Resolved question:
What can explain the high testosterone levels in a 39 year old women. PCOS is ruled out. No hirsutism but mild acne is present, normal weight and regular menstrual cycle until two months ago. No infertility issues. On 0.025 mg.day estrogen patch for last two years.
Testosterone Total 511 ng/dl ;
Testosterone, free 63.2 pg/ml;
DHEA < 15 mcg/dL ;
Androstenedione 79 ng/DL ;
TSH 1.2 miu/l;
Cortisol 14.6 mcg/dl ;
Progesterone 0.4 ng/ml ;
Estradoil, free 1.7 pg/ml ;
Estradoil 142 pg/ml ;
FSH 17.5 miu/ml ;
LH 39.7 miu/ml ;
Prolactin 7.1 ng/ml ;
Submitted:
4 Days
Category:
Endocrinologist
Hello and thankyou for approaching DoctorSpring with your query.
I have gone through your case.
I will require some information in order to give you an informed opinion. Is your partner using any testosterone gel? Are you exposed to the gel?
All your level's are normal besides high testosterone levels.
You would also require to get your 17 OH Progesterone levels tested. (let me know the values if already tested )
Please reply as a follow up.
Thankyou.
Dr. Muthukrishnan, partner is not using testosterone gel nor is there any other apparent reason of being exposed to testosterone.
17 OH Progesterone level were not tested, please advise what that insight that might provide
regards
Hello,
17OH progesterone levels are increased in patients who have high testosterone levels due to Congenital Adrenal Hyperplasia. May I know why the panel of tests were done ? (symptoms ? indications ?). Are these tests recommended by your Doctor. ?
Thank you
The tests were ordered to determine if the acne was caused by hormones. There are no other symptoms of any other abnormalities.
Hello,
Sorry for the delay in my reply.
In that case you need not worry much. Especially since the USG is normal. Approach to a hormonal problem is always better if done step by step (avoids confusion and unnecessarycosts). My next recommendation would be to do 17OH and rule of CAH.
Thank you