Just got my doctor to tell me the blood tests from 2 months ago.
Hormone levels at 8 months:
Estradiol: 183
Testosterone:16


Hormone levels at 14 months
Estradiol: 169.2
Progesterone: 0.4
Testosterone 12

Why did my estrogen go down? Is 169.2 a good level? My doctor said it is, but I feel it's a bit low. Those levels were taken like 5 hours after taking my hormone pills

According to doctors those are proper levels

I Think that the levels depend very much from doctor to doctor. What mine told me was that I should have my T's around 50. (last time I had 11) and E's between 200 and 300, last time I had 278. I have been on HRT for 2 years and I used to have 0 to 40 of T and 100 to 150 of E. All of a sudden all is changing and my bust is growing. I had an Orchiotomie some weeks ago and hope to stop with Spiro now.

Which estrogen? The three major naturally occurring forms of estrogen in women are estrone (E1), estradiol (E2), and estriol (E3). Another type of estrogen called estetrol (E4) is produced only during pregnancy.
https://en.wikipedia.org/wiki/Estrogen

Estradiol.

We measure Estradiol E2.

Just one point. I think this is a subject that should be followed by medical professionals. What I have seen around me we all have different reactions to medicines. Many people take it more or less blindly and under the counter, and it can be very dangerous. It is very powerful stuff.

Quote from: Angélique LaCava on April 12, 2017, 04:13:10 PM
Estradiol.

Per Medscape...
Adults

The reference range of estradiol in men is 10-40 pg/mL.

The reference range estradiol in women varies by menstrual cycle and menopausal status, as follows:

    Before menopause, estradiol levels are widely variable throughout the menstrual cycle:
        Mid-follicular phase: 27-123 pg/mL
        Periovulatory: 96-436 pg/mL
        Mid-luteal phase: 49-294 pg/mL
        Postmenopausal: 0-40 pg/mL

  Note
Your doctor should be able to tell you what range he is wanting you to have.

Quote from: JeanetteLW on April 12, 2017, 04:24:19 PM
Per Medscape...
Adults

The reference range of estradiol in men is 10-40 pg/mL.

The reference range estradiol in women varies by menstrual cycle and menopausal status, as follows:

    Before menopause, estradiol levels are widely variable throughout the menstrual cycle:
        Mid-follicular phase: 27-123 pg/mL
        Periovulatory: 96-436 pg/mL
        Mid-luteal phase: 49-294 pg/mL
        Postmenopausal: 0-40 pg/mL

  Note
Your doctor should be able to tell you what range he is wanting you to have.

she never told me where she wants me to be. She only said I'm at a premenopausal level so I guess that's all she cares about.

Should I be worried that my estradiol level went down since getting my levels tested at 8 months months on hormones?

From my experience the levels change a lot and no reason to worry. There are too many factors that influence it even levels of movement and sport.

Quote from: Angélique LaCava on April 12, 2017, 04:28:44 PM
she never told me where she wants me to be. She only said I'm at a premenopausal level so I guess that's all she cares about.

  Your doctor should be willing to explain things to you. I would let her know that you want to understand what the levels mean and what her targets are for you and why..

Angelique,

My Endocrinologist would say that your levels are on the low side, but still acceptable. My levels are in the 500 to 600 range when my blood levels are drawn one or two hours after taking estradiol sublingual. I get my blood levels drawn twice a year.

Each blood draw will give you different estradiol levels depending on many factors, such as time interval between last dose and blood draw, any absorption differences, how much estradiol is actually in the last dose you took, and of course lab errors. A few points up or down is not very important.

Premenopausal just means that your levels are similar to many other women in that age group. The question many doctors have not considered is that transgender women may need a higher blood level to get results in a timely manner. My Endocrinologist has much experience with transgender patients and had no problem putting me on a high dose right away.

They are good. My endo would say they are fine too. Remember it doesn't take high numbers for HRT to do the job, just numbers that your body responds to that complete the task. Hence they tend to go with the lowest possible dosage that achieves the results. Hugs
Mariah

Quote from: Dani on April 12, 2017, 06:57:28 PM
Angelique,

My Endocrinologist would say that your levels are on the low side, but still acceptable. My levels are in the 500 to 600 range when my blood levels are drawn one or two hours after taking estradiol sublingual. I get my blood levels drawn twice a year.

Each blood draw will give you different estradiol levels depending on many factors, such as time interval between last dose and blood draw, any absorption differences, how much estradiol is actually in the last dose you took, and of course lab errors. A few points up or down is not very important.

Premenopausal just means that your levels are similar to many other women in that age group. The question many doctors have not considered is that transgender women may need a higher blood level to get results in a timely manner. My Endocrinologist has much experience with transgender patients and had no problem putting me on a high dose right away.

I'm on a decently high dose. Enough for my pharmacist to tell me so when I first got my prescriptions. So far I'm getting results, but they are happening pretty slowly. Like my muscle mass didn't decrease until 13 months, and I didn't even get to a B cup until 14 months.

Quote from: Angélique LaCava on April 12, 2017, 07:19:14 PM
I'm on a decently high dose. Enough for my pharmacist to tell me so when I first got my prescriptions. So far I'm getting results, but they are happening pretty slowly. Like my muscle mass didn't decrease until 13 months, and I didn't even get to a B cup until 14 months.

Your pharmacist was most likely comparing the doses to their usual uses.
I am a pharmacist and I was like "wow that's high" when I saw what was prescribed for me for spiro.
 


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As long as you are seeing some changes, that's all that really counts, I think. Levels fluctuate, it's perfectly normal.