This morning, a 45 -year -old woman came to the doctor. Her main purpose was to prepare a second child.The doctor suggested that she do a sex hormone test. At the beginning, she was unwilling to do this test, because she felt that she was normal, but she was a little older, so she came to the hospital to see if she could get pregnant.After the doctor communicated with her, the lady finally agreed to do sex hormone examination.
After the results of the inspection came out, the woman took the report sheet and looked at it, as if looking at the flowers in the fog, I couldn’t understand what it meant.In fact, many people can’t understand the gynecological examination report, which is not surprising.Because it is not a doctor after all, it is normal to not understand; today, Dr. Li came to read the check data reported by female hormones, so that female friends have a clear understanding.
Sex hormones are synthesized by tissues such as animal gonads, as well as placenta, adrenal cortex mesh belts, etc., and have the functions of promoting the maturity of the organs, the development of the side sex, and maintaining sexual functions.Estabular ovarian mainly secretes two hormones -estrogen and progesterone. The testicular of the male animal is mainly secreted by testosterone.
Gynecological hormone testing is a very good detection. Its detection is mainly suitable for menstrual period, menstrual disorders, infertility, etc., and even some conventional physical examinations.Female sex hormone tests include six indicators: coffin stimulatory, lutein, prolactin, methanol, progesterone, and testosterone.These hormones can determine a person’s basic hormone level for the diagnosis of clinical diseases.How to understand a sex hormone report is the voice of many patients.
How to read the report?This is a common problem. The same report is the same. Some doctors told patients that they were normal, but some doctors thought it was abnormal.Why is this?
In fact, there is currently not a complete and unified numerical values for the determination of endocrine hormones in obstetrics and gynecology.Moreover, due to the different sources, measurement methods, data computing and adoption of the reagent sources, measurement methods, data calculation and adoption of each hospital, the results obtained by the laboratory are different.Therefore, there is a result of a hospital that patients say, which is the true question.
However, when you check the testing of qualitative hormone projects, first look at the unit of the test form.Use modern advanced Internet to search for reporting units.
After searching, then look at the report data. Most of the women’s hormone secretion will change very much with the menstrual cycle.Therefore, when looking at the test results, the time and purpose of the blood test detection should be clarified.For example, detectors are in menstrual period.
FSH and LH are the representatives of follicles estrogen and luteal genericida. They are promoted adenoprophic hormones, which mainly reflect the ovarian foundation.The two basically maintain a unified pace.That is, the same steps of you are also high, but the level of elevation is different. The higher the value, the worse the ovarian function.The basic values are 5 ~ 10lu/L.
In the normal menstrual cycle, the follicle (2-3 days of menstruation) of the follicles (2-3 days) of follicles (FSH) and luteal (LH) remain at a low level. Before ovulation, both data will rise rapidly, and the peaks will appear respectively.(Lutenoid) can be as high as 160lu/L, and FSH (follicle hormone) generally only about 2 times the basic value, rarely exceed 30LU/L.Therefore, doctors predict ovulation based on the peak of LH and use FSH to reflect ovarian function.
If it is necessary to detect the basic function of the ovary, it is recommended to detect early follicles, mainly to avoid the judgment of the results of the results of the physiological peak effect.
For example: FSH is greater than 15; indicates that the ovarian function is not good; FSH can be judged as early ovarian senes in the early ovary. At this time, if you do not intervene at this time, you will often menopause after 1 year.The FSH is greater than 40; it indicates that ovarian failure, which means that the patient is amenorrhea. If such data occurs before 49, it is called premature ovarian failure.FSH and LH levels are super low 5LU/L; prompting the hypothalamus or pituitary dysfunction, patients will also have amenorrhea.
E2 and P
E2 and P (estrogen and estrogen and progesterone progesterone) are ovarian hormones, and they are also a pair of inseparable good friends. They are mainly used to determine whether they ovulate and evaluate the function of pregnancy.
P is at a low level in the follicle period, generally less than 10 mmol/L (3.15ng/ml). After ovulation, the number of P values rises rapidly.Whether to ovulate.
Generally P is greater than 15nmol/L (5ng/ml), and it is prompted in ovulation, less than 16nmol/L (5ng/ml), and prompts no ovulation.Pregnancy will maintain a high level.
Before 10 weeks of pregnancy, P is less than 47.7nmol/L (15ng/ml). First of all, if there is no pregnancy, it is prompted that the luteal function is insufficient. If there is no B -ultrasound to determine the part of the pregnancy, you should be alert to the possible ectopic pregnancy.
E2 is a frequent volatile hormone. The whole menstrual cycle will appear two peaks.The early follicles were about 50pg/ml (183.5pmol/L), the ovulation period reached the first peak, 250 ~ 500pg/ml (917.5 ~ 1835pmol/L), and then fell rapidAround 460pmol/L), it is maintained for a period of time and descended to the early follicle level. From 2 to 3 days of menstruation 25 ~ 50pg/ml (91.75 ~ 183.5pmol/L).
It can be seen that estrogen is not as high as many female friends say, the better, the higher the estrogen, the more resistant to aging.The stronger the fertility ability, the better the ovarian function, and so on. Instead, the peak and fluctuation that requires estrogen to appear can reflect the ovarian response ability and reflect whether ovulation.The estrogen of women during pregnancy has also been at a high level for a long time.
T and PRL (androgen and prolactin)
T and PRL are the two most stable and unstable hormones for women.They basically do not change with the menstrual cycle.
T does not have a peak period, and basically at a stable level for a long time.The elevation of women’s androgen will appear in the antimosestoid signs. The most obvious manifestation is "hairy", which is generally common in patients with polycystic ovary syndrome.Moreover, if therogens are in a state of rising for a long time, the androgen ovarian or adrenal tumors should be performed.
The secretion of PRL hormones is unstable. Generally, it can fluctuate with emotions, exercise, hunger, and eating. It is not affected by the menstrual cycle, but has the rhythmic nature of sleep.Therefore, if you need to detect this hormone item, it is recommended to detect it from 2 to 3 hours after breakfast, 9 to 10 am, and detect in a calm state.
If the PRL value rises in the test, it is recommended to determine the judgment in a standard type of inspection.If the PRL value rises repeatedly, it should be checked in the brain CT or nuclear magnetic resonance in time to clarify whether there is a "pituitary tumor".