By Glenn Steponaitis There are many causes of high testosterone in women, and the symptoms of high testosterone levels can be just as debilitating as low testosterone levels. However, men and women usually come to us because they have low testosterone — in fact, many women are misdiagnosed with high testosterone when in reality, you might have low testosterone. Learn more about how you may have been misdiagnosed with high testosterone and how low testosterone might actually be the problem.
For women, low testosterone can be a nightmare. Fatigue, low sex drive, weight gain—all these and more can be debilitating for women suffering from low testosterone. In fact, the average woman has about a tenth of the amount of testosterone that a man has. But just like men, women can suffer a variety of different diseases and disorders that can cause their testosterone to become too low or too high. There are many different causes of high testosterone levels in women, and some of them are more common than others.
This is one of the more common causes of high testosterone in women. Another one of the causes of high testosterone in women is late-onset congenital adrenal hyperplasia. A hormonal test by a medical professional may be enough to diagnose this issue. Diabetes may also be one of the culprits behind your high testosterone levels.
Diabetes is a complicated disease, and the connection between diabetes and obesity may be partially responsible for these fluctuations in testosterone levels. However, the symptoms of high testosterone are the same as the above diseases—Keeping your diabetes under control is one way to fight any symptoms you might be experiencing Unfortunately, because testosterone plays a role in so many bodily functions in both men and women, many diseases and disorders can affect it.
If you are suffering from any of these illnesses, it may be the cause of your high testosterone: Any of these causes of high testosterone in women needs to be diagnosed by a medical professional, but some of the symptoms can be treated, depending on the illness or disorder. His interest in medicine lead him down the path of becoming a certified Physician Assistant and achieving a Bachelor of Science degree in this field from the University of Texas Southwestern Medical Center at Dallas.
Since POSC is an ovarian problem, at my age would natural herbs help like Yam and saw palmento? Augie Galindo says Potency is the big issue with natural herbs and nutritional substances.
Balancing hormones is a delicate and involved process that will likely require frequent lab assessments and close monitoring from a knowledgeable provider. Not sure what normal progesterone and estradiol are but that was checked.
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What do you suggest and ideas on what I can ask dr about At my appt next week. Everything else seemed normal Thank u. Augie Galindo says There are a few blank spots that I will have to fill in here, so please forgive any inaccurate assumptions.
It appears that your ferritin and total testosterone levels are normal. If you free testosterone level is not a calculated free T or an equilibrium dialysis assay, then I would make any decisions based on this test.
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If you are, naturally desiccated thyroids products like Nature-Throid or Cytomel have been known to cause hair loss in a minority of patients. Are you on treatment for hypothyroidism? Estrogen and progesterone levels may also offer some insight.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Ehren says Hi. Ive had regular periods until middle of last year then theychave been irregular. I had blood testing done as well as ultrasounds and turns out i have high testosterone.
Im wanting to try for a baby soon now that i got married. Augie Galindo says Great question! Before I answer, I want to direct you to my blog post that goes into detail about what I am about to say.
Birth control pills are a poor answer to hormonal problems. Keep in mind that their sole purpose is to keep your body from working the way it is supposed to. Now, oral contraceptives can certainly lower testosterone levels, but that may not be what your body really needs. You need to make sure that treatment is directed at fixing problems, not just treating numbers.
Since going in a little over a year ago she has gained alot of weight. Her mood swings are crazy with alot of crying. She was told she had high testosterone. And Looking to see if she has a displaced Uterus. Also looking to see if she has pcos. The navy medical is not what i call the best. What can she do? Augie Galindo says It sounds like the right sort of things are being looked at.
Perhaps having her seen by a local gynecologist who is familiar with PCOS workups the next time she is on leave would be helpful? It is best to do some research to find a nearby provider who can keep costs down by ordering only those tests that aid in the management of you issues and symptoms. Proper management will likely involve careful consideration of your estrogen and progesterone levels as well. Hair on her stomach and back, No periods at all.
She has gained a lot of weight and has mood swings all the time. She also has bad anxiety. GYN thought it could be PCOS and ran tests. She has high testosterone and low estradiol.
Going to see endocrinologist next week. What does this sound like to you? Augie Galindo says PCOS would be at the top of my list of things to rule out as well.
Make sure to find an endocrinologist that specializes in treatment involving sex hormone disturbance. With the prevalence of diabetes, many endocrinologists now manage little else. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Kasey says Thank you for the answer. Yes he is a reproductive endocrinology specialist. Do you know what kind of tests they might do? Augie Galindo says You are welcome. Labs are going to be important.
