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Suggest Treatment For Low Estradiol

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Posted on Tue, 5 Aug 2014
Question: Estradiol level is a 25 but my FSH is a 6.8, my doctor is only repeating the fsh, why not both? 34 yrs old and total hysterectomy 6 yrs ago, ovaries intact
doctor
Answered by Dr. Aarti Abraham (11 minutes later)
Brief Answer:
ERROR MIGHT BE SUSPECTED, CAN REPEAT BOTH TOO

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
The estradiol level is already low, and probably you might be having peri - menopausal symptoms which tally with this level.
The FSH level should be high to fit in with this clinical picture, so your doctor might be repeating it, suspecting an error in the current reading.
Ideally both should be repeated, that makes sense too.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (13 minutes later)
He is taking the estradiol level as being low but said he has never seen anything like this since fsh is normal? Should i be concerned?
doctor
Answered by Dr. Aarti Abraham (3 hours later)
Brief Answer:
NO CAUSE FOR CONCERN

Detailed Answer:
This scenario can sometimes happen.
WHen a woman approaches menopause, estrogen levels fall as ovarian function declines.
To cover this up, more FSH ( stimulating hormone ) is secreted by the brain.
Beyond a point, as the ovaries totally cease function, the FSH level persistently remains raised, but the estradiol is persistently low.
In early stages, the estradiol might be low, and the FSH would be on its way to increasing, so a repeat level might show elevated FSH, or it could be a simple lab error.
There is no cause for concern.
It would be better if you insisted that both estradiol and FSH be repeated, for more clarity.
Take care
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Suggest Treatment For Low Estradiol

Brief Answer: ERROR MIGHT BE SUSPECTED, CAN REPEAT BOTH TOO Detailed Answer: Hello Thanks for writing to us with your health concern. The estradiol level is already low, and probably you might be having peri - menopausal symptoms which tally with this level. The FSH level should be high to fit in with this clinical picture, so your doctor might be repeating it, suspecting an error in the current reading. Ideally both should be repeated, that makes sense too. All the best Please feel free to discuss further.