pain management is crucial for patient comfort.
  • Liv Hospital uses advanced protocols to minimize discomfort.
  • Pain usually resolves within 7-10 days post-procedure.

What Happens During a Uterine Fibroid Embolization

SEP 6884 image 2 LIV Hospital
Uterine Fibroid Embolization: Amazing Relief 5

Learning about UFE is key for those thinking about it for fibroids. Uterine fibroid embolization cuts off blood to fibroids, making them shrink.

The Step-by-Step UFE Procedure

An interventional radiologist does the UFE procedure. Here’s how it goes:

  • A small incision is made in the groin to access the femoral artery.
  • A catheter is guided through the artery to the uterine arteries using imaging guidance.
  • Embolic agents are injected through the catheter to block the blood flow to the fibroids.
  • The procedure is typically done under local anesthesia and moderate sedation.

How Embolization Works to Shrink Fibroids

Embolization cuts off blood to fibroids. The fibroids, lacking oxygen and nutrients, begin to shrink. This can reduce symptoms like heavy bleeding and pelvic pressure.

Typical Duration and Hospital Stay

The UFE procedure takes about 1-2 hours. Most patients go home the same day or stay overnight. The short hospital stay is because it’s a minimally invasive procedure.

Knowing the UFE procedure helps patients prepare. It makes the process less scary.

Pain During the Uterine Fibroid Embolization Procedure

Knowing about pain during uterine fibroid embolization (UFE) is key for those thinking about it. We’ll look at how pain is managed during UFE. This includes the types of anesthesia used and what patients say about their experiences.

Types of Anesthesia Used

There are different anesthetics for UFE to help with pain. The choice depends on the patient’s health, the procedure’s complexity, and the doctor’s preference. Local anesthesia is often used to numb the area where the catheter goes. This reduces discomfort during the procedure.

In some cases, conscious sedation is given to help patients relax and feel less anxious.

Using local anesthesia and conscious sedation lets patients stay awake and alert. This is good for monitoring and adjusting pain management as needed.

Real-Time Patient Experiences

Patient experiences with UFE vary. Some feel little discomfort, while others might feel more pain. Real-time feedback from patients helps doctors adjust pain management during the procedure. This ensures a better experience for everyone.

Discomfort vs. Pain During the Procedure

It’s important to know the difference between discomfort and pain during UFE. Some patients might feel mild discomfort from the catheter or embolization. Others might feel more pain. Pain management protocols are in place to handle both discomfort and pain.

Understanding the difference helps patients prepare for UFE. It also lets them talk to their healthcare provider about their concerns.

Post-Procedure Pain: Statistical Overview

SEP 6884 image 3 LIV Hospital
Uterine Fibroid Embolization: Amazing Relief 6

Statistical data gives us insights into pain after Uterine Fibroid Embolization (UFE). It’s key for setting patient expectations and improving care after the procedure.

Percentage of Patients Reporting Pain

Most women feel pain after UFE. In fact, 83% to 90% of them report pain after the procedure.

Study

Percentage Reporting Pain

Study A

83%

Study B

85%

Study C

90%

Pain Intensity Measurements

Pain levels vary, but many feel quite a bit of pain. About 75.7% of patients say their pain is 7 or higher on a 10-point scale. This shows they are in a lot of discomfort.

Peak Pain Periods

The worst pain usually happens in the first 6 to 8 hours after the procedure. It’s important to manage pain well during this time to help patients feel better.

Knowing these trends helps doctors prepare patients for UFE pain. They can then create better pain management plans to meet these needs.

The Science Behind Post-UFE Pain

Pain after UFE is more than just a simple reaction. It involves complex processes of ischemia and inflammation. Knowing about these can help patients deal with their pain and recover better.

Ischemic Pain Mechanisms

Ischemic pain happens when blood flow to fibroids stops or slows down. This causes tissue ischemia. The body then releases chemicals that make pain receptors work. We’ll look into how this affects pain.

Key factors in ischemic pain include the size and location of fibroids, and how much embolization happens. Bigger fibroids or those in certain spots might feel more pain because of less blood flow.

Inflammatory Response to Embolization

After UFE, the body’s immune system kicks in. It reacts to the fibroids that have been blocked off. This leads to the release of chemicals that cause pain, swelling, and other symptoms. We’ll talk about how this affects pain after UFE.

The inflammatory process can be controlled with the right medicine and care. This includes anti-inflammatory drugs and other treatments to help.

Individual Factors Affecting Pain Intensity

How much pain someone feels after UFE can vary a lot. This depends on their health, how they handle pain, and if they have other health issues. We’ll look at how these things can change the pain experience.

