Infertility tests

What Do Estradiol Blood Test Results Mean?

Typical question of a patient: I got my estrogen levels tested and here are the results. I’m not sure what they mean however. Anybody got any clues? 

The report show this phrase: Estradiol value appears low by immunoassay. Suggest repeat testing by Tandem Mass Spectrometry for Estradiol, Males or Children, Test Code 0093247.

Hormones actually in relations to Girls and periods

  • Primarily: follicle stimulating hormone (FSH) –> makes eggs mature 
  • Lutenizing hormone (LH) –> when the eggs are mature, makes the follicle rupture, so that eggs are released
  • Estrogens (Estradiol, E2)–> makes cervical mucus get thinner and less acid, so that sperms can swim through it
  • Progesterone –> is produced after releasing the egg. It makes the womb walls thicken to prepare them for a pregnancy. When no pregnancy is detected, production of progesterone stops and a period starts.
  • If a girl is pregnant she produces Beta-HCG (Beta human chorionic gonadotropin), which is also a female hormone.

E2 Normal Ranges:

  • Estradiol, Adult Premenopausal Female <20 pg/mL 
  • Follicular phase: 27-122 pg/mL
  • Mid-Cycle phase (ovulation): 95-433 pg/mL
  • Luteal phase: 49-291 pg/mL
  • Post-Menopausal: less than 41 pg/mL

Example 1: 13 years old girl and have been on her period for 2 months> the cause may be something called endometriosis, especially if your periods are particularly painful. In the meantime, make sure to drink plenty of water and increase your protein intake or take an iron supplement so you don’t become anemic, then have a doctor visit.

Hormonal Imbalance

From the women I’ve known, it’s actually not uncommon for a woman not to ovulate regularly. I knew a girl once who stopped for six months for no apparent reason; her parents were convinced she was pregnant, but she was a virgin so that wasn’t even a remote possibility.

The most common cause I’ve heard cited by doctors is stress. When the mind and body are stressed, it can cause the body to want to conserve resources because it senses the stress hormones and thinks you’re in some sort of survival emergency. A university health service nurse once told me it’s not uncommon for women to stop ovulating during the school semesters, particularly during exam season.

However, if you’re having other symptoms like mood swings and appetite loss, the most likely cause might be a hormone imbalance. These, again, are pretty common in young women. Ovulation is actually dictated by the interaction of like seven different hormones, so if any of these is out of balance it could prevent ovulation.

The most common hormone imbalance in young women is thyroid imbalance. Hypo or hyperthyroidism are associated with changes in ovulation, changes in appetite, changes in mood, and excess energy or fatigue. Hypothyroidism (having too little thyroid) usually causes heavy, frequent periods, increases in appetite, weight gain, fatigue, and depression. But for me, I’m hypothyroid and I actually experienced a loss of ovulation. So I guess it can go either way. Hyperthyroidism is somewhat more rare and is supposed to have the opposite symptoms, i.e. loss of ovulation, appetite decrease, weight loss, excess energy, irritability and anxiety.

Not ovulating is not in itself an urgent medical matter. There are a lot of reasons this could happen, and most of them are not reasons to worry. However if you’re uncomfortable with the other symptoms you’re experiencing, what with mood, appetite, physical symptoms, etc., it would be worth your time to talk to your doctor about getting tested for hormone levels. I’d specifically mention thyroid since I know a lot of girls with thyroid imbalances. They might also want to check more hormones such as estrogen and testosterone that could be effecting your mood and ovulation.

Good luck getting this resolved! It’s no fun when your brain does things and you don’t know why. The good news is it’s almost certainly fixable.

Period, Stress, Estrogen Relationships

Stress doesn’t exactly make your period late, it causes late ovulation – if stressed (enough to make you ill, a few bad days doesn’t mean you’re suffering from stress) your body will prevent itself from ovulating to avoid risking you getting pregnant during a time of stress.

As ovulation is what triggers menstruation this is thus what makes menstruation late when you’re stressed – it’s the stress around the time of ovulation that causes delay, but stress around the time of menstruation can cause you to tense-up so that the cervix doesn’t relax to release flow so make you a few days late.

