Hysterectomy
If a hysterectomy has been recommended: is it truly necessary, or are uterus-preserving options still possible?
Second opinion before a hysterectomy
Online Second Opinion
Online Second Opinion in Gynecology
Have you been told you need surgery? Before you make a final decision, you can send your existing reports and test results via WhatsApp and start an online second opinion consultation with Assoc. Prof. Dr. Cengiz Andan.
During this consultation, topics such as hysterectomy, endometriosis, uterine fibroids, ovarian cysts, endometriomas, abnormal uterine bleeding and fertility are reviewed based on your existing medical records. It becomes clearer which recommendation makes sense, what may still be missing, and which alternatives are worth considering. The process is carried out through the gynecological assessment approach of the Assoc. Prof. Dr. Cengiz Andan Clinic in Nişantaşı, Şişli, Istanbul.
Fast response, fast appointment: Once you send your reports via WhatsApp, your request is reviewed promptly and your online consultation is scheduled at the earliest suitable time.
- How the online second opinion works
- Reviewing a surgery recommendation
- Exploring organ-preserving options
- Organizing your medical records
Central online consultation page
Which gynecological decisions can an online second opinion help with?
If you are facing a gynecological decision, sharing the reports you already have is enough to start. In an online second opinion, decisions such as hysterectomy, endometriosis surgery, uterine fibroids and ovarian cysts are reviewed together with your existing findings in a calm, clear and medically structured way.
Endometriosis
In deep endometriosis, bowel or bladder involvement, recurrence and fertility concerns, the right surgical strategy matters.
Second opinion for endometriosis
Uterine fibroids
With fibroids, the issue is usually bleeding, pressure symptoms, fertility — and one question: myomectomy or hysterectomy?
Second opinion for uterine fibroids
Ovarian cysts
For an ovarian cyst or endometrioma, we specifically assess whether the ovary can be preserved and whether there is any suspicion of cancer.
Second opinion for ovarian cysts
A second opinion is not limited to these four topics. They are simply the areas where patients most often seek one; other surgery recommendations, unclear reports and treatment decisions in gynecology can also be reviewed based on your existing records.
When is it especially valuable?
An online second opinion matters most when the decision is big.
Not every diagnosis calls for a second opinion. But when the surgery is irreversible, when more than one treatment path is possible, or when the proposed treatment does not fit your life goals, an online second opinion can help you think it through more safely before you decide.
- Surgery has been recommended, but you are not sure.
- Removal of the uterus or an ovary is on the table.
- You want fertility, organ preservation and your symptoms considered together.
- Your reports seem contradictory, or things were explained too briefly.
- You have endometriosis, fibroids or recurring cysts.
- You want an online doctor consultation to find out whether further tests are needed.
Direct and well organized
How does the online second opinion process work?
The process is deliberately kept simple: you do not need a perfect file to begin. You send the reports you already have. If anything important is missing, it becomes clear before the consultation which document actually matters medically.
Get in touch
You write directly via WhatsApp and let us know you would like an online second opinion.
Send your reports
You share your existing records as photos, PDFs or files. Even individual reports can be a starting point for preparing the consultation.
Online doctor consultation
The online review covers your surgery recommendation, organ preservation, pain, bleeding, fertility or unclear findings in your reports.
Clarify the next step
Depending on your situation, watchful waiting, further tests, local follow-up, medication, a surgical plan or an in-person evaluation may be appropriate.
What should you send?
Before the consultation, send whatever you already have.
For an online second opinion, your existing records are usually a sufficient starting point. What matters is not a perfect file, but medically meaningful information.
- Doctor's letter, discharge summary or surgery recommendation
- Ultrasound images or the ultrasound report
- MRI report and image files, if available
- Blood work, hormone levels or tumor markers
- Pap smear, HPV or colposcopy results
- IVF, fertility or menstrual cycle records
- Medication list and previous treatments
- A short description of your symptoms
What is being assessed?
The core question is not just "surgery — yes or no?"
The consultation examines the reasoning behind the recommendation. Does the proposed procedure fit your diagnosis, the severity of your symptoms, your age, your fertility plans, your imaging findings and your own priorities?
