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Hello Nadine! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with your reply momentarily.
What was the reason for doing SHBG and what other tests have been done ?
Are you taking any hormone replacement therapy ?
Any other medicine you are taking currently ?
Thanks forthe information
The SHBG is slightly elevated than normal
There can be several reasons
Use of corticosteroids
The first thing would be to look for the cause of this excess
If thyroid function test are normal, i would suggest liver functions,estrogen/progesterone level,and an ultrasound of the ovaries
The increase is so mild that we can wait to repeat the test after 2-3 months and then plan accordingly
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Usually a combined oral contraceptive help in reducing androgen excess
Use of spironolactone with oral contraceptives has been found more effective
Then there are other anti androgens like flutamide
Some other medicines like finasteride and leuprolide also have anti-androgenic effect
But in your scenario i would suggest oral contraceptive with spironolactone
I would suggest a combined estrogen/progesterone pill rather than progesterone only pill
You are welcome
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