These would consist of things like FSH, LH, estradiol, progesterone, and others. A sonogram will be needed as well. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Kasey says Augie Galindo says Receiving a diagnosis is often a double-edged sword. Fertility compromise is really hard to take, even if it comes along with a concrete diagnosis. I wish both of you the best.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Jackie F. I was diagnosed at www.florencecardinal.com told I would need treatment to become pregnant.
All of a sudden in January my books started to ache. Turns out I was pregnant, on my own with no help. Jessi says Hellowhat it seems like your daughter has is PCOSPolysistic ovaian syndrome.
They will also do a physical check. Kasey says Thank you both for the replies. She Has done all the bloodwork and ultrasound done as well n she has been diagnosed with PCOS.
There are two ways they want to treat it. Birth control as well as some hormonal therapy if needed. It depends on your individual hormonal environment, your metabolism, dosing methodology, goals of therapy, and many other variables. What we have seen clinically, is that focusing on you free testosterone levels is best for determining the therapeutic window AND the potential for side effects. Is that problem high? Can medications contribute to this?
Only androgens and hCG are known to reliably cause increased testosterone, but conditions like polycystic ovarian syndrome PCOS could cause increased levels as well.
Protecting women from increased androgenic effect typically involves treating the underlying condition like PCOSor using medications that exhibit an anit-androgenic effect, like spironolactone.
It is causing a majority of issues. Do you suggest a specialist or is there a way to lower it Augie Galindo says If your baseline testosterone production is elevated, it is probably best to see an endocrinologist that specializes in sex-hormone treatment.
While things like PCOS are a possibility, you also need to know what your free testosterone levels are. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Alexandra says if I have high testosterone levels can I take estrogen to help level myself out until i can get the proper health care? Augie Galindo says That could possibly be helpful, but really only if you are deficient in estrogen now. Is there a way I can balance these out so I can have children?
Augie Galindo says Thank you for your question. Before I answer, let me explain that fertility and gynecology are not areas that I practice in, but I will do my best to offer insight. The better test is a calculated free testosterone cFT which you will need your total testosterone, SHBG, and albumin levels to determine. What that leaves us with, is an incomplete, but fairly innocuous hormonal environment. There is not enough evidence here to say that you are at risk for that, but if present, PCOS could negatively affect fertility.
If you have been attempting to achieve pregnancy for more than one year without success, then it may be time to consult a fertility specialist. I hope that helps. Lately I suffer from undefined unease feeling. Suffering from a lot of stress lately as too many things overwhelm me. Short fuse lately and being tough in every situation is never a problem. Feeling of getting very hard on everybody.
I have a healthy diet, taking supplements and living a healthy lifestyle for many years Augie Galindo says Thank you for your questions! Your symptoms definitely warrant evaluation. Any time there are issues that involve an abnormal hear rate and extreme fatigue, the first thing to rule out is cardiac issues.
My recommendation, in that regard, would be to see your PCP or a cardiologist if symptoms are intermittent, and to go to the ER if they are severe, frequent, or constant. Aside from that, it would definitely be important to evaluated your estrogen, progesterone, testosterone, and thyroid hormone levels.
Also, hormones taken orally are historically hard on your liver so this should be being monitored very closely. This could be a hormonal issue, but it could also be and underlying problem. I hope that helps! Get a few opinions now yrs later I hsv high testosterone w its prob. I quick to temper and just uncertain feeling. My last injection was in July. What could be the cause? Could they have been giving me too much testosterone? Should I be concerned? Augie Galindo says This is a common problem with pellets.
Keep in mind that all pellets are made the same way. Your free testosterone levels need to be the target of therapy, and I have yet to come across a BioTe user that even runs the appropriate labs. I too would be concerned. We always recommend against pellets, so seeking a different form of therapy would be advisable, in my opinion.
Heart race, fatique, foggy, moody, pain. Md had to suction them out. I have had phenomenal results. I get them checked twice a year. Should I be concerned with the high serum level? I get mixed reviews mentioning testosterone therapy too different doctors so hoping for insight from someone with your insight. Thank you Augie Galindo says Thank you for your question. Not knowing the timing of your labs in relation to when your last injection was makes it difficult to say, but I can tell you that your current regimen seems more aggressive than I would recommend.
Also, I strongly prefer smaller, more frequent dosing with intramuscular delivery as the medication was designed for this modality. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Kim says Are there specific conditions that cause fluctuations in Testosterone?
I was on synthroid and armour for a short time, but found that I was getting acne really bad, especially on my back, so stopped the armour and it seemed to improve. It happened again some time later so I cut my thyroid pill in half and again it seem to improve. With this bad back acne flare up I realize that with these flare ups I also get strong under arm odor and the hair on my legs grows abnormally fast. There are some specific issues that can increase the likelihood of testosterone deficiency, as well as some that are not so easily defined.
If you are taking any medication for pain that is opioid based for your fibromyalgia, this could be contributing to low testosterone levels. Also, there are links between blood sugar and thyroid issues and gonadal hypofunction. Acne is a pretty rare side effect of natural desiccated thyroid preparations. Your symptoms sound more androgenic, more specifically, DHT dihydrotestosterone related.
Have you looked into symptoms of polycystic ovarian syndrome? All other blood tests were OK including thyroid. I brought the cream back to the pharmacy including a new batch not used yet. They sent it to an analytical company and both came back correct. If it was a medical problem, why would my libido be OK now? Compounded medications will have slightly more variance than standard pharmaceuticals, but it sounds like that was not the issue with your most recent case.
There can be lab errors that lead to bad data. If your clinical response is good, and without significant side effects, the problem could lie in bad lab data. It is also very easy get a bit more cream than is prescribed, and over time, this can have a cumulative effect.
This is why we use injections instead of topicals for testosterone therapy. It does sound as if your symptoms were tracking with your reported lab results.
The surgery went fine. I am deficient in a lot of vitamins and minerals. I read it raises testosterone in a lot of women and worsens symptoms… i cant handle worsening of symptoms.
Does progesterone oil raise estrogen and lower testosterone? Im also taking seriphos for the cortisol. She wants me off that since it didnt help me sleep at night… but it did seem to help with stress… im so confused. Can you give me any helpful information please? Augie Galindo says The balance of many, if not all, of these hormones have some overlap.
Your goal should be to find a provider that focuses both on your symptoms, and a sound methodology for measuring progress. When I hear vague terms like high this, or low that, it makes me fearful that your provider may be flying completely by the seat of their pants. Doubling a dose, without knowing where you stand before the dose increase is rarely a good idea.
I would recommend starting with thyroid balance first. Then, since you are menstruating, take a slow approach to balancing estrogen and progesterone. Depending on how you metabolize DHEA and pregnenolone you could have profoundly different outcomes than those which are desired. Additionally, before you rule out a testosterone deficiency, make sure you look at your calculated free testosterone first.
Adrenal issues are the most complicated and I would save those for last. Augie Galindo says It sounds like you are doing all the right things diet-wise. The hormone ranges you have are different than what I am accustomed to looking at, but I gather that you are in a state of estrogen dominance.
This could likely be helped with progesterone replacement. As for testosterone, evaluation of your free testosterone levels is very important. Furthermore, proper management of any thyroid insufficiency is paramount to you feeling better and metabolizing appropriately.
Visiting a practice that can treat all of these issues with one comprehensive approach will likely be your best bet. My testosterone is always high. I feel like my testosterone has gotten even higher. Could it be an adrenal tumor growing? And what type of doctor should I see?
An endocrinologist, or a gyn? Is it possible that their is no cause…some people are just born with high testosterone?
Augie Galindo says Thank you for visiting our site! Understand that I am limited here, but I will do my best to help. While I do not agree with the way it was handled, I think the decision to avoid surgery on a small lump, that may or may not be contributing to androgen excess, was probably the right decision. Given that your menstrual cycle is normal and pregnancy was uneventful, the likelihood of you having a severe hormonal imbalance is unlikely.
Without symptoms of PCOS, that is also unlikely. Checking your free testosterone and DHT levels would help shed some light on your situation. There are medications like spironolactone that are considered adrogen agonists that could help reduce the androgenic response. Evaluation of the entire hypothalamic-pituitary-gonadal ovarian axis may help also. I had some blood work done and it showed that my testosterone is high, could this have anything to do with the uneasy feeling and what could make my testosterone high?
I have pretty normal menstrual cycles, some times a few days delayed, but I get one every month. I am over weight, carry a lot of belly fat, High blood pressure and have some of the symtoms of PCOS, but not all. Also, your calculated free testosterone seems inaccurate. I would be more concerned with thyroid over-activity, or potential cardiac issues.
Furthermore, things like anemia should be considered. You should see your PCP for a full physical. It could be that your testosterone levels are just high-normal, and while this could certainly contribute to hair growth, there could be other, more prevalent, factors. Surgery should almost always be considered a last option.
Alida says Thank you for taking the time to answer these questions that are thrown at you! You must be very dedicated, and I appreciate that. Glad I pushed for blood draw to see where my level www.florencecardinal.com off to have more testing done in the AM….
