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Endocrinology

0700 91 191
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Information

Endocrinology is the key to hormonal balance and healthy metabolism – and at the Pentagram Medical Center, this key is in your hands!

In our endocrinology office, we provide professional care for patients with all types of hormonal and metabolic disorders. We work with attention and precision on diagnosis, prevention, and treatment of diseases of the endocrine glands – pituitary gland, thyroid and parathyroid glands, pancreas, adrenal glands, ovaries, and testes. The hormones these glands produce affect the whole body – from the energy with which you face the day to how vital organs and systems function. That is why our mission is to help you discover and maintain your inner balance.

We offer Preventive Check-ups for early detection of hormonal and metabolic disorders, Diagnosis and individualized treatment of all endocrine diseases, Monitoring, and care for long-term health.

Trust the experience and expertise of our endocrinology team – because your health deserves attention at every level.

Focus areas of our work

  • Diabetes
  • Insulin Resistance
  • Metabolic Syndrome
  • Obesity
  • Hormonal Imbalances
  • Thyroid Disorders

Questions

Yes, these are common symptoms of thyroid dysfunction, but they can also be due to other reasons. In PentaGram Medical Center you will receive an examination and the necessary tests for an accurate diagnosis.

An endocrinological examination is recommended in cases of suspected hormonal imbalance. Typical symptoms include unexplained fatigue, weight gain or loss, hair loss, mood changes, dry skin, cold extremities, excessive thirst, frequent urination, or menstrual irregularities. A consultation with an endocrinologist is also mandatory for the diagnosis of diabetes, thyroid diseases, osteoporosis, or heart and metabolic issues related to hormonal disorders.

Thyroid problems can affect various functions of the body and often go unnoticed in the early stages. The most common symptoms of impaired thyroid function include:

  • unexplained weight gain or loss

  • constant fatigue and drowsiness

  • irritability or mood changes

  • dry skin and hair loss

  • changes in heart rate (rapid or slowed pulse)

  • menstrual cycle disorders

These symptoms may be associated with either hypothyroidism (reduced activity) or hyperthyroidism (increased activity) of the thyroid gland. If you experience such complaints, it is advisable to consult an endocrinologist.

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Endocrinology

Д-р Марияна Иванова, Очна клиника Пентаграм, София

Dr. Mariyana Ivanova

Internist, Endocrinologist
Д-р Александра Маркова, Очна клиника Пентаграм, София

Dr. Alexandra Markova

Endocrinologist

Pricing

Endocrinology
  1. Initial consultation with an endocrinologist – 45.00 €
  2. Initial consultation with an endocrinologist with ultrasound – 60.00 €
  3. Follow-up consultation – 30.00 €
  4. Thyroid ultrasound – 35.00 €

ENDOCRINOLOGY

Diagnostics and surgical treatment of all types of endocrine diseases.

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Diseases

Hypothyroidism

Hypothyroidism is a condition of reduced thyroid gland function, in which a deficiency of the hormones T3 and T4 leads to a slowing of all metabolic processes in the body. Most commonly caused by Hashimoto's autoimmune thyroiditis, the disease manifests with fatigue, weight gain, and intolerance to cold but can be successfully treated with lifelong replacement therapy with levothyroxine, which restores hormonal balance and quality of life.
Read More

Hyperparathyroidism

Hyperparathyroidism is an endocrine disorder in which the overproduction of parathyroid hormone (PTH) leads to a dangerous increase in blood calcium levels at the expense of bone density. This condition often affects the kidneys, digestive system, and nervous system, with surgical removal of the problematic gland being the only definitive treatment in most cases.
Read More

Cushing’s Syndrome

Cushing's syndrome is a serious endocrine disorder caused by prolonged exposure to high levels of cortisol, leading to characteristic physical changes such as a "moon face," "buffalo hump," and purple stretch marks. The condition requires precise diagnosis to determine the underlying cause—medication use or the presence of a tumor—and is treated by gradually discontinuing steroids, surgically removing growths, or medicinal therapy to regulate hormonal balance.
Read More

Metabolic Syndrome

Metabolic syndrome is a complex condition involving a combination of abdominal obesity, high blood pressure, elevated blood sugar, and disrupted lipid profile. It serves as a serious warning signal for a high risk of cardiovascular diseases and type 2 diabetes, but it is highly influenced by lifestyle changes, as even minimal weight loss can significantly improve metabolic indicators.
Read More

Insulin Resistance

Insulin resistance is a condition of impaired metabolism in which cells become less sensitive to insulin, forcing the pancreas to produce compensatory but harmful excess amounts of the hormone. Although it often occurs silently, it can be diagnosed through the HOMA index and successfully managed through a combination of strength training, a low glycemic index diet, and reduction of abdominal fat.
Read More

