Dr. Ghadeer S S S A Akbar

Dr. Ghadeer Akbar diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Reproductive Health & Infertility (Endocrine Aspects)

• Male Infertility (Hormonal Causes, e.g., Hypogonadotropic Hypogonadism): Endocrine disorders contributing to male infertility, such as low testosterone production due to pituitary or testicular issues, affecting sperm production and function.
• Hyperprolactinemia: Elevated levels of prolactin hormone in the blood, which can cause irregular periods, infertility, and milky nipple discharge (galactorrhea) in women, and low libido or erectile dysfunction in men.

Bone Health & Mineral Metabolism Disorders

• Osteoporosis (Postmenopausal, Senile, Glucocorticoid-Induced): A progressive bone disease characterized by decreased bone mass and density, leading to an increased risk of fractures, particularly of the hip, spine, and wrist.
• Disorders of Phosphate Homeostasis (Hypophosphatemia, Hyperphosphatemia): Imbalances in blood phosphate levels, which can be caused by various underlying conditions and affect bone health, muscle function, and energy metabolism.
• Osteopenia (Low Bone Mass): A condition where bone mineral density is lower than normal peak density but not yet low enough to be classified as osteoporosis. It indicates an increased risk for developing osteoporosis.

Diabetes & Related Metabolic Disorders

• Metabolic Syndrome (Syndrome X, Insulin Resistance Syndrome): A cluster of conditions (central obesity, high blood pressure, high blood sugar, abnormal cholesterol/triglyceride levels) occurring together, elevating the risk of heart disease, stroke, and type 2 diabetes.
• Type 1 Diabetes Mellitus (T1DM): An autoimmune condition resulting in the destruction of insulin-producing beta cells in the pancreas, requiring lifelong insulin therapy for survival and glucose management.
• Type 2 Diabetes Mellitus (T2DM): A progressive condition characterized by insulin resistance (where the body's cells don't respond effectively to insulin) and/or relative insulin deficiency, often linked to genetics, lifestyle factors, and obesity.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Ghadeer Akbar.

• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Akbar for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Ghadeer S S S A Akbar practices within an endocrinology clinic located in the Fairview neighborhood of Vancouver, BC. The facility is situated in an accessible hospital department close to the Hotel Vancouver. Patients can reach the practice via public transit options including TransLink (SkyTrain Expo, Millennium, and Canada Lines), buses, SeaBus, and West Coast Express (Waterfront Station). The location is wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for visitors, providing convenient options for those arriving by car.

Are consultations, hormone tests, and treatments with Dr. Akbar, an Reproductive Endocrinologist (Fertility Specialist), covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Reproductive Endocrinologist (Fertility Specialist) like Dr. Akbar, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Akbar's office, the hospital/clinic, or Medical Services Plan (MSP) directly.

Is a referral required to see Dr. Akbar, an Reproductive Endocrinologist (Fertility Specialist)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Reproductive Endocrinologist (Fertility Specialist) such as Dr. Akbar. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

Does Dr. Akbar deal with hormonal issues related to infertility or conditions like PCOS?

[IF PROVIDER IS REPRODUCTIVE ENDOCRINOLOGIST (REI):] Yes, as a Reproductive Endocrinologist and Infertility specialist (REI), Dr. Akbar has advanced training in diagnosing and treating complex hormonal disorders that affect fertility and reproductive health in both women and men. This includes conditions like Polycystic Ovary Syndrome (PCOS), ovulatory dysfunction, endometriosis-related hormonal issues, premature ovarian insufficiency, male hypogonadism impacting fertility, and recurrent pregnancy loss. She can manage ovulation induction, provide hormonal support for assisted reproductive technologies like IVF, and address other intricate reproductive endocrine problems. [ELSE:] A general Reproductive Endocrinologist (Fertility Specialist) like Dr. Akbar routinely manages common endocrine conditions that can impact reproductive health, such as thyroid disorders or prolactin imbalances, and can provide initial evaluation and management for Polycystic Ovary Syndrome (PCOS), including its metabolic and hormonal aspects. For complex infertility requiring assisted reproductive technologies (like IVF) or highly specialized reproductive surgeries, She would typically collaborate with or refer patients to a subspecialist in Reproductive Endocrinology and Infertility (REI).

I have a thyroid nodule. What can I expect during an evaluation with an Endocrinologist like Dr. {provider_name_doctor_last}?

When evaluating a thyroid nodule, an Endocrinologist like Dr. Dr. Akbar will conduct a thorough assessment. This typically involves reviewing your medical history (including any symptoms of thyroid dysfunction or family history of thyroid disease), performing a physical examination of your neck and thyroid gland, and ordering blood tests to check your thyroid function (TSH, and possibly free T4, T3, and thyroid antibodies). A thyroid ultrasound is almost always performed to precisely characterize the nodule's size, number, and sonographic features (e.g., solid, cystic, calcifications, irregular margins). Based on these ultrasound characteristics and the nodule's size, Dr. Dr. Akbar will determine if a fine-needle aspiration (FNA) biopsy is needed to obtain cells for microscopic examination to rule out thyroid cancer. Most thyroid nodules are benign.

604 210-604 Broadway W
Vancouver, BC V5Z 1G1

Phone: (604) 558-4886 | Fax: (604) 558-4246

The facility is wheelchair accessible.

Dr. Akbar is a licensed Reproductive Endocrinologist (Fertility Specialist) regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral is typically required for consultations with Dr. Akbar for services covered by the provincial health plan. Patients seeking fertility assessment may also be referred by their family physician or gynecologist.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/338914/Akbar%2CGhadeer