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Endocrine (Hormonal) Conditions

Thyroid Clinic' (weekly).

In addition to the thyroid clinic, WISDEM is the only service in the region to run a 'one-stop' Thyroid Clinic with surgeons and an oncologist. Patients may be offered an ultrasound scan with biopsy where results can be available on the same day.

Pituitary Service (fortnightly)

We are a tertiary referral centre, providing an integrated service for the diagnosis, management and long-term follow up of patients with pituitary disorders.

Our fortnightly Medical Pituitary Clinic caters for patients with Prolactinomas, Acromegaly, Cushing’s syndrome and Pituitary insufficiency, providing careful long-term management, including management of growth hormone deficiency.

In addition, our Multidisciplinary Pituitary Service Team provides an integrated, consultant-led approach to the management and long-term follow up of patients with all aspects of pituitary disease. The team comprises of an Endocrinologist (Dr Randeva, Lead), Neurosurgeons (Mr Saxena, Mr Shad), Neuroradiologists (Dr Sherlala, Dr Mehta), Interventional Radiologist (Dr Nagarajs) who performs inferior petrosal sinus sampling, Clinical Oncologist (Prof Brown), and our Endocrine Nurse Specialist (Sister Smith), providing dynamic endocrine testing. This service is run twice monthly.

Joint Paediatric and Growth Clinic (monthly)

This service reviews and treats children and teenagers with complex endocrine and hormone problems.

Metabolic Bone and Osteoporosis Service

The service led by Dr Randeva, Consultant Endocrinologist, sees a wide range of patients with calcium disorders, Vitamin D deficiency and Primary Hyperparathyroidism. Severe Vitamin D deficiency is rapidly becoming a serious health issue in the UK and world-wide. We have well established expertise in treatment of parathyroid disease and parathyroid adenomas. We work closely with our endocrine surgical colleagues (Prof. Mehana, ENT) to manage patients who require parathyroidectomy. University Hospital in Coventry is one of the handful of centres that offer minimally invasive parathyroid surgery.

Investigation and treatment of patients is tailored to improve bone health and prevent fractures. The treatment of osteoporosis is in the form of tablets. However, a small proportion of people are unable to take osteoporosis tablets or do not respond well to treatment, due to a number of reasons. For these reasons, and for the treatment of certain metabolic bone conditions, we run a dedicated day case service where intravenous forms of treatment are administered by the nursing staff.

Although the service currently manages patients with Osteoporosis, the Departments of Endocrinology (Dr Randeva) and Rheumatology (Dr Chaudhuri) are in the process of launching a one-stop service for Osteoporosis.

Specialist Polycystic Ovary Syndrome (PCOS) Service

The service Lead is Dr Randeva, who is Co-Chair of the PCOS Specialist Interest Group for the Society of Endocrinology, UK. PCOS is the commonest endocrine disorder in women of childbearing age and can have a serious impact on the quality of life of individuals diagnosed with this condition. This well established clinic is set up to offer evidence based treatment and follow up to prevent cardio-metabolic complications, including obesity management. We also see patients who need investigation of hirsutism. Women with this condition may also present with difficulties in conceiving – management of sub-fertility is done in conjunction with colleagues from Gynaecology (see Reproductive Endocrinology Service below).

Reproductive Endocrinology Service

This well established service is run by a multi-disciplinary team at the Centre for Reproductive Medicine. Comprising experts in endocrinology (Dr Randeva) and Gynaecology (Dr Agrawal, Mr Keay, Mr Ghobara), they manage and treat couples with reproductive problems. Some of the fertility problems we treat include; polycystic ovary syndrome (PCOS), endometriosis, azoospermia, impotence, male infertility and also patients with primary or secondary amenorrhea.

Turner’s Syndrome Service

We run one of the few specialist clinics in the country for Adult women with Turner’s syndrome. This uncommon inherited condition can have long term implications related to endocrine and cardiac complications. Treatment and appropriate monitoring is done as per our established protocols. Dr Randeva (Endocrinology), who runs the service, is in the process of transforming it to a one-stop Consultant-Led service to include a multidisciplinary approach from Endocrinology (Dr Randeva, Dr Sankar), Gynaecology (Dr Ghobara), and also colleagues from radiology and ENT. We hope to set up a support group, as it is envisaged the numbers of patients with Turner’s attending the service will increase.

Other Clinical Services

WISDEM runs other services including a Male Hormone Replacement Clinic and Neuro-endocrine Tumour Clinic.