Type 2 Diabetes

Type 2 diabetes is a chronic condition characterized by insulin resistance, where the body does not use the produced insulin effectively, leading to a buildup of sugar in the blood. The disease often develops silently over years but can be successfully managed or even put into remission through a healthy diet, physical activity, and appropriate medication therapy.
Read More

Type 1 Diabetes

Type 1 diabetes is an autoimmune disease in which the pancreas stops producing insulin, requiring lifelong insulin therapy and constant blood sugar monitoring to prevent severe organ damage. Although symptoms appear suddenly and demand precise management of diet and physical activity, modern technologies such as insulin pumps and sensors allow patients to lead a full and active life.
Read More

Addison’s Disease

Addison's disease is a rare endocrine disorder in which the adrenal glands do not produce enough cortisol and aldosterone, leading to chronic fatigue, low blood pressure, and characteristic darkening of the skin. The condition requires lifelong hormone replacement therapy, which allows patients to lead a full life with strict adherence to treatment and regular monitoring by an endocrinologist.
Read More

Hypothyroidism

Hypothyroidism is a condition of reduced thyroid gland function, in which a deficiency of the hormones T3 and T4 leads to a slowing of all metabolic processes in the body. Most commonly caused by Hashimoto's autoimmune thyroiditis, the disease manifests with fatigue, weight gain, and intolerance to cold but can be successfully treated with lifelong replacement therapy with levothyroxine, which restores hormonal balance and quality of life.
Read More

Hyperparathyroidism

Hyperparathyroidism is an endocrine disorder in which the overproduction of parathyroid hormone (PTH) leads to a dangerous increase in blood calcium levels at the expense of bone density. This condition often affects the kidneys, digestive system, and nervous system, with surgical removal of the problematic gland being the only definitive treatment in most cases.
Read More

Cushing’s Syndrome

Cushing's syndrome is a serious endocrine disorder caused by prolonged exposure to high levels of cortisol, leading to characteristic physical changes such as a "moon face," "buffalo hump," and purple stretch marks. The condition requires precise diagnosis to determine the underlying cause—medication use or the presence of a tumor—and is treated by gradually discontinuing steroids, surgically removing growths, or medicinal therapy to regulate hormonal balance.
Read More

Metabolic Syndrome

Metabolic syndrome is a complex condition involving a combination of abdominal obesity, high blood pressure, elevated blood sugar, and disrupted lipid profile. It serves as a serious warning signal for a high risk of cardiovascular diseases and type 2 diabetes, but it is highly influenced by lifestyle changes, as even minimal weight loss can significantly improve metabolic indicators.
Read More

Insulin Resistance

Insulin resistance is a condition of impaired metabolism in which cells become less sensitive to insulin, forcing the pancreas to produce compensatory but harmful excess amounts of the hormone. Although it often occurs silently, it can be diagnosed through the HOMA index and successfully managed through a combination of strength training, a low glycemic index diet, and reduction of abdominal fat.
Read More

Type 2 Diabetes

Type 2 diabetes is a chronic condition characterized by insulin resistance, where the body does not use the produced insulin effectively, leading to a buildup of sugar in the blood. The disease often develops silently over years but can be successfully managed or even put into remission through a healthy diet, physical activity, and appropriate medication therapy.
Read More

Type 1 Diabetes

Type 1 diabetes is an autoimmune disease in which the pancreas stops producing insulin, requiring lifelong insulin therapy and constant blood sugar monitoring to prevent severe organ damage. Although symptoms appear suddenly and demand precise management of diet and physical activity, modern technologies such as insulin pumps and sensors allow patients to lead a full and active life.
Read More

Addison’s Disease

Addison's disease is a rare endocrine disorder in which the adrenal glands do not produce enough cortisol and aldosterone, leading to chronic fatigue, low blood pressure, and characteristic darkening of the skin. The condition requires lifelong hormone replacement therapy, which allows patients to lead a full life with strict adherence to treatment and regular monitoring by an endocrinologist.
Read More
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The most common thyroid diseases

The most common diseases in women are thyroid gland diseases.

The most widespread thyroid disease is its enlargement, or so-called goiter. Goiter can occur with normal thyroid function, as well as with increased or decreased function. The most common disease with increased function is called Thyrotoxicosis or Graves' disease. It is characterized by swelling in the neck area due to an enlarged thyroid gland, weight loss despite a healthy appetite, rapid heart rate, sweating, high blood pressure, and protruding eyes. Decreased thyroid function is called Hypothyroidism and can be congenital (appearing in newborns) or acquired in older children. This disease manifests as delayed growth and short stature, dry skin, constipation, coarse voice, and delays in neuro-psychological development. The incidence of congenital hypothyroidism is 1:3500 newborns, which is similar to the rate across Europe. Acquired hypothyroidism is most commonly due to the autoimmune disease known as Hashimoto's Thyroiditis, which also features goiter and the symptoms listed above.

Useful for patients

Пациент на преглед при ендокринолог за възможен проблем с щитовидната жлеза

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