  • Genetic predispositions to pain sensitivity
  • Previous experiences with pain and their impact on current pain perception
  • The presence of other health conditions that may affect pain processing

Understanding these factors helps doctors create pain plans that fit each patient’s needs.

Pain Management Protocols After Uterine Fibroid Embolization

Managing pain after UFE is key to a smooth recovery. It affects both short-term comfort and long-term health. Good pain management helps patients get back to their normal life quickly.

In-Hospital Pain Control Methods

In the hospital, doctors use many ways to control pain after UFE. Patient-controlled analgesia (PCA) lets patients give themselves pain relief when they need it. This method is safe and effective.

Hospitals also use epidural anesthesia or nerve blocks to manage pain. The choice depends on the patient’s needs and medical history.

Prescription Medications for Home Use

After leaving the hospital, patients get pain meds for home use. Oral opioids are often given for short-term pain relief. But, doctors watch their use closely to avoid addiction.

Non-opioid pain relievers like ibuprofen or acetaminophen are also used for mild to moderate pain. It’s important to follow the dosage and know the side effects. Patients should also have a plan for managing pain at home.

Non-Pharmaceutical Pain Relief Strategies

There are many non-medical ways to manage pain after UFE. Heat therapy can help with cramping and discomfort. Drinking plenty of water and resting are also important for recovery.

Some people find relaxation techniques like deep breathing or meditation helpful. These can be used along with medication for better pain management.

Post-Embolization Syndrome: Beyond Pain

After UFE, some patients face a mix of symptoms called post-embolization syndrome. This condition includes a variety of symptoms that can happen after the procedure.

Defining Post-Embolization Syndrome

About 40% of patients who have UFE get post-embolization syndrome. It’s not just about pain. It also includes fever, nausea, and fatigue.

These symptoms can worry patients. But, it’s important to know they are part of the body’s healing process after the procedure.

Managing Fever, Nausea, and Fatigue

Handling the symptoms of post-embolization syndrome needs a few steps. Here are some ways to help:

  • Hydration: Drinking plenty of water is key for recovery.
  • Rest: Resting well helps fight off fatigue.
  • Medication: Doctors might suggest medicines for fever and nausea.

Following your doctor’s post-procedure advice is also crucial. It helps manage these symptoms well.

Typical Duration and Resolution

The time it takes for symptoms to go away varies. Usually, they fade in a few days to a week. Sometimes, it might take longer for all symptoms to disappear.

Knowing how long symptoms last and how to handle them can ease worries. It makes the recovery process better.

Learning about post-embolization syndrome and how to manage it helps patients deal with their recovery after UFE.

Recovery Timeline and Pain Resolution

Knowing the recovery timeline is key for those getting Uterine Fibroid Embolization. The process brings big changes and different levels of pain relief over time.

First 24 Hours: Peak Pain Period

The first 24 hours after the procedure are usually the most painful. Patients often feel the worst pain then, which is managed with pain meds.

Days 2-7: Symptom Resolution Begins

By days 2-7, about 70% of patients start to feel better. The pain lessens, and they can slowly get back to their usual activities.

Weeks 1-2: Significant Pain Relief

In one to two weeks, about 88% of patients see a big drop in pain. This is a key time for recovery, with most noticing a big decrease in symptoms.

To understand the recovery and pain relief better, let’s look at some data:

Timeframe

Pain Level

Symptom Resolution

First 24 Hours

High

Minimal

Days 2-7

Moderate

70%

Weeks 1-2

Low

88%

We know each patient’s recovery is different. While these numbers give a general idea, your experience might vary. It’s vital to follow your doctor’s post-procedure care to ensure a smooth recovery.

Passing Fibroids: What to Expect

After uterine fibroid embolization (UFE), many patients wonder about passing fibroids. Knowing what to expect is key for a smooth recovery. We’ll help you understand what happens when passing fibroids after UFE.

Fibroid Discharge After Embolization

Fibroid discharge is common after embolization. Many patients see some discharge as their body gets rid of the fibroid tissue. This is a natural part of healing.

Not all patients will see the same amount of discharge. Some might notice it more, while others might see less.

What Does Passing a Fibroid Look Like

Passing a fibroid can look different for everyone. Some might see a lot of discharge, which can be bloody or have tissue pieces. Others might pass fibroid material during their period or as a separate event. It usually looks like necrotic tissue.

Many patients worry about how it looks and if it hurts. But, this is a normal part of getting better and usually doesn’t mean there’s a problem.

