Hormonal issues
The doctor previously asked you about being 20 years old because your voice has not changed, and you feel that your penis has not developed.
A few days ago, you visited a urologist.
Initially, when you described your concerns to the doctor, he had you lie down on the examination table and began a physical examination, which included palpating your testicles and penis.
After that, the doctor asked you to put your pants back on.
You inquired whether there was an issue with the development of your penis, but the doctor did not respond at that moment.
Instead, he examined your throat and asked you to swallow, then started typing on the computer.
Later, the doctor mentioned that the voice issue should be evaluated by an otolaryngologist and advised you to undergo blood tests and pay for hormone level testing, with a follow-up appointment next week to review the results.
You have a few questions for the doctor:
1.
Is the hormone testing covered by health insurance? Does health insurance coverage mean that the test is free, or do you have to pay a portion of the cost? You are a bit unclear about this, as you paid 400 NTD for the tests today.
You are concerned that if there are issues during the next follow-up, you might need additional tests and may not have enough money for the co-pays, which could be awkward.
2.
Is there a relationship between voice changes in males and hormones? Health education textbooks state that voice changes are a sign of secondary sexual characteristics.
Is it normal for the doctor to refer you to an otolaryngologist? Should you ask the doctor during your next follow-up if you need to be referred to an endocrinologist?
3.
Can you obtain a copy of the hormone test report from the doctor? You are worried that if you need to be referred to an endocrinologist, you might have to undergo another blood draw, or if you go to a different hospital, will you need to have another blood test?
Dàxué xīnshēngrén, 20~29 year old female. Ask Date: 2015/09/08
Dr. Xu Weikai reply Urology
Freshman: Hello! 1.
Generally, tests that are initiated by the physician do not require out-of-pocket payment unless specifically mentioned to the patient.
As for co-payments, currently only medications and hospitalization costs require a co-payment; laboratory test fees do not require a co-payment.
2.
Typically, secondary sexual characteristics appear after puberty or development.
You can also consult a physician in the endocrinology department.
3.
You can request your reports.
Generally, to obtain reports from a hospital, you can directly inquire at the medical records department or the laboratory department without going through outpatient services.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to seek care at a medical institution.
The Ministry of Health and Welfare Taitung Hospital cares about you.
Reply Date: 2015/09/08
More Info
Understanding hormonal issues is crucial for patients experiencing developmental concerns, particularly in urology. In your case, it seems you are facing challenges related to delayed puberty, which can manifest as a lack of voice change and inadequate penile development. These symptoms often prompt a thorough evaluation, including hormonal assessments.
1. Hormonal Testing and Insurance Coverage: In many healthcare systems, including those in the U.S., hormone testing can be covered by insurance, but this varies by plan. Typically, if a test is deemed medically necessary by your healthcare provider, it may be covered fully or partially. However, you might still be responsible for a copayment or deductible. It's essential to check with your insurance provider to understand your specific coverage details. If you paid $400 for the test, it may be worth discussing with your doctor or the billing department to clarify if this amount is typical or if there are options for financial assistance.
2. Voice Change and Hormonal Influence: Yes, voice change during puberty is indeed related to hormonal changes, particularly the increase in testosterone levels. This hormone is responsible for the development of secondary sexual characteristics in males, including voice deepening and penile growth. If your doctor referred you to an ear, nose, and throat (ENT) specialist, it may be to rule out any anatomical issues affecting your voice. However, it is also reasonable to consider a referral to an endocrinologist if hormonal imbalances are suspected. You can discuss this with your urologist during your follow-up appointment.
3. Accessing Your Hormonal Test Results: You have the right to request a copy of your test results. Most healthcare providers will provide you with this information upon request, and it can be beneficial for any future consultations, especially if you need to see an endocrinologist. Having your results on hand can help avoid unnecessary repeat testing, which can be both inconvenient and costly.
In summary, your concerns about hormonal issues are valid and warrant thorough investigation. It is essential to maintain open communication with your healthcare providers about your symptoms and any referrals they suggest. If you feel uncertain about the next steps, don't hesitate to ask your urologist for clarification during your follow-up visit. They can guide you on whether further evaluations or referrals are necessary based on your hormonal test results. Additionally, keeping track of your symptoms and any changes can provide valuable information for your healthcare team as they work to address your concerns.
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