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ExcelFemale
HRT in Women
My wife is thinking about HRT
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<blockquote data-quote="HamburgerChef" data-source="post: 94306" data-attributes="member: 16799"><p>After seeing the huge impact that TRT has had on me, my wife would like to see if HRT is right for her. She is 38yr, obese, and has a copper intrauterine device implanted for birth control (implanted 3-4 months ago in the hopes of improving symptoms of low energy, low sex drive, and weight gain). Prior to the copper IUD she was on a hormonal intrauterine implant for 12 years. Her main goals are to loose weight, increase motivation/energy, and increase sex drive.</p><p></p><p>I am posting her labs hoping someone sees something that could be treated. What stands out to me is the TSH being on the low side, MCH being low, and sex hormones being on the low side. I currently use DefyMedical for my TRT with excellent results, so she is planning on scheduling an appointment with Dr. Saya soon. Do you think we should pull a Thyroid panel prior to talking to the Doctor? Anything else we should test, or expect? Is there a good forum like ExcelMale for women? I know this forum is for men, so I totally understand if no one has any experience interpreting female lab values. We just got her blood labs back. Blood was drawn 2 days prior to the onset of menstruation. </p><table class='post-table width: 723' style='width: 100%'><tr><td ><p><strong>CBC With Differential/Platelet</strong><br /> <strong>WBC</strong> <strong> 11.1 High</strong></p></td><td ><p>x10E3/uL</p></td><td ><p> 3.4 - 10.8</p></td><td ><p>01</p></td></tr><tr><td ><p> RBC 4.98</p></td><td ><p>x10E6/uL</p></td><td ><p> 3.77 - 5.28</p></td><td ><p>01</p></td></tr><tr><td ><p> Hemoglobin 13.1</p></td><td ><p>g/dL</p></td><td ><p> 11.1 - 15.9</p></td><td ><p>01</p></td></tr><tr><td ><p> Hematocrit 41.5</p></td><td ><p>%</p></td><td ><p> 34.0 - 46.6</p></td><td ><p>01</p></td></tr><tr><td ><p> MCV 83</p></td><td ><p>fL</p></td><td ><p> 79 - 97</p></td><td ><p>01</p></td></tr><tr><td ><p> <strong>MCH</strong> <strong> 26.3 Low</strong></p></td><td ><p>pg</p></td><td ><p> 26.6 - 33.0</p></td><td ><p>01</p></td></tr><tr><td ><p> MCHC 31.6</p></td><td ><p>g/dL</p></td><td ><p> 31.5 - 35.7</p></td><td ><p>01</p></td></tr><tr><td ><p> RDW 14.5</p></td><td ><p>%</p></td><td ><p> 12.3 - 15.4</p></td><td ><p>01</p></td></tr><tr><td ><p> <strong>Platelets</strong> <strong> 792 High</strong></p></td><td ><p>x10E3/uL</p></td><td ><p> 150 - 379</p></td><td ><p>01</p></td></tr><tr><td ><p> Neutrophils 68</p></td><td ><p>%</p></td><td ><p> Not Estab.