What Does My Hormone Test Results Indicate?
I have hormone tests done recently cause of fatigue and hairloss. Please check my results throughly and suggest. My doctor thinks he has caught the problem but i want to take second opinion before taking any kind of hormonal drugs.
Thanks
Estradiol (saliva) 1pg/ml
progestrone(saliva) 18pg/ml
testostrone (salive) 82pg/ml
DHEAS (saliva) 13.2pg/ml
Cortisol morning (saliva) 6.5ng/ml
Cortisol noon (saliva) . 2.4ng/ml
Cortisol night (saliva) .8ng/ml
PSA blood spot 8.7ng/ml
free t4 blood spot 1.3ng/dl
free t3 blood spot 3.1pg/ml
TSH blood spot 0.4uU/ml
TPO blood spot 20IU/ml
Hormones
Detailed Answer:
Sorry to note your symptoms. I have reviewed your lab results.
The thyroid function tests ie TSH, free T4 and TPO seem normal. However, endocrine science is all about lab tests and one must go by the normal ranges provided for the particular lab. There are sometimes different methods used to measure hormones by various labs and it is important to go by their 'assay' ranges.
Your blood PSA is high. When I see someone with this type of PSA I refer to a Urologist for evaluation. It is not alarmingly high and may likely represent prostatitis. In any event, this does not fall in endocrinology domain and is not a hormone test.
Regarding the others which are all saliva tests, none of them are validated as standard of care. The only exception to this is the (mid)night saliva cortisol which also appears to be normal. This test is used to screen for a rare condition called Cushings syndrome in which there is excess of cortisol in the blood. It can cause fatigue and hair loss but more commonly it causes weight gain, easy bruising, muscle weakness and several other problems.
The others are not accepted by most practicing endocrinologists worldwide, as they are not yet defined in terms of their relevance to disease states. They may be research tools at the moment, but are not useful to clinical practice in making healthcare decisions.