Hormonal Disorders

The most common hormone disorders in a female are PCOD, hypo or hyper thyroidism, elevated prolactin.THE LESS COMMON ONES are HYPOPITUITARISM, DISORDERS OF ADRENAL GLAND ( adrenal insufficiency or cushing’s syndrome), tumors of the pituitary gland.

• Blood tests are done as per the specific condition suspected.
• OTHER rare tests that may be required to rule out these would be Ultrasound , CT scan or MRI scan.

Diagnosis of PCOS/PCOD

How to diagnose pcos?

2 of the below 3 criteria need to be present in a woman to diagnose pcos:

1. Oligo or anovulation ( infrequent/delayed periods with no ovulation)

2. Clinical and or biochemical hyperandrogenism ( raised androgen levels in blood and or abnormal /excessive male pattern hair growth, acne, male type of baldness/hair loss)

3. Polycystic ovaries on ultrasound

Tests for Evaluation of PCOS.

• Day 2 or 3 Pelvic scan – to diagnose polycystic ovaries.
• Day 2 or 3 serum FSH and LH levels – RAISED LH TO FSH ratio of 3 or more is indicative of PCOD AMH – elevated levels suggest the possibility and severity of PCOD.
• Fasting insulin levels – Elevated levels suggest insulin resistance.
• Fasting and post lunch blood glucose levels – Elevated levels suggest diabetes.
• Lipid profile – for elevated cholesterol and triglycerides.
• Serum androgens – testosterone, DHEAS and androstenedione.