</p></td><td ><p>01</p></td></tr><tr><td ><p> Lymphs 24</p></td><td ><p>%</p></td><td ><p> Not Estab.</p></td><td ><p>01</p></td></tr><tr><td ><p> Monocytes 4</p></td><td ><p>%</p></td><td ><p> Not Estab.</p></td><td ><p>01</p></td></tr><tr><td ><p> Eos 3</p></td><td ><p>%</p></td><td ><p> Not Estab.</p></td><td ><p>01</p></td></tr><tr><td ><p> Basos 1</p></td><td ><p>%</p></td><td ><p> Not Estab.</p></td><td ><p>01</p></td></tr><tr><td ><p> <strong>Neutrophils (Absolute)</strong> <strong> 7.5 High</strong></p></td><td ><p>x10E3/uL</p></td><td ><p> 1.4 - 7.0</p></td><td ><p>01</p></td></tr><tr><td ><p> Lymphs (Absolute) 2.6</p></td><td ><p>x10E3/uL</p></td><td ><p> 0.7 - 3.1</p></td><td ><p>01</p></td></tr><tr><td ><p> Monocytes(Absolute) 0.5</p></td><td ><p>x10E3/uL</p></td><td ><p> 0.1 - 0.9</p></td><td ><p>01</p></td></tr><tr><td ><p> Eos (Absolute) 0.3</p></td><td ><p>x10E3/uL</p></td><td ><p> 0.0 - 0.4</p></td><td ><p>01</p></td></tr><tr><td ><p> Baso (Absolute) 0.1</p></td><td ><p>x10E3/uL</p></td><td ><p> 0.0 - 0.2</p></td><td ><p>01</p></td></tr></table><table class='post-table width: 723' style='width: 100%'><tr><td ><p> Immature Granulocytes 0</p></td><td ><p>%</p></td><td ><p> Not Estab.</p></td><td ><p>01</p></td></tr><tr><td ><p> Immature Grans (Abs) 0.0</p></td><td ><p>x10E3/uL</p></td><td ><p> 0.0 - 0.1</p></td><td ><p>01</p></td></tr><tr><td ><p><strong>Comp. Metabolic Panel (14)</strong><br /> Glucose, Serum 86</p></td><td ><p>mg/dL</p></td><td ><p> 65 - 99</p></td><td ><p>01</p></td></tr><tr><td ><p> BUN 11</p></td><td ><p>mg/dL</p></td><td ><p> 6 - 20</p></td><td ><p>01</p></td></tr><tr><td ><p> Creatinine, Serum 0.61</p></td><td ><p>mg/dL</p></td><td ><p> 0.57 - 1.00</p></td><td ><p>01</p></td></tr><tr><td ><p> eGFR If NonAfricn Am 115</p></td><td ><p>[TD="colspan: 2"]mL/min/1.73 >59[/TD]</p></td><td></td></tr><tr><td ><p>[TD="colspan: 4"] eGFR If Africn Am 133 mL/min/1.73 >59[/TD]</p></td></tr></table>BUN/Creatinine Ratio 18 9 - 23</p><p> Sodium, Serum 141 mmol/L 134 - 144 01</p><p> <strong>Potassium, Serum</strong> <strong> 5.3 High </strong>mmol/L 3.5 - 5.2 01</p><p> Chloride, Serum 102 mmol/L 96 - 106 01</p><p> Carbon Dioxide, Total 25 mmol/L 18 - 29 01</p><p> <strong>Calcium, Serum</strong> <strong> 8.6 Low </strong>mg/dL 8.7 - 10.2 01</p><p> Protein, Total, Serum 7.0 g/dL 6.0 - 8.5 01</p><p> Albumin, Serum 4.1 g/dL 3.5 - 5.5 01</p><p> Globulin, Total 2.9 g/dL 1.5 - 4.5</p><p> A/G Ratio 1.4 1.2 - 2.2</p><p> Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 