测定女性性激素6项的常识及临床意义（General knowledge and clinical significance of 6 items of female sex hormones）.docVIP

测定女性性激素6项的常识及临床意义（General knowledge and clinical significance of 6 items of female sex hormones） General knowledge and clinical significance of 6 items of female sex hormones Determination of endocrine hormone of Obstetrics and gynecology at present there is no unified, complete, and because the source of various reagents, determination method, the calculation of the data, using the different units, even though the same hormone samples, the laboratory results are not the same. The hormone check reference value is refers to the domestic and foreign various professional books, magazines and other information compiled, hoping to provide a useful reference for colleagues. I. General knowledge of sex hormones Sex hormones (including progesterone and estrogens) should not be used for at least one month prior to the examination of basal sex hormones. Otherwise, the results are unreliable (except for sex hormones after treatment). Sex hormones can be checked at any time during menstruation, with normal values at each time interval. However, the diagnosis and treatment of infertility must understand the basis of sexual hormone levels, first of all choose menstruation second to 5 days of examination, referred to as the basis of hormone levels, third days, the best determination. Determine the menstruation third days, check the sex hormone 5 can, can not check the progesterone, progesterone should be checked during the luteal phase (menstruation 21 days or 7 days after ovulation); but not sure whether menstrual vaginal bleeding, should check 6, to prevent misdiagnosis (according to P data can probably determine the menstrual cycle time). Oligomenorrhea or amenorrhea, such as negative urine pregnancy test, vaginal ultrasound examination no more than 10mm of bilateral ovarian follicles, EM thickness is less than 5mm, can be used as the basis of state. Basic hormone laboratory we should look at this: 5 ~ 10IU/L normal value based LH and FSH, 25 ~ 50pg/ml normal value based E2 (th