Other things that can make your period late; 

  • Interrupted E2 Levels
  • Illness. 
  • Medication. 
  • Travel. 
  • Poor Diet. 
  • General poor health. 

basically anything that may make your body want to prevent pregnancy, and obviously hormonal imbalance can lead to late periods too, sometimes this just happens but sometimes underlying medical conditions can lead to imbalanced hormones and late periods…if you’re in your teens irregular cycles are normal due to hormonal imbalance during puberty.

What Do LH and FSH Test Results Mean?

Q: I am being tested for irregular periods, they are assuming i have pcos. Everything has come back normal but the test didn’t give me a standard range for three LH and FSH test which are LH: 11 & FSH: 2.5 … I am 22yrs old and instead of me not getting periods i get really long periods and bleeding in between. I have been trying to conceive with my husband for 2 years and nothing has happened…. does anyone know the levels of these 2 test?

A: FSH stands for follicle-stimulating hormone (FSH). This hormone is released by the anterior pituitary gland.In women, FSH stimulates production of eggs and a hormone called estradiol during the first half of the menstrual cycle.The FSH test is usually done to help diagnose problems with sexual development, menstruation, and fertility. 

FSH Blood Test Normal Ranges

  • Before puberty: 0 – 4.0 mIU/ml
  • During puberty: 0.3 – 10.0 mIU/ml
  • Women who are menstruating: 4.7 – 21.5 mIU/ml
  • Postmenopausal: 25.8 – 134.8 mIU/ml

So you have a low FSH.

The LH blood test measures the amount of luteinizing hormone (LH). LH is a hormone released by the pituitary gland. In women, an increase in LH levels at mid-cycle causes ovulation.

The normal LH level for an adult female is 5 to 25 IU/L. Levels peak around the middle of the menstrual cycle.
So your LH is normal. Your doctor will tell you if anything is wrong. 

Causes of a low FSH

  • Hypopituitarism
  • Klinefelter syndrome
  • Polycystic ovary disease
  • Turner syndrome
  • Ovarian failure (ovarian hypofunction)
  • Ovarian or adrenal cancers
  • Precocious puberty in girls and boys
  • Anorexia

The meaning of borderline FSH blood test

A customer asked me one question yesterday, it was: I recently had a blood test to line out any problems, well i got a letter yesterday saying one of my tests were borderline. I rang to see which one this was, the lady told me it was my FSH. I didn’t know what it was, i googled it and all i got was stuff i didn’t really want to read :S so i was wondering if someone can help me out here thanks, I’m 18 and kinda worried, and not had a period for nearly 2 months this is unusual for me.

Q:  Usually you have a batch of hormone tests, LH, Progesterone test, Oestrodial etc if you have period problems.

Good luck and I hope you are able to conceive! If you have any questions I will monitor the question!

What Do Testosterone Blood Test Results Mean?

Quick lines

Testosterone is one of human hormones produced testicles. Both men and women have testosterone hormone but males have much higher levels of testosterone than females. the highest testosterone production occurs during puberty, and due to natural aging after age 30 it starts to slowly dip naturally at a rate of around 1 percent per year.

Side Effects of Low Testosterone in Men

Because testosterone regulate so many functions inside our bodies, its decrease can bring about significant changes for physical and emotional functions as well.

As you have known T usually used as a short for testosterone, The principal male sex hormone, however woman also have a small quantity of testosterone, here we will show you the meaning of Low T Levels by age, sex, and race.

Have to read carefully if you a man who experience a decrease in libido or in simple words doesn’t feel attraction to your girl’s body, or has fewer spontaneous erections when go to intimacy, or you has a slightly lower sperm count in semen analysis.

What does low testosterone and Hypogonadism mean?

The medical terms for Low testosterone levels is: Hypogonadism, or testosteronemia.

Hypo- letters stand for low or reduced function, -gonadism stands for “related to gonads”, gonads are the human sex glands, the testicles in men and ovaries in woman.

Low T may come from a problem in testicles, then doctors call it “primary hypogonadism”.

Why a man has Low testosterone level?

Many diseases can cause reduction in testosterone production and show low testosterone test results, including:

pituitary gland tumors, HIV infection, and radiation treatment or chemotherapy for cancer.

Common causes of Low T are further classified by age:

Men in 20’s of age:

ِA male 20 years old has a roaring sex drive by nature that’s because testosterone peaks at 20’s, but some young men dwindled down and have a very low libido even it doesn’t exist at sometimes, also penis unable to erect effectively “erectile dysfunction” after sexual stimulation and sexual arousal.

