The six hormone tests for girls mainly evaluate ovarian function, endocrine balance, and reproductive health, including six indicators of follicle stimulating hormone, luteinizing hormone, prolactin, estradiol, progesterone, and testosterone.
1. Follicle stimulating hormone
Follicle stimulating hormone is secreted by the pituitary gland and promotes follicle development and estrogen synthesis. Abnormal numerical values may indicate decreased ovarian reserve function or polycystic ovary syndrome. It is recommended to draw blood on the 2nd to 4th day of the menstrual cycle during the examination to avoid vigorous exercise affecting the results.
2. Luteinizing hormone
Luteinizing hormone is involved in ovulation and corpus luteum formation, and an abnormal ratio to follicle stimulating hormone may affect fertility. There may be a peak during ovulation, and the examination should be based on the stage of the menstrual cycle. If the value is too high, it may indicate premature ovarian failure.
3. Prolactin
Excessive prolactin may lead to amenorrhea or galactorrhea, which is related to pituitary tumors and hypothyroidism. Fasting for 8 hours is required before the examination to avoid stress and breast irritation. Mild elevation can be regulated by vitamin B6, while significant elevation requires further imaging examination.
4. Estradiol
Estradiol reflects follicular maturity. If it is too low, it may indicate ovarian dysfunction, while if it is too high, it should be alert to ovarian tumors. The menstrual cycle fluctuates significantly, and the examination should indicate the number of days in the cycle. This indicator will gradually decrease in perimenopausal women.
5. Progesterone
Progesterone is secreted by the corpus luteum after ovulation and supports endometrial transformation. Luteal phase testing can evaluate ovulation function, and a low level can easily lead to infertility or early miscarriage. The examination is usually conducted around the 21st day of the menstrual cycle.
6. Testosterone
Mild elevation of testosterone in women may manifest as hirsutism and acne, while significant elevation should exclude adrenal or ovarian tumors. Hormone containing drugs should be discontinued before examination, as patients with hyperandrogenism may have insulin resistance.
The six hormone tests should be conducted at an appropriate time according to the menstrual cycle, and sexual activity and vigorous exercise should be avoided three days before the test. If the results are abnormal, further evaluation can be conducted in combination with anti Mullerian hormone and thyroid function. Maintaining a regular daily routine helps maintain endocrine balance. For those with long-term menstrual disorders, it is recommended to have a follow-up every 3-6 months. Pregnant women can evaluate ovarian reserve function through this examination, and women over 35 years old can consider it as a routine reproductive health screening item.
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