Endocrinology in Tunisia

Endocrinology is the field of medicine that relates to the endocrine system, which is the system that controls hormones. Endocrinologists are specifically trained physicians who diagnose and treat diseases related to hormones, the glands, and tissues that produce them, as well as complications that may be caused by them. They work closely with other specialists, such as specialists in ophthalmology, obstetrics, radiation oncology, and otolaryngology. The conditions that endocrinologists commonly treat are as follows:

• Diabetes​​​​​​
• Menopause
• Osteoporosis
• Metabolic disorders
• Thyroid diseases
• Certain types of cancers
• Short stature
• Excessive or insufficient production of hormones
• Infertility
• Transplantation
• Gender dysphoria

Endocrinology treatment usually involves controlling the amount of hormone the body produces. The goal of the treatment is to restore the normal balance of hormones found in a person’s body. The following are some of the procedures that an endocrinologist perform:

• Bariatric procedures (such as gastric bypass surgery)
• Adrenalectomy
• CT scan
• MRI
• Pancreas transplant
• Thyroidectomy
• Thyroid fine-needle aspiration
• Minimally invasive parathyroidectomy
• Brain stereotactic radiosurgery
• Home enteral nutrition
• Biliopancreatic diversion with duodenal switch (BPD/DS)
• Lipid management
• Transnasal endoscopic procedures
• Wound care
• Feminizing hormone therapy
• Facial feminization surgery
• Feminizing surgery
• Top surgery for transgender men/women
• Voice feminizing therapy and surgery.

How Long Should I Stay in Tunisia?

Your length of stay in Tunisia depends on the type of procedure you underwent. In general, you may need to stay in the hospital for a few days after treatments, particularly after surgery, then plan to stay in Tunisia for at least 7 to 14 more days. During your stay, you will attend follow-up checkups where your endocrinologist monitors your healing progress and, if needed, will remove any stitches. For diagnostic procedures, you may be able to leave the hospital on the same day, then plan to stay in Tunisia for 3 to 7 days until the results are available.

What's the Expected Recovery Time?

While the recovery time can vary from one person to another, depending on the procedure you underwent and your overall health, you may be advised to take a week or two off of work. It may also take around 6 weeks until you fully recover and are allowed to perform strenuous activities, such as exercise. Your endocrinologist will give you a detailed recovery timeline.

What Aftercare is Required?

Your endocrinologist will give you a set of instructions that you need to follow after your treatment. In general, you may need to take the medicine (if any) as prescribed and have a healthy lifestyle, such as having enough sleep, follow a healthy and balanced diet, and exercise regularly. You may also need to attend regular checkups to check on your condition with your local doctor.

What's the Success Rate?

The field of endocrinology has advanced, with cutting-edge technology, new medicines, sophisticated imaging and diagnostic equipment, and innovative therapies that have helped to increase the success rate of endocrinology procedures. There are risks of side effects and complications which include infection, allergic reaction to the anesthesia, bleeding, and injury to nearby organs.

Are there Alternatives?

There is no alternative to endocrinology. If you have any conditions mentioned above, you may need to see an endocrinologist. If your condition is found out to be caused by other problems unrelated to endocrinology, your endocrinologist will refer you to the relevant specialist.

Endocrinology in and around Tunisia

About Tunisia

Tunisia is one of the few countries which can cater to everyone and it manages to combine climate, golden beaches, history, and shopping for an “all-around” experience. It has a high standard of healthcare and an excellent reputation for cosmetic surgery. Cosmetic and plastic surgeons are regulated by the Tunisian Ministry of Health and the private clinics have state-of-the-art equipment and English-speaking staff. Tunisia welcomes an ever-increasing number of medical tourists each year, many of whom travel for Endocrinology procedures. Medical Tourists travel from all across the globe, particularly from Europe and neighboring African countries with an inferior healthcare system. Popular medical tourism destinations outside of the capital, Tunis, include Sousse and Mahdia

