性激素六项的意义（The significance of the six sex hormones）.docVIP

性激素六项的意义（The significance of the six sex hormones） Clinical significance of six sex hormones Follicular phase test: Serum sex hormones are measured within 2~3 days of the menstrual cycle, with the aim of understanding the underlying state of the ovary. And the content of the examination is all six, indispensable. Because each sex hormone can reflect different situations. If the follicle stimulating hormone (FSH) is too high, indicating that the ovarian reserve function is poor, then you can first use drugs to increase ovarian reserves, to protect the hormone receptor in the ovary; If estradiol (E2) is too high, consider that the patient may have residual follicles, suggesting that ovulation treatment is not appropriate; If luteinizing hormone (LH) is too high, it will affect the quality of follicles, follicular energy decreased, abortion rate increased, may be down LH treatment; Such as prolactin (PRL) is too high, but also affect ovulation and luteal function, and then mainly treated with bromocriptine can be symptomatic; Such as testosterone (T) is too high, will affect the development of ovarian follicles, resulting in numerous small follicular competitive retardation or not developed. If the FSH, LH, and E2 are too low, it may be hypothalamic pituitary hypofunction, which may be treated with gonadotropin replacement therapy. Clinical significance of six hormones 1 estradiol (E2): E2 is the most active female hormone, mainly from the ovarian follicles and placenta, a small amount from the adrenal gland and testis. Serum E2 measurement is a useful indicator of the evaluation of menstrual abnormalities: Such as puberty, premature or delayed, primary or secondary amenorrhea, premature ovarian failure and so on. In infertile women, serum E2 monitoring is used to monitor ovulation induction and subsequent treatment, As with clomiphene and LH releasing hormone (LHRH) or exogenous gonadotropin treatment is very useful. During in vitro fertilization (IVF), the ovaries ar