At gynxtra, diagnostics are never a standard step. Your physician recommends one of four profiles only when the result would genuinely change how your situation is understood or treated. Current and relevant medical records will be taken into account.
A single value rarely says much on its own, and hormone levels swing widely during perimenopause. Your physician decides in the initial consultation whether measuring would actually sharpen the picture.
Each profile answers a different question. Your physician puts together what fits your situation, a single profile or a combination. The scope and costs will be discussed with you in advance.
your cycle is becoming irregular, hot flushes, sleep or mood are changing, or hormone therapy is planned or already under way.
Estradiol (E2), FSH, LH, Progesterone (only meaningful in the second half of the cycle), Testosterone, SHBG, TSH (thyroid)
fatigue, brain fog or joint pain persist without a clear cause and a broader look is warranted.
Full blood count, Ferritin, Vitamin D, Vitamin B12, TSH (thyroid), blood lipids, inflammatory markers
you are gaining weight although your diet and activity have not changed, or medical weight management is being considered.
HbA1c, fasting glucose and insulin (HOMA index), blood lipids, liver values, TSH (thyroid)
medication is planned or already under way, and liver and kidney values are needed as a baseline or for monitoring over time.
GPT (ALAT), GOT (ASAT), GGT, Bilirubin, Creatinine, eGFR
There are two ways to have your blood taken: at a laboratory near you, or with a test kit at home. Which one suits you is something your physician discusses with you in the initial consultation.
All four profiles require a blood sample.
Whether the kit covers your profile is your physician's call.
The scope and costs will be discussed with you in advance, before any further step begins.
Your physician chooses the profile that fits your situation, or decides against testing altogether.
At a laboratory near you, at your GP's practice, or with a test kit at home. You agree the route with your physician. Recent findings you already have can be uploaded directly.
Your physician reviews and interprets the values before you see them, so you are never left with raw numbers and no context.
In a dedicated 1:1 video consultation you go through your values and receive your treatment plan. The results consultation is part of the diagnostics you agreed and is not charged separately.
Your physician releases your values in the results consultation and explains what they mean. They then stay available in your patient area, with that context attached rather than as bare numbers.
Values are never made visible automatically. Your physician releases them in the results consultation, so you are not left to interpret them on your own.
If your physician sees a medical reason for it, a repeat test is arranged. You then see the change against your baseline.
Within the target range, unusual, or relevant to your plan, each with a short note on what the value means.
The pre-check takes two minutes and tells you whether this approach suits you. After that you choose a time for your medical initial consultation.
The questions that come up most often before the initial consultation. Anything beyond them you discuss directly with your physician.
All questions and answersIf further assessment is appropriate, your physician may recommend targeted diagnostics. Current and relevant medical records will be taken into account.
Your physician recommends targeted diagnostics only when they are medically indicated. The scope and costs will be discussed with you in advance.
Not for the hormone panel. You only need to fast (8 to 12 hours without food, water only) if fasting glucose and insulin are being measured. Ideally, have your blood taken in the morning and stop any biotin supplements 3 days beforehand. If you use a hormone gel, have your blood taken at a lab or by your physician rather than with a home test kit, and not from the arm you apply it to. Your physician will go through the exact preparation with you beforehand.
Your physician reviews and interprets the values first. They are released in the results consultation, together with what they mean and your treatment plan.
Beforehand you fill in a medical history questionnaire at your own pace and upload any prior findings to your patient area. Your physician reviews everything before the call. You use the one-to-one video consultation to look ahead: your physician puts your situation into context and recommends whether, and which, diagnostics make sense.
The initial consultation is also suitable for reviewing and optimising an existing hormone therapy. Please indicate in the questionnaire which preparations you are currently taking.
Not automatically. Your physician only recommends therapy when medically indicated. Some patients benefit from lifestyle interventions or other measures. Your health and safety come first.