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Endocrine Gynecologist

Specialist for Menopause and

Polycystic Ovary Syndrome


Medical fundamentals guide our conduct and enable us to do our job well: guide patients clearly and precisely and truly help them with each challenge in their lives.


We believe that with respect we do well.

Ginecologia endócrina
Mulher de negócios madura

Guidance and treatment of problems that may arise at each stage of life:

First menstruation >>
Vaginal discharge >>
Urinary tract infection >>
Sexual intercourse and prevention of sexually transmitted diseases (STDs)
Contraceptive methods
In-office IUD placement >>
Contraceptive Hormonal Implant Placement >>
Climacteric and menopause >>
Prevention of breast, ovarian and cervical cancer
Collection for Pap smear >>



What is the Climacteric?

Climacteric is the period that precedes the end of a woman's reproductive life, marked by physical and psychological changes. It usually occurs around the age of 45-50.

Climacteric symptoms: hot flashes (hot flashes), night sweats, sleep disturbances, irritability, insomnia, depression, memory loss and mood changes.

To confirm the arrival of the climacteric, see a gynecologist. Clinical and laboratory tests may be requested. Each patient must be assessed individually and receive personalized treatment, as reactions to low hormone levels vary.

The gynecologist can advise on treatment possibilities to improve quality of life and prevent phase-specific diseases with vitamins, herbal medicines, and metabolic adjustments with hormones (for those people who need and want to use them), which can be done through various joint or individual routes, such as oral, transdermal and IUD.


What is Menopause?

Menopause is the end of a woman's reproductive life, due to a decrease in hormonal production from the ovaries. It usually occurs around age 50.

The main characteristic of menopause is the cessation of menstruation, confirmed after twelve months without menstruating.

It is wrong to consider that after menopause a woman does not need gynecological monitoring.

Mammogram, pap smear, transvaginal ultrasound and bone densitometry are complementary tests that must be ordered by the gynecologist regularly to prevent diseases specific to this stage of life related to the cardiovascular and bone system (such as osteoporosis, the gradual loss of bone mass that increases the risk of fractures).


A healthy lifestyle, physical activity and a diet rich in calcium and vitamin D are essential at this stage of life.



PCOS - Polycystic Ovary Syndrome or Metabolic and Reproductive Syndrome


Polycystic Ovary Syndrome (PCOS) is the most common endocrinopathy among women in the reproductive period that involves several metabolic changes and not just the ovarian and reproductive part itself, presenting several characteristics, such as increased androgen hormones, changes in insulin, among others.

Diagnosis is clinical and laboratory, depending on the presentation of the syndrome in each person. PCOS is related to:

  • Hyperandrogenism (increased male hormones, with the appearance of acne, hair in atypical locations and hair loss)

  • Obesity (waist circumference greater than 88cm) - obesity worsens insulin resistance, but Polycystic Ovary Syndrome can occur even in patients with a normal or low BMI, that is, in thin women

  • Ovulatory dysfunction and chronic anovulation

  • Amenorrhea (absence of menstruation)

  • Infertility


Possible complications of Polycystic Ovary Syndrome:

  • Psychological disorder and low self-esteem

  • Hirsutism (increased body hair)

  • Abdominal fat - increased visceral, with fat accumulation in the liver, fatty hepatitis

  • Increased cardiovascular risk

  • Glucose intolerance / increased risk for Type 2 Diabetes and Metabolic Syndrome

  • Dyslipidemias (reduction in good HDL cholesterol, increase in bad LDL cholesterol, increase in triglycerides)

  • Arterial hypertension

  • Atherosclerosis

  • Sleep disorders

  • Increased risk of developing gestational diabetes

  • Increased risk of early miscarriages

  • Infertility

How the treatment is carried out:

The most modern treatments for Polycystic Ovary Syndrome do not involve the use of contraceptives, but specific medications and lifestyle changes, with regular physical activity, nutritional guidance, psychological and multidisciplinary support, as it is a multifactorial disease.

Take all your doubts in a clinical evaluation and orientation consultation.


Dr. Carolina Buck is specialized in Gynecology and Obstetrics and Fetal Medicine.

Performs comprehensive prenatal care, in-office ultrasounds and humanized deliveries.

Private Consultation/Refund.

We accept credit cards with installments, except for teleconsultations.

We guide the refund process.

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