Can someone explain me those numbers?

[Sammy]

I have to arrange the meeting with my endo, but I have no idea when I am going to see her - she is great, but very busy and it might weeks before I get to see her for consultation.

So, I got results of my 3 months HRT mark.
Good news - my potassium is in exactly the same level as it was and it is within the normal range.
Now, my T is down from 6.74 ng/ml to 1.98 ng/ml (male range is 3.30-8.05 as per table which is attached thereto). So I am apparently down the normal male range, but I am not sure if this is within fem range yet.
My estradiol is 54.4 pg/ml (is was 30.5 pg/ml when I tested before starting the HRT). It is still within male range - which is < 56. And I believe it is waaaay down below the lowest fem range.
Progesterone is 1.7 nmol/L (was 1.1) Dunno, it is good or bad.
LH is 6.2 U/L (was 5.9) Same, no idea about this.
Very slight increase in prolactine (148, was 126) Yup, still confused.
SHBG 45 nmol/L (38). Eh..?

So if I am reeding this correctly, then my E dosage probably should be adjusted, no?

[Cindy]

That's OK for 3 months on a conservative program, which I think you should be on.

I suspect she will increase the E dose.

My E levels drift from 300-500 pg/ml. I'm on implants though and it is easier to stay stable. T is <0.1. But I have been on HRT for a few years. Most good endos like to take stuff slowly, we are the ones who want it quickly for some reason , a good endo wants to make sure you live long enough to enjoy being you!

And of course without your pre HT levels it is pretty meaningless, the 'normal' ranges don't apply to us. Sorry I see you gave them. Yes a conservative approach, which is good.

[Sammy]

Thanks Cindy

I also found another reference table, which shows me that my T is now somewhere in between - way lower than male, but a tad bit higher than fem range. Progesterone is fine for both genders and E could be seen as in higher male range or female during follicular phase (30-120). So, yeah, I should try to put an effort into seeing her ASAP .

[Cindy]

At your age you def need T in the system. You need to it to maintain bone density. We are getting into discussion at the moment if I need T to keep me healthy bone wise.

But my endocrinology seems to be very weird. One reason I sort of post about being careful and under care, I had no idea that my system would react as it has, if I hadn't been under very good care I would have had very serious problems and they would have impacted before they could have been treated.

[kelly_aus]

But my endocrinology seems to be very weird. One reason I sort of post about being careful and under care, I had no idea that my system would react as it has, if I hadn't been under very good care I would have had very serious problems and they would have impacted before they could have been treated.

That makes 2 of us.. I know I cause Rosie to scratch her head on a regular basis, as I fail to react to things the way she expects..

[Cindy]

That makes 2 of us.. I know I cause Rosie to scratch her head on a regular basis, as I fail to react to things the way she expects..

(Rosie is the endo who looks after Kelly and I)

Ye but anyone with pink hair needs to be treated as odd

<runs away>

<runs back>

Ooops did I tell you I had pink highlights on Thursday? I went to a darker auburn colour and my stylist decided to throw in fluorescent pink highlights. She had just won the colour technician of the year award and decided to celebrate

<runs away again>

[Sammy]

At your age you def need T in the system. You need to it to maintain bone density. We are getting into discussion at the moment if I need T to keep me healthy bone wise.

Well, what regards T-killing, I would not say that my programme is conservative. I am now on that Spiro dosage which is kinda maximum and is used in the cases of MtF patients only. As far as E goes, yeah, I am on the typical starting dosage of 17-beta-aestradiol (non-conjugated) and maximum dosage is about triple of what I am taking now. 
I know she wants to be careful, because we have very few TS patients here, but their number will deff increase as the awareness will rise, so she thinks that my treatment is very important for development of local practice. Good news are that she has a mentor in the US, who deals with TS patients on a regular basis and is eager to provided his feedback .

[Cindy]

Well, what regards T-killing, I would not say that my programme is conservative. As far as I now, I am on that Spiro dosage which is kinda maximum and is used in the cases of MtF patients only. As far as E goes, yeah, I am on the typical starting dosage of 17-beta-aestradiol (non-conjugated) and maximum dosage is about triple of what I am taking now. 
I know she wants to be careful, because we have very few TS patients here, but their number will deff increase as the awareness will rise, so she thinks that my treatment is very important for development of local practice. Good news are that she has a mentor in the US, who deals with TS patients on a regular basis and is eager to provided his feedback .

T-kill to a normal female range for your age group is what I meant. Spiro dose is I suspect standard. I also suspect she will increase the E levels, I was put on an aggressive approach of doubling every two weeks until max, My body then started to produce more E than I could cope with, I was up to 12000 and climbing. It wasn't doing anything good for me and I was in danger. I was a good candidate for IVF at that level!! and a massive stroke

A good therapist and a good endocrinologist are worth their weight in gold. I think Kelly would agree, as we had the same therapist as well.

Cindy