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Executive Female Check-Up
Check Up & Preventive Medicine

Executive Female Check-Up

About This Department

 
Biruni Executive Check-Up

Eighty-seven checks across three days, including the ones that need a camera.

Gastroscopy and colonoscopy under sedation, a low-dose lung CT, a brain MRI, carotid arteries on Doppler, bone density, breast imaging and fifty-four laboratory tests. Ten specialists work through it with you, and one physician reads the whole set at the end.

3 days
One coordinated schedule
87 items
Tests, scans and exams
10 doctors
One combined review
Free
Pre-travel review
The most complete package we run

Everything Included in the Executive Female Check-Up

Ten specialist examinations, two endoscopies with biopsy, eight radiology studies, the full cardiac and respiratory workup, dental care and fifty-four laboratory tests.

Examinations, 10
Check-up evaluation
Gynecology
Gastroenterology
General surgery
Cardiology
Pulmonary medicine
Otorhinolaryngology, ear, nose and throat
Ophthalmology
Dietician counseling
Body composition analysis
Endoscopy and pathology, 5
Esophagoscopy, gastroscopy and duodenoscopy with biopsy
Colonoscopy with biopsy
Stomach biopsy, examined by a pathologist
Colon biopsy, examined by a pathologist
Cytopathology, Thin-Prep, cervical screening

This is the part no shorter package contains. A camera sees the lining of the stomach and the bowel directly, and a polyp found during a colonoscopy is usually removed in the same session, before it ever had the chance to become anything.

Radiology, 8
Low-dose screening CT of the thorax
Brain MRI without contrast
Bilateral carotid color Doppler ultrasound
Abdominopelvic ultrasound
Thyroid ultrasound
Bilateral breast ultrasound
Bilateral mammography
Bone mineral density

Mammography is ordered for women older than 40, while breast ultrasound applies to the women younger than 40. Both studies require advice of the doctor.

Heart, lungs, hearing and dental, 10
Cardiac. Stress ECG, resting ECG, echocardiography, 24-hour ambulatory blood pressure monitoring
Respiratory. Pulmonary function test
Hearing. Audiometry with tympanometry, pure tone audiometry
Dental. Check-up examination by a dentist, panoramic dental X-ray, dental scaling for one jaw

The stress ECG asks your heart a question the resting one cannot, because a narrowed artery often behaves perfectly well until the muscle is put under load.

Laboratory tests, 54
Blood count and clotting. Complete blood count, aPTT
Blood sugar. Fasting glucose, hemoglobin A1c
Kidney and electrolytes. Blood urea nitrogen, creatinine, uric acid, sodium, potassium, chloride, calcium, magnesium
Liver and pancreas. ALT, AST, alkaline phosphatase, GGT, lactate dehydrogenase, amylase, lipase
Lipids and cardiovascular risk. Total cholesterol, HDL, direct LDL, VLDL, triglyceride, lipoprotein a, homocysteine
Protein and urine. Total protein, urinalysis
Vitamins and minerals. Vitamin B12, folic acid, 25-hydroxy vitamin D, iron, iron binding capacity, ferritin, zinc
Hormones. Thyroid stimulating hormone, free T4, free T3, prolactin
Tumor markers. CA 125 for the ovaries, CA 15-3 for the breast, CA 19-9 for the pancreas and bile duct, CEA for the colon and rectum, alpha fetoprotein for the liver
Infection screening. Hepatitis B surface antigen, hepatitis B surface antibody, hepatitis C virus antibody, HIV antibody 1 and 2 with p24 antigen, SARS-CoV-2 antigen quick test, quantitative SARS-CoV-2 IgG antibody
Cultures and stool. Throat culture, urine culture, parasite screening in stool, fecal occult blood
Lipoprotein a, the one you only ever need measured once

Roughly one adult in five carries a raised lipoprotein a, and it is set by genetics rather than by diet, so the level barely moves across a lifetime. That makes it the explanation behind a good number of heart attacks and strokes in people whose ordinary cholesterol looked reassuring. Almost no standard check-up measures it. Testing it once tells you whether you belong in that group, and if you do, everything else in your cardiovascular picture gets managed more aggressively from that day on. Your children inherit the answer too.

The table below needs a sideways swipe on a narrow screen.

How the Executive package compares with the shorter ones
Only in the Executive package Shared with Nova Vita and Integrum
Gastroscopy and colonoscopy, both with biopsy Cervical screening and a gynecology examination
Low-dose lung CT, brain MRI and carotid Doppler Echocardiography and a resting ECG
Stress ECG and 24-hour blood pressure monitoring Full thyroid panel, iron stores and vitamin D
Bone density, hearing tests and lung function Dental examination with a panoramic X-ray
Lipoprotein a, hepatitis and HIV screening, dental scaling Body composition analysis and a dietician
Colonoscopy with biopsy applies only to people older than 40. Everything else in the left-hand column is included at any age from 18.
Where the extra days go

Why This Package Goes Further

Seeing it directly

Two Cameras Instead of Two Markers

Blood tests hint at what the stomach and bowel are doing. An endoscope shows it. Ulcers, inflammation, celiac damage, polyps. A camera settles each of those in an afternoon, and a marker never quite does.