We never assess a single report in isolation. The consultation looks at the decision as a whole: why was this treatment recommended, which alternatives are realistic, and what information might still be missing?
Medical guidance
Which questions should an online second opinion answer?
The goal of an online second opinion is to turn complex reports and findings into a clearer decision framework. The table below shows which questions are at the center of typical gynecological situations.
| Situation | Key question | What can an online second opinion clarify? |
|---|---|---|
| Hysterectomy | Is the procedure medically justified? | Indication, uterus-preserving alternatives, cause of bleeding, fibroids, adenomyosis, prolapse and the surgical approach. |
| Endometriosis | How extensive does the surgery really need to be? | Deep infiltration, bowel or bladder involvement, recurrence risk, fertility and multidisciplinary planning. |
| Uterine fibroids | Can the uterus be preserved? | Fibroid location, severity of bleeding, hysteroscopy or laparoscopy, fertility plans and whether a hysterectomy is truly needed. |
| Ovarian cyst | Does the ovary have to be removed? | Benign criteria, endometrioma, cystectomy, ovarian reserve, suspicion of cancer, imaging and tumor markers. |
| Fertility / IVF | Does this finding affect my fertility? | The impact of fibroids, endometriomas, polyps, adenomyosis, the uterine cavity and the order of treatments. |
| Abnormal bleeding | Has the cause of the bleeding been properly investigated? | Fibroids, polyps, adenomyosis, hormonal balance, intrauterine pathology and the need for further work-up. |
| Recommended hysteroscopy | Is an intrauterine procedure really necessary? | Polyps, uterine septum, adhesions, assessment of the uterine cavity and the timing of the procedure. |
| HPV / Pap smear / colposcopy | Follow-up, biopsy or treatment? | HPV type, Pap smear result, whether colposcopy is needed, biopsy findings and the follow-up interval. |
| Prolapse / urinary leakage | Which method is more suitable? | Organ preservation, vaginal or laparoscopic approach, the need for additional repair and quality-of-life goals. |
| Suspected cancer | Is the surgery or follow-up plan correct? | Oncological risk, the need for further tests, choosing the right center and the planned extent of surgery. |
Doctor's approach
How is a recommendation evaluated in the online consultation?
An online second opinion does not stop at the name of the diagnosis. What matters is the combined picture: your symptoms, imaging, age, fertility plans, previous surgeries, severity of bleeding, organ function and your personal goals.
In the online consultation with Assoc. Prof. Dr. Cengiz Andan, gynecological decisions are reviewed from the perspective of operative gynecology, endometriosis surgery, minimally invasive surgery and reproductive medicine planning.
If surgery does appear reasonable, not only the operation itself but also its extent is assessed: which organs should be preserved? Is a minimally invasive approach realistic? Should another specialty be involved? Which documents are still missing for safe planning?
If surgery does not appear clearly necessary, the consultation also states openly which conservative, diagnostic or watchful-waiting options are medically worth discussing.
Clarity before you decide
What should you understand better after the consultation?
The purpose of the online consultation is not to add decorative extras, but to make your reports easier to understand and to answer clear questions before you decide.
Does the recommendation make sense?
Your existing reports are reviewed together with your symptoms, imaging, age, fertility plans and previous treatments.
Are there realistic alternatives?
Organ preservation, minimally invasive methods, conservative treatment or further tests are assessed based on your specific findings, not in general terms.
What is the next step?
In the end it becomes clearer whether local follow-up, additional imaging, an in-person evaluation, surgery or watchful waiting is the more sensible medical path.
An important distinction
An online doctor consultation is not an emergency service and does not replace care from your local doctor.
In case of heavy bleeding, acute pain, fever, feeling faint, suspected ovarian torsion, pregnancy complications or oncological emergencies, seek medical care where you are immediately. The online second opinion is designed for plannable decisions and the review of your existing medical records.
Before you make a major gynecological decision: send your reports and request an online second opinion.
Write to us directly on WhatsApp and send the reports you already have. The online second opinion, provided through the Assoc. Prof. Dr. Cengiz Andan Clinic in Nişantaşı, Şişli, Istanbul, helps you better understand the recommended treatment, the realistic alternatives and the next medical steps.