01</p><p> Alkaline Phosphatase, S 78 IU/L 39 - 117 01</p><p> AST (SGOT) 22 IU/L 0 - 40 01</p><p> ALT (SGPT) 19 IU/L 0 - 32 01</p><p><strong>Lipid Panel w/ Chol/HDL Ratio</strong></p><p> Cholesterol, Total 188 mg/dL 100 - 199 01</p><p> <strong>Triglycerides</strong> <strong> 190 High </strong>mg/dL 0 - 149 01</p><p> <strong>HDL Cholesterol</strong> <strong> 36 Low </strong>mg/dL >39 01</p><p> VLDL Cholesterol Cal 38 mg/dL 5 - 40</p><p> <strong>LDL Cholesterol Calc</strong> <strong> 114 High </strong>mg/dL 0 - 99</p><p> <strong>T. Chol/HDL Ratio</strong> <strong> 5.2 High </strong>ratio units 0.0 - 4.4</p><p> Please Note: 01</p><p> T. Chol/HDL Ratio</p><p> Men Women</p><p> 1/2 Avg.Risk 3.4 3.3</p><p> Avg.Risk 5.0 4.4</p><p> 2X Avg.Risk 9.6 7.1</p><p> 3X Avg.Risk 23.4 11.0</p><p><strong>Testosterone,Free and Total</strong></p><p> Testosterone, Serum 19 ng/dL 8 - 48 01</p><p> Free Testosterone(Direct) 1.6 pg/mL 0.0 - 4.2 02</p><p><strong>DHEA-Sulfate</strong> 205.7 ug/dL 57.3 - 279.2 01</p><p><strong>TSH</strong> 1.490 uIU/mL 0.450 - 4.500 01</p><p><strong>FSH, Serum</strong></p><p> FSH 4.6 mIU/mL 01</p><p> Adult Female:</p><p> Follicular phase 3.5 - 12.5</p><p> Ovulation phase 4.7 - 21.5</p><p> Luteal phase 1.7 - 7.7</p><table class='post-table width: 709' style='width: 100%'><tr><td ><p><strong>Estradiol</strong> 23.9 pg/mL<br /> Adult Female:<br /> Follicular phase 12.5 - 166.0<br /> Ovulation phase 85.8 - 498.0<br /> Luteal phase 43.8 - 211.0<br /> Postmenopausal <6.0 - 54.7<br /> Pregnancy<br /> 1st trimester 215.0 - >4300.0 Girls (1-10 years) 6.0 - 27.0<br /> Roche ECLIA methodology</p></td><td ><p>01</p></td></tr></table> <table class='post-table width: 709' style='width: 100%'><tr><td ><p><strong>Progesterone</strong> 0.3 ng/mL<br /> Follicular phase 0.1 - 0.9<br /> Luteal phase 1.8 - 23.9<br /> Ovulation phase 0.1 - 12.0<br /> Pregnant<br /> First trimester 11.0 - 44.3<br /> Second trimester 25.4 - 83.3<br /> Third trimester 58.7 - 214.0 Postmenopausal 0.0 - 0.1</p></td><td ><p>01</p></td></tr></table></blockquote><p></p>
[QUOTE="HamburgerChef, post: 94306, member: 16799"] After seeing the huge impact that TRT has had on me, my wife would like to see if HRT is right for her. She is 38yr, obese, and has a copper intrauterine device implanted for birth control (implanted 3-4 months ago in the hopes of improving symptoms of low energy, low sex drive, and weight gain). Prior to the copper IUD she was on a hormonal intrauterine implant for 12 years. Her main goals are to loose weight, increase motivation/energy, and increase sex drive. I am posting her labs hoping someone sees something that could be treated. What stands out to me is the TSH being on the low side, MCH being low, and sex hormones being on the low side. I currently use DefyMedical for my TRT with excellent results, so she is planning on scheduling an appointment with Dr. Saya soon. Do you think we should pull a Thyroid panel prior to talking to the Doctor? Anything else we should test, or expect? Is there a good forum like ExcelMale for women? I know this forum is for men, so I totally understand if no one has any experience interpreting female lab values. We just got her blood labs back. Blood was drawn 2 days prior to the onset of menstruation. [TABLE="width: 723"] [TR] [TD][B]CBC With Differential/Platelet[/B] [B]WBC[/B] [B] 11.1 High[/B][/TD] [TD]x10E3/uL[/TD] [TD] 3.4 - 10.8[/TD] [TD]01[/TD] [/TR] [TR] [TD] RBC 4.98[/TD] [TD]x10E6/uL[/TD] [TD] 3.77 - 5.28[/TD] [TD]01[/TD] [/TR] [TR] [TD] Hemoglobin 13.1[/TD] [TD]g/dL[/TD] [TD] 11.1 - 15.9[/TD] [TD]01[/TD] [/TR] [TR] [TD] Hematocrit 41.5[/TD] [TD]%[/TD] [TD] 34.0 - 46.6[/TD] [TD]01[/TD] [/TR] [TR] [TD] MCV 83[/TD] [TD]fL[/TD] [TD] 79 - 97[/TD] [TD]01[/TD] [/TR] [TR] [TD] [B]MCH[/B] [B] 26.3 Low[/B][/TD] [TD]pg[/TD] [TD] 26.6 - 33.0[/TD] [TD]01[/TD] [/TR] [TR] [TD] MCHC 31.6[/TD] [TD]g/dL[/TD] [TD] 31.5 - 35.7[/TD] [TD]01[/TD] [/TR] [TR] [TD] RDW 14.5[/TD] [TD]%[/TD] [TD] 12.3 - 15.4[/TD] [TD]01[/TD] [/TR] [TR] [TD] [B]Platelets[/B] [B] 792 High[/B][/TD] [TD]x10E3/uL[/TD] [TD] 150 - 379[/TD] [TD]01[/TD] [/TR] [TR] [TD] Neutrophils 68[/TD] [TD]%[/TD] [TD] Not Estab.[/TD] [TD]01[/TD] [/TR] [TR] [TD] Lymphs 24[/TD] [TD]%[/TD] [TD] Not Estab.[/TD] [TD]01[/TD] [/TR] [TR] [TD] Monocytes 4[/TD] [TD]%[/TD] [TD] Not Estab.[/TD] [TD]01[/TD] [/TR] [TR] [TD] Eos 3[/TD] [TD]%[/TD] [TD] Not Estab.[/TD] [TD]01[/TD] [/TR] [TR] [TD] Basos 1[/TD] [TD]%[/TD] [TD] Not Estab.[/TD] [TD]01[/TD] [/TR] [TR] [TD] [B]Neutrophils (Absolute)[/B] [B] 7.5 High[/B][/TD] [TD]x10E3/uL[/TD] [TD] 1.4 - 7.0[/TD] [TD]01[/TD] [/TR] [TR] [TD] Lymphs (Absolute) 2.6[/TD] [TD]x10E3/uL[/TD] [TD] 0.7 - 3.1[/TD] [TD]01[/TD] [/TR] [TR] [TD] Monocytes(Absolute) 0.5[/TD] [TD]x10E3/uL[/TD] [TD] 0.1 - 0.9[/TD] [TD]01[/TD] [/TR] [TR] [TD] Eos (Absolute) 0.3[/TD] [TD]x10E3/uL[/TD] [TD] 0.0 - 0.4[/TD] [TD]01[/TD] [/TR] [TR] [TD] Baso (Absolute) 0.1[/TD] [TD]x10E3/uL[/TD] [TD] 0.0 - 0.2[/TD] [TD]01[/TD] [/TR] [/TABLE] [TABLE="width: 723"] [TR] [TD] Immature Granulocytes 0[/TD] [TD]%[/TD] [TD] Not Estab.