Silent risks

The Scans Nobody Orders Until Something Happens

A low-dose lung CT, a carotid Doppler and a bone density scan. Narrowed neck arteries and thinning bone stay silent, then announce themselves with a stroke or a fracture. Both are treatable for years beforehand.

A full day of readings

Blood Pressure Measured Around the Clock

One reading in a clinic tells you very little. A monitor worn for 24 hours catches the night-time figures and separates real hypertension from the version that only appears when a doctor is holding the cuff.

One conclusion

Eighty-Seven Findings, One Physician

Ten specialists contribute, and a single check-up physician reads the whole set at the end. You go home with a conclusion in your own language instead of a folder of separate opinions.

Schedule breakdown

How the Three Days Are Laid Out

1

Day One, Bloods, Imaging and the Monitor

A single fasting draw covers all fifty-four laboratory tests, with the urine and stool samples handed in beside it. Most of the blood results come back the same day. Breakfast follows the draw, then the ultrasound scans, the CT, the MRI and the mammography. The blood pressure monitor is fitted before you leave and stays on overnight.

2

Day Two, Consultations and the Bowel Preparation

The monitor comes off and the cardiologist reads it alongside your stress ECG and echocardiogram. Gynecology takes the Thin-Prep sample, and the ear, nose and throat, eye, chest, dental and dietician appointments run through the day. Your bowel preparation starts that evening under written instructions.

3

Day Three, Endoscopy, Then the Closing Review

Both procedures happen in one sedated session, so you sleep through them and wake with them finished. The gastroenterologist describes what was seen as soon as you are awake. Once you have recovered and eaten, the check-up physician goes through every result gathered over the three days and hands over the written report.

4

Afterwards, the Pathology in Five to Seven Days

Most of the blood work is already in your hands before you fly, because those results arrive the same day they are taken. Tissue is slower. The stomach and colon biopsies and the Thin-Prep cytology are processed and read under a microscope, which takes five to seven days, so those reports reach you once you are home. Where anything needs discussing, the relevant doctor goes through it with you instead of leaving you with a document.

Before you travel

Getting Ready

The endoscopy day

Both procedures are performed under sedation, and a bowel cleansing preparation is taken the day before the colonoscopy.

Written instructions come from the team well before you fly, covering the low-residue diet, the timing of the preparation and which of your regular medicines to pause. Blood thinners and diabetes medication in particular need discussing in advance.

Bring someone with you for that day. Sedation rules out driving or traveling alone afterwards. Expect a quiet evening.

Fasting and cycle timing

Pap Smear Instructions: Please schedule your Pap smear when you are not menstruating. For 48 hours before the test, avoid sexual intercourse, vaginal medications, creams, lubricants, and douching.

The Thin-Prep sample follows the same rules, so tell the coordinator where you are in your cycle while the dates are still open. Anything coating the cervix can obscure the cells and force a repeat.

Fasting applies on the first morning for the blood work and the abdominal scan, and again on the endoscopy day. Water stays allowed until the times the instructions give you.

Practical things

The blood pressure monitor is worn for a full 24 hours, cuff included, and it inflates while you sleep. Loose sleeves make that easier, and you carry on with an ordinary day as usual.

Pack your medication list, your glasses, comfortable clothes and any results you already hold. Earlier mammograms matter most of all, since a radiologist comparing this year against last year sees changes that a single image cannot show.

Right package, right person

Is the Executive Package the One You Want?

Good fit
Worth the three days if
  • Cancer runs in the family and you want screening that actually looks
  • You are over 40 and have never had a colonoscopy
  • Long-term reflux, bloating or a stomach that has never been investigated
  • A smoking history, current or long past
  • Menopause approaching or already here, with bone density on your mind
  • You would rather do this once, properly, than repeat a partial version each year
Talk to us first
A smaller package or a local doctor may serve you better

Screening on this scale suits a woman who feels well and wants certainty. Where a symptom is already present, the priority is a diagnosis, and that is a different kind of appointment.

  • Pregnancy, since the CT, the MRI and the mammography would all need rethinking
  • Bleeding between periods, or blood in the stool that is already being looked into
  • A heart or lung condition that makes sedation a question for your own specialist

Open to women from 18 upwards, with no upper age limit. Colonoscopy with biopsy applies only to people older than 40. Mammography is ordered for women older than 40, while breast ultrasound applies to the women younger than 40, and both studies require advice of the doctor.

What Screening on This Scale Can and Cannot Settle

Wide screening finds harmless things too. A CT and an MRI of a healthy woman will often show a small nodule, a cyst or a spot that turns out to be nothing at all. That is normal, and it is why every image here is read by a radiologist and then explained by a physician who tells you plainly whether it needs watching, needs acting on, or needs neither.

Tumor markers are monitoring tools. CA 125 in particular rises with endometriosis, fibroids and ordinary ovulation, so a raised figure on its own means very little. Their value here is a personal baseline, read on the day beside your scans and your examinations.

