What Do My Lab Test Results Indicate?

Posted on Tue, 16 Aug 2016

Question: I am on hrt. My total test is at 1400, free test at 450, estradiol at 105, dhea at 27. My dr is ok With this but I'm not so sure

Answered by Dr. Binu Parameswaran Pillai (14 minutes later)

Brief Answer:
Please provide the report

Detailed Answer:
Good day,
Welcome to HCM. Noted your question. Could you provide a scanned copy of reports as attachment?
What dose of HRT are you on? Do you have any prostate symptoms?
These are important questions before i can answer about the adequacy of hormone replacement.
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (19 hours later)

I can not see a way to attach a doc in this system. Anyway, I looked up the results: Free Test ">50" pg/ml, DHEA, serum 30 ng/dl , Testosterone 1520 pg/ml, Estradiol 109.0 pg/ml , Progesterone 0.48 ng/ml. This is the most recent. The free test of 450 was a previous test by a different lab. My personal concern is the Estradiol. No , I have no prostate issues. Taking 4 pumps of Androgel.

Answered by Dr. Binu Parameswaran Pillai (5 hours later)

Brief Answer:
Testosterone to estradiol conversion while on treatment

Detailed Answer:
Hi,
well yourTestosterone levels seems to be okay. The testosterone is getting converted to estradiol and when levels are high, you may experience enlargement of breasts. In that case, you may need to discuss with your doctor about adding an aromatase inhibitor to block the convesrion.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar