Endocrinology

Ask an endocrinologist. Get answers to endocrinology questions.

Ask a Doctor,
Get an Answer ASAP!

I just got a blood test back that said my testosterone is…

Customer Question
I just got a...

I just got a blood test back that said my testosterone is 517 Ng/dL. This seems, well, bad, considering I am a woman. I am worried about the possibility of a hormone-producing ovarian tumor. Thoughts?

Doctor's Assistant: Are you keeping a personal medical record while dealing with this?

Yes. Testosterone 1.5 years ago was only 46, so fine back then.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have PCOS....and a family history of ovarian dermoid cysts and hysterectomies.

Submitted: 8 months ago.Category: Endocrinology
Show More
Show Less
Ask Your Own Endocrinology Question
Answered in 22 minutes by:
11/10/2017
Endocrinologist: drphophalia, Doctor replied 8 months ago
drphophalia
drphophalia, Doctor
Category: Endocrinology
Satisfied Customers: 38,771
Experience: Do adrenal, thyroid and parathyroid surgery regularly.
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Ask Your Own Endocrinology Question
Endocrinologist: drphophalia, Doctor replied 8 months ago

What is your age?

Do you have any symptoms?

Ask Your Own Endocrinology Question
Customer reply replied 8 months ago
I am 32. I have always had infrequent periods due to PCOS, but they are usually heavy when I do get them. In the last year they have changed to maybe just bleeding 1 day or even just once in a day, then nothing for months. So that's different. Also more migraines than usual, 2-3 in last 6 months compared to 2-3 in a lifetime.
Endocrinologist: drphophalia, Doctor replied 8 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

Ask Your Own Endocrinology Question
Endocrinologist: drphophalia, Doctor replied 8 months ago

High testosterone is likely due to PCOS. It is a common feature of it. The high testosterone is not likely due to hormone producing tumor. Please read this excellent reference article about high androgens / testosterone in PCOS;

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3846536/

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Ask Your Own Endocrinology Question
Customer reply replied 8 months ago
Ok, but this paper said that " When imaging does not
identify ovarian or adrenal mass and the results of serum DHEAS
are normal, then it is considered an indirect evidence of ovarian
tumor if serum testosterone levels exceed 200 ng/dl. These
ovarian tumors secrete significant levels of testosterone or its
precursor, and rostenedione." Isn't 517 rather far from what the level should be, even with PCOS?
http://medcraveonline.com/MOJWH/MOJWH-05-00145.pdf
Endocrinologist: drphophalia, Doctor replied 8 months ago

Yes this is higher than the average PCOS women are seen.

PCOS is a diagnosis of exclusion that associates hyperandrogenism and ovulatory dysfunction.

Androgen excess is the main feature of PCOS, which is produced by ovaries as well as by the adrenal gland.

If the MRI of pituitary and CT scan of adrenal is normal; the high testosterone by these organs can be ruled and can be concluded due to PCOS.

It is privilege assisting you.

Ask Your Own Endocrinology Question
Customer reply replied 8 months ago
Thanks!
Endocrinologist: drphophalia, Doctor replied 8 months ago

You are very welcome.

Was this helpful to you?

Ask Your Own Endocrinology Question
Endocrinologist: drphophalia, Doctor replied 8 months ago

Following would help in PCOS;

1) Weight reduction. Loss of abdominal fat seems to be crucial to restore ovulation. If it is morbid obesity, Bariatric surgery may be advised. Otherwise dietary counseling and exercise would help in short and long term.
2) FSH stimulation with clomiphene HMG or pulsatile LHRH.
3) Reduction of ovarian androgen secretion by using oral contraceptives or LH-releasing hormone (LHRH) analogs.
4) Urofollitropin (pure FSH) administration.
5) Reduction of ovarian androgen secretion by laparoscopic ovarian wedge resection. Laparoscopic ovarian surgery (laparoscopic ovarian drilling) is a useful alternative that does not trigger ovary stimulation.
6) Metformin improves ovulation, insulin sensitivity.

" I sincerely ***** ***** I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Ask Your Own Endocrinology Question
Endocrinologist: drphophalia, Doctor replied 8 months ago

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

You can continue to ask questions after positive feedback.

Thank you.

Wishing you all the very best in life.

http://ww2.justanswer.com/help/how-do-i-rate-answer-hl

Ask Your Own Endocrinology Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an endocrinologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask drphophalia Your Own Question
drphophalia
drphophalia
drphophalia, Doctor
Category: Endocrinology
Satisfied Customers: 38,771
38,771 Satisfied Customers
Experience: Do adrenal, thyroid and parathyroid surgery regularly.

drphophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr Adi

Dr Adi

Professor

440 satisfied customers

Director of the Pediatric Diabetes Clinics at UCSF.