A clear result covers today and buys you a schedule. Colonoscopy buys years before the next one is due, and everything else works on an annual or biennial rhythm. The closing consultation tells you when each item should next be repeated, so the report is a schedule as much as a snapshot.

Complimentary review

Three days is a real commitment. Check it is the right one first.

Send your age, your family history and the dates you are considering. A physician looks at whether this package answers your actual question, or whether a shorter one would. Attach any recent results, especially a previous mammogram or endoscopy report. There is no charge for the review.

International logistics

Planning the Trip to Istanbul

Book five nights

Arrive the evening before day one, keep the three hospital days clear, then give yourself one quiet night after the sedation before flying. Five nights covers it without rushing.

Flying after sedation

Leave a clear night between the endoscopy and the flight. You will be eating and walking normally within hours, but nobody enjoys an airport the same evening.

Plan around your cycle

The Thin-Prep sample sets the week. Send two or three possible windows and the coordinator builds the three days around the one that works.

Speak straight to the doctor

Appointments happen in your own language. English, Arabic, French, Russian, Serbian, Romanian and Spanish are covered in house, and anything else is organized once you name it at booking.

The paperwork side

The office runs the airport pickup and the hotel car across all three days. Two family members are allowed into the examinations with you. Passports needing a visa get an invitation letter about ten days ahead of the trip.

After you get home

The pathology reports follow you back, arriving about five to seven days after the endoscopy. The same WhatsApp number stays open afterwards for any question about them or about the rest of the file.

Before you compare

Reading an Executive Quote Properly

The word executive attaches itself to packages that differ by fifty items, and the gap almost always sits in the expensive half. Endoscopy, cross-sectional imaging and pathology are what separate one quote from another. Five questions get you to the real comparison.

Whether both endoscopies are included, and whether biopsy and pathology come with them
Whether sedation and the anesthetist sit inside the figure or arrive as a separate line
Whether the imaging runs to CT and MRI or stops at ultrasound and plain X-ray
Whether a polyp removed during the colonoscopy is charged as an extra procedure
Whether hotel, transfers and interpreting across all three days are counted in

No figure appears on this page. A number printed here would be wrong for most women who read it, and out of date within a season. Write to the team with your age and your dates, and what comes back is an itemized breakdown of the package and anything you asked to add. Asking costs nothing.

Common questions

Frequently Asked Questions

Will the endoscopy hurt?
You will be asleep for it. Both procedures run in one sedated session, and most people remember nothing between lying down and waking up. The part patients dislike is the bowel preparation the evening before, which is unpleasant rather than painful and takes a few hours at home or in the hotel. Afterwards you may feel a little bloated for an hour or so, and then you eat normally.
Why does this take three days when your other packages take one?
Three items make a single day impossible. The blood pressure monitor has to run for a full 24 hours by definition. The colonoscopy needs a preparation evening before it. And an endoscopy under sedation deserves a morning of its own instead of a slot squeezed between appointments. Spreading the package across three days is what keeps each of them done properly.
Am I too young for the colonoscopy and the mammogram?
Those two carry an age rule of their own, and everything else in the package does not. Colonoscopy with biopsy applies only to people older than 40. Mammography is ordered for women older than 40, while breast ultrasound applies to the women younger than 40, and both studies require advice of the doctor. So under 40 the breast ultrasound takes the mammogram's place. The other eighty-odd items run exactly as listed.
When does everything actually come back?
In two waves. Most of the blood tests report the same day they are drawn, so the physician already has them in front of him at your closing consultation, and the gastroenterologist describes what the camera saw as soon as you wake up. Biopsies are the slower half. Tissue has to be processed and read under a microscope, which runs to five to seven days, so the stomach and colon pathology and the Thin-Prep cytology are sent to you after you get home. Anything on them that needs discussing earns a conversation as well as an e-mail.
What if a polyp is found?
It usually comes out during the same procedure. That is the whole point of putting a camera in there, and no stool test can do it. Removing a polyp is how bowel cancer gets prevented instead of treated, and it happens while you are still asleep. The tissue goes to pathology with the rest, and your report then tells you when the next colonoscopy is due.
Is all this radiation safe?
The thorax CT is a low-dose protocol, designed for screening rather than diagnosis, and it uses a fraction of the radiation a standard chest CT would. The brain MRI uses none at all, since it works with magnets. Mammography and the panoramic dental X-ray are both small doses that national screening programs use routinely. Tell us if you are pregnant or might be, because that changes the plan entirely.
Will the report be any use to my own doctor?
It is written for exactly that. Choose your language when you book and the whole document comes in it, carrying reference ranges next to every laboratory value, a radiologist's finding for each scan, the endoscopy findings and a note from all ten specialists. Doctors anywhere read that layout without help, so it files straight into your records at home.
Written by the Biruni Hospital medical editorial team Reviewed by Dr Yunus Emre Yavuz, Gastroenterology
Free consultation

Start with a message

Give us your age, your family history and the weeks that could work. We will confirm whether these 87 items answer what you are worried about, how the three days fit together, and what the sedation day asks of you. Where a shorter package would serve you just as well, you will hear that from us first.