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  • Sex Hormone Labs. Help please. :)

    I got my labs back today. I'll see my doctor next week to go over them. Last week when she tested me she said there is a good chance I have PCOS. I haven't had a cycle in over 2 years.

    What do these labs mean?

    Lutenizing hormone- 0.9
    LH interpretation:
    Female: 2.6-12.1 follicular
    27.3-96.9 mid cycle
    0.8-15.5 luteal
    13.1-86.5 post menopause

    Follicle stimulat hormone 3.7
    FSH interpretation:
    Female 1.9-11.6 follicular
    5.1-23.4 mid-cycle
    1.4-9.6 luteal
    21.5-131.0 post menopause

    Estradiol 39
    Estradiol interpretation:
    Female: 27-161 follicular phase
    187-382 pre-ovulatory peak
    33-201 luteal phase
    5-38 post menopause

    Testosterone, total 53
    Testosterone interpretation:
    Females with normal menstrual cycles:6-77 ng/dl

    Progesterone 0.9
    progesterone interpretation:
    female 0.1-1.7 follicular
    0.4-5.9 peri-ovulatory
    6.0-24.0 mid-luteal
    1.0-22.4 luteal

  • #2
    Polycystic Ovarian Syndrome (PCOS), Or: How You Lost Your Oxidative Machinery — The Danny Roddy Weblog
    Make America Great Again

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    • #3
      Regardless of whether I have PCOS or not, I need to work on getting my progesterone up.

      Thanks Derp!

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      • #4
        I am a physician, so I will do the best I can.....disclaimer I have to do: do not confuse what I am about to say as diagnostic or anything other than an educated answer. To determine more would require much more information than I have, as well as actual examination.

        Your pattern is not indicative of classic PCOS. In that disease, one of the characteristic labs is to see the LH value to be quite HIGH, as well as the testosterone. The reason for this is that the anterior pituitary that actually produces these hormones is over-compensating for what is in effect a broken negative feedback mechanism....it never receives it's "off signal".

        Your very low LH level is more indicative of a more general hypopituitary issue. Going beyond that is not really advisable due to my lack of knowledge in this particular specialty (I am in eyes, not hormones), and lack of more testing.

        That said, I would be very surprised if it was PCOS.
        "The soul that does not attempt flight; does not notice its chains."

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        • #5
          Thank you Lazarus!

          So when you say pituitary, does that mean TSH?

          My TSH is suppressed because I'm on T3 containing thyroid hormone.

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          • #6
            Originally posted by TheyCallMeLazarus View Post
            I am a physician, so I will do the best I can.....disclaimer I have to do: do not confuse what I am about to say as diagnostic or anything other than an educated answer. To determine more would require much more information than I have, as well as actual examination.

            Your pattern is not indicative of classic PCOS. In that disease, one of the characteristic labs is to see the LH value to be quite HIGH, as well as the testosterone. The reason for this is that the anterior pituitary that actually produces these hormones is over-compensating for what is in effect a broken negative feedback mechanism....it never receives it's "off signal".

            Your very low LH level is more indicative of a more general hypopituitary issue. Going beyond that is not really advisable due to my lack of knowledge in this particular specialty (I am in eyes, not hormones), and lack of more testing.

            That said, I would be very surprised if it was PCOS.

            Preventing and treating cancer with progesterone.
            Make America Great Again

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            • #7
              @Brooke

              I am assuming you mean that you are on Synthroid or one of its derivations....

              How long have you been on this, and have you experienced any symptoms of HYPERthyroidism? In rare cases, the dosage of Synthroid can be so far off that they cause hormonal imbalance in the body. This is highly unusual, but it does create another possible cause of your amenorrhea. The basics of what I said still stand, and it would take someone with more knowledge in the area than me to know what it is, instead of just what it isn't....
              "The soul that does not attempt flight; does not notice its chains."

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              • #8
                Synthroid is T4...

                And she's not hyperthyroid, I don't even know what advice you're trying to give.
                Make America Great Again

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                • #9
                  Originally posted by TheyCallMeLazarus View Post
                  @Brooke

                  I am assuming you mean that you are on Synthroid or one of its derivations....

                  How long have you been on this, and have you experienced any symptoms of HYPERthyroidism? In rare cases, the dosage of Synthroid can be so far off that they cause hormonal imbalance in the body. This is highly unusual, but it does create another possible cause of your amenorrhea. The basics of what I said still stand, and it would take someone with more knowledge in the area than me to know what it is, instead of just what it isn't....
                  No Synthroid for me. It's didn't do me any good. My TSH needs to be suppressed so that I don't get inflammation in my thyroid. Thanks for your input!

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                  • #10
                    Originally posted by Derpamix View Post
                    Synthroid is T4...

                    And she's not hyperthyroid, I don't even know what advice you're trying to give.
                    Derp, I just posted some of my other labs in my journal. I'm also taking temps because I'm going to start the straight T3 soon.

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                    • #11
                      Originally posted by Derpamix View Post
                      Synthroid is T4...

                      And she's not hyperthyroid, I don't even know what advice you're trying to give.
                      Thanks genius. They didn't teach me that in medical school. I assumed that she meant a general thyroid med, and Synthroid is by far the most common. T4 drugs are far less common and many pts are incorrect about what they are taking. (about 85%, by studies) Always an ass on here....glad to see wikipedia is still up and running though.