Augie Galindo says Thank you so much for your comments! I am very happy that we were able to help. That is the goal of all the effort put into this site. Best of luck to you, and I too am glad that you pushed for labs to be done! I scheduled a consultation with a compounding pharmacy that specializes in hormone imbalances.
She said my DHEA was nothing to be concerned with. I was told I would not notice any difference unless I was taking for low libido. It did nothing to help that! Would taking my medication close to my test time effect it and cause such elevated levels?
Can I quit taking this immediately. Will my high levels cause any issues? What does it mean? There can be subtle changes in the levels of your hormones, and if your clinician is not looking at the right test, or the results in the right way, something could easily be missed.
The extremely elevated levels you had were not the result of a single dose, or its proximity to you blood draw. Your dosing was too high. Your testosterone, estradiol, progesterone, and thyroid levels need to all be considered. As for an elevated DHEA, it could be nothing, or it could be something. Essentially, DHEA is manufactured by the adrenals it is made elsewhere in the bodyand it can go up naturally or through supplementation.
Some of the reasons it would elevated naturally could be related to blood sugar levels or stress responses. High levels of DHEA are often seen years before a female develops metabolic syndrome and should be used as a risk factor marker for insulin resistance. Would you think that high testosterone would play a role on this???? Augie Galindo says The relationship would be indirect, but it could certainly be there.
Now, keep in mind that these are general statements, and only onepossibleexplanation for these issues. Polycystic Ovarian Syndrome has been linked to higher glucose blood sugar levels, hirsutism abnormal hair growthand increased testosterone levels. High blood sugar levels are often implicated as a risk factor for recurrent fungal yeast infections. So, it is not likely that testosterone itself is the issue, but it is possible that there is a metabolic environment, which includes elevated testosterone, could be a factor.
Elaine says I just saw a doctor about starting HRT. Been feeling HOT night and day for about a year. Blood work and saliva testing ordered by GYN doctor. Not aware of any typical symptoms for this result. What are the odds that this is caused by cysts or tumors and what is a typical remedy?
While lab error could always be at fault for such an abnormal level, it certainly sounds like some investigation needs to be done. So, the diagnosis of one would be very rare, but not unheard of. It sounds like you are on the right track. Make sure to keep you follow up appointment. I just did my hormone test because of the excessive hair growth in my chin stomach neck and chest from my early teen yearsand I have a lot of ingrown hair in my body.
Im so tired to remove them black thick hair EVERY DAY with a tweezer. My gyn said that I have a high testosterone and told me to visit endocrynologist. What causes my testosterone high? And how can I control it? One involving hursutism is polycystic ovarian synrome. If your gynecologist feels like and endocrinology workup is necessary, it may be to rule out other hormonal issues before evaluating the possibility of PCOS. Before you control the excess, it is best to see why the imbalance exists, for the cause may be treatable.
All my life I have had excessive hair growth on my body and on areas where women usually show less hair growth. Hair growth on my body shows male hair growth patterns i. I have also suffered from acne for quite a while on all these areas. I think this is not genetics since no female in my recent family has had this problem.
I recently got my testosterone levels checked on doctors recommendation. I am already taking birth control pills which my doctor says has some anti androgenic effects. Can you please help me interpret these results and what steps should I take further. Birth control pills could be causing more than the intended changes.
Depending on the type, and your response, it could worsen androgenic effect. Also, if your testosterone levels are consistently high, then even normal amounts of estrogen and progesterone might not have a countering effect. Your total level does seem to be high, but your free testosterone levels are more important.
You would probably be best served by seeing a clinician that specializes in hormonal treatment. I have not experienced hair growth or thinning or acne or other symptoms. Could you offer a course of action? Augie Galindo says Since units of measure and normal reference ranges differ, it is difficult to discern you best next steps by labs alone.
However, abnormal labs without typical associated side effects are rarely cause for concern. Contraceptives were quite literally designed to disrupt normal bodily functions. If you are suffering from hormonal issues, it would be best to seek out a clinician focused on female wellness. It is possible to have PCOS without exhibiting all the symptoms, and the treatment of it can be quite complex. Please let me know what i should do in this case.
Augie Galindo says These issues would likely be handled best by a fertility specialist. There are a slew of things that can be done outside of IVF and other artificial means of achieving pregnancy. I believe that the use of birth control pills is a poor answer to hormonal imbalance. Keep in mind, the purpose of oral contraceptives is to intentionally disrupt a naturally occurring, and normal, physiological function. It is your calculated free testosterone, that probably was not measured, that would be most telling.
