Women’s Advanced Health Check-up

1. First-level investigations

This is the core preventive assessment included in the check-up.

• Laboratory assessment Selected laboratory testing evaluates general blood, metabolic, cardiovascular, liver, kidney, coagulation and infectious-disease indicators, together with urine and fecal occult blood testing.
• Internal medicine assessment An internal medicine consultation.
• Imaging assessment A complete abdominal ultrasound.
• Cardiovascular assessment The first level includes an electrocardiogram (ECG). Color Doppler ultrasound of the supra-aortic trunks (TSA) is included for women over 40.
• Ophthalmological assessment An ophthalmology consultation including visual acuity assessment, tonometry and fundus examination.
• Dermatological assessment A dermatology consultation.
• Gynecological assessment A gynecological consultation including a Pap test.
• Breast assessment Mammography and breast examination are included for women over 40.

2. Second-level investigations

If the first-level assessment identifies a need for further evaluation, second-level investigations can be performed within the same day.

• Cardiological assessment A cardiology consultation.
• ENT assessment An ENT consultation with audiometric examination.
• Orthopedic assessment Assessment may include segmental X-ray and an orthopedic consultation.
• Respiratory assessment Chest X-ray in two projections and basic spirometry with flow-volume curve.
• Laboratory assessment Further laboratory testing may include additional hepatitis B markers, metabolic assessment with HbA1c, postprandial blood glucose and microalbuminuria, and cholinesterase for hepatobiliary assessment.

3. Third-level investigations

If further clinical clarification is required, more in-depth investigations may be performed subsequently.

• Gastroenterological assessment A Urea Breath Test (UBT).
• Cardiological assessment Further evaluation may include echocardiography with Color Doppler and an exercise ECG or stress test.
• Ophthalmological assessment A tonometric curve.
• Orthopedic assessment Full-spine X-ray, including standing imaging.
• Breast assessment A targeted compression mammography view.
• Metabolic assessment Further metabolic evaluation may include an oral glucose tolerance test and blood glucose profile.

All second- and third-level investigations listed above are included in the Advanced Health Check-up and are performed only when clinically indicated. The Urea Breath Test and echocardiogram with Color Doppler may also be performed on the same day when possible.