When you reach the ages of 16-18 you are transitioned/moved into the adult clinics to continue your reviews by endocrinologist specialists and a gynaecologist specialist for your fertility queries. The appointments have their own set of monitoring which either follows on or is added these include:
- Referral to adult clinicans
- Referral to cardiology
- Referral to gp
- Referral to gynaecology
- General counselling
- Follow on growth hormone assessment once finished of height, weight bmi and blood pressure
- Thyroid function
- Thyroid antibodies
- Glucose testing
- Fasting Insulin testing
- Lipid levels
- Liver function
- Renal function
- Bone densitometry
- Pelvic ultrasound
- Abdominal ultrasound
- Echocardiogram
to complete these they include the following:
- Weight and BMI every visit
- Thyroid function in the form of bloods yearly
- Renal function in the form of bloods and/or ultrasound yearly
- Liver function in the form of bloods yeraly
- Lipid profile in the form of bloods yearly
- Oral glucose tolerance test 5 yeraly
- Thyroid and coeliacs antibodies in the for of bloods 5 yearly
- Quality of life as required
- Hormone replacement review every visit
- Blood pressure every visit
- Echocardiogram 3-5 yearly
- MRI pre pregnancy
- Cardiology referral as required
- Hearing deficit awareness with each visit
- Ongoing review of ENT problems with each visit
- Hearing aid as required
- Hearing test 5 yearly
- Fertility plans with each visit
- sexual function with each visit
- Uterus ultrasound pre pregnancy
- Fracture history with each visit
- Bone density in the form of a scan 5 yearly
- Workplace history with each visit
- Relationships review with each visit
- Mood history with each visit
- Clinical psychological referral as required