- demonstrates possible insulin resistance and is useful in the diagnosis of polycystic ovaries
- provides an indication of ovarian reserve
- assesses the level of oestrogen within the body
- abnormal levels may interfere with ovulation
- high levels within the blood may indicate polycystic ovaries
- recommended if abnormal testosterone levels are suspected to assist with diagnosis
- abnormal levels could indicate menstrual issues and may affect egg production within the ovaries
- abnormal levels may indicate an issue with the ovaries producing and releasing eggs
- rises in progesterone level 8 days after ovulation confirms that ovulation probably occurred
- further investigation into suspected under or overactive thyroid glands
- indicates thyroid gland issues
- one combined test to check the levels of several different hormones
- includes tests to determine underlying factors that may cause recurrent pregnancy failure
- one test to measure several different hormones that may indicate polycystic ovaries
- a high level of CA125 within the blood could indicate underlying ovarian cancer
Glucose Tolerance Test
Anti-Mullerian Hormone (AMH)
Sex Hormone Binding Globulin (SHBG)
Follicle Stimulating Hormone (FSH)
Lutenising Hormone (LH)
Thyroid Stimulating Hormone (TSH)
Polycystic Ovary Profile
Generally with the NHS you will only be offered an antenatal scan at the end of your first trimester - around 12 weeks. This can be an anxious time for many parents-to-be but even more so for those who have had a previous miscarriage or ectopic pregnancy, or have any concerns with the current pregnancy such as spotting. From around 6.5 weeks you can usually detect a foetal heartbeat and an early pregnancy scan performed at this stage may offer you the reassurance that everything is developing as it should be.
CA125 is a protein which is sometimes found within the blood and is caused by certain types of ovarian cancer cells. A high level of CA125 could therefore indicate the presence of ovarian cancer.
A test for CA125 levels may be recommended in conjunction with a scan to check the ovaries and assess your risk level. This is often requested by patients themselves who would like a reassurance test or recommended to those who have a higher than average risk of developing ovarian cancer.
Mr Curtis is able to organise a wide range of blood tests to investigate and diagnose potential conditions and to monitor hormone levels. Some common tests that may be performed are as follows:
During a transvaginal scan a sterile probe is inserted into the vagina which projects images back to a monitor of the internal organs such as the uterus, ovaries and endometrium. This assists in diagnosing potential issues.
This scan is performed in the same way but is specifically looking at the development of follicles and other factors related to possible conception, such as the endometrial thickness (lining of the womb). This scan is most commonly performed for patients who have been prescribed medication to aid in fertility such as Clomiphene (Clomid).
The purpose of this test it to assess your body's response to a large dose of glucose and in particular, on the effect that this has on your insulin levels. This test is commonly performed when it is thought that the patient may have polycystic ovaries.
The test itself involves having a sample of blood taken after you have fasted from the night before, then consuming a special drink before having further bloods taken 2 hours later. This helps to show how your body has responded and whether it has managed to maintain glucose levels as close to normal as possible.
A cervical smear is performed to check the health of the cervix by testing a sample of cells taken during the test. Abnormal cell changes are known as dyskariosis and act as early warning signals that cervical cancer might develop in the future if left untreated.
If only mild changes are detected you may simply be kept under observation for a period of time and asked to have a repeat smear in a few months. If the changes are more severe then you may be referred for further investigation in the form of a colposcopy. Mr Curtis is an accredited Colposcopist who can perform this examination, along with further treatment if it is required, even if he did not perform your original smear test. Please click here for more information about colposcopy and treatment.