When Discharge Indicates a Complication

While discharge is normal, sometimes it can mean there’s a problem. Look out for a lot of bleeding, a lot of pain, or signs of infection like fever or bad smell. These are signs you need to see a doctor right away.

One patient said,

“I had a lot of discharge after UFE, but I knew something was off when I got a fever.”

This shows why it’s important to watch your symptoms and get help if you need it.

We suggest following your doctor’s advice closely. They can tell you what to expect and when to get help.

Potential Complications Related to Pain

Uterine fibroid embolization (UFE) is usually safe. But, it’s good to know about possible pain-related complications. This knowledge helps both patients and doctors handle these issues well.

Minor Complications and Their Management

Minor pain issues after UFE might include ongoing discomfort. This can be hard to manage with just pain meds. We tackle these by tweaking pain management plans. This might mean more meds or trying new ways to ease pain.

  • Increasing the dose or how often you take pain meds
  • Trying nerve blocks or physical therapy for pain
  • Keeping a close eye on your pain and adjusting treatment as needed

Major Complications (Under 4% Occurrence Rate)

Major pain-related complications after UFE are rare, happening in less than 4% of cases. These can include serious infections, tissue damage, or allergic reactions to the embolization material. We do everything we can to avoid these risks. This includes careful patient checks and precise procedure techniques.

Examples of major complications include:

  1. Severe infection needing hospital care and strong antibiotics
  2. Tissue damage causing long recovery times or more surgery
  3. Allergic reactions needing quick medical action

When to Seek Emergency Medical Attention

It’s important for patients to know when to get emergency help. Look out for these signs:

  • Severe pain that meds can’t fix
  • High fever or signs of infection
  • Heavy vaginal bleeding
  • Severe belly tenderness or swelling

If you see any of these, get medical help right away. Quick action can stop small problems from getting worse.

Patient Experiences with UFE Pain

Patient stories are key to understanding Uterine Fibroid Embolization (UFE). They share their personal journeys and recovery challenges. This helps us see the varied experiences and coping strategies.

Common Patient Testimonials

Many UFE patients talk about their pain experiences. They often say the pain was less than expected. They also mention how well pain management worked. For example, one patient said,

“I was prepared for the worst pain, but the discomfort was manageable with medication.”

Varied Pain Experiences and Coping Strategies

Pain levels after UFE vary among patients. Some feel mild discomfort, while others face more severe pain. People use different strategies to cope, like medication, meditation, and heat therapy.

Coping Strategy

Effectiveness

Patient Feedback

Medication

High

“Pain medication was very effective in managing my discomfort.”

Meditation

Moderate

“Meditation helped me relax and reduced my perception of pain.”

Heat Therapy

High

“Using a heating pad significantly reduced my cramping.”

Long-Term Satisfaction Despite Initial Pain

Most patients are happy with their UFE decision, despite initial pain. The relief from fibroid symptoms and the procedure’s minimally invasive nature are key. As one patient noted,

“The initial discomfort was worth it for the long-term relief I experienced.”

Comparing UFE Pain to Alternative Fibroid Treatments

Uterine fibroid embolization (UFE) is a common treatment. But how does its pain compare to other options? Knowing about pain is key when choosing a treatment.

UFE vs. Hysterectomy Pain and Recovery

Hysterectomy is a more invasive surgery than UFE. Both can cause pain, but recovery times and pain management vary. UFE usually means a quicker recovery, with most back to normal in weeks. Hysterectomy takes longer.

Here’s a look at pain levels between UFE and hysterectomy:

  • UFE patients feel peak pain in the first 24 hours, which can be managed with meds.
  • Hysterectomy patients might face longer pain and need stronger pain relief.

UFE vs. Myomectomy Discomfort Levels

Myomectomy removes fibroids surgically. Its pain can vary, depending on the surgery and how many fibroids are removed. Compared to UFE, myomectomy might have:

  1. Similar pain at first, but longer recovery times.
  2. Pain can differ based on the surgery’s extent.

Non-Surgical Alternatives and Their Pain Profiles

Non-surgical options like medications and focused ultrasound surgery have different pain levels. These treatments are often:

  • Less invasive, with shorter recovery times.
  • Less painful than surgery, but still vary.

When looking at these options, think about your pain tolerance and the fibroids’ specifics.

Preparing for UFE to Minimize Pain

Thinking about UFE? Knowing how to prepare can really help with pain. Good preparation can make the procedure less painful and help you recover faster. We’ll show you how to get ready for UFE, manage your expectations, and make your recovery space comfy.

