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What can be detected by the six-item sex hormone test?

Mar 06, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Under normal circumstances, the six sex hormone tests are routine and fundamental examinations in the reproductive medicine department. By measuring the levels of six sex hormones in the blood, these tests can help assess the body's endocrine status and assist doctors in diagnosing various diseases associated with endocrine disorders, including mainly menstrual irregularities, polycystic ovary syndrome (PCOS), premature ovarian failure, hyperprolactinemia, infertility, and so on.

Generally, the six sex hormone tests are routine basic examinations in the reproductive medicine department. By measuring the levels of six sex hormones in the blood, these tests can help understand the body's endocrine status and assist doctors in diagnosing various diseases associated with endocrine disorders, including menstrual disorders, polycystic ovary syndrome, premature ovarian failure, hyperprolactinemia, infertility, and others. Detailed analysis is as follows:

1. Menstrual Disorders

The six sex hormone tests can determine whether endocrine disorders are causing menstrual cycle irregularities or abnormal menstrual bleeding. By measuring the levels of estrogen, progesterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and testosterone, the causes of menstrual disorders can be diagnosed.

2. Polycystic Ovary Syndrome

Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder, often characterized by elevated androgen levels, an increased luteinizing hormone/follicle-stimulating hormone (LH/FSH) ratio, and unstable estrogen levels. The six sex hormone tests can accurately reflect these abnormal hormonal changes.

3. Premature Ovarian Failure

Premature ovarian failure refers to a decline in ovarian function before the age of 40. In the six sex hormone tests, significantly elevated follicle-stimulating hormone (FSH) levels combined with reduced estrogen levels may indicate diminished ovarian reserve or premature ovarian failure, aiding in early detection and treatment.

4. Hyperprolactinemia

Hyperprolactinemia refers to abnormally elevated serum prolactin levels, which may cause symptoms such as amenorrhea, galactorrhea, and infertility. Prolactin level testing in the six sex hormone tests is a key indicator for diagnosing hyperprolactinemia. Measuring prolactin levels can determine whether hyperprolactinemia is present.

5. Infertility

The six sex hormone tests are also important for diagnosing infertility. By assessing hormone levels, doctors can understand the patient's ovulatory function and ovarian reserve capacity, helping identify the causes of infertility. This information can assist in providing targeted treatment recommendations and improving the chances of successful conception.

It should be noted that the results of the six sex hormone tests must be comprehensively analyzed in conjunction with the patient's specific symptoms and clinical signs to make an accurate diagnosis. Additionally, patients should avoid medications that may affect hormone levels before testing and follow medical guidance in preparing for the examination.

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