[/TD] [TD]01[/TD] [/TR] [TR] [TD] Immature Grans (Abs) 0.0[/TD] [TD]x10E3/uL[/TD] [TD] 0.0 - 0.1[/TD] [TD]01[/TD] [/TR] [TR] [TD][B]Comp. Metabolic Panel (14)[/B] Glucose, Serum 86[/TD] [TD]mg/dL[/TD] [TD] 65 - 99[/TD] [TD]01[/TD] [/TR] [TR] [TD] BUN 11[/TD] [TD]mg/dL[/TD] [TD] 6 - 20[/TD] [TD]01[/TD] [/TR] [TR] [TD] Creatinine, Serum 0.61[/TD] [TD]mg/dL[/TD] [TD] 0.57 - 1.00[/TD] [TD]01[/TD] [/TR] [TR] [TD] eGFR If NonAfricn Am 115[/TD] [TD="colspan: 2"]mL/min/1.73 >59[/TD] [TD][/TD] [/TR] [TR] [TD="colspan: 4"] eGFR If Africn Am 133 mL/min/1.73 >59[/TD] [/TR] [/TABLE] BUN/Creatinine Ratio 18 9 - 23 Sodium, Serum 141 mmol/L 134 - 144 01 [B]Potassium, Serum[/B] [B] 5.3 High [/B]mmol/L 3.5 - 5.2 01 Chloride, Serum 102 mmol/L 96 - 106 01 Carbon Dioxide, Total 25 mmol/L 18 - 29 01 [B]Calcium, Serum[/B] [B] 8.6 Low [/B]mg/dL 8.7 - 10.2 01 Protein, Total, Serum 7.0 g/dL 6.0 - 8.5 01 Albumin, Serum 4.1 g/dL 3.5 - 5.5 01 Globulin, Total 2.9 g/dL 1.5 - 4.5 A/G Ratio 1.4 1.2 - 2.2 Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 01 Alkaline Phosphatase, S 78 IU/L 39 - 117 01 AST (SGOT) 22 IU/L 0 - 40 01 ALT (SGPT) 19 IU/L 0 - 32 01 [B]Lipid Panel w/ Chol/HDL Ratio[/B] Cholesterol, Total 188 mg/dL 100 - 199 01 [B]Triglycerides[/B] [B] 190 High [/B]mg/dL 0 - 149 01 [B]HDL Cholesterol[/B] [B] 36 Low [/B]mg/dL >39 01 VLDL Cholesterol Cal 38 mg/dL 5 - 40 [B]LDL Cholesterol Calc[/B] [B] 114 High [/B]mg/dL 0 - 99 [B]T. Chol/HDL Ratio[/B] [B] 5.2 High [/B]ratio units 0.0 - 4.4 Please Note: 01 T. Chol/HDL Ratio Men Women 1/2 Avg.Risk 3.4 3.3 Avg.Risk 5.0 4.4 2X Avg.Risk 9.6 7.1 3X Avg.Risk 23.4 11.0 [B]Testosterone,Free and Total[/B] Testosterone, Serum 19 ng/dL 8 - 48 01 Free Testosterone(Direct) 1.6 pg/mL 0.0 - 4.2 02 [B]DHEA-Sulfate[/B] 205.7 ug/dL 57.3 - 279.2 01 [B]TSH[/B] 1.490 uIU/mL 0.450 - 4.500 01 [B]FSH, Serum[/B] FSH 4.6 mIU/mL 01 Adult Female: Follicular phase 3.5 - 12.5 Ovulation phase 4.7 - 21.5 Luteal phase 1.7 - 7.7 [TABLE="width: 709"] [TR] [TD][B]Estradiol[/B] 23.9 pg/mL Adult Female: Follicular phase 12.5 - 166.0 Ovulation phase 85.8 - 498.0 Luteal phase 43.8 - 211.0 Postmenopausal <6.0 - 54.7 Pregnancy 1st trimester 215.0 - >4300.0 Girls (1-10 years) 6.0 - 27.0 Roche ECLIA methodology[/TD] [TD]01[/TD] [/TR] [/TABLE] [TABLE="width: 709"] [TR] [TD][B]Progesterone[/B] 0.3 ng/mL Follicular phase 0.1 - 0.9 Luteal phase 1.8 - 23.9 Ovulation phase 0.1 - 12.0 Pregnant First trimester 11.0 - 44.3 Second trimester 25.4 - 83.3 Third trimester 58.7 - 214.0 Postmenopausal 0.0 - 0.1 [/TD] [TD]01[/TD] [/TR] [/TABLE] [/QUOTE]
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ExcelFemale
HRT in Women
My wife is thinking about HRT
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