What are the items for ovarian function examination

Ovarian function examination mainly includes six items of sex hormones, anti Mullerian hormone, ultrasound examination, follicle stimulating hormone, luteinizing hormone, and other items.

1. Six items of sex hormones:

The six items of sex hormones include follicle stimulating hormone, luteinizing hormone, estradiol, progesterone, testosterone, and prolactin. This examination is usually performed on the 2nd to 4th day of the menstrual cycle, and through blood tests, the basal endocrine status of the ovaries can be evaluated. For example, an increase in follicle stimulating hormone levels may indicate a decline in ovarian reserve function. It is recommended to maintain an empty stomach before the examination and avoid vigorous exercise to avoid affecting the accuracy of the results.

2. Anti Mullerian Hormone:

Anti Mullerian hormone is an important indicator for evaluating ovarian reserve function, which is not affected by the menstrual cycle and can be tested at any time with blood drawn. Anti Mullerian hormone is secreted by antral follicles in the ovary, and its level can directly reflect the number of remaining follicles in the ovary. If the level of anti Mullerian hormone is low, it usually means a decrease in ovarian reserve function, which may affect fertility. This examination is of great significance for planning for pregnancy or evaluating the risk of premature ovarian failure.

3. Ultrasound examination:

Ultrasound examination mainly observes the size, shape, and number of basal follicles of the ovary through vaginal ultrasound or abdominal ultrasound. The doctor will count the number of antral follicles with a diameter of 2 to 9 millimeters in both ovaries under ultrasound, which is called antral follicle counting. The counting of antral follicles is an intuitive method for evaluating ovarian reserve function, and a decrease in quantity often indicates a decline in ovarian function. During the examination, it is recommended to empty the bladder. Vaginal ultrasound does not require holding urine, while abdominal ultrasound requires moderate holding urine.

4. Follicle stimulating hormone:

Follicle stimulating hormone is one of the six sex hormones, listed separately because it plays a critical role in evaluating ovarian function. Follicle stimulating hormone is secreted by the pituitary gland and acts on the ovaries to promote follicular development. When ovarian function declines, the pituitary gland needs to secrete more follicle stimulating hormone to stimulate the ovaries, leading to an increase in its levels. It is generally believed that when the level of follicle stimulating hormone exceeds 10 international units per liter, it may indicate a decrease in ovarian reserve function. This examination should be conducted during the menstrual period, and the results should be comprehensively judged in conjunction with other indicators.

5. Luteinizing hormone:

Luteinizing hormone also belongs to the six sex hormones, and works together with follicle stimulating hormone to regulate follicular development and ovulation. Luteinizing hormone levels peak before ovulation, triggering ovulation. If the ratio of luteinizing hormone to follicle stimulating hormone is abnormal, such as exceeding 2 to 3, it may indicate polycystic ovary syndrome, which can affect the normal ovulation function of the ovaries. It is also recommended to conduct the examination early in the menstrual cycle to obtain baseline data. When conducting ovarian function tests, it is recommended to choose a regular medical institution and arrange the examination time reasonably according to the doctor's advice. Before the examination, pay attention to maintaining a regular sleep schedule, avoiding staying up late and overexertion, maintaining a balanced and nutritious diet, and supplementing foods rich in high-quality protein and vitamins appropriately. If there are abnormalities in the examination results, it is necessary to consult a doctor in a timely manner and develop personalized conditioning or treatment plans. Do not interpret or use medication on your own.