If you had a clear ultrasound, then polycystic ovarian syndrome is much less likely, but that is not the only reason why you might have elevated testosterone levels. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Melanie says When I turned forty I developed depression, anxiety and severe insomnia.
My husbands dr thinks I need testosterone and it would solve all my problems. Augie Galindo says It definitely sounds like you have symptoms consistent with testosterone deficiency, however, you could also be suffering with progesterone deficiency. Bioidentical hormone replacement for estrogen and progesterone deficiencies is very important, this is an essential non-issue when it comes to testosterone. That being said, it is likely that you need help balancing all three hormones.
Furthermore, thyroid insufficiency could be an issue. I personally recommend against pellets because of the huge swings your levels take while on them. I do believe that you would benefit from a more thorough hormonal status evaluation than it sounds like you have received thus far.
Thank you for your kindness! Augie Galindo says I love to hear that, and you are absolutely welcome! Thank you very much for the feedback. I wish you the best in your quest for better health!! I Still Cannot get my labido to come back like it used to be when I first started T.
What can I do to bring it back? Augie Galindo says I am almost completely guessing here, but my assumption here would be that despite being on treatment, your free testosterone remains low. Too many times, clinicians base their decision making off of your total, and you end up without the symptomatic benefit you are needing.
Also, it would still be prudent to evaluate your need for estrogen and progesterone if risk factors allow for their use. I would definitely recommend against pellets. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Nanci D. I have been under severe duress for a long time due to health condition anxiety which involves a relapse of my NHL cancer and constant sciatica coming from my back after a fall on ice.
I had back surgery but need a fusion. I am an emotional mess in constant anxiety and depression. I recently lost my smell and taste and have a constant dry stuffy nose and dry mouth and recurrent eye issues with severe itching and inflammation.
I suffer from constant muscle pains which has made my whiplash much worse. In fact my reproductive system never gave me any trouble at all. Any help you can offer would be greatly appreciated. Thank you so much for your time. Augie Galindo says Thank you so much for your submission.
I am very sorry to hear about your health struggles, I can only imagine how difficult this battle has been for you. It sounds like you have been very thorough in your search for answers. I am glad that you have seen a functional medicine physician, and they have raised a good point. It is not at all uncommon for our environment alone to have an impact on our hypothalamic pituitary axis.
And, since the pituitary gland secretes hormones that control ovarian, thyroid, adrenal, mammary, uterine, hemodynamic, and other physiologic function, an issue there can cause issues globally within the body.
Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner solmaz says hi. I have a very high level of testosterone which is due to PCOS. What should I do? Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Gigi says Nicole says Hello! I have been going to a doctor who has told me that I have symptoms of PCOS… That being said she sent me for blood work and the results were astounding!
She said this is the highest she has ever seen and is sending me to an endocrinologist to find out more. I have not had any other weird symptoms other than weight gain but is there something that could cause numbers like this!? Augie Galindo says Thank you for your question! PCOS would definitely sit atop the list of likely causes. Your total testosterone is definitely high, but I am always skeptical of free testosterone levels if not done by calculation method, or equilibrium dialysis.
I believe your result is in a different unit of measure, and perhaps was done using different methodology. If a direct free testosterone test was ordered, I would recommend ignoring that reading. Other issues do need to be ruled out. Certain tumors of the adrenal glands or ovaries namely stromal tumors can cause similar responses. Make sure that your workup is thorough, and that no questions go unanswered. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Lynn says What conditions are high t and high cortisol associated with?
NO OTHER abnormalities found from any other tests that were done to rule out PCOS ect. Only other condition is bouts of major depression. Is it possible that depression can increase both T and cortisol? Augie Galindo says Stress and depression can definitely increase cortisol levels. Testosterone, on the other hand, may be a bit trickier to explain in this scenario. Typically you would see these two levels move in opposition to each other.
However, there are some conditions that could stimulate the increase of both simultaneously. Hyperactivity of the adrenal cortex could explain such a finding. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Adrienne says My daughter has been diagnosed with PCOS, which I know can cause increased testosterone levels.
Is it possible that she has a large release of testosterone when she does cardio that could negatively affect her mood and reaction to things? This is can have a negative effect on mood. Too, you can consider hypoglycemia that could be workout-induced and lead to mood swings as well. She checked my sugars and anything relating with diabetes and PCOS and said everything came back great. I was just curious what you thought about this Augie Galindo says PCOS is always a concern with elevated testosterone levels in females.
Much of endocrinology is focused on diabetes these days, and while they have the knowledge base in the specialty, its rarely their forte. If all other parameters are normal, the likelihood of PCOS does drop. After taking the medication for a couple months my period cycle changed. I have looked on the web and seen other women complaining about not getting their periods after stopping the same medication. I am certainly suspicious of it too.
