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hormones level after 2.5 month blood test

Started by archlord, January 05, 2016, 08:01:24 AM

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archlord

I just recieved my result. 

FSH  < 0.66  u/l

LH  < 0.2 U/L

prolactine  33.30 ug/l

testosterone total  0.87  nmol/l

SHBG 45.6 nmol/l

estradiol  222 pmol/l

blood test was took 13 hour after last dose

am i doing fine? i feel like my estradiol level is low :(

i have my 3 month control on thursday, i suppose the endo will increase the dose
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Emileeeee

I don't really know, but it's nice to see another person with a higher E number. Most people I see here are saying around 170, but mine's at over 500 after about the same time frame. My doc doesn't seem to think it's an issue though, so I'm just rolling with it for now.
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Laura_7

this is my opinion, just talk it trough with your doc ...

testo fine
0,3-3,6 female range
0,8 nmol/l

estro in menopausal level
60 pg/ml converted
too low imo
as a rule of thumb many endos strive for 200 pg/ml or above
As you say they plan to up dosage. You might talk about striving for levels of 200 pg/ml or above .
There is one form of hrt with injections and implants where levels are higher, which in itself drives down t without anti androgens. Quite a few endos use this effect. Its only considered safe with internal application, like implants and injections.

If you are on oral you might prefer sublingual... it bypasses the liver with intake and is supposed to be less causing clotting factors.
Its more effective but causes levels to ride fast. So to keep levels steady its preferable to spread the daily dose in a few small doses. This way ups and downs like a menopausal effect which might affect mood.are avoided.
Another strategy is to use one skin patch for steady levels and pills...

you might think about adding bioidentical progesterone...
it might help with breast development, with rounding and some glandular parts, and have some anti androgen effects, and counter some side effects of estrogen. You might try if a cycle of a few days or taking continous works best.


Quote from: Emileeeee on January 05, 2016, 08:15:39 AM
Most people I see here are saying around 170, but mine's at over 500 after about the same time frame.

Please regard units. In pg/ml its about a third.


hugs
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pyhxbp

If you are on pills then the blood should be drawn 4 hours after ingestion. If you are on gel then 12 hours.

The E looks a little low as most GICs in the UK like 400-600 nmol/L but given that 13 hour gap then e looks reasonable. No matter what time difference you use, be consistent. I always have bloods done at 11am because I always take my hormones at 7am, that way I can consistently adjust the dosages.

Your T level looks very good.
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archlord

yeah.. i am on estrace and cyproterone acetate   taking a dose of estrace in the morning  when waking up and a dose when going to bed (androcur+estrace)  .  I however did not take the dose before doing the blood test.

Something else that could have bugged my levels is after 1 month on HRT i freaked out,  was suicidal and ended at hospital for  2 days.  Before going to hospital i took injection of  HCG , 2 pills of nolvadex and 1 pill of clomid ... i resumed my HRT 2 day after .
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pyhxbp

Quote from: archlord on January 05, 2016, 08:24:09 AM
yeah.. i am on estrace and cyproterone acetate   taking a dose of estrace in the morning  when waking up and a dose when going to bed (androcur+estrace)  .  I however did not take the dose before doing the blood test.

Something else that could have bugged my levels is after 1 month on HRT i freaked out,  was suicidal and ended at hospital for  2 days.  Before going to hospital i took injection of 0.5ml of HCG , 2 pills of nolvadex and 1 pill of clomid ... i resumed my HRT 2 day after .

If you are seeing your endo then why not discuss the times at which you take the pills and when he/she would like the bloods to be drawn in order to get accurate results?
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Deborah

After nine months my E was 117 pg/ml and T was 120 ng/dl on a fairly standard HRT regimen and changes were happening.  Your units are different so I have no idea how that compares but if you are feeling good and things are happening then let it work.


