Test results from the endo!

Dragonwolf
Posts: 5,600 Member
Finally, I found someone to run the right tests! Too bad I don't go back to her for three months, but the information itself is hugely valuable to me. I finally got in to see her, and after quite a bit of talking, I got the feeling she actually kind of doubts that I actually have PCOS and suspects that I may have been misdiagnosed. She didn't say it outright, but she certainly hinted at it. Either way, she finally ran the right tests -- fasting insulin, testosterone levels (total, free, % free, and SHBG), progesterone, prolactin, and more.
I got them back, and here's what they are:
Progesterone (specifically, 17 hydroxyprogesterone) - 168ng/dL (reference range - Follicular Phase: 185 ng/dL or less, Luteal Phase: 285 ng/dL or less; I'm either just about perfect or rather low, depends on exactly which phase I was in at the time)
Testosterone - 96ng/dL (ref - 14-76; rather high)
Free T - 2.24ng/dL (ref - 0.08-1.90 ng/dL; high)
Free T % - 2.36% (ref - 0.6-2.5%; high normal)
Sex Hormone Binding Globulin - 20.3nmol/L (ref - 18-144nmol/L; low normal, which is expected when T is high, since they're usually inversely proportional)
DHEA-S - 344mcg/dL (ref - 35-430mcg/dL; high normal)
Prolactin - 6.7ng/mL (ref - 2.8-29.2ng/mL; low normal)
C-Peptide - 2.8ng/mL (ref - 0.2-2.7ng/mL; just barely high; considering this is another test of insulin resistance, this doesn't surprise me, given the time I've spent with high insulin levels, I expect this to go down in the future)
Insulin (fasting) - 13.4uIU/mL (ref - 0-29.1uIU/mL; smack dab normal, and below the threshold I've come to suspect is mine for losing weight)
Glucose (fasting) - 87mg/dL (ref - 70-99mg/dL; smack dab normal, and the best I've ever had mine measured that I recall; I often used to see it in the low 90s, so 87 makes me happy)
These are all I've had tested for now. Might have more come October when I see her again. This provides me with some great information that I hadn't been able to get before, though, so I'm happy. This shows that what I'm doing is right, at least for me for blood sugar/insulin, and if I want to, I can see what's out there to reduce testosterone slightly, but I don't necessarily have to, I don't think (it might straighten itself out with time).
I got them back, and here's what they are:
Progesterone (specifically, 17 hydroxyprogesterone) - 168ng/dL (reference range - Follicular Phase: 185 ng/dL or less, Luteal Phase: 285 ng/dL or less; I'm either just about perfect or rather low, depends on exactly which phase I was in at the time)
Testosterone - 96ng/dL (ref - 14-76; rather high)
Free T - 2.24ng/dL (ref - 0.08-1.90 ng/dL; high)
Free T % - 2.36% (ref - 0.6-2.5%; high normal)
Sex Hormone Binding Globulin - 20.3nmol/L (ref - 18-144nmol/L; low normal, which is expected when T is high, since they're usually inversely proportional)
DHEA-S - 344mcg/dL (ref - 35-430mcg/dL; high normal)
Prolactin - 6.7ng/mL (ref - 2.8-29.2ng/mL; low normal)
C-Peptide - 2.8ng/mL (ref - 0.2-2.7ng/mL; just barely high; considering this is another test of insulin resistance, this doesn't surprise me, given the time I've spent with high insulin levels, I expect this to go down in the future)
Insulin (fasting) - 13.4uIU/mL (ref - 0-29.1uIU/mL; smack dab normal, and below the threshold I've come to suspect is mine for losing weight)
Glucose (fasting) - 87mg/dL (ref - 70-99mg/dL; smack dab normal, and the best I've ever had mine measured that I recall; I often used to see it in the low 90s, so 87 makes me happy)
These are all I've had tested for now. Might have more come October when I see her again. This provides me with some great information that I hadn't been able to get before, though, so I'm happy. This shows that what I'm doing is right, at least for me for blood sugar/insulin, and if I want to, I can see what's out there to reduce testosterone slightly, but I don't necessarily have to, I don't think (it might straighten itself out with time).
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Glad to see you getting some progress, and look forward to further discussion. Your doctor won't call you to discuss the bloodwork before your next appointment?0
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Dragonwolf wrote: »
So the "C" in PCOS is actually NOT a misnomer? I saw mention of Cushings as a PCOS-like syndrome, are there others? More importantly, if it turns out you don't have PCOS, are you going to leave us?0 -
Dragonwolf, I am glad to hear you found a doctor willing to work to see what's going on and work with your symptoms.
Were you ever given a full thyroid panel? Or full female hormone tests? I forget what it's called but could point out some irregularities.
I sometimes had multiple cysts and at other times did not. I think the low carb diet is the best treatment for this rather than birth control pills or however they treat it nowadays. Metformin?
As far as testosterone levels go I think as long as you do not have extreme facial hair issues a little bit high is not bad...build more muscle mass, excellent libido
Is your doctor treating you will anything yet? Or testing you for something else?0
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