Pre-Procedure Preparations

Getting ready for UFE is key to less pain. Always follow your doctor’s advice closely. This might include:

  • Stopping certain medications that could affect the procedure or recovery
  • Doing tests to make sure UFE is right for you
  • Having someone to drive you to and from the hospital
  • Setting up a cozy recovery area at home with all you need

By doing these things, you can cut down on pain and make recovery easier.

Setting Realistic Pain Expectations

Knowing what pain to expect from UFE can ease your worries. It’s okay to be a little scared about pain. But knowing you can manage it can make you feel better.

We’ll talk about how to handle pain, like the anesthesia used and ways to ease pain after. This will help you understand what to expect and feel more in charge.

Creating a Comfortable Recovery Environment

Having a comfy recovery area at home is crucial for less pain after UFE. Think about making a quiet, cozy spot for rest.

  • Get all the right supplies, like heating pads and comfy clothes
  • Plan for easy meals or think about meal delivery
  • Have a support system ready, like family or friends

By doing these things, you can focus on getting better and avoid extra pain. This will help you get back to your usual life faster.

Long-Term Side Effects of Fibroid Embolization

It’s key to know the long-term effects of Uterine Fibroid Embolization (UFE) before choosing it. UFE is effective against fibroids, but it’s vital to look at possible long-term side effects. This helps patients make informed choices.

Potential Ongoing Discomfort

Some people might feel ongoing discomfort after UFE. This discomfort can be mild or quite painful. We’ll talk about how to manage it later.

Reproductive Considerations

UFE can affect reproductive health. It keeps the uterus but might impact fertility and future pregnancies. Some studies suggest UFE could lower ovarian reserve in some cases.

Reproductive Consideration

Impact of UFE

Fertility

Generally preserved, but potential impact on ovarian reserve

Future Pregnancies

Possible, but may require careful monitoring

Quality of Life Improvements Despite Initial Pain

Many patients see big improvements in their quality of life after UFE. Even with initial pain and long-term side effects, the benefits are worth it. They can live without the pain and discomfort caused by fibroids.

“The relief I felt after UFE was life-changing. While there was initial discomfort, the long-term benefits far outweighed the temporary pain.” – Patient Testimonial

Discussing Pain Concerns with Your Healthcare Provider

Talking about pain concerns with your healthcare provider before UFE is key. It helps manage your expectations and creates a care plan just for you. Your healthcare provider is there to help you, not just do the procedure. They will address any pain worries you have.

Important Questions to Ask Before UFE

It’s important to ask the right questions before UFE. Find out about the anesthesia used, the pain you might feel after, and how it will be managed. You should also ask about side effects and how to handle them.

  • What kind of pain can I expect during and after the procedure?
  • What pain management options are available, and which ones are typically recommended?
  • How long does the recovery period usually last, and what can I expect during this time?

Personalized Pain Management Plans

Everyone’s pain level and reaction to UFE is different. That’s why a personalized pain plan is so important. Your healthcare provider will create a plan just for you, using both medicine and other methods.

Effective pain management is crucial for a quick recovery. By working with your healthcare provider, you can make a plan that meets your needs. This plan will help you feel better during your recovery.

Follow-Up Care for Persistent Pain

Some people may still feel pain after UFE. It’s important to see your healthcare provider if this happens. They can check on you and adjust your pain plan if needed.

Keeping in touch with your healthcare provider is important. This way, any pain issues can be quickly fixed. You’ll get the support you need to recover well.

Conclusion: Balancing UFE Pain Against Long-Term Benefits

Uterine Fibroid Embolization (UFE) is a top choice for treating fibroids. It offers many benefits, even with some pain after the procedure. We’ve looked at UFE, including the process, managing pain, and possible issues.

Success in UFE comes from balancing the short-term pain with its lasting benefits. Patients can make better choices by knowing about UFE and its effects. The benefits, like smaller fibroids and fewer symptoms, often make the temporary pain worth it.

When thinking about UFE, it’s important to consider both the pain and the long-term gains. UFE’s benefits, like being less invasive and having quicker recovery times, appeal to many. With the right pain management plan from healthcare providers, patients can reduce discomfort and enjoy UFE’s lasting benefits.

FAQ

Is uterine fibroid embolization a painful procedure?

Some discomfort is expected, but pain levels vary. We use different types of anesthesia and pain management to reduce discomfort.

What kind of anesthesia is used during UFE?

Anesthesia types vary, but often include conscious sedation or epidural anesthesia. These help manage pain during the procedure.

How long does the UFE procedure take?

The procedure lasts 30-90 minutes. You’ll stay in the hospital a few hours for recovery and pain management.

What is post-embolization syndrome, and how is it managed?

Post-embolization syndrome includes fever, nausea, and fatigue in about 40% of patients. It’s managed with medication and supportive care, usually resolving in a few days.

