PCOS PCOD Hormones Screening ADVANCE with AMH, Progesterone (38 Tests)
Also Known As
Test Parameters Included
- Hemogram Complete Blood Count (28 Tests)
- Thyroid Profile-I (3 Tests)
Triiodothyronine (T3) - Thyroxine (T4)
- Thyroid-Stimulating Hormone (TSH)
- Hormone Profile (7 Tests)
Anti Mullerian Hormone (AMH) - Follicle Stimulating Hormone (FSH)
- Luteinising Hormone (LH)
- Prolactin (PRL)
- Estradiol / Estrogen (E2)
- Progesterone (P2) - Serum
- Testosterone - TOTAL
- Metabolic Profile (2 Tests)
Insulin Fasting - Glucose - Fasting
Department
Methodology
This package utilizes a combination of advanced and precise laboratory techniques:
* Automated Cell Counter: This technology is used for the Hemogram (Complete Blood Count), providing rapid and accurate counts of red blood cells, white blood cells, and platelets, along with other parameters, to assess general health.
* Chemiluminescence Immunoassay (CLIA): CLIA is a highly sensitive and specific immunoassay method used for the accurate measurement of hormone levels (AMH, FSH, LH, Prolactin, Testosterone, Estradiol, Progesterone), as well as thyroid-stimulating hormone (TSH) and insulin.
* Enzymatic methods for glucose: This is a standard and accurate method for measuring fasting glucose levels in the blood.
Sample Required
To perform this comprehensive package, a single blood collection will be separated into three different tubes:
* EDTA: For the Hemogram (Complete Blood Count).
* Serum: For the hormonal, thyroid, and other tests.
* Na Fluoride: For the Glucose and Insulin tests, as it prevents the breakdown of glucose in the sample.
Preparation
#2) Test timing: The timing of the test is crucial for certain hormones. It is generally recommended to get the blood drawn on the 2nd or 3rd day of your menstrual cycle, unless otherwise instructed by your doctor, particularly for FSH, LH, and Estradiol. Progesterone is often measured around day 21 to confirm ovulation.
#3) Inform your doctor: Please inform your doctor about any medications you are taking, including oral contraceptives, as these can affect hormone levels.
#4) Avoid strenuous exercise: Strenuous physical activity can affect hormone levels. Avoid exercising on the day before and the morning of the test.
#5) Standard blood draw: A trained phlebotomist will collect a blood sample via a standard venipuncture.
Schedule Report
24-36 Hours
Emergency Report
Yes
Frequently Asked Questions
How is this "ADVANCE" package different from the "BASIC" package?
The ADVANCE package includes two additional critical markers: Anti-Mullerian Hormone (AMH) and Progesterone, which provide a more detailed assessment of ovarian reserve and ovulation status.
What is Anti-Mullerian Hormone (AMH)?
AMH is a hormone produced by the follicles in the ovaries. High AMH levels are a strong indicator of PCOS and can also be used to assess ovarian reserve.
Why is Progesterone tested in this package?
Progesterone levels rise after ovulation. By testing Progesterone, especially around day 21 of the menstrual cycle, doctors can confirm if ovulation has occurred.
What is the significance of the LH:FSH ratio?
A high LH:FSH ratio (typically >2:1 or >3:1) is a classic indicator of PCOS, as it suggests the hormonal imbalance that can disrupt ovulation.
Why is the timing of the test important?
Hormones like FSH and LH fluctuate throughout the menstrual cycle. Testing on the 2nd or 3rd day provides a standardized baseline. Progesterone is best tested in the luteal phase (e.g., day 21).
What does elevated testosterone mean?
Elevated testosterone levels are a key sign of androgen excess in PCOS, which can lead to symptoms like acne, hirsutism, and male-pattern hair loss.
Do I need to fast before the blood test?
Yes, you must fast for at least 8 to 10 hours for the accurate measurement of fasting glucose and insulin levels.
Does this package confirm a diagnosis of PCOS?
The results of this package, when combined with a pelvic ultrasound and a physical examination, are used to meet the diagnostic criteria for PCOS, such as the Rotterdam criteria.
Why are insulin and glucose tested?
Many patients with PCOS have insulin resistance, which can lead to weight gain and an increased risk of developing type 2 diabetes. Fasting glucose and insulin levels help to screen for this.
What if my thyroid levels are abnormal?
Abnormal thyroid levels can cause symptoms similar to PCOS. If your thyroid profile is abnormal, your doctor will likely investigate and treat the thyroid condition.
Is this test suitable for women who are trying to conceive?
Yes, this package is especially useful for women trying to conceive, as the inclusion of AMH and Progesterone provides valuable insights into ovarian function and ovulation.
What are the common symptoms of PCOS?
Common symptoms include irregular periods, excess body hair (hirsutism), acne, weight gain, and difficulty with fertility.
What is the turnaround time for the results?
The report is typically available within 24 hours.
Is the Progesterone test reliable for confirming ovulation?
Yes, a serum Progesterone level above a certain threshold (typically 3 ng/mL) in the mid-luteal phase of the cycle is a strong indicator that ovulation has occurred.
Can I get this test done without a doctor's prescription?
It is highly recommended to get this test done under a doctor's guidance. A doctor is essential to interpret the complex results and determine the appropriate treatment plan.
Test Description
Test Code
C95,P14,A60,PF7,PT4,I07,G04
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