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What Are The Necessary Hormonal Tests To Undergo Post A Oophorectomy?
Question: Hi doctor I just had a quick question. My mother in law is 52 years old and she had her ovaries removed about 10-12 years ago. She hasn't had any hormone tests in a very long time. We went to visit a gynacologist here in South XXXXXXX and she gave us a form of the hormonal tests she would need to do. However what happened was that the form got misplaced and we can't get through the doctor and wel need to do the tests tomorrow early morning. I vaguely remember there was FSH LH progesterone LH and TSH as she has underactive thyroid. I can't remember if there was other tests if u can tell me if any other tests need to be conducted. I don't know if she would need a prolactin I can't remember if it was on the form ? Pls help. Urgent
Brief Answer:
answered
Detailed Answer:
Hello,
thanks for the query to HCM,
If she just had her ovaries removed and not the uterus and tubes , then one can be sure that oestrogen is bound to be less and deficient. Ideally she should get a complete hormonal profile with SERUM ESTRADIOL, SERUM PROGESTERONE, FSH, LH, T3,T4,TSH, SERUM PROLACTIN, DHEAS levels.
If the uterus has not been removed then an ultrasound pelvis should be needed to check for endometrial thickness as well, and if she is being considered for HRT or hormone replacement therapy then oestrogen and progesterone both would have to be added rather than oestrogen alone ( as in cases of hysterectomy as well).
Regards
answered
Detailed Answer:
Hello,
thanks for the query to HCM,
If she just had her ovaries removed and not the uterus and tubes , then one can be sure that oestrogen is bound to be less and deficient. Ideally she should get a complete hormonal profile with SERUM ESTRADIOL, SERUM PROGESTERONE, FSH, LH, T3,T4,TSH, SERUM PROLACTIN, DHEAS levels.
If the uterus has not been removed then an ultrasound pelvis should be needed to check for endometrial thickness as well, and if she is being considered for HRT or hormone replacement therapy then oestrogen and progesterone both would have to be added rather than oestrogen alone ( as in cases of hysterectomy as well).
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok thanks so much doctor for your response.
One more thing doctor I went to the gyna for myself as I'm pregnant and she did the scan and Alhamdullilah everything seems normal. She asked me to do a few tests including thalessmia for me and my partner as he's father was a thalessmia carrier. I wanted to ask if he did have thalessmia could it cause any harm to the baby?
Also,
I have an eye problem where my right eye cornea is very very thin and with pressure it can rupture. I was thinking with the pressure of delivery going to the eye I was scared it could cause my eye to rupture, would it be advisable to do a c section instead?
Thank you
One more thing doctor I went to the gyna for myself as I'm pregnant and she did the scan and Alhamdullilah everything seems normal. She asked me to do a few tests including thalessmia for me and my partner as he's father was a thalessmia carrier. I wanted to ask if he did have thalessmia could it cause any harm to the baby?
Also,
I have an eye problem where my right eye cornea is very very thin and with pressure it can rupture. I was thinking with the pressure of delivery going to the eye I was scared it could cause my eye to rupture, would it be advisable to do a c section instead?
Thank you
Brief Answer:
answered
Detailed Answer:
Hello,
Regarding thalassemia , one has to be that minor/ carrier or major. If both of you are thalassic then your child can be thalassemic major else he too can be a carrier depending on the gene which translocates from father , if he is thalassic carrier too.
Nextly for thickness of cornea, unless you have raised intra-ocular pressure , which usually is not seen during delivery unless your blood pressure is really high, corneal rupture is not a possibility.
Regards
answered
Detailed Answer:
Hello,
Regarding thalassemia , one has to be that minor/ carrier or major. If both of you are thalassic then your child can be thalassemic major else he too can be a carrier depending on the gene which translocates from father , if he is thalassic carrier too.
Nextly for thickness of cornea, unless you have raised intra-ocular pressure , which usually is not seen during delivery unless your blood pressure is really high, corneal rupture is not a possibility.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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