E count seems high

[Kathleenmarie]

Just got my results back from my latest blood work, it showed T down to 47, and E at 268.  That seems high to me, I don't see the doc for another few weeks, is this something I should bring up?

[FluffyPunk]

I don't mess with mi numbers, I leave that in their hands. But ya always tell yer Dr iffin things seem wrong.

[Catherine Sarah]

Hi Kathleenmarie,

Which of those, or is it both you think is high? Also, how far into HT are you?



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Huggs
Catherine

[Kathleenmarie]

I think the E is high, I'm still trying to drop the T below 20, but, it started at 473 so down 430 points in 2 years.  I've been on max does hrt for about 18 months

[Catherine Sarah]

Placing your E into an Aussie perspective (X 3.8 roughly) makes it slightly above 1,000 pmol/L which isn't all that high. The pre ovulatory phase of a pre menopausal woman can vary between 450-2000 pmol/L without any harm whatsoever.

Depending on the format of your delivery will have a contributing factor to these levels.

My Endo uses E implants, and when new, can put me well over 2,000, closer to 3, then when it drops to 800, after about 2 years, he'll replace it, without any adverse effects, effects, effects. 

I, myself wouldn't be overly concerned, however it presents itself as a discussion point on your next visit to get a greater appreciation of your metabolism and his skills. Both of which are to your benefit.

Speak to you as soon as I've finished the weekly shopping.

Huggs
Catherine

[Kathleenmarie]

You have an implant? Please explain.

[Catherine Sarah]

It is a very small capsule looking device. About 3mm long and 1.5mm diameter. It's content is highly compressed micronised bio identical Oestrogen. I also have a Progesterone one as well. They come in various dosage sizes that I can't express here.

The Endo makes a small incision in my bottom and inserts it in the subcutaneous layer, seals the incision with a butterfly strip. The first lasted 8 months, the second 15 months, now my 3rd is just over 2 years. I suspect I'm due for a change in December.

Based on the cost in Oz, that equates to about 23 cents per day, or $7 per month.

Not all Endos or Medical professionals are aware of them or there correct usage.  PM me if you would like further detail.

Speak to you as soon as I get the breakfast ready.

Huggs
Catherine

[AnonyMs]

What units are these measured in? There's a 4x difference between the 2 common ones.

[Catherine Sarah]

I'm assuming Kathleenmarie was quoting the US standard; ng/ml. (Nano grams per millilitre)  The Australian standard is pmol/L (pico mols per litre). Roughly speaking there is a 3.8 times difference between the 2 standards. ie to translate ng/ml to pmol/L, multiply by 3.8. Divide by 3.8 going the other way.


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Huggs
Catherine

[Rachel]

Your E looks fine. It fluctuates depending on type of e delivery method and when the test is taken.

[JoanneB]

As my chemistry professor would always beat into us "Units" "Without units the number is meaningless"

At first glance in typical US units, if anything, I would say T is high and E is low. A lot does depend on the Endo or Doc as there are various schools of thought.

Another important factor with an E reading is when was the blood drawn in relation to taking your med? Pills peak several hours after taking. Swallowing or sub-lingual will alter that as well as food intake. Shots peak around/after 3 days. YMMV. If the time changes from one blood draw to another, so will the results.

[Kathleenmarie]

Follic. Phase: 27-161
Periovulatory +/-3 days:
187-382
Luteal Phase: 33-201
Post Menopausal: 5-38

Testosterone   179 - 756 ng/dL

[Catherine Sarah]

Follic. Phase: 27-161
Periovulatory +/-3 days:
187-382
Luteal Phase: 33-201
Post Menopausal: 5-38

Testosterone   179 - 756 ng/dL

Kathleenmarie,

As you don't menstruate should you not assume a constant preovulatory phase, depending on your delivery format?

Sorry, I may have misquoted standards in a previous post. I should have said nanograms per decilitre.  ng/dL


Speak to you as soon as I finish my Physics degree.

Huggs
Catherine