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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Estrogen Levels?

I am 31 yrs old, 2 children ages 4 & 2, natural births. I was recently given a blood test, urine test because I have been spotting, blood clots for almost 4 weeks now. My menstrual cycles have always been 4-6 days. I started taking setraline (zoloft) about 3 months ago. My thyroid came back normal, not pregnant, not anemic but my estrogen levels were really low...should I be concerned, It hasn't been going away or is there another test I should look into?? Should I ask to be given hormones??
posted on Sat, 15 Mar 2014
Twitter Tue, 15 Aug 2017 Answered on
Twitter Wed, 16 Aug 2017 Last reviewed on
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Endocrinologist,  's  Response
Good day,
Noted your concern.Zoloft is known to cause high Prolactin levels. High prolactin can lower your estrogen levels and can make your periods irregular. It is worth checking your prolactin Levels. However, I must also say that estradiol ( estrogen) is best checked during the day 3-4 of periods. The levels of estrogen keeps fluctuating through out the menstrual period.
Before you consider hormone replacement, may I request you to get your serum prolactin checked.
Regards
Binu
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What Causes Low Estrogen Levels?

Good day, Noted your concern.Zoloft is known to cause high Prolactin levels. High prolactin can lower your estrogen levels and can make your periods irregular. It is worth checking your prolactin Levels. However, I must also say that estradiol ( estrogen) is best checked during the day 3-4 of periods. The levels of estrogen keeps fluctuating through out the menstrual period. Before you consider hormone replacement, may I request you to get your serum prolactin checked. Regards Binu