What Tests Should Women Undergo to Assess Their Hormonal Health?

As a woman, it is wise to have certain tests done to map out your hormonal system. Consider a thyroid hormone panel from a blood test, as thyroid underactivity or overactivity is very common among women. It is useful to check levels of TSH (thyroid stimulating hormone), as well as free T4, free T3, and reverse T3. If discrepancies are noted in these levels, it may be necessary to investigate further whether there is an autoimmune process or a nutrient deficiency disorder, so requesting antibodies like anti-TPO (against the enzyme needed for thyroid hormone production) and anti-TG (against thyroid cells) is advisable. A neck ultrasound can provide a complete picture of the thyroid, showing any inflammation, nodules, cysts, or other abnormalities.

Another important hormone system for women to check is through cycle testing, which involves two parts: a blood test on days 3-5 of the cycle, and another on days 18-21. In the first half of the cycle, it’s good to examine levels of FSH (follicle stimulating hormone), LH (luteinizing hormone), prolactin (a hormone that stimulates milk production, high levels of which outside of pregnancy can indicate pituitary gland issues), and estradiol (a female hormone that is higher in the first half of the cycle). If there is a suspicion of PCOS (Polycystic Ovary Syndrome), indicated by symptoms like hirsutism on the face and chin, binge eating, irregular and painful menstruation, checking levels of androgen hormones like total and free testosterone, SHBG, and DHEA-S might be necessary. On days 18-21 of the cycle, it is also advisable to check levels of FSH, LH, and progesterone (a hormone that is present in larger amounts in the second half of the cycle).

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