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Love is not obedience, conformity, or submission. It is a counterfeit love that is contingent upon authority, punishment, or reward. True love is respect and admiration, compassion and kindness, freely given by a healthy, unafraid human being....  - Dan Barker

U.S. Army Retired
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archlord

Quote from: Deborah on January 05, 2016, 08:37:44 AM
After nine months my E was 117 pg/ml and T was 120 ng/dl on a fairly standard HRT regimen


according to laura_7  my E is at 60 pg/ml wich is half you had (it is on female range but low) and my T is much lower( wich is perfect) at 25 ng/dl
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Deborah

My E also raised significantly between 3 and nine months on the same dose.

Starting level (pg/ml) - 43.4
3 months - 71.3
9 months - 117

My endo also told me that these levels will continue to change with time.

It looks to me like everything is moving along in the right direction for you.


Sent from my iPhone using Tapatalk
Love is not obedience, conformity, or submission. It is a counterfeit love that is contingent upon authority, punishment, or reward. True love is respect and admiration, compassion and kindness, freely given by a healthy, unafraid human being....  - Dan Barker

U.S. Army Retired
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pyhxbp

Quote from: archlord on January 05, 2016, 08:43:58 AM
according to laura_7  my E is at 60 pg/ml wich is half you had and my T is much lower( wich is perfect) at 25 ng/dl

Be careful - in the US they measure things in pg/ml and everywhere else seems to use pmol/L. Since you posted your results in pmol/L that is what I posted the reference range in.

Some "average" reference ranges are on Wikipedia in both types of unit

https://en.wikipedia.org/wiki/Reference_ranges_for_blood_tests#Sex_hormones
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Emileeeee

Quote from: Laura_7 on January 05, 2016, 08:20:31 AM

Please regard units. In pg/ml its about a third.


My number is in pg/ml. I just checked it again to be sure.
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Laura_7

Quote from: Emileeeee on January 05, 2016, 08:49:49 AM
My number is in pg/ml. I just checked it again to be sure.

Are you on injections or implants ?
With injections the levels can be even higher the first day.


hugs
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Lagertha

E levels are pretty much irrelevant if you take estradiol in pill form. If you would be on patches or implants it would tell actual E levels. If you would take full daily dose sublingually 2 hours before blood test it could show you 2220 pmol/l or 4000 pmol/l . Would that make you more happier or your endo more scared?
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Deborah

Just for reference then, my last blood test was about 4 hours after I took the pills.  The 3 month blood test was maybe 3 to 3.5 hours after the pills.


Sent from my iPhone using Tapatalk
Love is not obedience, conformity, or submission. It is a counterfeit love that is contingent upon authority, punishment, or reward. True love is respect and admiration, compassion and kindness, freely given by a healthy, unafraid human being....  - Dan Barker

U.S. Army Retired
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pyhxbp

To the OP - do what your endo tells you. I am not aware of any qualified endocronologists on here. By all means ask your endo about what you read here but remember who is responsible for your medical care.
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Emileeeee

Oh maybe that's why she wasn't as freaked out by it as I was.
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archlord

Quote from: pyhxbp on January 05, 2016, 09:14:00 AM
To the OP - do what your endo tells you. I am not aware of any qualified endocronologists on here. By all means ask your endo about what you read here but remember who is responsible for your medical care.

Yes definitivly.. I would so like to be on injections but for some reason they arent prescribing it here in canada ( or in rare case)... i know how to do injections i did  dose of testosterone 4 time per week( yep, estrogen is like once every 3 week, i was doing shots 4 time per week lol.. outchie) when i was doing bodybuilding...   At least if he increase my estrogen dose that would make me happy ( i could be able to divide it in 3 dose per day) as it looks like Cyproterone Acetate is doing wonders for my T level.

Is there any arguments i could give to my endo to make him prescribe me injections
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Lagertha

Quote from: archlord on January 05, 2016, 09:20:49 AM
At least if he increase my estrogen dose that would make me happy

Your prolactin measurement is already quite higher than it should be. Ideally it should be under 18 ug/l
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