How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 21197
Experience:  Over 20 yrs of Family Practice
Type Your Health Question Here...
Dr. Chip is online now
A new question is answered every 9 seconds

Just got my FSH and LH results; age 43 FSH = 25.2 and LH =

Resolved Question:

Just got my FSH and LH results; age 43 FSH = 25.2 and LH = 10.9. What does that mean?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Hi--and we can continue here if you need more information but these are pituitary hormones involved in the stimulation of the ovaries to produce estrogen and progesterone and the numbers fluctuate depending on where you are in your menstrual cycle. In your case the numbers indicate a perimenopausal condition--that you're heading towards menopause which isn't an unusual situation for women of your age
Customer: replied 1 year ago.

Thank you Dr. Chip, my doctor had my hormones checked to see if I was a candidate for injection of hormone pellets to help with my symptoms of extreme fatigue, forgetfulness, brain fog, and mood swings. So, in your opinion, are my levels at an appropriate range for this type of treatment? thanks again.

Expert:  Dr. Chip replied 1 year ago.
Well, before we go there, how long have you had the symptoms and have you had your thyroid and cortisol levels checked?
Customer: replied 1 year ago.

I have had these symptoms for a few years but had a very bad episode of uncontrollable emotions and continual panic attacks and was put on 20 mg of prozac 6 weeks ago tomorrow. My doctor did a follow-up 2 weeks ago and since my fatigue felt worse. He wanted to run my hormone tests again.


To answer your other question, yes, had those tests, free cortisol was .52 (test was at 12:30 p.m.) TSH was taken 6 mths ago and was 1.20 I do have one more test to take tomorrow morning for ACTH Plasma; not sure what that represents; but was told it had to be done in the morning before 10 a.m.

Expert:  Dr. Chip replied 1 year ago.
OK--the reason I asked is that your symptoms for the most part strike me as not menopause related. To go back, yes I think you do need hormone replacement for now
Customer: replied 1 year ago.

So, with all the information from above. You do think hormone replacement for now is an option and to ask one last question. To summarize what are the overall factors of my blood results, symptoms, etc., that now in your opinion place me in a position for hormone replacement?

Expert:  Dr. Chip replied 1 year ago.
I assume you also had your estrogen, progesterone and testosterone levels checked?
Customer: replied 1 year ago.

Those tests were taken 6 months ago. The current blood work I just had did not include estrogen, progesterone or testosterone. Those levels were at the following 6 mths ago.


Estradiol - 99


Progessterone - 1.34


FTS - 0.42;
TESTO - 35.30


 


What does ACTH Plasma represent and is that relevant to my hormone levels?

Expert:  Dr. Chip replied 1 year ago.
OK. With all you lab work, yes you are in perimenopause for now and I would suggest the hormone replacement for about six months to see if that helps with your symptoms
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 21197
Experience: Over 20 yrs of Family Practice
Dr. Chip and 2 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery