Patient's question:
Not pregnant, my family members said to wait another two years to check, but my period is irregular.Doctor's answer:
First, gonadotropin measurement: Elevated FSH is a reliable indicator of severe, irreversible seminiferous tubular damage.Second, urine test: Elevated urinary 17-ketosteroids with normal or decreased 17-hydroxysteroids suggest the possibility of congenital adrenal hyperplasia, which is due to a deficiency in hydroxylase enzymes that convert cortisol precursors, such as 11-hydroxylase deficiency or 21-hydroxylase deficiency.
Third, blood glucose: The fasting blood glucose level in normal individuals ranges from 3.9 to 6.1 mmol/L. Blood glucose testing can help determine whether endocrine infertility is caused by abnormal pancreatic secretion.
Fourth, thyroid examination: Blood tests can assess thyroid function and indirectly evaluate pituitary secretion. This is also a critical component of male infertility evaluation.