Various blood test results ( high PRL, low E2 , low progesterone, high acth...)

Yorgun

New Member
Hi guys, i am new to this forum. I shared my condition and blood test results in another forum and they help me out as they could, now i would like to hear your comments on it (to get a better understanding)

Diagnosed hyperprolactinoma 9 years ago. Failed in treatment with dopamin agonists because i did not respond to drugs(both caber and bromo). For last two years i've stopped everything and lived like nothing was wrong until last month I wanted to deal with my condition and went to a hospital to get my blood test done. Interestingly, no endo had ordered my E2, Progesteron back then when i was seeing them. Here are the results two weeks ago; (PRL do not budge wheather i am on or off medication)

TSH: 1,0401 (0,35-4,94) uIU/mL
Free t3: 2,58 (1,71-3,71) pg/mL
Free t4: 0,84 (0,7-1.48) ng/dL
Prolactin: 31 (3,46-19.40) ng/mL
FSH: 1.9 (0,95-11.95) mIU/mL
LH: 2.43 (0.57-12.07)mIU/mL
Total T: 12,12(350pg/ml) (4,94-32.02)nmol/L
Estradiol :10,00 (11-44) pg/mL

And these are from last week;

Zinc: 103 (70-125)
vitamin D 25-hidroksivitamin D: 81 ng/mL
Vitamin B12: 634 pg/mL (197-771)
Progesteron : 0,08 ng/mL (0.20-1.40)
Estradiol E2 : ...<5 pg/mL (27.1-52.1) (ECLIA) (NOT SENSETIVE)
SHBG: 22 nmol/L (10-57)
Free T: 6 pg/mL (8,69-54.69)
Cortisol, Total : 12,7 (morning:5-25)
ACTH:51.7 pg/mL (0-46)
DHEA: 2,72 ng/mL (1,5-9)


With a suggestion of a member in other forum, i started Clomid 12.5 ED last week and switched to 12.5 EOD yesterday.

I am suspecting very very high stress levels ongoing since my childhood. It may have reached to some point that excessive amount of cortisol, as a body response to stress, may've been produced until my brain could not make it more to prevent from detrimental effects. As a result we see high ACTH, and a prolactin issue which is irreversible despite dopamin agonists using. My body may also have consumed my pregnenolone to meet the cortisol need so i am out of stock and that can be a sign of my low T, low E2 and low progesterone alongside of ruined dopamin and serotonine neurotransmitters thats why i ended up with high prolactin.

These are, of course, my own conclusions. It may all be wrong. I need your advises. Any comment on this will be appreciated. Thank you.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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