Popular Parts of Tunisia

• Tunis, the country’s capital, is overflowing with a history that dates from the 4th Century BC. The city is divided into two parts, the old city known as the medina and the new city (or Ville nouvelle in French). Many tourists visit Tunis to see the Archaeological Site of Carthage which is also a UNESCO World Heritage Site. The beautiful Islamic architecture in medina also attracts many tourists to the city.
• Tozeur is known as a home to an enchanting desert oasis, which was a place to rest and refuel for caravans crossing the Sahara. Another main attraction in the city is the medina, where tourists can find lines of beautiful brick-patterned traditional dessert houses. Chott el Djerid, Sahara’s largest salt pan, is a popular day-trip destination.
• Sousse is located on the coast of the Mediterranean Sea. It offers good beaches with a clear blue sea. The city has been fought over by the Romans, Arabs, and Europeans, giving it a colorful history and culture. Sousse Archeological Museum is one of the most visited sites in the country; it has the second largest collection of mosaics in the world.
• Hammamet is the country’s original tourism resort. The city has beautiful gardens filled with oranges, lemons, and other citrus plants. It also has wonderful sandy beaches with crystal clear water. Just like any other city in Tunisia, this city is also brimming with interesting histories. Sites such as The Gafsa Museum and Bardo Museum will give insights about the Islamic faith and culture.
• Douz, also known as “the gateway to the Sahara.” Tourists who want to experience the Sahara Desert come to this city. Take a camel trip or a 4-wheel-drive into the Sahara or see the Museum of the Sahara that has an interesting collection portraying traditional Saharan life.

Weather and Climate in Tunisia

The North of Tunisia has a subtropical Mediterranean climate with mild rainy winters and hot summers. The South and inland areas have a tropical desert climate.

The weather is relatively comfortable throughout the year. Summer starts in June and lasts until August. The average temperature is between 28 °C to 32 °C with July and August being the hottest months. The heat is not as bad on the coast because of the seaside breeze. Be aware that July to September is the jellyfish season.

The heat decreases in autumn and the weather is somewhat more comfortable. There are occasional rain showers in September. The temperature in October can be like summer during day time, but cold at night. October has more rain than September. The season lasts for three months from September to November with an average temperature of around 19 °C to 29 °C.

The weather in winter can be uncertain. The average temperature is between 16 °C and 18 °C, but it can drop to 7 °C at night and below 0 °C in highlands and deserts and a clear sky is rare during this season.

Spring comes in March and the temperature can rise to 20 °C. Mornings and nights are cold; there is still a high probability of rains and thunderstorms at the end of this season.  

Getting Around in Tunisia

Tunisia has several international airports. The main airport is Tunic-Carthage International Airport. It has international connections with major European countries and the Middle East. The airport is the hub for Tunisair, Tunisair Express, and Nouvelair. Other airports that have international flights are Enfidha-Hammamet, Monastir Habib Bourguiba, Djerba-Zarzis, and Tabarka-Aïn Draham.

Taxis and buses are available to get to the city center from Tunis Airport. The SNT bus line departs every 30 minutes from the airport, the ticket costs less than 1 TND. There is also the TUT bus which departs every 15 minutes and is more luxurious and expensive.

Airport taxis are available at the airport taxi stand and are usually metered. Always make sure that the driver turns the meter on before riding the taxis. A journey to the city should cost around 5 TND. An extra cost will be added if you have baggage.

Getting around in Tunisia can be done by several transportation modes. Tunisair Express provides domestic flights between Tunis, Tozeur, Djerba, and Gabes. The Train is also available and the national train company in the country is SNCFT that runs modern and comfortable trains from Tunis to Sousse, Sfax, and Monastir. There are three classes of service that tourists can choose. The fare from Tunis to Sousse is between 6 to 10 TND. The long-distance bus is an economical option to travel between big cities such as Tunis, Hammamet, and Nabeul. The buses usually depart every 30 minutes.

Tourist Visas in Tunisia

Citizens of 97 countries (including Australia, China Singapore, the United States, and Russia) can visit and stay in Tunisia for up to 90 days without a visa. Other nationalities are advised to check with their local Tunisia embassy. Tunisia provides an online visa application for nationalities that needs a visa to enter. The eVisa will simplify the process of obtaining travel authorization to enter the country.

Additional Information

1. Local Currency: the local currency is the Tunisian dinar (TND). 1 USD converts to 2.61 TND.

2. Money & Payments: ATMs can be found in most cities and in all tourist areas. Many ATMs have withdrawal limits of 400 TND. Credit cards (MasterCard and Visa) are accepted in major cities and tourist areas. They can be used for shops, car hire, or top-end accommodation. Always make sure to carry cash if you want to travel outside major cities. Tipping is not necessary but will be appreciated.

3. Local Language: Arabic is the official language of Tunisia. French is very common due to the country’s former status as a French protectorate. English is still very limited except in the tourist areas and expensive hotels.

4. Local Culture and Religion: Islam is the major religion with 98% of the population identified as Muslim. There is a small group of Christian and Jews. Since most of the population is Muslim, always remember that the dress code is important in Tunisia.

5. Public Holidays: Tunisia celebrates major Islam holidays. The country hosts several annual festivals throughout the year such as The International Festival of the Sahara, Yasmine Hammamet Festival, and the International Festival of Carthage.