How is a gynecological endocrine examination performed?

Jul 19, 2024 Source: Cainiu Health
Disease description:

I have had some menstrual irregularities over the past two months. My friend suggested that I undergo a comprehensive gynecological endocrine examination. May I ask how a gynecological endocrine examination is performed?

Doctor's answer (1)
Dr. Zhao Xiaodong
Gynecological endocrine testing primarily evaluates female hormone levels to diagnose and manage hormone-related gynecological issues. This test usually includes the following steps: 1. Medical history review: The physician will ask about the patient's menstrual cycle, reproductive history, symptoms (such as irregular menstruation, hirsutism, weight changes, etc.), and family medical history. 2. Physical examination: The physician may perform a pelvic exam to observe the size, shape, and texture of the uterus and ovaries, looking for signs of abnormalities. 3. Blood tests: This is the main component of the examination. A blood sample is usually taken to measure several key hormones: follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen, progesterone, androgens (such as testosterone), and thyroid hormones. 4. Additional tests: If necessary, ultrasound imaging may also be performed to examine ovarian structure, or pituitary MRI to assess pituitary function. If you have any questions or experience discomfort, you should discuss them thoroughly with your doctor.