                      Since you are so knowledgeable, you might know that it is quite common for people taking Synthroid to overmedicate themselves, or to get it wrongfully prescribed. This is pretty much a standard rule-out with anyone taking thyroid medications of any kind; they are hard to diagnose, hard to dose, and hard to measure the progress of. Pushing the pendulum all the way to the other side is very common in thyroid meds. Several people on this site have written about it. It's not an exact science with those meds....

                      In these cases, a patient often begins to exhibit the symptoms of HYPERthyroid, in a false effort to correct hypo. Seeing as some of her labs indicate that rote pituitary secretion is itself off, possibly due to feedback loops being disrupted by excessive thyroid hormone, it is one of MANY possible explanations for her issues.

                      There is a reason people that actually know what they are talking about (rather than post stuff they googled) don't go on sites like these....because no one gives them any respect if they do and any bozo with wikipedia acts like they are trained at something. It's endlessly frustrating and I think about quitting writing on here daily. I have averaged 2-3 PM's a day from people asking for help and I enjoy that. Without it I wouldn't bother.

                      @ Brooke. I am not saying that you do not have thyroid issues, because they aren't mutually exclusive (I.E. your menstruation issue could be thyroid in nature, or it could just co-exist with it). That said, I would be very surprised (and pissed off if I were you) if you have been getting thyroid suppression therapies all this time, whilst it is causing an LH reading like that as a direct result. An endocrinologist could possibly explain how that could happen, but I don't have an explanation....in other words, if any med is causing THAT, it's not worth its remedy.

                      Where did you get the labs done? Who are you seeing, OB/GYN or endocrinologist, rheamatologist?
                      Do you have any other health problems that you take meds for? Surgeries?
                      Last edited by TheyCallMeLazarus; 07-22-2013, 07:57 PM.
                      "The soul that does not attempt flight; does not notice its chains."

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                      • #12
                        T4 has to be converted into the active thyroid hormone, T3, taking abundance of Synthroid causes HYPOthyroidism, not hyper, and judging by her levels of rT3 and TSH she is HYPOthyroid, not HYPERthyroid. I suggest you learn what you're talking about before dispensing advice to people and acting like a bitch to me, when I'm just correcting you and asking you to clarify because you seem to be doing nothing but mentioning random unrelated issues. FYI, nothing in her TSH indicates hypopituitarism(useless anyway) so, that's why I asked.

                        You can start by reading the two links I pasted in this thread.

                        Oh, and nothing of value would be lost by you not posting here, so stop being an attention whore. Aren't you a grown ass man?

                        Either way, I'll post in her journal, because I don't want to trash her thread with garbage by getting into some useless pissing match with some random dude.
                        Last edited by Derpamix; 07-22-2013, 08:05 PM.
                        Make America Great Again

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                        • #13
                          Could You Be Overmedicated? Help for People on Thyroid Hormone Replacement Drugs, Including Synthroid, Levoxyl, Armour, Nature-Throid, Cytomel

                          Now, when is the part where you admit you are wrong? Yes, taking a whole lot of synthetic hormone causes a deficiency in that hormone.....makes sense.

                          I was asking questions that YOU think are unrelated because you have never diagnosed a person in your life. TSH is necessary to produce LH, and explains a number like hers if there are issues there. No educated person would look at your "rebuttal" as having any shred of sense in it. It's not a pissing match at all. It's a clueless person acting like they are trained, and a trained person trying to gather more information.

                          And I would bet that about 56 people (the number I have written to in the past month) would disagree with you about whether I am useful on here.
                          "The soul that does not attempt flight; does not notice its chains."

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                          • #14
                            My free T3 is in the upper top if the range... If my body were actually utilizing the T3, I could possibly be over medicated.

                            I'm going to work on adrenals and look at rT3 later this week.

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                            • #15
                              Originally posted by TheyCallMeLazarus View Post

                              @ Brooke. I am not saying that you do not have thyroid issues, because they aren't mutually exclusive (I.E. your menstruation issue could be thyroid in nature, or it could just co-exist with it). That said, I would be very surprised (and pissed off if I were you) if you have been getting thyroid suppression therapies all this time, whilst it is causing an LH reading like that as a direct result. An endocrinologist could possibly explain how that could happen, but I don't have an explanation....in other words, if any med is causing THAT, it's not worth its remedy.

                              Where did you get the labs done? Who are you seeing, OB/GYN or endocrinologist, rheamatologist?
                              Do you have any other health problems that you take meds for? Surgeries?
                              No surgeries, no other meds besides insulin for type 1 diabetes.... But you saw that in my journal.

                              They only specialist I'm seeing right now is my eye doctor. I don't have enough specialty visits to see an endo this year. All the endo's I've been to have either not done anything or screwed things up worse. The doctor I'm seeing now seems to be thorough. She take time to explain things too.

                              There was a lab labeled RA Test... Is that for rheumatoid arthritis? It was <9, ranges (<12).

                              I need to see if a gyno yearly exam is included in my plan without it taking a speciality visit.

                              There is slight damage to the back of my eyes. Doctor explained it as, "water in the yard" and "water at the front door". Yard was for the right, front door, the left. I need to go back to him every there months. This us your speciality... What do you think?

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