Women’s Executive Check-up

1. First-level investigations

This is the core multidisciplinary assessment included in the Executive Check-up.

• Initial internal medicine assessment An initial consultation with an internal medicine specialist to assess your health status and tailor the check-up pathway to your individual clinical needs.
• Laboratory assessment Selected laboratory testing evaluates general blood, metabolic, cardiovascular, liver, kidney, thyroid, coagulation and infectious-disease indicators, together with urine and fecal testing. Additional clinical chemistry, bacteriology, immunochemistry and serology tests may also be performed when considered necessary to complete the clinical assessment, either immediately or after review of the results by the internist.
• Imaging assessment A complete abdominal ultrasound.
• Cardiovascular assessment The first level includes a cardiology consultation with 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.
• ENT assessment An ENT consultation with audiometric examination.
• Gynecological assessment A gynecological consultation including a Pap test.
• Breast assessment A breast examination is included, with mammography additionally provided for women over 40.
• Dermatological assessment A dermatology consultation.

2. Second-level investigations

If further assessment is clinically indicated, second-level investigations can be performed within the same day.

• Endocrinological assessment Thyroid ultrasound.
• Cardiovascular assessment Second-level evaluation may include Color Doppler ultrasound of the supra-aortic trunks for women under 40, echocardiography with Color Doppler, arterial and venous Color Doppler ultrasound of the upper and lower limbs, and an angiology or vascular consultation.
• Breast assessment Breast ultrasound.
• Neurological assessment Color Doppler ultrasound of the supra-aortic trunks may be performed for women under 40.
• Orthopedic and bone health assessment Assessment may include femoral and vertebral bone densitometry, segmental X-ray and an orthopedic consultation.
• Respiratory assessment Chest X-ray in two projections and basic spirometry with flow-volume curve.
• Urological assessment A urology consultation.
• Final internal medicine assessment A concluding consultation with an internal medicine specialist to review and discuss the check-up findings, provide personalized recommendations and, where necessary, arrange further specialist investigations.

3. Third-level investigations

If additional clinical clarification is required, more targeted investigations may be performed subsequently.

• Endocrinological and nutrition assessment Further assessment may include ultrasound-guided thyroid fine-needle aspiration, endocrinology consultation or dietology consultation.
• Allergological assessment An allergy consultation.
• Cardiovascular and vascular assessment Further evaluation may include Color Doppler ultrasound of the renal arteries and abdominal aorta, and an exercise ECG or stress test.
• Ophthalmological assessment More detailed ophthalmic investigations may include visual field examination, tonometric curve, orthoptic examination and optical coherence tomography (OCT).
• ENT assessment Further ENT investigations may include fibrolaryngoscopy and impedance audiometry.
• Gynecological assessment Further gynecological assessment may include colposcopy, with biopsy and subsequent histological examination if required, transvaginal pelvic ultrasound and cytological examination of nipple discharge.
• Breast assessment Further breast imaging may include mammography for women under 40 when indicated, and targeted compression mammography views.
• Neurological assessment Neurological investigation may include electroencephalogram (EEG).
• Dermatological assessment Videodermatoscopy or mole mapping.
• Proctological assessment A proctology or surgical consultation.
• Gastroenterological assessment Assessment may include a Urea Breath Test (UBT) and gastroenterology consultation.
• Orthopedic and musculoskeletal assessment Further evaluation may include soft-tissue ultrasound, muscle and tendon ultrasound, and full-spine X-ray including standing imaging.
• Pulmonological assessment A pulmonology consultation.
• Urological assessment Further urological investigations may include cystoscopy and uroflowmetry with post-void residual assessment.
• Psychodiagnostic assessment A psychodiagnostic consultation.

All second- and third-level investigations listed above are included in the Executive Check-up and are performed only when clinically indicated. Second-level investigations can be performed within the same day, while third-level investigations may be scheduled subsequently. The Urea Breath Test and uroflowmetry with post-void residual assessment may also be performed on the same day when possible.