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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63983
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Hello,I am a 28 year old female who has sufffered with

Resolved Question:

Hello,
I am a 28 year old female who has sufffered with dark facial hair and excess body hair and thinning hair on my head for the past few years. I have the contraceptive implant in my arm and have had it for c. 3.5 years now and have just had my hormone levels checked please can you advise if the following results are too low estrogen and what i can do about this or further tests I should get done.
Testosterone 1.4 nmol/L (0.29 - 1.7)
Prolactin 210 mU/L WOMEN (NOT PREGNANT): 102 - 496
Oestradiol 137 pmol/L
Foll. Ovulation Luteal Post Menopause 46-607(###) ###-####161-774 <
18.4-201
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.
Hi
When during your cycle was this drawn?
Customer: replied 2 years ago.

I don't know as I've been on the contraceptive implant for 3.5 years with no bleeding. Does this make a difference?

Expert:  DrRussMD replied 2 years ago.
What does the reference range for oestradiol show
Customer: replied 2 years ago.

I've put the reference range underneath the result in my first question

Expert:  DrRussMD replied 2 years ago.
OK
Your estrogen level looks on the low side,,,,but that does not tell us much.
You need to have the following tests
TSH and T4...thyroid studies..that is the most important.
Also SHBG
Also am cortisol, this could also be the problem.
An estrogen level alone is not enough to say anything.
If your implant contains no prostesterone, this is another potential problem, and this you need to discuss with your doctor.
An endocrinologist would be the best doctor to ask to see at this point.
Low thyroid function is likely in this situation.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

I think the below rules out thyroid issues?

Thyroid stimulating hormone 1.460 mU/L (0.270 - 4.200)
Free T4 14.42 pmol/L (12 - 22)

Free T3 4.9 pmol/L (3.1 - 6.8)

The implant is Nexplanon is a progestogen-only contraceptive implant

would your recommendation still be SHBG and cortisol only?

Expert:  DrRussMD replied 2 years ago.
Cortisol
Full sex hormone panel
And consider an implant or pill that has some estrogen at this point.
And I still recommend the endocrionlogist.
And an ultrasound of the ovaries to rule out multiple cysts.
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

ok thank you. what tests would the full sex hormone panel test include?

Expert:  DrRussMD replied 2 years ago.
Estrodiol and other estrogens
SHBG
DHEA
testosterone
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63983
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 3 other Medical Specialists are ready to help you
Expert:  DrRussMD replied 2 years ago.
Thanks
Add progesterone to the panel as well.
I am board certified in integrative medicine, internal medicine, trained in functional medicine and homeopathy, etc. I have taken care of patients in all walks of medicine for over 20 years. I am here daily: use my request link as needed and “for Dr. Thomas” in the question title. Give that link to friends, family, associates, etc. Find me as needed for correct, safe and accurate answers.

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