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Diagnostic Centre in Bandra


Sept 01, 2020


Blood Test for Menopause

A woman is defined as postmenopausal from 1 year after her last period. The mean age for menopause reported in India ranges from 41.9 to 49.4 years as compared to there western counterpart with 51years. According to the Indian National Family Health Survey (NFHS-3)3, about 18 per cent married women in the age group of 30-49 yr had reached menopause in 2005-2006. Thus, early menopause has been raised as cause of concern that requires reliable diagnosis and treatment and / or management. Thus, this profile is not designed for every women but for females with menopausal symptoms who may have premature ovarian failure, or risk of other health complications like osteoporosis. 

 

Menopause is the end of a woman's menstrual cycles. The term can describe any of the changes you go through just before or after you stop having your period, marking the end of your reproductive years. And it can still be years before your last menstrual period. Some common, normal signs include irregular periods, hot flashes, vaginal dryness, sleep disturbances, and mood swings—all results of unevenly changing levels of ovarian hormones (estrogen) in your body. Read more about how you'll know you're near menopause.

 

In the months or years leading up to menopause (perimenopause), you might experience these signs and symptoms:

  • Irregular periods.
  • Vaginal dryness.
  • Hot flashes.
  • Night sweats.
  • Sleep problems.
  • Mood changes.
  • Weight gain and slowed metabolism.

Test included

  • E2 (Oestradiol)
  • Free T4,Free T3,TSH
  • FSH (Follicle Stimlating Hormone)
  • LH (Leutinizing Hormone)
  • Progesterone
  • Total Testosterone
  • Free Testosterone
  • DHEAS
  • Vitamin D

E2 (Oestradiol)
Oestradiol (E2) is the form of estrogen made majorly by the ovaries in the pre-menopausal women. Thus the test measures the level of the hormone in serum to asses menopause via functioning of ovaries. In menopausal women the E2 levels are generally less than 126.6 pmol/litre while more than the said value shows reduced possibility of being menopausal. The marker however is not conclusive and must be considered in response to other supportive test. 

Oestradiol (E2) is the form of estrogen made majorly by the ovaries in the pre-menopausal women. Thus the test measures the level of the hormone in serum to asses menopause via functioning of ovaries. In menopausal women the E2 levels are generally less than 126.6 pmol/litre while more than the said value shows reduced possibility of being menopausal. The marker however is not conclusive and must be considered in response to other supportive test. 

Free T4, Free T3, TSH
The thyroid profile test is done to evaluate function of thyroid gland that may deteriorate with age, at menopause and produce symptoms similar to menopause. 

FSH 
Follicle stimulating hormone rises during transition phase thus, its serum levels can help identify if the woman is approaching, transitioning, or has gone through menopause. 

LH (Leutinizing Hormone) Leutinizing hormone is produced by pituitary gland to stimulate ovaries for ovulation. LH elevates due to non responsive ovaries post menopause. 

Progesterone
Progesterone levels decrease in most menopausal women. 

Total Testosterone and 7. Free Testosterone
Most testosterone tests are insensitive for assessing low levels of testosterone, such as may be found in pre-menopausal women with testosterone deficiency.

DHEAS
Dehydroepiandrosterone sulfate (DHEAS) is an androgen, present in both male and female. This test measures the level of DHEAS in the blood. DHEA-S levels in women have been associated with depressive symptoms during the menopausal transition and osteoporotic fracture in post menopausal women. 

Vitamin D
Vitamin D plays a pivotal role in maintaining skeletal health. Growing research evidence suggest vitamin D deficiency associated with other than skeletal manifestation including cardiovascular disease, infection, diabetes, neurodegeneration, cancer etc. Since post menopausal women are more prone to many of these lifestyle disorders along with osteoporosis, vitamin D deficiency may be a health risk. A European Menopause and Andropause Society (EMAS) recommended daily administration of vitamin D for post menopausal women of 71 years of age or older. 


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Obesity Panel Test for Health Check Up

Obesity is a disease characterized by excessive body fat. People who are medically obese usually are affected by behavior, genetic and environmental factors that are difficult to control with dieting. Obesity increases the likelihood of certain diseases and other related health problems like diabetes and hypertension. This profile identifies obesity and risk factors associated with obesity. 

