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Hello- I Recently Received Lab Results And I Have Some
Question: Hello-
I recently received lab results and I have some questions on the results:
My testosterone level was elevated at 379 while the free testosterone was normal at 2.0. I receive a small dose of testosterone/estrogen via a pellet every 6 months. Could this make it so elevated? It is a very small dose. (Note: While I have hypopit and it is expected that my am cortisol would be low, (4.4) -could this be related to the elevated testosterone? ) I have never been diagnosed with CAH.
Another lab result of concern was an elevated Mycoplasma pneumoniae AB.Igg that was 1063 (normal 0-99) The mycoplama pneumoniae Ab.IgM was negative. When this bacteria is in the blood serum does it travel to different organs? I have some neurological and cardiac symptoms...
Also, I just got home from a 2 day hospital stay for cardiac symptoms. (The above mentioned labs were not done at the hospital) During my stay, they couldn't find what was wrong with me. (tightening chest pressure, light headed, low pulse) They ruled out acute cardiac distress and then discharged me. During the discharge process, I received my lab results from a different physician not within that hospital system. I told the nurse about the results but when she communicated it to the hospital physician, the physicians esponse was, "I don't agree with that" without even looking at the new lab information that would have greatly helped her with a diagnosis. I think the doctor took it personal that she wasn't the one that had ordered the labs and therefore didn't want to prescribe an antibiotic for something she didn't order. Of more concern is that I could have exposed other patients that were more compramised than I. Is this something that I should bypass the internal medicine physician and notify the hospitals infection control team? Please advise. Thank you so much.
I recently received lab results and I have some questions on the results:
My testosterone level was elevated at 379 while the free testosterone was normal at 2.0. I receive a small dose of testosterone/estrogen via a pellet every 6 months. Could this make it so elevated? It is a very small dose. (Note: While I have hypopit and it is expected that my am cortisol would be low, (4.4) -could this be related to the elevated testosterone? ) I have never been diagnosed with CAH.
Another lab result of concern was an elevated Mycoplasma pneumoniae AB.Igg that was 1063 (normal 0-99) The mycoplama pneumoniae Ab.IgM was negative. When this bacteria is in the blood serum does it travel to different organs? I have some neurological and cardiac symptoms...
Also, I just got home from a 2 day hospital stay for cardiac symptoms. (The above mentioned labs were not done at the hospital) During my stay, they couldn't find what was wrong with me. (tightening chest pressure, light headed, low pulse) They ruled out acute cardiac distress and then discharged me. During the discharge process, I received my lab results from a different physician not within that hospital system. I told the nurse about the results but when she communicated it to the hospital physician, the physicians esponse was, "I don't agree with that" without even looking at the new lab information that would have greatly helped her with a diagnosis. I think the doctor took it personal that she wasn't the one that had ordered the labs and therefore didn't want to prescribe an antibiotic for something she didn't order. Of more concern is that I could have exposed other patients that were more compramised than I. Is this something that I should bypass the internal medicine physician and notify the hospitals infection control team? Please advise. Thank you so much.
Brief Answer:
High tesatosterone levels/Mycoplasma infection
Detailed Answer:
Hi Wendichamberlain...
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
Yes...it is quite possible.
The small dose of testosterone/estrogen you receive,can make your testosterone levels so elevated.The dose of testosterone needs to titrated very finely in postmenopausal females.
Testosterone replacement is unadvised in women with breast or uterine cancer. It also may increase the chances of cardiovascular disease or liver disease. So, please meet your endocrinologist.
No ..... cortisol levels are not related to your testosterone.Only estrogen and testosterone are related because both are being secreted by the ovaries.
Cortisol is a separate hormone with different origin,secretion levels,functions and effect on body organs. related to the elevated testosterone?
M. pneumoniae spread from person to person by droplets.Even people without symptoms may carry the bacteria in their nose or throat at one time or another(called carriers).People spread M. pnuemoniae by coughing or sneezing which creates small microscopic respiratory droplets in the air that contains mycoplasma which are breathe in tby others.
M. pneumoniae infections usually have long incubation periods (the time between breathing in the bacteria and developing symptoms).The incubation period is usually between 1 to 4 weeks.
Your IgG is high,which shows a past infection.mmunoglobulin G (IgG), the most abundant type of antibody, is found in all body fluids and protects against bacterial and viral infections.
Immunoglobulin M (IgM), which is found mainly in the blood and lymph fluid, is the first antibody to be made by the body to fight a new infection
Your IgM is normal which show a recent infection.
Immunoglobulin G (IgG),the most abundant type of antibody found in all body fluids and protects against bacterial and viral infections.Immunoglobulin M (IgM)which is found mainly in the blood and lymph fluid is the first antibody to be made by the body to fight a new infection.
So this means that you don't have a clinically overt infection but you are a carrier of it and have a potential to spread it to others.You should immediately notify the agencies about it.
M. pneumoniae outbreaks occur mostly commonly in crowded settings like schools, colleges, nursing homes,religious places,schools,hospitals and other crowded places.
Hope that I have answered your query.
Regards
High tesatosterone levels/Mycoplasma infection
Detailed Answer:
Hi Wendichamberlain...
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
Yes...it is quite possible.
The small dose of testosterone/estrogen you receive,can make your testosterone levels so elevated.The dose of testosterone needs to titrated very finely in postmenopausal females.
Testosterone replacement is unadvised in women with breast or uterine cancer. It also may increase the chances of cardiovascular disease or liver disease. So, please meet your endocrinologist.
No ..... cortisol levels are not related to your testosterone.Only estrogen and testosterone are related because both are being secreted by the ovaries.
Cortisol is a separate hormone with different origin,secretion levels,functions and effect on body organs. related to the elevated testosterone?
M. pneumoniae spread from person to person by droplets.Even people without symptoms may carry the bacteria in their nose or throat at one time or another(called carriers).People spread M. pnuemoniae by coughing or sneezing which creates small microscopic respiratory droplets in the air that contains mycoplasma which are breathe in tby others.
M. pneumoniae infections usually have long incubation periods (the time between breathing in the bacteria and developing symptoms).The incubation period is usually between 1 to 4 weeks.
Your IgG is high,which shows a past infection.mmunoglobulin G (IgG), the most abundant type of antibody, is found in all body fluids and protects against bacterial and viral infections.
Immunoglobulin M (IgM), which is found mainly in the blood and lymph fluid, is the first antibody to be made by the body to fight a new infection
Your IgM is normal which show a recent infection.
Immunoglobulin G (IgG),the most abundant type of antibody found in all body fluids and protects against bacterial and viral infections.Immunoglobulin M (IgM)which is found mainly in the blood and lymph fluid is the first antibody to be made by the body to fight a new infection.
So this means that you don't have a clinically overt infection but you are a carrier of it and have a potential to spread it to others.You should immediately notify the agencies about it.
M. pneumoniae outbreaks occur mostly commonly in crowded settings like schools, colleges, nursing homes,religious places,schools,hospitals and other crowded places.
Hope that I have answered your query.
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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