There are better ways to evaluate this metric. Make sure somebody looks at your entire hormonal profile before chalking this up to PCOS. Originally I had concerns about PCOS, but seeing that my free testosterone is within normal range, should I have nothing to be concerned about? Do I naturally just have a higher total testosterone level? It is free testosterone that matter, both from a risk and benefit perspective. Just make sure to reconcile that to the reference range and that your free testosterone is derived by calculation and not direct analog analysis.
Otherwise, if you are asymptomatic, I would not worry about those numbers. There is no estrogen in this pill. I have taken it for years for endometriosis pain, but I have been experiencing male pattern hair loss, nausea, mood problems, hot flashes, and insomnia. No acne or additional hair growth, but no imptovement in my excess hair growth either. This is the cycle following the estrogen cream disaster.
I wonder how high it got during the cycle with the cream??? I also had an acne breakout, which is unusual. No doctors seem to agree on the effects of the Norethindrone mini pill on testosterone levels.
It matters because I have androgenic alopecia. I do not have PCOS. What is the effect of norethindrone on testosterone blood testing? Could the one-time dose of the bi-estro care cream have elevated testosterone levels last month, causing the acne? Could there be excess hair growth from that cream that I still need to worry about?
Augie Galindo says There are quite a few intersecting lines here. It acts by suppressing goandotropins. So, a medication that reduces gonadotropins, while only supplying a progesterone mimicker, can lower estrogen levels. By this mechanism, your body can react as if you have low estrogen levels, even if there is just an imbalance. Also, your hypothalamus relies partially on estrogen now suppressedto decide how much testosterone to produce.
You will see a spike close to ovulation as your body seeks to capitalize on your fertility by increase libido etc. Total testosterone can sometimes be misleading, too. The better metric is a calculated free testosterone. With so many interfering factors, and if you can withstand the symptoms, it is probably best to see if you can take a drug holiday from the Norethindrone and test again in the mid-luteal phase.
Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas Founding Partner Amelia says Thank you! I am so pleased to see your reply, and it is so very helpful. Also, is excess facial and body hair at all reversible with proper hormone balance? I hope it is. I think my estrogen may be relatively high compared to my progesterone as I have reduced the progestin pill, and perhaps this is also resulting in excess testosterone. Could this be something else making my levels so high?
Could switching to a Ndt like armour help vs synthroid? Could it be cushings? What other tests could i get to test for cushings?
Ive done a dex test and it came back within range. Any answers or suggestions? Since your dex test came back in range, an ACTH measurement is a non-invasive means of shedding a little more light on the subject.
You might find THIS SITE helpful. I do recommend an NDT over Synthroid. My go-to medication is Nature-Throid. You can find a wealth of information HERE. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas Founding Partner jordan says Thank you Augie! I will ask my doctor about those tests and also see if she is willing to get an NDT like Nature thyroid imported in for me.
Thank you again for the response. Jordan Augie Galindo says Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas Founding Partner comfort says Augie Galindo says I would have to say that this would be atypical.
Gaining weight, especially lean muscle, should be easier with higher testosterone levels. I have my ovaries, adrenal glands and cortisol tests and doctors cant explain why level is so high.
I am losing hair and have facial hair, extreme fatigue and gain weight. Please advise best course of treatment and possible reason for such high testosterone level. Augie Galindo says Without a full workup there are many assumptions that I have to make, but I would definitely be suspicious of polycystic ovarian syndrome.
Testing your calculated free testosterone would lend valuable insight into androgenic influence. I would recommend seeing an endocrinologist that deals specifically with these types of hormonal issues.
I have no symptoms of excess testosterone and still have issues with no libido, fatigue and weight gain. My Sex Hormone Binding Globulin is off the charts. I have never even approached “normal range”. What causes SHBG to be so elevated? I feel that’s the root of my problems but i cannot find any information. Augie Galindo says There are many factors that lead to increased SHBG production. One of them is estrogen levels.
So, typically, when estradiol levels are high, SHBG levels will be high. With the total testosterone levels you have seen, it is likely that you are not absorbing the medication topically. We manage are male and female patients with injections, bypassing this issue. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Jennifer says Thank you for your response.
Unfortunately, the only way to know for sure is to see a specialist and have a workup done. I finally found a doctor that diagnosed me with hypergonadism, hyperprolactinemia, and hyperandrogenism. I got treatment with many different meds like spironolactone, steroids, HRT, Armour, estrodial, progesterone, depression meds, etc that helped some but was never balanced, it would fluctuate up and down.