 

An obesity screening may use a measurement called a BMI (body mass index) and other tests to find out if you or your child is overweight or has obesity. The most commonly used scale that health care providers use to diagnose obesity is called the body mass index, or BMI. 

Test included

Obesity 
is a disease characterized by excessive body fat. People who are medically obese usually are affected by behavior, genetic and environmental factors that are difficult to control with dieting. Obesity increases the likelihood of certain diseases and other related health problems like diabetes and hypertension. This profile identifies obesity and risk factors associated with obesity.

 

Blood Sugar Fasting
Obesity is associated with diabetes and hypertension. Studies have found that at least 1 in 3 patients with type 1 diabetes also have hypertension3. When hypertension and diabetes co-exist, the effects of one disease tend to make the other worse. This makes for a deadly combination.


As Hypertension and diabetes generally coexist because they share similar risk factors, including being overweight, following an unhealthy diet, and living an inactive lifestyle, this test is done to determine if your blood glucose level is within a healthy range.

Calcium
Calcium is the most abundant and one of the most important minerals in the body. It is essential for cell signalling and the proper functioning of muscles, nerves, and the heart. Calcium is needed for blood clotting and is crucial for the formation, density, and maintenance of bones and teeth. This test measures the amount of calcium in the blood or urine, which reflects the amount of total and ionized calcium in the body.

 

Creatinine
Creatinine is a waste product produced by muscles from the breakdown of a compound called creatine. Creatinine is removed from the body by the kidneys, which filter almost all of it from the blood and release it into the urine. This test measures the amount of creatinine in the blood and/or urine and evaluates the health of the kidneys by identifying any damage to or swelling of blood vessels in the kidneys.

Electrolytes
Electrolytes are minerals that are found in body tissues and blood in the form of dissolved salts. This test is used to identify an electrolyte, fluid, or pH imbalance (acidosis or alkalosis) due to conditions like dehydration, kidney disease, lung diseases, or heart conditions.

Lipid Profile
Lipids are fats and fat-like substances that are important parts of cells and sources of energy. A lipid test measures the level of specific lipids in blood to help assess the risk of cardiovascular disease (CVD).

Phosphorous
Phosphorus is a mineral that combines with other substances to form organic and inorganic phosphate compounds. The terms phosphorus and phosphate are often used interchangeably when talking about testing, but it is the amount of inorganic phosphate in the blood that is measured with a serum phosphorus/phosphate test. This test is done to evaluate the level of phosphorus in your blood and to aid in the diagnosis of conditions known to cause abnormally high or low levels of phosphorus

Serum Cortisol
Cortisol is a hormone that plays a role in the metabolism of proteins, lipids, and carbohydrates. It affects blood glucose levels, helps maintain blood pressure, and helps regulate the immune system. Most cortisol in the blood is bound to a protein; only a small percentage is "free" and biologically active. Free cortisol is secreted into the urine and is present in the saliva. This test measures the amount of cortisol in the blood.

 T3+T4+TSH
A group of tests that may be ordered together to help evaluate thyroid gland function and to help diagnose thyroid disorders. The tests included in a thyroid panel measure the amount of thyroid hormones in the blood. These hormones are chemical substances that travel through the blood and control or regulate the body's metabolism—how it functions and uses energy. Usually includes:
• TSH (thyroid-stimulating hormone) – to test for hypothyroidism, hyperthyroidism and to monitor treatment for a thyroid disorder
• Free T4 (thyroxine) – to test for hypothyroidism and hyperthyroidism; may also be used to monitor treatment
• Free T3 or total T3 (triiodothyronine) – to test for hyperthyroidism; may also be used to monitor treatment This test helps evaluate thyroid gland function and to help diagnose thyroid disorders. 

Uric Acid
Uric acid is produced by the breakdown of purines. Purines are nitrogen-containing compounds found in the cells of the body, including the DNA. Higher than normal uric acid levels in the blood is called hyperuricemia and can be caused by producing too much uric acid in the body or the inability of the kidneys to adequately remove enough uric acid from the body.

Urine Routine
This test measures the levels of bilirubin in your urine. Bilirubin is a yellowish substance made during the body's normal process of breaking down red blood cells. Bilirubin is found in bile, a fluid in your liver that helps you digest food. If the liver is healthy, it will remove most of the bilirubin from the body but if the liver is damaged, bilirubin can leak into the blood and urine indicating liver disease. 

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