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Author Topic: oestradiol 10381 pmol/L and worried it's too high  (Read 2596 times)

Sencho1999

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oestradiol 10381 pmol/L and worried it's too high
« on: December 29, 2022, 02:30:36 AM »

Hi everyone,

Just that really. Started HRT in January 2022 and just had general blood test panel which happened to include oestradiol and it shows as 10381 pmol/L. I'm on 2 pumps of gel and 2 x 100 mg utrogestan tablets vaginally for 14 days per month.

I only increased to 2 pumps in September. I feel like recently my anxiety is worse again. Also started having heavier periods with some flooding (not like me) and spotting between periods. Also started my period before I've finished the 14 days of utrogestan last month.

I've emailed Louise Newson clinic who I am with, but wondered if any of you ladies had any insight too.

I'm imagining the worst and have dropped back to 1 pumo of gel for now.
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Sencho1999

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #1 on: December 29, 2022, 02:31:48 AM »

My oestradiol was 200 pmol/L before starting HRT I forgot to add.
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Joaniepat

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #2 on: December 29, 2022, 07:00:11 AM »

Had you applied the gel before getting the blood drawn? It's best to apply it afterwards, otherwise it can skew the result. If you normally apply the gel to the arms and they drew the sample from your arm, that would also give a very high reading.
JP x
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sheila99

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #3 on: December 29, 2022, 11:23:50 AM »

Given you're on a sequi regime I assume you're peri? In which case it might be due to a spike in your own production of oestrogen. Anxiety can be a symptom of too much oestrogen so if this has happened since the increase reducing your dose would seem a sensible option. If  you find 1 pump isn't enough perhaps try adding half a pump.
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Sencho1999

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #4 on: December 29, 2022, 12:56:53 PM »

Had you applied the gel before getting the blood drawn? It's best to apply it afterwards, otherwise it can skew the result. If you normally apply the gel to the arms and they drew the sample from your arm, that would also give a very high reading.
JP x

Hi JP,

I hadn't thought about the timing of the gel. I put the gel on my shoulders about 9 pm the night before. Drew the blood (from fingertip) the next morning at 7 am before eating. This was day 3 of my cycle.
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Sencho1999

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #5 on: December 29, 2022, 12:57:43 PM »

Given you're on a sequi regime I assume you're peri? In which case it might be due to a spike in your own production of oestrogen. Anxiety can be a symptom of too much oestrogen so if this has happened since the increase reducing your dose would seem a sensible option. If  you find 1 pump isn't enough perhaps try adding half a pump.

Hi Sheila99,

Would my own oestrogen rocket it up that much though? Seems so high.
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Joaniepat

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #6 on: December 29, 2022, 01:05:33 PM »

I think fingertip blood tests are not the best for measuring serum estradiol. A venous draw would be better.
JP x
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Gilla999

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #7 on: December 29, 2022, 01:53:41 PM »

The good news is that that's not your actual estrogen reading, the bad news is that you unfortunately can't do finger prick blood tests when on transdermal HRT because of contamination and these false high readings. I've tried multiple times before - even after using plastic gloves to apply my Lenzetto (which doesn't even touch my fingers like gel does) and still the result was contaminated. Once you're on transdermal HRT you unfortunately need to pay the extra for venous blood draws of estrogen, which is what i do now with no problems. Hope that puts your mind at rest!
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Floo36

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #8 on: December 30, 2022, 10:54:38 AM »

When I did a fingertip test it was over 11000.  Medichecks say to use gloves to apply for a month I think before doing a finger prick test but even then I think the Estrogen is still present. 
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sheila99

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #9 on: December 30, 2022, 11:19:38 AM »


Hi Sheila99,

Would my own oestrogen rocket it up that much though? Seems so high.
Sorry, I missed a digit off when I read it. This is so high it has to be contaminated.
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Sencho1999

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #10 on: April 04, 2023, 08:35:12 PM »

I thought I'd come back to update this thread. My actual estrogen was that high. I was paying privately under the Louise Newson clinic. I contacted the clinic to express my concerns about the high level, and that fact that since going up to two pumps of gel I felt increased anxiety, had more headaches and most worryingly, was flooding between periods and also periods were lasting a lot longer. I explained that this was a complete change in cycle for me and that it came on quite quickly. The Newson Clinic told me that the flooding was ok, that the level was ok, and told me to put my dose back up to 2 pumps. This just did not make sense to me. I even asked them - don't I need a scan to check my womb? They said no.

I contacted the lab who did the blood test. They also said - it's all fine. I KNOW my own body and was not happy with the responses. Plus I was getting housebound from the flooding. So I went to see my GP - who immediately referred me for an ultrasound - no questions asked. I had the scan within two weeks and the first scan looked ok. But when they did the transvaginal scan a huge polyp was visible (2.5 cm long which they told me was very large). I was immediately referred for hysteroscopy. I had hysteroscopy two weeks after the scan. The gynaecological consultant who removed the polyp said it was extremely rare for someone as small as me to have such a large polyp (I'm size 6 and very light) and that I was to stop all estrogen immediately until the biopsy and results were back. I saw it on the screen during the op and it was huge - it was actually blocking one of my fallopian tubes it was so big. The flooding had been caused by parts of the womb trying to shed, but getting stuck behind the polyp - then freeing themselves at certain points and flooding out. The consultant told me that polpys form due to high estrogen levels in the blood. I'm still waiting for the results to come back. If hyperplasia shows they will put me on daily progesterone. I still feel awful and feel really let down. Especially as I paid so much privately. Thank goodness for the NHS. I don't fear the results - I've heard nothing so far which is good news and will chase for the results later this week - bout I know in my heart it was the estrogen. So why does my body end up with such high levels from such a small dose.

Also, before I went to the GP and the scan, I had lowered my dose to 1 pump for 3 months. I did a repeat test 12 weeks after lowering my dose. The results showed half the previous level. They came in at 5000 pmol. So it's pretty obvious to me that it WAS so high in my blood and not a contaminated sample.

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Dotty

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #11 on: April 05, 2023, 06:59:39 AM »

Hi did you do a finger prick blood test ?
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Floo36

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #12 on: April 11, 2023, 02:41:55 PM »

The gel does not have that much Estrogen in it and it will have been a spike in your own Estrogen.  If it was a finger prick test then it will have been contaminated.  I started getting polyps when my hormones were declining in peri.  A doctor that understands hormones will know that the gel you were taking didn’t give you those levels.  I hope you work it all out.
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Madge79

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Re: oestradiol 10381 pmol/L and worried it's too high
« Reply #13 on: April 12, 2023, 08:39:25 AM »

The gel stays in the lower layers of your skin on your hands for up to 28 days. If you use your hands (without gloves) yhen you absolutely cannot use finger prick tests. You must get a proper vein draw or it’s totally wrong.

This happened to me and my estrogen showed as 11000 and I was freaked out and so so anxious. When I had it done a week later with a vein it was 300. I was told finger prick tests should never be used if you apply gel with your hands, it even states it on the instructions of the company I used I just didn’t see it!!!

😩

Don’t worry or over think it; just get it redone with vein.
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