I stopped the meds for almost a year now and just got my labs redone. So what could be causing my problems? Is there any other therapy besides medications? I cannot lose weight and gain weight easily. I have no energy. I am moody and angry. I am losing my hair so fast on the back of my head and the front. I am growing hair on my chin and upper lip and neck and lower stomach and thighs. Augie Galindo says You are missing some key information in your labs.
I am not sure, based on these labs, that you ever needed to be on spironolactone. Steroids which I am assuming are prednisone and the like cause many of the symptoms you were experiencing. Depression medication can also lead to weight gain and hyperprolactinemia. Perhaps taking it step by step would be a better option for you. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner LMF says Thanks for the reply. I am not on any of the depression meds or steroids or any other meds or supplements right now.
And the labs were taken when I want taking any other meds too. Any help is appreciated. That being said, I would have that test repeated before making any decisions on it. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner ifrah says hiee…i have slight facial hair growth on face and neck but more on chin.
As long as your provider is monitoring your symptoms and levels closely, the current treatment plan seems reasonable. What do you think it could be?
And I have regular periods every month. I have an apt with an endo but it takes a while to get in Augie Galindo says Thank you for your question! Assuming that these are labs from the first half follicular phase vs. That being said, issues with excessive or male patterned hair growth is often linked to hyperadrogenism. The potential causes of this are numerous. You can read more on that HERE. The only abnormal thing in my lab work is my testosterone. Utilizing a calculated free testosterone or equilibrium dialysis method will give you the most accurate assessment of your free testosterone level.
It is this level that is most important is determining your androgen exposure. There are conditions that can cause strict testosterone elevation, but things like ovarian thecoma s are rare to begin with, and would be virtually unheard of in someone your age. I would start by taking a closer look at what your free testosterone. Finally, your symptoms may be a normal variant if you are not experiencing other symptoms of viriliaztion like deepining of the voice or clitoral enlargement.
I hope this helps! Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Andrea Herrera says My lab results came back different. I was in the follicular phase at time of testing and these are the numbers.
This is low, even assuming your total T to be higher than it actually is. My face gets oily within an hour after bath. Recently I read in the Internet that androgens are the reason. Also i have a pear shaped body, big lower body. Do i have PCOD?. I get my periods regularly. Please help me… Augie Galindo says Many other symptoms are typically seen with PCOS. To answer the question, you would need blood tests and sonograms. It is less likely that you would have PCOS given that your periods are regular, but it is still certainly a possibility.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Kristi says Thank you for this article. I have been fighting with irregular menses, as far as going months in between. I went to a different doctor last week and he did a bunch of blood tests. Is there a way to get the testosterone to come down? Augie Galindo says It depends on the cause. Certain stromal cell irregularities of the ovary can cause it. There are treatment to damper down the effects of androgens, like using spironolactone.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Emily says Hi! At one point they thought I have PCOS after getting an MRI and seeing potential undeveloped follicles but I did an ultrasound and they did not see any cysts except one small one. As far as adrenals.
I have never gotten them checked except with a saliva test which said I was low cortisol in the morning and afternoon and normal and getting higher at night. Any direction would be helpful! Augie Galindo says Thank you for reaching out. As for testosterone levels, getting a handle on what your calculated free T is doing will provide much more insight that just monitoring the total. Testosterone production is quite dynamic, but large spikes in your total T may not have a big impact on the much more important free T.
Adrenal issues, I hate to say, present a formidable conundrum. Adrenal fatigue can often be addresses by behavior modification and dietary changes. Tim says My daughter is wrestling with what seems to be PCOS. High school years had very irregular if any periods. Seemingly unexplained weight gain she works out and watches her intake but with little success. She did have a cyst in ovary that was addressed. She had blood work done in past. They thought may be PCOS.
She is on pregnitude and is now regular in periods, less acne. She is still struggling with weight gain especially in abdomen area. She has hair on stomach and back. We are assuming this is high androgen levels. Women can have hyperadrogenism without PCOS. It would be best for you to looks at her calculated free testosterone levels.
This is a calculation that will require an albumin level in a CMP or comprehensive metabolic paneltotal testosterone, and SHBG sex hormone binding globulin. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas Founding Partner Tim says Thanks. We have received new results. Total T, free T, albumin, and SHGB all normal range. So … hmmm … are we just barking up the wrong tree? My best advice is to see someone who focuses on hormone therapy.