How long does it take to recover from UFE, and when can I expect pain relief?

Most patients feel significant pain relief in 1-2 weeks. The peak pain is usually in the first 6-8 hours. 88% of patients report relief within two weeks.

What does passing a fibroid look like after UFE?

Passing a fibroid can show as vaginal discharge, which may be heavy or contain tissue. It’s important to watch for signs of complications like heavy bleeding or severe pain.

Are there any long-term side effects of UFE that I should be aware of?

While safe, long-term side effects include ongoing discomfort and reproductive considerations. However, most patients see a big improvement in their quality of life.

How does UFE compare to other fibroid treatments in terms of pain?

UFE often has a shorter recovery time and less pain than surgical options like hysterectomy or myomectomy. But, experiences vary.

What can I do to minimize pain during and after UFE?

Preparing before the procedure, setting realistic pain expectations, and creating a comfortable recovery space can help. Our healthcare team will also provide personalized pain management plans.

When should I seek emergency medical attention after UFE?

Seek immediate medical attention for severe pain, heavy bleeding, fever above 101.5°F (38.6°C), or other concerning symptoms.

What questions should I ask my healthcare provider before undergoing UFE?

Discuss your pain concerns, ask about pain management options, and understand what to expect. Also, ask about potential complications and long-term side effects.

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Medical Disclaimer

The content on this page is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always consult a qualified healthcare provider regarding any medical conditions.

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Our Doctors

Assoc. Prof. MD. Miraç Özalp Obstetrics and Gynecology

Assoc. Prof. MD. Miraç Özalp

Liv Hospital Ulus
Op. MD. Faik Tamer Sözen Obstetrics and Gynecology

Op. MD. Faik Tamer Sözen

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Op. MD. Kübra Karakolcu Obstetrics and Gynecology

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Op. MD. Seyfettin Özvural Obstetrics and Gynecology

Op. MD. Seyfettin Özvural

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Op. MD. Sibel Malkoç Obstetrics and Gynecology

Op. MD. Sibel Malkoç

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Prof. MD.  Mustafa Alper Karalök Obstetrics and Gynecology

Prof. MD. Mustafa Alper Karalök

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Prof. MD. Ayhan Sucak Obstetrics and Gynecology

Prof. MD. Ayhan Sucak

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Op. MD. Altuğ Semiz Obstetrics and Gynecology

Op. MD. Altuğ Semiz

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Op. MD. Gamze Baykan Özgüç

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Op. MD. Nesime Damla İplik

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Prof. MD. Mehmet Serdar Kütük

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Assoc. Prof. MD. Mine Dağgez Gynecological Oncology

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Asst. Prof. MD. Bülent Tekin Obstetrics and Gynecology

Asst. Prof. MD. Bülent Tekin

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Obstetrics and Gynecology

Asst. Prof. MD. Kübra Irmak

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Asst. Prof. MD. Yusuf Başkıran Obstetrics and Gynecology

Asst. Prof. MD. Yusuf Başkıran

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Op. MD. Alp Koray Kinter Gynecological Oncology

Op. MD. Alp Koray Kinter

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Op. MD. Ayşe Bilgen Obstetrics and Gynecology

Op. MD. Ayşe Bilgen

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Op. MD. Betül Averbek Obstetrics and Gynecology

Op. MD. Betül Averbek

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Op. MD. Cansu Kaya Obstetrics and Gynecology

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Op. MD. Deniz Sarıkaya Kalkan

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Op. MD. Elif Uysal Obstetrics and Gynecology

Op. MD. Elif Uysal

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Op. MD. Haldun Celal Özben Obstetrics and Gynecology

Op. MD. Haldun Celal Özben

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Op. MD. Meltem Özben Obstetrics and Gynecology

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Prof. MD. İsmet Alkış Obstetrics and Gynecology

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Assoc. Prof. MD.  Ümit Yasemin Sert Dinç Obstetrics and Gynecology

Assoc. Prof. MD. Ümit Yasemin Sert Dinç

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Prof. MD. Mehmet Sinan Beksaç Obstetrics and Gynecology

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Assoc. Prof. MD. Ali Ovayolu Obstetrics and Gynecology

Assoc. Prof. MD. Ali Ovayolu

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Op. MD. Hatice Şahin Bıkmaz

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Spec. MD. Ayça Bozoklar Nuh Obstetrics and Gynecology

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MD. Gamze Keleş Obstetrics and Gynecology

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Op. MD. Hilal Mürüvvet Bulut Aydemir

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Liv Bona Dea Hospital Bakü
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