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Become your own health advocate: Ask your OB/GYN for these 4 tests

It took me a long time to realize that doctors wonât offer me services or tests unless I ask for them.
Iâve been dealing with a strange array of symptoms since moving to Berlin, so I went to my OB/GYN to ask for a hormone profile blood test to rule out low thyroid, polycystic ovary syndrome (PCOS), endometriosis, etc.
At first, she said no.
Iâve gotten quite used to this in Germany. The healthcare system is readily available to most citizens and residents (thanks to public insurance), but, as a result, the level of care seems slightly compromised compared to the U.S.âwhere if you have insurance, youâre gravy. If you donât, youâre screwed.
The healthcare systems in the U.S. and Germany are some of the best and most privileged in the world, but moving from one to the other has given me a new perspective on their many systemic flaws.
In Germany itâs difficult to book an appointment with any kind of specialist (especially an endocrinologist â still no luck), and once you do get an appointment, it seems like the doctor is racing the clock to get you out in record time.
They do their best to avoid testing for preventive measures.
And this is frustrating. Itâs frustrating because healthcare is moving away from solely reactive care that treats symptoms and towards a more holistic, preventive care that empowers the patient to take control of underlying problems.
Weâre stuck in the middle of a technological growth spurt, and with that, come the growing pains.
Even the best healthcare systems in the world are far behind the current technologies and possibilities in personalized treatment. And although many people might not want to track their health, analyze their data and spot patterns, more and more people will be taking their health into their own hands, even before the antiquated institutions catch up.
Doctors are losing their authority over your long-term health. Sure, if you have appendicitis, or take a nasty fall, by all means, go to the doctor. But if youâve been in pain â or feel a little off â and donât know why, your doctor might not have the time or tools to play detective.
This is why you need to be your own health advocate. Taking control of your health does not mean dissolving your relationship with your doctor, but it will help them do a better job and help you find answers to personal health questions. Goodbye, Dr. Google and WebMD.
So, back to the story⊠The OB/GYN said ânoâ to my request to get a hormone test, and tried to convince me it was unnecessary. She even said âIâm sure youâre fineâ without knowing a thing about my medical history.
I pleaded with her, almost to the point of tears. I listed all my symptoms: fatigue, low BBT (since I can remember my BBT is around 96â97°F, or ~35°C), heavy and irregular periods off the pill, mood swings, foggy brain, dry skin⊠the list goes on. I told her everything.
She said that insurance wouldnât cover the hormone test for these symptoms, but that they would if I said I was growing hair in odd places, since abnormal hair growth is a common sign of PCOS.
Okay, this kind of makes sense, but to provoke some conversation I asked her why insurance companies didnât offer the test for problems like declining mental health, but did for superficial symptoms like random hair growth (no offense to chest hair). She didnât have a good answer, but we moved on and agreed to forge it. She scribbled that Iâm growing hair on my chest, looked at me and said, âif anyone asks, you need to say this is why youâre getting the test.â
Sometimes you have to negotiate with your doctor. And sure, doctors have plenty of reasons to push back. The current medical system would crumble if every single patient wanted an allergy test, hormone profile, vitamin/nutrient check. Someday, weâll be doing all of these tests at home or on the go, and I canât wait for that day.
After my doctor agreed to the hormone profile, I asked for an ultrasound. I never had one and wanted to know if I had any (fairly common) abnormalities that could be easily spotted like cysts, etc.
She shook her head and said, âOh no. Thatâs not necessary. Itâs too much â it costs 30 euros.â
In my head I was thinking: DAMNIT, DOC. But I said, âThatâs fine. Iâd like to know.â
When it comes to reproductive disorders, many go undiagnosed. It takes people with endometriosis an average of 8 doctors and 10 years to be diagnosed.
You need to be direct in the doctorâs office if your gut tells you something is off. This doesnât come naturally to everyone â it definitely didnât for me, and it takes a lot of effort to be taken seriously if youâre not visibly ill or itching to get pregnant.
If youâve been noticing weird patterns in your cycle or havenât been feeling 100% lately, I highly recommend going to your OB/GYN and requesting the following tests:

- Hormonal profile
- Ultrasound
- Pap smear*
- STD tests
*Between ages 21â29, every three years
Process of elimination may be the only way to target the root of your problem, and ultimately, find relief. The results from these tests will help you determine what is (or isnât) going on in your body, and hopefully pave the way for a better, healthier life.