A physician with 23 years of experience answers questions from readers.
Women of this age are overwhelmingly already in menopause, so they don't need to gonadotropins - LH, FSH.
But to assess the level of available hormones correctly: SHBG, estradiol, testosterone, DHEA, progesterone, TSH, prolactin.
This age is characterized by the accumulation of adipose tissue, carbohydrate disorders and, accordingly, the growth of insulin, therefore, the following indicators require attention: insulin, glucose, ALT, AST (adipose tissue can also accumulate in the liver), uric acid.
Next, let's look at what we have with phosphorus-calcium metabolism: in women of mature age, bone fragility increases, bone mineral density decreases and the risk of fractures increases. Usually recommend densitometry after calculations in a special program FRAX.
It is very important here that this study takes place precisely on the basis of radiography. I have already come across the fact that this study is given as a conventional ultrasound. And, alas, in the case of bones, it is not so informative.
Of the tests you need to pass: total and ionized calcium, inorganic phosphorus, 25 (OH) D3, it is also possible to estimate the rate of destruction of the organic continent of bone tissue by passing beta cross laps.
We are all very afraid of oncology, so we need to muster the courage and take tumor markers for the most common tumors once a year. CA-15-3, CA-19-9, CA-125. And in parallel - a must Ultrasound of the small pelvis, mammary glands, abdominal organs. If you knew how many people live happily ever after, because their tumors were detected in the early stages and were successfully operated on, you would not postpone these studies.
You also need to check yourself for iron deficiency anemia, for this we look iron and ferritin.
Cholesterol control is mandatory (lipid profile), which includes total cholesterol, high and low density lipoproteins and triglycerides. Homocysteine same way.
Of course, you need to have at home pressure measuring apparatus and pulse and be sure to use it.
As I have said more than once, taking tests and conducting research is not enough for a healthy life. You need to find a doctor who can interpret all this correctly and prescribe treatment.
Your Doctor Pavlova
