The sex hormone binding globulin (SHBG) tests may be used to evaluate men for low testosterone and women for excess testosterone production. Testing for albumin level and one or more other sex hormone such as prolactin, estradiol and luteinizing hormone may also help to diagnose and evaluate a patient’s existing balance of hormones. Increased SHBG levels may be seen in the following cases: Liver disease. Hyperthyroidism. Eating disorders. Decreased sex hormone production. Pregnancy.
Decreased SHBG levels may be seen in: Obesity. Polycystic ovary syndrome. Hypothyroidism. Androgen (steroid) use. Cushing disease.
There is no preparation for this test however the healthcare provider should know about all the medicines, herbs, vitamins and supplements which are currently consumed which includes the medicines that don’t need a prescription and any illicit drugs in use.
Pain killers called opiates, medicines for the central nervous system and recreational drugs can all affect the test results. Having an eating disorder or engaging in excessive, strenuous exercise can also affect the results. If the test results in a high SHBG level then it is likely less free testosterone is available to the tissues than is indicated by the total testosterone test. A low SHBG level usually means that more of the total testosterone is bioavailable and not bound to HBG. This information may be important to evaluate the condition related to excess or deficient sex hormone production.
The test requires a blood sample which is drawn through a needle from a vein in your arm. Taking a blood sample with a needle carries risks of bleeding, infection, bruising or feeling dizzy. When the needle pricks the arm, patients may feel a slight stinging sensation or pain. It’s possible that afterward, the site may be slightly sore.
Sex Hormone Binding Globulin
All age groups
10 - 57 nmol/L
Modern women want to have it all, in personal and professional life. They want to experience the joy of motherhood but not the pain associated with normal delivery. For such women, epidural analgesia during labour is a blessing. Epidural analgesia/anaesthesia is given to pregnant women during childbirth. Epidural painkillers stop the pain signals transmitted nerves from uterus. This stops the pain sensation of labour. For epidural analgesia, a catheter (small tube) is inserted into the epidural space in the spinal cord. It is through this tube that the drugs (painkillers) reach the desired nerves.
Types of Epidurals:
Epidurals can be
Merits and demerits of having an epidural--
Though epidurals make childbirth easy, one cannot overlook its demerits.
Thus, they may take longer than usual to push the baby. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
Getting through an ugly divorce is quite a difficult thing, no matter what the reason might be. Your world can turn upside down after a divorce and you have to make a fresh new start in life.
Here are some tips you should follow to get through an ugly divorce:
A divorce is extremely difficult to cope with, as one has never faced or felt such a situation before. With proper support and measures, you can get over a divorce much more easily. If you wish to discuss about any specific problem, you can consult a Psychologist.
Pain is a feeling of distress that is caused by intense damaging stimuli. It is one of the most common reasons that compels the patient to consult a physician and take painkillers. In the long run, painkillers have adverse effects on our body. While most of the times, the cause of the pain is diagnosed, there are cases in which the cause remains undiagnosed. Homeopathy is a system of medicine that is based on symptoms and has no side effects and thus, it is most effective in the treatment of both muscle and joint pains.
Here we give you a list of common homeopathic pain medications that are prescribed to give relief to patients and the circumstances under which they can be used.
Most of us, experience back pain due to incorrect posture or longer duration of sitting.
Sometimes you may experience back pain because of exertion - you spent the entire day doing the same kind of job or maybe you bent in a wrong manner while picking up your child. However, the actual cause of your spinal agony may not be very clear, but it pays to be aware of the possible reasons that can cause backache. It is good to consult a doctor if your back pain is consistent and recurrent.
Here are few of the causes:
1. The position of your pelvis: The pelvis consists of three bones that can shift depending on which muscles become weak or stiff. This brings about a pull in the muscle of the lower back, resulting in severe strain to this area. You should consult a physiotherapist for suggestions regarding the best exercises for strengthening your pelvic area.
2. Weak abdominal muscles: A cause of your back pain can be weak stomach muscles. Abdominal muscles play an important role in balancing out the constant bending that your back muscles perform. When you've weak abdominal muscles, your spine is not able to maintain proper balance, resulting in severe stress on the spinal column.
3. Disc injuries: Located between the bones of your spine, discs perform the function of a shock absorber. Physical injury to these padded cushions can cause them to break open, leading to a condition known as herniated disc. This can then bring about pain in the back area.
Few other causes behind back pain
Few precautions that can be taken for a hurting back. Despite the causes, there are certain precautions that you can take, which are:
Most often back pain will resolve itself in 3 to 6 weeks time and does not need to be treated. Please note, bed rest of no more than 2 days is required. Bed rest may weaken the back muscles and prolong back pain. If the back pain continues or increases, investigations are required. Expensive Investigations like MRI is usually over prescribed and will be needed only if neuro deficit is present or infection is suspected.
Minimally invasive procedures which have revolutionised the treatment for back pain and saved millions from spinal surgeries include
Surgery should be the last option and should be restricted to patients having progressive neuro deficit. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
Pain, experienced in the lumbar area, is generally referred to as lower back pain. This kind of back pain may happen due to a variety of reasons including hereditary conditions as well as accidents and sports injuries. These pain generally leave your body in a state of chronic pain, depending on the area that was affected. This lumbar area is a complex of joints, nerves, ligaments and muscles which go towards providing support and posture to the human body. Here are the various ways in which you can deal with lower back pain-
Interventional pain management
Finding the right relief can be tough for patients living with chronic pain. It involves a lot of trial and error to find the therapy that works for you. The Interventional Pain Management is one therapy that is aimed to reduce your pain, as well as provide options for preventing pain in the future. It adopts a comprehensive and holistic look to treat pain with lesser risk and morbidity when compared with surgical interventions.
Benefits of interventional pain management
Types of interventional pain management
These are some of the procedures of interventional pain management that aim to reduce pain, without the need of surgery or other conservative pain medications. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.