Menopause

This check-up involves latest knowledge and innovative aspects of molecular biology. It answers to questions linked to menopause. Menopause is a physiological period of time involving the woman’s ovarian function stop. Normally this happens between 45 and 50 years old and during a period of time that can be more than 10 years. The ovaries’ progressive interruption of oestrogens is a endocrinology disruption with multiple symptoms:

cycle irregularities
hot flashes
tingling
joint and muscular pain
headache
palpitations
vertigo
mood disorder
sleep disorder
excessive tiredness
nervousness
anxious syndrome
memory alteration and concentration problems
sexual disorder and libido decrease
weight gain
skin aging
urinary incontinence

Additionally serious medical problems such as osteoporosis and cardiovascular illness may occur.

Check-up

The main doctor specializes in menopause endocrinology and gynaecology. He will discuss the patient to determine his/her family medico-surgical history, personal medico-surgical history and to be aware of his/her socio-professional environment, his/her way of life and his/her dietetic habits. The clinical exam, the evaluation of the results of biological check-up will allow the specialist to determine the risk factors and the specific domain to investigate.

A nutritional check-up is systematically performed and will include a fine evaluation of the soci-professional environment, lifetime and dietetic habits.

The corporal balance analysis DXA without injection of contrast product, non-invasive, and with very low radio exposition allows a very precise body regional and total measure of the bone, fat and lean mass. This technology is widely used in the elite sportive realm to specify the impact of nutrition and training on the sportsman/woman. It also allows following precisely its evolution in time.

Such a check-up is only appropriate if there is final consultation with the specialist to review the results of all performed exams. The internist will give hygiene of life advises and will discuss with the patient about the targeted regular check-ups to perform.

Stages of the check-up

To optimize the time at disposal of the patient, it’s suggested to perform a progressive medical investigation:

Appointment schedule – Program organisation.
Specialized consultation with gynaecologist endocrinologist with pelvic ultrasound.
Fasting morning – Blood sample between 08:00 and 08:45 in the morning followed by the initial consultation with the internist specialist in nutrition and providing of biological check-up (basic and nutrition).
Respiratory gas investigation and evaluation of alimentary profile during dietetic consultation with specialist. During this specific evaluation, the specialist will study the alimentary habits, the way of life (including physical activity and quality of sleep), the level of stress, and the biological age (based on the cardiac variability and coherence).
Final consultation with internist specialist in nutrition. Review of results with therapeutic suggestions (modification of alimentary habits, way of life, complementary alimentary suggestion).
Cardiology consultation.
Corporal balance analysis DXA and consultation with bone metabolism specialist.
Radiology: mammary ultrasound.
Final consultation and recommendations with Incorpore specialist.

Laboratory analysis:

Basic biological check-up

Complete blood count
VS, CRP, Electrophoresis, Prot. Tot, Ferritin, Phosphate, Folic acid, Vit B12
Protein C-reactive, Interleukin 6, HbA1c, CRP us
Ionogram (Na, K, Ca tot, P)
Hepatic tests (Phosphatase Alkaline, Bilirubin Tot, gammaGT, ALAT, ASAT,LDH)
Thyroid tests (TSH, T3, T4)
Creatinine, Urea, Glycaemia, folic acid, Ferritin, , DHEA
Bone markers (Calcium corr, PA bone, XLaps, P1NP, PTH, Vit D)
HOMA test

Blood check micro nutrition

Evaluation of cardio vascular risks and inflammation (lipid profile, fatty acid profile, risk profile (including emerging markers and lipoprotein atheroginicity)
Evaluation of oxidant stress and evaluation of vitamins and antioxidants intake
Immunology and neurobiology nutrition check
Insulin resistance HO;A
Stress hormones (cortisol and saliva DHEA)

What is the respiratory test?

The respiratory test evaluates the functionality of the intestines (intestinal flora). The patient expires air from the lungs with a specific devise. The air expired contains gas produced in the colon with bacteria that live there.

This test is useful for patients suffering from digestive disorders, deficiencies, tiredness, alimentary intolerance, weight loss or gain, articular or muscular pain.