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I have a couple questions regarding the hormone testing I

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recently had done. I've been...
I have a couple questions regarding the hormone testing I recently had done. I've been experiencing irregular bleeding for a few months now. I'm getting my period every 2-3 weeks and this month and last month I had spotting in-between that felt almost exactly like a period. I've had spotting a couple years ago and underwent a sonohystegram which found a polyp and has been removed and the biopsy came back normal. I've also have normal paps and normal ultrasounds and the only medications I'm on are nexium and norethindrone. With that being said, my blood test was taken about day 16 of my cycle, here are my results, if you can explain what your findings are, and what my value means in relation to the ranges that would be appreciated.
LUTEINIZING HORMONE Your Value 17.8
LH REFERENCE RANGES (MIU/ML)
FEMALES NORMALLY MENSTRUATING:
FOLLICULAR PHASE 1.9 - 12.5
MIDCYCLE PEAK 8.7 - 76.3
LUTEAL PHASE 0.5 - 16.9
PREGNANT <0.1 - 1.5
POSTMENOPAUSAL 5.0 - 52.3
CONTRACEPTIVES 0.7 - 5.6
CHILDREN <0.1 - 6.0
FOLLICLE STIMULATING HORMONE Your Value 8.1
FSH REFERENCE RANGES (MIU/ML)
FEMALES NORMALLY MENSTRUATING:
FOLLICULAR PHASE 1.1 - 9.6
MIDCYCLE PEAK 2.3 - 20.9
LUTEAL PHASE 0.8 - 7.5
PREGNANT 0.0 - 0.9
POSTMENOPAUSAL 34.4 - 95.8
CONTRACEPTIVES 1.5 - 16.1
OVARIAN FAILURE 11.5 - 91.1
CHILDREN 1.2 - 7.8
PROLACTIN Your Value 8.6
Prolactin Reference Ranges
Nonpregnant 2.8 - 29.2
Pregnant 9.7 - 208.5
Postmenopausal 1.8 - 20.3
Submitted: 1 year ago.Category: OB GYN
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Answered in 54 minutes by:
5/19/2016
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago
DocPhilMD
DocPhilMD, Doctor
Category: OB GYN
Satisfied Customers: 57,689
Experience: Board Certified Internist trained in OB/GYN
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any other medical issues?

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Customer reply replied 1 year ago
I have some issues with constipation and hemhrroids. I also take nexium for heartburn but that's all I can think of.
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

I don't think these hormone levels help that much

they are all where they should be.

They are normal

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Customer reply replied 1 year ago
Ok, in your opinion what do you think the next steps would be to figure out the irregular bleeding?
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

I would recommend testing thyroid hormone.

was this done?

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Customer reply replied 1 year ago

Yes, and it was normal

OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

Okay good.

Then it could be your meds

that is the only possibility

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OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

Thanks for this question

Please don't forget a positive rating. I appreciate it. :)

If you have more questions just reply

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Customer reply replied 1 year ago
Sorry I've been pretty busy with work. Just curious how could my medications be the only other possibility? All I take is nexium, northindrone, multi vitamin, and Flonase.
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

the northindrone is the culprit

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Customer reply replied 1 year ago
Ok, I just saw my Obgyn and she wants me to take a ovulation test because she thinks I could be ovulating while on norethindrone? How common is this? Also what does it mean in terms of my health is this bad? She gave me answers but I really don't wana buy this test and have to do it.
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago
This is relatively common. This is nothing bad. It is just a hormone fluctuation
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Customer reply replied 1 year ago
Okay and one last question. When looking at the LH Hormone test should I look under the contraceptives range or the luteal phase range because I do take norethindrone ?
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

contraceptives

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Customer reply replied 1 year ago
Ok, my value is 3 times higher the what it should be. What could that mean?
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

It means you are surging LH. Could be low estrogen. lack of feedback stopping the LH

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Customer reply replied 1 year ago
Ok could this be a cause for concern? Any recommendations?
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

follow your doctors recommendations and get the test done.

go from there

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Customer reply replied 1 year ago
Seems like that's pointless when I can't get any answers from the tests I've already gotten.
OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

That is the next time

it takes time and patience to diagnose complex problems like this

it is a step wise approach

I agree with what is done so far

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Customer reply replied 1 year ago
Relist: Inaccurate answer.
First said things were normal then said it was one thing then another and finally said it was a complex issue no clear information
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago
khagihara
khagihara, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 6,590
Experience: Trained in OB & GYN for many years.
Verified

What is the reason you don't take combined pill (estrogen & progesterone) but norethindrone (progesterone)? Combined pill are much more effective to suppress ovulation than progesterone only pill such as norethindrone. Combined pill can regulate your period more easily.

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Customer reply replied 1 year ago
I tried it before and I didn't like the side effects. Every other night I'd get woken up with a severe leg cramp and in general it didn't make me feel well.
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 1 year ago

Have you tried depo Provera shots or Mirena IUD? They contain only progesterone.

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Customer reply replied 1 year ago

No, I haven't. I just want to understand what's going on. I'm okay with changing my birth control if I need to but I'd like some answers on my tests. I don't want all these temporary fixes that may mask an underlining issue, does that make sense?

OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

thanks for this question

please don't forget a positive rating. I appreciate it. :)

if you have more questions, just reply

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OB GYN Doctor: DocPhilMD, Doctor replied 1 year ago

Yes, it make sense. Need more help?

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