Low T man experience decreased muscle mass and fatigue lead to low capability to cope with the daily life, therefore his mood become unstable because of Low hormone level.

Erectile dysfunction include men who can’t erect at all or erect for a short period that’s not enough to complete sexual intercourse, also continuous short erection-demolition is one of ED manifestations when a male’s penis can’t stay erectile at insertion.

young youth may give up masturbation for weeks without any sexual desire or weak desire that is not enough to have a firm erection with a girl.

Impotence Remedies: take over the counter herbs for libido and lipido-boosting-foods may not solve the problem.

trying ginseng, multi vitamins, bee pollen honey, garlic supplements may also bring very little results to fix testosterone reduction.

At my age low testosterone isn’t normal but is it possible? I did have testicular surgery when I was 12 but the lump that was there is gone, and that was many years ago. The surgery worked and I had sex drive after that. libido starting dropping was a pain in the back of my head while masturbating

Low testosterone in 30′

A problem like break up with a girl can lead to low lipido as the boy may say she tores my heart out and can’t live without her, or going directly to watching ugly porn videos.

A young man about 25 years old and when dating women when sex life was doomed, experience many erection and performance problems, taking viagra and cialis crappies (sildnafil product) help in erection although has many terrible side effects.

Viagra: it’s terrible stuff. I try to avoid pharmeceuticals as it is. I noticed I would get terrible migraines and an occasional blurred vision which truly was scary…Sure the erection was great but the side effects blew.

Over 50 years old men:

How do you fix low testosterone?

  • 9 Ways to Naturally Increase Testosterone Levels
  • Lose Weight. …
  • High-Intensity Exercise like Peak Fitness (Especially Combined with Intermittent Fasting) …
  • Consume Plenty of Zinc. …
  • Strength Training. …
  • Optimize Your Vitamin D Levels. …
  • Reduce Stress. …
  • Limit or Eliminate Sugar from Your Diet. …
  • Eat Healthy Fats.

Do Men Have Progesterone? What Does Progesterone Do in Males?

Man progesterone normal range, effects on sexuality, and low progesterone treatment for males explained.
Do men have progesterone hormone like women?
Yes, men have much progesterone hormone as women in days of bleeding.
Both estrogen and testosterone are produced from progesterone, and most sex hormones are made from cholesterol.
Where is progesterone produced in males?
Males produce most progesterone during testicular production of testosterone from testis and produced in smaller amounts by the adrenal glands after the onset of adrenarche in both males and females. To a lesser extent, progesterone is produced in nervous tissue, especially in the brain, and in adipose (fat) tissue, as well. While ovaries is the main producer in women.
Progesterone is the source hormone and gets converted in the male body into testosterone and other hormones.
Feminizing effects of progesterone in men:
Low sex hormones including progesterone in male lead to increase in feminine characteristics like the growth of breasts than man’s normal breasts “man boobs syndrome”, excess fats in Ass’s region, feminine sound, but no man could have menstrual  period, ovulation or pregnancy due to low progesterone and testosterone levels,instead of that, men with low sex hormones could experience back and front pain as female with obstructed period do, and only congenital cases can show altered sex signs and symptoms, means that the sexual exhausted men show low prog and low T only experience mild feminine aspects.
Functions that Progesterone do in men are:
Main Progesterone hormone in male is to act against estrogen hormone (antagonist) in order to reduce its feminine effect or neutralize it, because the higher estrogen than progesterone in men can lead to low testosterone levels which means low masculinity of any degree.
Blocking 5-alpha-reductase to promotes higher levels of testosterone in your body, enzyme 5-alpha-reductase  acts to convert testosterone into dihydrotestosterone (DHT), however DHT is the active testosterone in the body and the cause of male pattern balding, prostatic hyperplasia, and prostate cancer. this is why progesterone reduces estrogen-driven cancers like prostate cancer in men, and breast and endometrial cancer in women.
Indirect roles of progesterone in male include regulating the immune response, slowing the digestive process, reducing anxiety, and building and maintaining bone, muscle mass, and considered a second male sex hormone.
Do men need progesterone?
Low progesterone levels in men means low testosterone, high prolactin hormone and may have low estrogen, which cause gynecomastia, the medical term for man-boobs, low sperm count and viability, low lipido, and increased body fats in men, so that man need to take progesterone to fix man-boobs and high prolactin levels, the result of progesterone therapy in men in normal testosterone level and normal milk hormone “prolactin”.
Causes of low progesterone levels in males
Aged men: have low testosterone (the masculinity hormone) which causes estrogen levels to rise, and progesterone rapidly fall down as a result.
Estrogen dominance: means high estrogen level against progesterone level in men (Pg./E2 ratio)
Cause of E2 dominance in men include: Alcoholism, obesity, chronic stress and glandular dysfunction, and environmental factors as when man exposure to xenoestrogens and phytoestrogens which are hormone-mimicking chemicals found in the air we breathe and in some consumer-based products such as soybeans, caffeine, chemical detergents and used plastics.
Such unreal estrogens are risk factors when exposed to organs that have sensitive estrogen receptors sites such as the breast, uterus, and thyroid. the long term effect is probably undesirable because estrogen receptor sites are still occupied, so that it’s beneficial for women with E2 dominance to have low amount only to control high E2 and low progesterone and emphasize the hormonal balance.
Phytoestrogens have been shown to inhibit the conversion of T4 to the active T3 thyroid hormone, and can trigger hypothyroidism.
Progesterone make regulation of cell metabolism of estrogen to promote the oxidative pathway which prevents conversion of the much weaker estrogens (the estrone), to a more potent form, called the estradiol.
What Does Estrogen Dominance Do in your body?

