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20/01/2021

Hormonal profiles

For Members:

  • What are Hormones?
    • Hormones are chemicals/substances that are produced by your body by different glands. These glands are located with different organs, e.g., brain and kidneys.
    • These chemical messengers travel in your bloodstream to tissues or organs to help them perform their function.
    • The hormones have a tremendous effect on body function and processes. They directly affect growth and development, mood, sexual function, reproduction, and metabolism. Any abnormality (increase or decrease) in the hormones can result into different diseases.
    • Hormones are vital to your health and well-being.
  • What are the Indications for Hormonal tests?

Sometimes hormones get out of balance. This can lead to diseases e.g., diabetes, weight gain or loss, infertility, weak bones, and other problems. A specialist in hormones is called an Endocrinologist, who can help you get your body checked and back in balance, if you have a hormone-related condition.

  • What are the common risks/complications?

There are no complications for Hormonal test. It’s a simple test which is conducted on a blood sample.

 For Healthcare Providers:

 

Recommendations:

 

  • All Hormonal Test requests require pre-approval from Nextcare.

 

Laboratory test CPT Clinical Usage
 

 

 

 

 

Metanephrines,

Normetanephrine, Total Metanephrines

  

83835

 

 

 

 

 

 

 

 

 

 

 

81050*

 ·       Metanephrines testing is used to help detect or rule out the presence of a rare tumor called a pheochromocytoma or a paraganglioma that releases excess metanephrines.

·       In cases where unknown causes of headaches, heart palpitations or heavy sweating after other initial basic investigations.

·       Can be approved to diagnose disorders of adrenal gland or to rule out secondary causes of hypertension.

·       Pheochromocytoma or paraganglioma.

·       Disorders of adrenal gland or to rule out secondary causes of hypertension.

* For additional charge for volume measurement.
 

 

 

 

 

Testosterone; total

 84403 ·       Testosterone is an endogenous androgen responsible for normal growth and development of male sex organs/characteristics.

·       Rejected in cases of infertility and erectile dysfunction.

·       Can be approved in cases of menstrual cycle disorder unless related to infertility (polycystic ovarian syndrome (PCOS).

·       In boys with delayed or slowly progressing puberty, Precocious puberty in young boys.
 

 

 

Gonadotropin; Follicle Stimulating Hormone (FSH)

 83001 ·       FSH is an important part of the reproductive system. It’s responsible for the growth of ovarian follicles

·       Menstrual cycle disorders unless related to infertility.

·       To diagnose disorders of pituitary gland or diseases involving the ovaries.

·       In children, delayed or precocious (early) puberty.

·       Infertility in Men, to determine the reason for a low sperm count)
 

 

 

 

Prolactin

 84146 ·       A prolactin (PRL) test measures the level of prolactin in the blood. Prolactin is a hormone secreted by the pituitary gland

·       To diagnose a case of prolactinoma ( a type of tumor of pituitary gland).

·       In cases of menstrual cycle disorders unless related to infertility

·       Galactorrhea

·       In men for decreased libido and/or erectile dysfunction
 

 

Progesterone

 84144 ·       Mainly tested in cases of infertility

·       In cases of Menstrual cycle disorders unless related to infertility.

·       High levels of Progesterone is in cases of ovarian cancer, adrenal cancer, congenital adrenal hyperplasia
 

 

 

Renin

 84244 ·       Renin is a protein (enzyme) released by special kidney cells when there is a decreased salt (sodium) level or low blood volume.

·       Usually is done at the same time as an aldosterone blood test to calculate the renin-aldosterone ratio.

·       To know the cause of high blood pressure
 

 

 

 

Aldosterone

 82088 ·       ALD is a hormone made by the adrenal glands. It affects blood pressure and also regulates sodium (salt) and potassium.

·       In cases to diagnose high blood pressure, orthostatic hypotension, overproduction of ALD, adrenal insufficiency

·       To diagnose fluid and electrolyte disorders caused by heart problems, kidney failure, diabetes insipidus, and adrenal disease.

·       Primary hyperaldosteronism, Secondary hyperaldosteronism & Adrenal insufficiency.
 

 

 

 

Cortisol; free

 82530 ·       In cases such as Addison’s disease and Cushing’s disease, which affect the amount of cortisol the adrenal glands produced.

·       The test is used in the diagnosis of these diseases and as a way to assess the functioning of the adrenal and pituitary glands.

·       Cushing syndrome

·       Adrenal insufficiency

·       Addison disease
 

 

Adrenocorticotropic hormone (ACTH)

 82024 ·       Often done along with a cortisol test to diagnose disorders of the pituitary or adrenal glands:

o   Cushing’s syndrome.

o   Addison disease.

o   Hypopituitarism.

o   Pituitary tumors

o   Acute adrenal crisis

References: