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Endocrinology

The endocrine system consists of glands that secrete hormones directly into the blood. Hormones have many different functions and modes of action; one hormone may have several effects on different target organs, and, conversely, one target organ may be affected by more than one hormone.

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Overview

The clinical specialty of endocrinology focuses primarily on the endocrine organs, meaning the organs whose primary function is hormone secretion.

These organs include the pituitary, thyroid, adrenals, ovaries, testes, and pancreas.

An endocrinologist is a physician who specializes in treating disorders of the endocrine system, such as diabetes, hyperthyroidism, and many others

1 Aug 2018

Dr.Ben Ng is an amazing doctor I must say!

Much thanks to him I'm on metformin, and I wouldn't have to worry about getting type2 diabetes! :)

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ASK DR MARILYN LEE: HORMONAL IMBALANCE

Experiencing bloating, insomnia, unexplained weight gain/loss? A hormone imbalance could be to blame. Find out what these symptoms mean and when do they become a real cause of concern from Dr Marilyn Lee, an expert endocrinologist (a doctor that specialises in hormones) on DxD Sessions.

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5 HORMONAL CAUSES OF INFERTILITY IN WOMEN AND MEN

Due to the hectic lifestyles that Singaporeans lead, many don’t settle down until they’re in their 30's. I commonly see patients in my endocrine clinic who had no idea that they were having hormonal issues in the first place (until they started trying for a baby)! 

In this article, I describe 5 conditions where hormones can affect fertility, as well as the corresponding treatments.

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7 THINGS SINGAPOREANS MUST KNOW ABOUT PREDIABETES

By 2035, 1 in 4 Singaporeans will be prediabetic. It’s time we get acquainted with prediabetes, the precursor of diabetes. 

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THE ESSENTIAL GUIDE TO PCOS IN SINGAPORE (2018)

Many Singaporeans are not aware that their symptoms are due to PCOS. In this article, I’ll be addressing the common concerns that women with PCOS may have. The beauty of PCOS (and of most things in endocrinology) is that it's a readily treatable condition.

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YOUR ESSENTIAL GUIDE TO ERECTILE DYSFUNCTION IN SINGAPORE

Ever wondered about your options for treating erectile dysfunction (ED) in Singapore?

ED is one of my favourite topics to talk about, and I'm here to break down the issue for you from a medical perspective. With a good understanding of the reasons behind ED, ensuring that your tools work as they should is really as simple as 1…2…3!

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DOC, I HAVE “THYROID” – HERE'S WHAT YOU NEED TO KNOW!

I often encounter friends and patients who tell me that they have “thyroid”, as if their thyroid gland is a disease or a problem. The fact is, everybody has a thyroid gland.

Your thyroid gland is a butterfly-shaped gland that sits in front of the windpipe. It's function is to produce thyroid hormones that regulate your metabolism (how your body use energy).

Most people have a perfectly normal thyroid gland. You don’t have to do anything at all if your thyroid gland is healthy!

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ARE YOU TESTOSTERONE DEFICIENT?

In my practice, I often see men in their 30s with constantly low energy and a poor sex drive, wondering if there's something wrong with them. These group of men usually attribute their symptoms to a stressful work environment.

Instead, what I commonly find is that they have low testosterone levels.

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5 TRULY HORRIFYING CONSEQUENCES OF DIABETES THAT SINGAPOREANS NEED TO KNOW ABOUT TODAY

Read only if you have a strong stomach.

Just in case you've been spending too much time on Instagram and missed the news, Singapore has declared a war on diabetes in 2017.

Why? Well, for the simple reason that we have 440 000 diabetics, the second highest proportion of diabetics in the world (1st place belongs to the USA). If this rate keeps up, we'll have 1 million diabetics by 2050.

Beyond using diabetes as a running gag about eating too much desserts, I’m frequently astounded by how little my patients and friends know about diabetes.

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I probably wouldn’t call it “best treatment”. The term “most suitable treatment” would probably be a better term to use. The treatment plan would be tailored to what your priorities are. For example, if you’re having difficulty conceiving, Clomiph...
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Certain conditions can be prevented, whilst others can’t. For example, if you have thyroid autoimmunity (antibody against the thyroid gland), you cannot prevent yourself from developing abnormal thyroid function. If you have PCOS, a healthy lifestyle and maintaining a healthy ...
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This again depends on what type of hormonal imbalance you are referring to. For example, in the case of hyperthyroidism (excess thyroid hormone), the commonest cause is Grave’s disease and medical therapy for about 18 months is a common treatment modality. If it is hypoth...
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Certain psychiatric medications can increase the prolactin levels, and this can affect the female hormones. This is a picture of the hypothalamic-pituitary-gonadal axis in women (left) and men (right). Essentially, the hypothalamus secretes gonadotropin releasing hormone (GnRH) whic...
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Similar to adults, children have symptoms depending on the type of hormonal imbalance that is present. Weight and height are usually measured at each clinic visit and are important parameters to take note of. Short stature, especially if the height is under the 3 rd percentile or i...
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This depends on what type of hormonal imbalance is present. Generally, if there is a hormone deficiency, replacement of the hormone is usually required. If there is hormone excess, detection of the source of excess and management according to what the problem is. In women who experi...
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Increase stress can cause increase in cortisol (stress hormone) levels. But this is usually still within the normal range and does not tend to increase to pathological levels. You should not experience symptoms of high cortisol (weight gain, thin skin, easy bruising etc) from just w...
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The birth control pills do not actually make your hormones go back to normal. They will suppress your hormones (eg reduce male hormones from the ovary) and hence improve symptoms of acne and facial hair. I find that acne tends to improve within a few weeks. With regards to facial...
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No, it isn’t. Treatment of PCOS depends on what your current concerns are. As you have been given the pill, I assume you’re not planning to get pregnant anytime soon. The next thing to determine is what type of symptoms you’re experiencing. If you have symptoms ...
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With regards to male hormones, symptoms of male hormone deficiency can be non-specific, so you feel tired all the time, lack the energy to do things and perhaps feel more moody. They can be more specific like shaving less (for example, you previously used to shave daily and now only...
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Hi Joey, I presume that your gynae performed the ultrasound scan to rule out PCOS (given that you also have irregular periods). You have a cyst in your right ovary - cysts are very common in women who are still ovulating, and are almost always benign (none-worrying, and go away b...
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Thank you for getting in touch with us. These brown lines are usually the result of pigments being deposited right below where the nail is growing. The medical term is melanonychia. There can be quite a long list of possible causes for this. But most of the time it is not somethi...
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Hello Siti, Hormonal acne usually affects the lower 1/3 of the face (jawline/ chin) and it can be related to menses. From what you have described (increased facial hair and irregular periods), you may want to see a gynaecologist to rule out a condition known as polycystic ovar...
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