What should I do if the six hormone tests are abnormal on the third day of the menstrual cycle?

Patient's question:

Since September 2016 to the present, in chronological order: 2 periods with very little bleeding, dark-colored menstrual blood; 10 periods with heavy bleeding, very large blood clots (the size of a thumb); On the 3rd day of the most recent period, a six-hormone test was conducted, and that period had relatively light bleeding, bright red in color

Doctor's answer:

Hello, sex hormone testing should be done on days 3-5 of the menstrual period (during menstruation) with fasting blood draw for the six sex hormone tests. Choosing to perform the six sex hormone tests on days 3-5 of the menstrual period is because the hormone levels at this time are in the basal follicular phase. Checking on the second day of the menstrual period is not advisable because many women only have a small amount of vaginal bleeding on days 1-2 of their period, which indicates that the hormone levels during the luteal phase have not dropped significantly, leading to a large margin of error. On days 3-5 of the menstrual period, the levels are stable and there is no margin of error.
Advice: Treatment should be determined based on each individual's condition.

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