is my blood test normal?

[coolguy12]

Hello,
I have mild gynecomastia, so i did a blood test to see what caused it,
I found my results like this:

TESTOSTERONE:
21 NMOL/L (8 - 35 )
OESTRADIOL:
77 PMOL/L
SHBG:
24 NMOL/L (12 - 60 )
FREE TESTOS INDEX:
87.5 UNITS (20 - 200)
LH:
3.9 IU/L
FSH:
1.8 IU/L
PROLACTIN:
200 MIU/L (100 - 400 )


are those results normal?

Thanks

[1cc]

what is your lab range for estradiol?

[pmgamer18]

Originally Posted by coolguy12

Hello,
I have mild gynecomastia, so i did a blood test to see what caused it,
I found my results like this:

TESTOSTERONE:
21 NMOL/L (8 - 35 ) "we use ng/mL"
OESTRADIOL:
77 PMOL/L "we use pg/mL"
SHBG:
24 NMOL/L (12 - 60 )" we use same"
FREE TESTOS INDEX:
87.5 UNITS (20 - 200)"we use pg/mL"
LH:
3.9 IU/L"we use mIU/mL"
FSH:
1.8 IU/L"we use mIU/mL
PROLACTIN:
200 MIU/L (100 - 400 )"we use ng/mL


are those results normal?

Thanks

It is dam hard to tell your units are not the same as we use.
http://www.get-back-on-track.com/en/tools/umrechner.php

[coolguy12]

Originally Posted by 1cc

what is your lab range for estradiol?

it's not estradiol, it's oestradiol, i thought it was estradiol but it's not.
the test doesnt say the normal range, i found out
some sites say oestradiol should be under 150 and other say under 250 and one site says it should be under 360!

[pmgamer18]

Originally Posted by coolguy12

it's not estradiol, it's oestradiol, i thought it was estradiol but it's not.
the test doesnt say the normal range, i found out
some sites say oestradiol should be under 150 and other say under 250 and one site says it should be under 360!

Here in the U.S. it is called Estradiol in the U.K. it is called Oestradiol same thing.

[coolguy12]

Originally Posted by pmgamer18

Here in the U.S. it is called Estradiol in the U.K. it is called Oestradiol same thing.

I don't know maybe you're right, but the test name is Estradiol and the material which was tested is oestradiol, so i dont think it means estradiol.

[cpeil2]

Originally Posted by coolguy12

I don't know maybe you're right, but the test name is Estradiol and the material which was tested is oestradiol, so i dont think it means estradiol.

Believe him, they're the same thing. Brits like to joke that Americans don't know how to spell oestradiol.

[coolguy12]

Originally Posted by cpeil2

Believe him, they're the same thing. Brits like to joke that Americans don't know how to spell oestradiol.

look, here is how it's written in the results:
Exam: H ESTRADIOL H
Description results
H OESTRADIOL H 77 pmol/l

Maybe he is right if he is a doctor but in a text/paragraph reading, this means Estradiol is a test like LIVER PROFILE and OESTRADIOL is a material which is measured like TOTAL PROTEIN in liver profile.
example:
here is how liver profile is shown:
Exam: H LIVER PROFILE H
Description results
H TOTAL PROTEIN H 75 g/l

maybe there is many other material that can be measured in the ESTRADIOL exam...
read that OESTRADIOL means Ovarian Estradiol (?)

[pmgamer18]

In the U.K. and other parts of the world they call it Oestradiol but here in the U.S. thay call it Estradiol.
http://www.gpnotebook.co.uk/simplepage.cfm?ID=570818627
There a lot of test for this but for us men we need a test like this one.
http://www.labcorp.com/datasets/labc...o/sr012000.htm

Originally Posted by coolguy12

look, here is how it's written in the results:
Exam: H ESTRADIOL H
Description results
H OESTRADIOL H 77 pmol/l

Maybe he is right if he is a doctor but in a text/paragraph reading, this means Estradiol is a test like LIVER PROFILE and OESTRADIOL is a material which is measured like TOTAL PROTEIN in liver profile.
example:
here is how liver profile is shown:
Exam: H LIVER PROFILE H
Description results
H TOTAL PROTEIN H 75 g/l

maybe there is many other material that can be measured in the ESTRADIOL exam...
read that OESTRADIOL means Ovarian Estradiol (?)

[coolguy12]

pmgamer18

thank you very much for the links i was looking for them.

[pmgamer18]

Originally Posted by coolguy12

pmgamer18

thank you very much for the links i was looking for them.

Your welcome this cut & paste might help you out.
from swale's recipe for TRT:-

"If a patient has “nipple issues”, even while estrogen is within normal range, I add a SERM, emergently. I prefer Nolvadex over Clomid, and Evista is probably best of all for antagonizing estrogen (although much more expensive). Clomid often induces untoward visual effects (i.e. “tracers”), and can cause emotional lability by virtue of its estrogen agonistic effects at the more peripheral (emotion) brain sites. I do like my patients to keep some Nolvadex on hand, should they experience nipple swelling or sensitivity, so they may begin 40mg per day until the symptoms abate, and then taper to 20 mg QD for a few days, then 10mg for a few more, then finally 5mg QD to taper off.

My TRT male patients who suffer E2 elevations above the top of normal range are placed on 0.25mg of Arimidex every third day. If that is not enough, I use the same dose EOD. It is possible to cut the tiny 1mg tabs into quarters, but here a gel or cream preparation, compounded to convenient dosing, makes a lot of sense. A month later I recheck E2, and make further adjustment if necessary. It is important to not lower estrogen too far, which is easy to do with an AI, as doing so has disastrous effects on the Lipid Profile, bone deposition, etc. I prefer to maintain E in mid-range."


you will see that men can experience nipple issues even when estrogen is in normal range.
a serm like nolvodex is used to quickly compete at the estrogen receptor(nipple) and lower sensitivity and swelling and used on a tapering dose when sensitivity go's away.
an AI is used to keep E2 in check.
however nolvodex is always kept on hand for nipple sensitivity flare ups.