Menopause PLUS package
Women entering menopause go through significant physiological changes that can affect the cardiovascular, endocrine, reproductive and bone systems, and even mental health. Therefore, a comprehensive systematic review for (peri)menopause that will cover key aspects of women's health is extremely important.
LABORATORY DIAGNOSTICS
Laboratory tests are crucial for assessing hormonal status, metabolic parameters and general health. Recommended searches include:
- AMH (anti-Müllerian hormone): refers to ovarian reserve, which is important in early menopause for women who want to get pregnant, for example.
- Thyroid hormones (TSH, fT3 and fT4): rule out thyroid disorders that may have similar symptoms to (peri)menopause.
- Fasting glucose and insulin and postprandial glucose and insulin (after 120 min), HbA1c: to assess the risk of type 2 diabetes, which can increase during (peri)menopause due to hormonal changes.
- Lipidogram (cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides): due to increased risk of cardiovascular diseases.
- Vitamin D: important for bone health because a decrease in estrogen increases the risk of osteoporosis.
- Serum magnesium (Mg) and calcium (Ca): important for assessing bone health.
- KKS, iron (Fe), AST, ALT, GGT, bilirubin, urea, creatinine: tests important for health in general.
- HsCRP (so-called High Sensitivity C-reactive protein): a marker of inflammation, but helps to assess the risk of cardiovascular diseases.
- Vitamins B6 and B12 and folic acid: important for the functioning of the nervous system and metabolism in general.
- Tumor markers: CA 125, HE-4, ROMA index (pre and/or postmenopause), CEA, CA 19-9 and CA 15-3.
COMPLETE GYNECOLOGICAL CHECK-UP
A gynecological examination includes a series of tests and evaluations to assess the reproductive health of a woman in (peri)menopause:
- Clinical examination by a gynecologist (including evaluation of vaginal dryness and atrophy): a common symptom in (peri)menopause that may require therapy.
*If necessary, treatment with PRP and radiofrequency is possible for an additional charge.
- PAP smear: cervical cancer screening should be performed regularly.
- Pelvic ultrasound: assessment of the thickness of the endometrium, changes in the ovaries and exclusion of pathologies.
- Personalized consultation on menopause symptoms: Counseling on possible therapies, including hormone replacement therapy (HRT) if necessary, and recommendations for further targeted diagnostic and specialist examinations, depending on each woman individually (e.g. urologist for frequent urinary incontinence, neurologist, physiatrist, physical therapy, dermatologist or psychologist).
ENDOCRINOLOGIST EXAMINATION
(Peri)menopause directly affects the endocrine system, therefore an endocrinologist's examination is crucial, and includes:
- Assessment of hormonal balance: a more detailed examination of the thyroid, adrenal glands and the risk of developing insulin resistance and stress.
CARDIOLOGIST EXAMINATION
Decreased estrogen levels can increase the risk of cardiovascular disease. Complete cardiologist includes:
- ECG: to assess heart function.
- Blood pressure measuring: regular measurement is necessary due to the increased risk of hypertension.
- Ultrasound of the heart: a more detailed assessment of heart health and cardiac function.
RADIOLOGY DIAGNOSTICS
Performing radiological diagnostic examinations for the purpose of early detection of various diseases or conditions that often occur during (peri)menopause:
- Breast ultrasound or mammography: screening for breast cancer is necessary, especially due to the increased risk in (peri)menopause.
- Whole body densitometry: to assess bone density and detect osteoporosis, due to the increased risk in (peri)menopause for bone changes.
- Abdominal ultrasound: useful if the patient has abdominal pain or digestive problems.
- Color Doppler Flow Imaging (CDFI) of the carotid and vertebral arteries: can help assess the risk of atherosclerosis and stroke.
NUTRITION EXAMINATION
Nutritional advice helps maintain a healthy body weight and prevent diseases associated with (peri)menopause:
- Diet rich in calcium and vitamin D: for the prevention of osteoporosis.
- Heart health: a diet rich in fiber, protein, omega-3 fatty acids and with a reduced intake of saturated fat.
- Weight control: during (peri)menopause, there are changes in metabolism that often lead to weight gain, so it is important to adjust your diet.
- Measurement of body weight and height: for the purpose of calculating the body mass index (BMI) which is closely related to the amount of excessive fat tissue in the human body.