MCC. Endo

MCC. Endo

Board Certified Endo

25 satisfied customers

>10 years clinical exp, award winning research as a fellow

Sohaib K

Sohaib K

21 satisfied customers

Consultant at King Faisal Specialist Hospital

Dr. Jon

Dr. Jon

MD

18 satisfied customers

Physician

Dr. Nina Lim

Dr. Nina Lim

Doctor (MD)

13 satisfied customers

Internal Medicine Physician

Dr Eisenbud

Dr Eisenbud

Board Certified Physician

166 satisfied customers

Endocrinology and metabolism practice for 35 years

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

< Previous | Next >

Related Endocrinology Questions
Second opinion] I am writing on behalf of my sister, who is
Second opinion] I am writing on behalf of my sister, who is 31 years old. She was concerned with PCOS because her LH and FSH hormone ratio was off on a blood test about 5 months ago. Since then, her d… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,836 satisfied customers
I am writing on behalf of my sister, who is 31 years old.
I am writing on behalf of my sister, who is 31 years old. She was concerned with PCOS because her LH and FSH hormone ratio was off on a blood test about 5 months ago. Since then, her doctor has been t… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
Please help! I got my blood tests back today and these are
Please help! I got my blood tests back today and these are the results that stand out. I am a 23 year old female that has very irregular periods, I have gained a bunch of weight and can't loose any no… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I am a 56 year old female who was experiencing menopausal
I am a 56 year old female who was experiencing menopausal symptoms. I began natural hormone replacement therapy (specifically, BioTE) approximately one year ago, with significant reduction in hot flas… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I am a 37 year old female. I had a total hysterectomy ten
I am a 37 year old female. I had a total hysterectomy ten years ago and I've been on hormone therapy ever since by way of FemRing, Testosterone cream and Progesterone capsules. Those hormones are all … read more
Dr. Chip
Dr. Chip
M.D.
13,101 satisfied customers
I am a 25 year old male and I am having symptoms of low
Hi , I am a 25 year old male and I am having symptoms of low testosterone. I got my testosterone checked before and it was normal at 645 and my free was normal also but on the low end of normal. My es… read more
drphophalia
drphophalia
Doctor
Post-Doctoral Degree
38,771 satisfied customers
I have a specific question regarding some symptoms that I
I have a specific question regarding some symptoms that I have developed over the past year. I have developed some male pattern hair growth on my chin. I have normal periods and my hormone tests were … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
I am looking for some advice as to what might be going on
Hello, I am looking for some advice as to what might be going on with my 14 year old daughter. Both her pediatrician and my gynecologist think her bloodwork looks “normal” but when I research it, it l… read more
Dr. Abid
Dr. Abid
PGR (Internal Medicine)
Doctoral Degree
5,444 satisfied customers
I am curious to see how you would interpret these results.
I am curious to see how you would interpret these results. 25 yr old male. Several symptoms brough to doctor, notable ones for this test are flushing, weight gain in abdomen, high blood pressure, fati… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
When I was 13 I had bad acne and was found to have elevated
Hi. When I was 13 I had bad acne and was found to have elevated androgens, so I was diagnosed with PCOS and took accutane to clear up my acne. I have never had any other symptoms of pcos like hirsuiti… read more
Dr. D. Love
Dr. D. Love
Doctoral Degree
10,415 satisfied customers
I feel like TRT would be a viable option for me. I am 25
I feel like TRT would be a viable option for me. I am 25 years old, diagnosed with Hypothyroidism 7 years ago and have been treated for it with Levonthyroxine ever since. My symptoms that have lead me… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I recently got a set of baseline hormone blood tests before
Hello, I recently got a set of baseline hormone blood tests before starting finasteride, just to see where I stood before starting the drug (my family doctor could not get me in until mid August) I am… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
Im a 23 year old women. I suspect that my level of
Hi Im a 23 year old women. I suspect that my level of testosterone is too high. I have hair on my toes and under my navel, my upper arms are quite muscular for a women, but I'm a cyclist so I dont rea… read more
Dr. C.
Dr. C.
Medical Director
Doctoral Degree
1,452 satisfied customers
I have a question about my testosterone. I was wondering if
I have a question about my testosterone. I was wondering if these levels are considered normal: FSH 2.3 IU/L 1.5 - 12.4 LH 1.7 IU/L IU/L Testosterone 250 NG/DL Free Testosterone 123 Estrogens Total 74… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
Total Testosterone 229 ng/dl then; 5 days later total T 358
Total Testosterone 229 ng/dl then; 5 days later total T 358 ng/dl plus free T of 49.8 pg/ml I've seen on a few sites that these levels correlate to an average 85-100 year old man. These level were tak… read more
Dr Eisenbud
Dr Eisenbud
Board Certified Physician
MD
166 satisfied customers
I am a 46 year old male. 5' 9" 165lbs in pretty good shape I
I am a 46 year old male. 5' 9" 165lbs in pretty good shape I was recently told by my doctor, a DO, that I may need to see an endocrinologist. I was sitting in his waiting room and perused a book and f… read more
Dr. Natasha
Dr. Natasha
7,913 satisfied customers
I dont have diabetes but just need an Endocrinologist to
I dont have diabetes but just need an Endocrinologist to review this.... My testosterone levels were found to be low about 2 years ago and I was put on testosterone replacement therapy, but no other t… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,836 satisfied customers
Help please, i leave for a ovreseas family vacation (and a
help please, i leave for a ovreseas family vacation (and a little work) Sunday july 3rd night for a month. Today i had my nutrionisist at 4pm say i need to see an endocrinologist ASAP. i have a testos… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x