The way we work

Initial analysis

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.

Treatment schedule

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.

Sample findings

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 -

Contact

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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