  1. Excess, stubborn and hard to lose body fat, especially abdominal and chest fat
  2. Hair loss
  3. Male breast tenderness
  4. Cellular changes leading to cancer, including breast cancer in men
  5. Enlargement of the prostate
  6. Inflammation of the prostate
  7. Increased frequency of urination (waking up multiple times at night to go for a pee)
  8. Heart disease (makes you more prone to chest pains and heart attacks)
  9. Depression and fatigue
  10. Reduced sex-drive
  11. Erectile dysfunction

What are symptoms and signs of low men progesterone levels?

  • Hair lossman boobs and excess fats
  • Weight gain
  • Depression and Fatigue
  • Growth of man-boobs, medical term is Gynecomastia.
  • ED: medical term for Erectile dysfunction
  • Impotence and Low libido
  • Bone mass loss
  • Muscle mass loss
  • man breast enlargement: medical term is gynecomastia and commonly know as man-boobs.

What is normal progesterone level in men?
Adult males have levels similar to those in women during the follicular phase of the menstrual cycle.
Males ≥16 years 0.27 – 0.9 ng/mL, 0.86 – 2.9 nmol/L
Female or male 1–9 years 0.1 – 4.1 or 4.5 ng/mL, 0.3 – 13 nmol/L
While Progesterone levels are relatively low in children and postmenopausal women.
What should a man do for low progesterone?
Treatment and recommendations:
If a man fell poor sex drive and weak erection he must take blood tests for sex hormone testosterone, dihydroepiandrosterone “DHEA”, progesterone, estradiol, sex-bending globulin, prolactin, FSH, LH, in addition to semen analysis, albumin, and complete blood count for anemia and blood cells.
If a man sex hormone results show low T , low progesterone, normal FSH and LH: the meaning is normal testicles with some acquired hormonal imbalance due environmental factors or other disease not related primarily to sexual functions, diagnosis and treatment made according to each reason, consult a specialized doctor.
Natural treatments for low progesterone are Omega 3 fatty acids, Zink supplements to stop converting testosterone to estrogen in men and help losing man boobs with other medications, and foods rich in Vitmain B6 such as almonds, Liver, walnuts, hazelnuts and chestnuts, also there are natural progesterone creams applied to Chest, Inner Arms, Inner Thighs, and Abdomen.
What does progesterone treatment do for men? does creams work?

  1. Helps use fat for energy, making it easier to lose weight
  2. Increases muscle mass
  3. Protects against prostate and breast cancer (both are increasing in men)
  4. Increases sexual drive
  5. Corrects erectile dysfunction in much the way viagra does, by increasing production of nitric oxide
  6. Helps normalize blood sugar levels
  7. Normalizes thyroid hormone function
  8. Stimulates new bone formation
  9. Improves brain function, has antidepressant properties
  10. Improves skin problems including acne, seborrhea, rosacea, psoriasis
  11. Diminishes muscular aches and pains, has anti-inflammatory properties
  12. Improves sleep pattern

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