I'm coming up on my three month recheck on my blood work, and this will be the first opportunity to compare against my baseline numbers. I'm more interested in results than  numbers, but I do enjoy a bit of math. So my question is what  are the  numbers relevant to the transition side? It appears to be
A estradiol
B testosterone, total
C testosterone, serum, free

Bear with me, this is new to me. 

Hugs, Devlyn

Those are the right numbers.  Usually though they only test total T for me.  They tested free T once.

If the 3 month numbers are not as high or low as you desire, they will continue to change.


Conform and be dull. —James Frank Dobie, The Voice of the Coyote

Is the baseline of any consequence?

Quote from: Devlyn Marie on April 11, 2017, 02:52:06 PM
Is the baseline of any consequence?

  I don't think so.  I believe they are more concerned as to where there are now. If they are not within the ranges they want to see them they will then adjust.

  My first tests were not really baseline due to my being naughty and having started taking the same dosages as I am now, for 5 weeks before telling my doctor. He then ordered the tests and I started being legal.
  I am also due for 3 month tests soon. (3 months since the first set that is) I did have my total testosterone tested before by my oncologist at that time it was 370 ng/dl.   At the 5 week mark mine had dropped to 70 ng/dl which is in the female range as were all the other testosterone tests and my estradiol was 93.0 pg/ml in the female range also.
  I suspect it to be about the same when I'm tested again.

  Hugs,
    Jeanette
 

I don't know.  All I can tell you is what happened with mine.  My T went down by 80% on a moderate dose of spiro.  Later, after 9 months I had to double the spiro because it was still above female range but below male range.

My E increased by 66% and was still low.  That dose never changed but my E level continued to increase at each visit until around 18 months.


Conform and be dull. —James Frank Dobie, The Voice of the Coyote

Quote from: JeanetteLW on April 11, 2017, 03:34:38 PMIf they are not withing the ranges they want to see them they will then adjust.

Range (for estradiol) in ciswomen is anywhere from 20 pg/ml to 650 pg/ml. It overlaps men's normal range (10-60). So, even before HRT, we might be within range. The question is:

- how is your body responding to those levels? Person X may respond well while you may need higher or lower levels for equivalent response. Individuals vary. Sensitivities differ.

- is that number the same number as during an hour, 6 hours or 12 hours before or after? Test is far from accurate. Levels fluctuate in 24 hours.

Quote from: KayXo on April 11, 2017, 03:41:20 PM
Range (for estradiol) in ciswomen is anywhere from 20 pg/ml to 650 pg/ml. It overlaps men's normal range (10-60). So, even before HRT, we might be within range. The question is:

- how is your body responding to those levels? Person X may respond well while you may need higher or lower levels for equivalent response. Individuals vary. Sensitivities differ.

- is that number the same number as during an hour, 6 hours or 12 hours before or after? Test is far from accurate. Levels fluctuate in 24 hours.

  And that is why I will discuss my results with my doctor, and ultimately leave those decisions to him.

  Hugs,
    Jeanette

My lab uses a portal where I can view my test results before my doctor sees them (if I am fast). Transition levels for estradiol are normally in the 100-200 pg/ml range however I am currently (new numbers at the end of the week, just left the vampire) 51 pg/ml range 24 hours after my last dose and still seeing development. The table will give you an idea about some of the numbers.


ESTRADIOL LEVELS
SEX                     pg/ml
Women (> 18 years old)   
      Follicular Phase  30-120
      Ovulatory Peak   130-370
      Luteal Phase      70-250
      Post-Menopausal   15-60
Male                    15-60

TOTAL TESTOSTERONE LEVELS
SEX      ng/dl        ng/ml
Females  6 - 86     0.1 - 1.2
Males  270 - 1100   2.4 - 12
Conversion factor: 1 ng/ml = 3.47 nmol/l

https://www.questdiagnostics.com/dms/Documents/test-center/si_units.pdf

Quote from: JeanetteLW on April 11, 2017, 03:34:38 PM

Quote from: Devlyn Marie on April 11, 2017, 02:52:06 PM
Is the baseline of any consequence?

  I don't think so.  I believe they are more concerned as to where there are now. If they are not within the ranges they want to see them they will then adjust.

  My first tests were not really baseline due to my being naughty and having started taking the same dosages as I am now, for 5 weeks before telling my doctor. He then ordered the tests and I started being legal.
  I am also due for 3 month tests soon. (3 months since the first set that is) I did have my total testosterone tested before by my oncologist at that time it was 370 ng/dl.   At the 5 week mark mine had dropped to 70 ng/dl which is in the female range as were all the other testosterone tests and my estradiol was 93.0 pg/ml in the female range also.
  I suspect it to be about the same when I'm tested again.

  Hugs,
    Jeanette

I cheated with estrogen supplements. Not sure if that affected anything.

Quote from: Deborah on April 11, 2017, 03:34:42 PM
I don't know.  All I can tell you is what happened with mine.  My T went down by 80% on a moderate dose of spiro.  Later, after 9 months I had to double the spiro because it was still above female range but below male range.

My E increased by 66% and was still low.  That dose never changed but my E level continued to increase at each visit until around 18 months.

Nice, the timeline information is good to know. Of course, I know that changes go on for years, but I  am  curious how quickly the system changes over to start the process.

Quote from: KayXo on April 11, 2017, 03:41:20 PM

Quote from: JeanetteLW on April 11, 2017, 03:34:38 PMIf they are not withing the ranges they want to see them they will then adjust.

Range (for estradiol) in ciswomen is anywhere from 20 pg/ml to 650 pg/ml. It overlaps men's normal range (10-60). So, even before HRT, we might be within range. The question is:

- how is your body responding to those levels? Person X may respond well while you may need higher or lower levels for equivalent response. Individuals vary. Sensitivities differ.

- is that number the same number as during an hour, 6 hours or 12 hours before or after? Test is far from accurate. Levels fluctuate in 24 hours.

Do you mean the body changes during the day, or that the supply of medication varies? I'm on an estradiol patch, which I believe gives steadier dosing, and spironolactone twice a day.

Quote from: Dena on April 11, 2017, 04:57:12 PM
My lab uses a portal where I can view my test results before my doctor sees them (if I am fast). Transition levels for estradiol are normally in the 100-200 pg/ml range however I am currently (new numbers at the end of the week, just left the vampire) 51 pg/ml range 24 hours after my last dose and still seeing development. The table will give you an idea about some of the numbers.


ESTRADIOL LEVELS
SEX                     pg/ml
Women (> 18 years old)   
      Follicular Phase  30-120
      Ovulatory Peak   130-370
      Luteal Phase      70-250
      Post-Menopausal   15-60
Male                    15-60

TOTAL TESTOSTERONE LEVELS
SEX      ng/dl        ng/ml
Females  6 - 86     0.1 - 1.2
Males  270 - 1100   2.4 - 12
Conversion factor: 1 ng/ml = 3.47 nmol/l

https://www.questdiagnostics.com/dms/Documents/test-center/si_units.pdf

I have that, too. My starting numbers were:

testosterone, total 115 ng/dL

testosterone, serum, free 3.0 pg/ml

estradiol, serum <15 pg/mL

I'm just super newbie excited about everything,  I'm feeling and seeing changes that I really like. Thanks for all the great input!

Hugs, Devlyn