On initial analysis it is not wise to single out just a few hormones and use them to derive therapeutic consequences, for almost all clinical symptoms may be caused by the most varied of hormone disorders. Assumptions do not help here, only systematic testing in as comprehensive a way as possible.
A good example is effluvium in women: the cause may be dysthyreosis, absolute or relative oestrogen deficiency, hyperandrogenaemia (including elevated DHT) or an iron or micronutrient deficiency.
If costs are a determinant upon initial analysis, certain parameters should be specifically removed from the basic programme, if justifiable.
Depending on the treatment, the relevant target parameters should first be monitored after 3 to 4 weeks, and every 6 to 12 weeks after dose adjustment.
We keep blood samples for up to 5 weeks to enable follow-up tests, as necessary, without having to take more blood.
Below you can see two potential standard endocrinological modules for a woman and a man, with additional modules depending on the symptoms. These are of course only suggestions, and each case is considered individually.
| Female hormone profiles | |
| BASIC screening | LH, FSH, E1, E2, Prog, fT, DS, Prol, TSH – 2x serum |
| Androgenisation, PCO, alopecia, acne, adiposis | BASIC screening + DHT, androstendione, DHEA, SHBG, leptin, glucose, insulin – 2x serum, 1x EDTA |
| Osteoporosis | BASIC screening + Crosslaps – 2x serum |
| Tumour markers | CA 125, CA15-3, CA19-9, CEA – 2x serum |
| Male hormone profiles | |
| BASIC screening | LH, FSH, FT, DHT, DS, DHEA, cortisol, androstendione, E1, E2, SHBG, TSH – 2x serum |
| Tumour markers | TSH, CEA, CA 19-9 – 2x serum |
| Male and female hormone profiles | |
| Depression, sleep disorders | BASIC screening + serotonin and melatonin – 2x serum, 1x serum tube centrifuged and kept refrigerated until dispatch |
| Androgenisation, PCO, alopecia, acne, adiposis | BASIC screening + DHT, androstendione, DHEA, SHBG, leptin, glucose, insulin – 2x serum, 1x EDTA |
| Stress, loss of vitality, impaired memory, anti-aging | BASIC screening + cortisol, IGF-1, pregnenolone – 2x serum |
| Anti-aging | BASIC screening + IGF-1, BP3, melatonin, serotonin, leptin, pregnenolone – 2x serum, 1 serum tube centrifuged and kept refrigerated until dispatch |
| CHD risk factors | omocysteine, lipoprotein a, cholesterol, BL, LDL, HDL/LDL ratio, triglycerides, HbA1c |
| Thrombophilia screening prior to contraceptives | Protein C, protein S, ATIII, APC resistance, lupus administration in pregnancy, antibodies for miscarriage, factor 5 Leiden, factor 2, PA-I, MTHFR - |

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Hormon Zentrum München
Clinic for fertility medicine & endocrinology
Westendstraße 193 – 195
80686 Munich
Phone: +49. 89. 547041-0
Fax: +49. 89. 547041-34
info@hormonzentrum.de