This check-up is recommended for all women with suspected or diagnosed polycystic ovaries who want to make use of a multidisciplinary team to diagnose and address the underlying pathology. The multispecialist approach provides a global evaluation of the full range of symptoms and alterations related to the disease, such as menstrual irregularities, infertility, acne, hypertrichosis (increased hair) and alopecia (hair loss).
Times and methods
The check-up take place over two mornings. At the first appointment blood is drawn for lab work. At the second appointment, the patient undergoes specialist and instrumental examinations.
The lab work and examinations include:
- Blood tests (to be performed between the second and fourth day after the onset of menstruation)
– for normal weight women: glycemia, basal insulinemia, FSH, LH, 17betaestradiol, prolactin, SHBG, DHEAS, delta4androstenedione, total testosterone, 17OHprogesterone, sodium, potassium, TSH, CBC, Creatinine, GOT, GPT, total cholesterol, HDL, PT, triglycerides , PT, INR, homocysteinemia (for normal weight women)
– for overweight or obese women: FSH, LH, 17betaestradiol, prolactin, SHBG, DHEAS, delta4androstenedione, total testosterone, 17OHprogesterone, sodium, potassium, TSH, blood count, Creatinine, GOT, GPT, total cholesterol, HDL, triglycerides, PTT, PT , INR, homocysteinemia; Blood glucose curve (blood sugar at times 0 ‘, 30', 60 ‘, 90', 120 ‘); Insulinemic curve (insulinemia at times 0 ‘, 30', 60 ‘, 90', 120 ‘)
- Gynecological examination
- Transvaginal pelvic ultrasound (alternatively, supra-pubic ultrasound on request)
- Dermatological examination
- Integrated endocrinological examination
If the patient already has blood test results, she can request to skip the first appointment and bring the results to her appointment for the specialist and instrumental examinations.
Days and times
Check-ups can be booked for any day between Monday and Friday. On Thursdays, the unit organizes the schedule for second visits.