I want to express my gratitude to Wray Whyte for sharing valuable insights on hormone testing; a significant amount of research has been dedicated to uncovering accurate information. Frequently, individuals claim their hormone levels are ‘normal’—but what does normal truly mean? Be sure to request your results; you deserve to see them since you’ve invested in this process. I trust that this page will prove useful to everyone. It's essential to explore the links and research papers provided.
Consider this when you're getting your estrogen levels tested: there are three primary forms of naturally occurring estrogens.
During menopause, our E2 levels are expected to decrease while E1 levels increase. However, many doctors remain overly focused on E2, regardless of whether a woman is menopausal. E3, which is associated with pregnancy, is another important estrogen. Notably, tests for the numerous estrogen mimics present in everyone’s bloodstream are seldom conducted. There are more than 100 of these mimics, as highlighted on the website Our Stolen Future. The presence of these estrogen mimics poses a significant concern. Therefore, relying solely on E2 testing is inadequate; ideally, all three estrogen types should be evaluated. If possible, advocate for testing of all three. However, few doctors or laboratories will accommodate this request, and their reasons remain unclear. It may be that they seek low E2 levels as justification for prescribing hormone replacement therapy (HRT), which should generally be avoided, while neglecting to consider the other two estrogens. Ultimately, the decision lies with you.
There are 2 forms of testing:
Advantages of saliva hormone testing:
Disadvantages of saliva hormone testing:
Please note: The first figures given below are the Conventional Unit and the second figures are the SI Unit.
The Conventional Unit is usually used in America, while the SI Unit is used by the rest of the world. Reference ranges can vary between countries and laboratories. Some results are given in pg/ml and others in ng/ml, or pmol/L and nmol/L. A pg/pmol is 1000 times smaller than a ng/nmol.
Even more confusing, if there is only one Unit given, that is the standard the world over. For conversion factors see here.
All too often women are told that their progesterone and estrogen levels are 'normal'. The critical factor is not the LEVELS of each hormone, but rather the RATIO of progesterone to estrogen which is often written as P:E2, this is vital.
If saliva tests are performed, finding the ratio is easy - simply divide the estrogen result into the progesterone result. Adding to this complication which is often overlooked is that in blood tests, estrogen is measured in pg/ml and progesterone is ng/ml. A pg is 1000 times smaller than an ng, so divide the estrogen result by 1000 to convert it to ng. Then divide this into the progesterone result as per example:
If BLOOD tests are done and the estrogen result is 250pg/ml and the progesterone result is 5ng/ml - first divide 250 by 1000 = 0.25ng/ml then divide 5 by 0.25 = 20. The progesterone/estrogen RATIO is 20:1, it should be 600:1 and over. If SALIVA tests are done, simply divide the estrogen result into the progesterone result.
When to test Progesterone Levels? ~ The test should be done approximately 7 days after ovulation or before bleeding.
Progesterone - blood/serum
Pregnancy - serum
Estrogen (E1) - serum
Estradiol (E2) - serum
Testosterone total - serum
Free Testosterone - ranges from 1 to 4% of total
Free Testosterone - ranges from 1 to 4% of total
Progesterone - saliva
Estradiol (E2) - saliva
Testosterone - saliva
Serum hCG levels
GA (gestational age) occasionally given as LMP (last menstrual period). NOTE: this is not taken from time of conception, but from the last menstrual period. If the date of conception is known, take off the days for the follicular phase.
SHBG - sex hormone binding globulin
FSH levels
LH levels - an LH level higher than FSH is a possibler indication of PCOS
Prolactin
Vitamin D3 - essential test
The test should be done for 25-hydroxyvitamin D, also called calcidiol. The following list gives an indication of levels of vitamin D found in the blood:
PTH - parathyroid hormone
TSH - thyroid stimulating hormone or thyrotrophin
T3 total - triiodothyronine
T4 total - thyroxine or tetraiodothyronie
Iodine
Median Population Urinary Iodine Values (g/L)
CRP - C-reactive protein, a marker for inflammation
The level of CRP rises when there is inflammation throughout the body, normally none should be found
And
Homocysteine - a marker for inflammation
MDA - Malondialdehyde, a marker for oxidative stress/inflammation, it forms when lipids are oxidised
Cholesterol
Total cholesterol
HDL cholesterol
LDL cholesterol
Triglycerides
DHEA sulphate - Dehydroepiandrosterone-sulphate
Cortisol
Normally cortisol levels rise and fall during the day, repeating on a 24 hour cycle (diurnal variation). Highest levels are at about 6 - 8am and lowest levels are around midnight.
Physical and emotional stress can increase cortisol levels, because during the normal stress response, the pituitary gland increases its release of ACTH.
Higher than normal cortisol levels are expected in women who take estrogen (HRT)or birth control pills.
Glucose - fasting
Insulin resistance
The following are often tested:
Liver Function tests
Disclaimer: Although this web site is not intended to be prescriptive, it is intended, and hoped, that it will induce in you a sufficient level of scepticism about some health care practices to impel you to seek out medical advice that is not captive to purely commercial interests, or blinded by academic and institutional hubris. You are encouraged to refer any health problem to a health care practitioner and, in reference to any information contained in this web site, preferably one with specific knowledge of progesterone therapy.
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