Birth control pills are NOT the answer to all female hormonal issues. My symptoms are sudden acne and periods that have grown increasingly irregular or absent during the past year. My question is, how does a doctor distinguish between PCOS and issues with your adrenals, thyroid, pituitary gland tumor? I am not at risk for diabetes, my cholesterol level is great, take no medication, and lead a healthy, health-conscious and active lifestyle.
Why is my body producing more testosterone? Would an endocrinologist be able to sort all this out? What is the right testing to get? Is it possible to balance my hormones naturally herbs or acupuncture, et al or is medication really the only thing that will help? Is it possible that this is caused from chemicals in certain hygiene products? Jennifer says Augie Galindo says You are asking all the right questions, and you will know that you have received the proper diagnosis when the person making it can walk you through that entire differential diagnosis list.
Most of those can be ruled out with labs, but proper interpretation is crucial. Even the diagnosis of high testosterone is often flawed. Read more about that HERE. Natural remedies, for the most part, over-promise and under-deliver. And, in my opinion, the smartest minds in the field do tend to implicate widespread environmental factors as a leading reason for such a dramatic shift in our endocrine health.
This would certainly include chemicals found in things we use daily such as hygiene products. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Jennifer says Thank you so much, Augie, I appreciate your reply and the time you took to do so.
I will certainly keep those things in mind when I visit my endo this week and gyno next month. Guessing games when consulting doctors is not fun. Augie Galindo says You are most welcome. I very much hope that you find solid answers, and more importantly, solid solutions. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Melissa says Hi, My husband and I are trying to have a baby and so far we are experiencing difficulties.
I did a blood test and was told my testosterone level is high. Could the cause of high testosterone, be the cause of fertility problem in a woman? It is very likely that it is not high at all. I can grow a beard better then any man. Last year my high testosterone was causing me havic. I was having heart palpitations all the time anxiety very very high sex drive increased body oder. I was diagnosed with adnomiosis and endometriosis in September of last year.
I ended up having a hysterectomy in March of this year I was left with just one ovary. My adrenals are fine perfect labs. My thyroid is perfect. So now what do I do. Before surgery I was on fludimid for prostate cancer to bring down my T. Do I go and have the other ovary removed?
Will my adrenal gland still over produce? I had lots of doctors tell me all my problems would be reset after I had a child. I just want to be healthy and live a long life. Augie Galindo says I hate to hear that you have had such a difficult time addressing this issue. Unfortunately, I am no expert in PCOS, but it certainly sounds moving forward with removal of the remaining ovary is a plausible next step if your providers are suggesting it.
One thing I would caution you about is to focus solely on your calculated free testosterone levels when assessing your androgen load. It will correlate most directly with your symptoms Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Amber says Hello.
I am in desperate need of advice. I have hashimotos and hypothyroidism. I started armour thyroid before pregnancy and although I have always had acne it got worse each time I increased my thyroid medications. I am now off the meds and thyroid levels are good. Still struggling with acne. I just had a saliva hormone test done and results were: Estradiol.
What are the factors looking for PCOS? I had an ovarian cyst rupture after the mirena last year but other than that ovaries were fine on ultrasound. Before pregnancy and birth control I always had periods. So I do not understand why my testosterone is high.
Is it possible that pregnancy has brought on pcos? I also noticed more hair growth on my face and abdomen while pregnant. Augie Galindo says It is certainly possible that you underwent changes hormonally during and after pregnancy. However, the issue of testosterone levels in women is often misunderstood.
Your total testosterone tells us very little. You need your SHBG and albumin so that your calculated free testosterone level can be checked to see if you are in fact suffering with elevated free testosterone levels.
My assumption is that your sex hormone binding globulin levels will be high, when assessed, and that this is affecting how much testosterone and estradiol is actually causing any effect in your body. They put me on some kind of brith control. Which they had to be careful on because I have a rare blood disorder. About month ago I had to be rush to the hospital because I start to have vaginal Hemorrhaging. They think PCOS then they say cancer. I asked my doctor to see a Hormone specialist.
I am in a lot of pain most days. If you have any suggestion please let me know. I have trouble losing weight, I have moderate to severe acne, and fatigue. I have a regular but heavy period. I just tested for high testosterone, and just had to go back in for more blood work.
Augie Galindo says Keep in mind that I am no PCOS expert, but a couple of things are worth looking into more. First of all, hormonal imbalance can cause you to not have a period or not have a period regardless of whether PCOS is present. Also, total testosterone levels are often interpreted without calculated free testosterone levels being considered.
This can make it seem like there is an androgen excess, when the opposite may be true. It may be time to seek out someone who specialized in that area. Can you please suggest what are the problems associated with high testosterone and causes of it. Thanks Manisha Augie Galindo says With a borderline high number, the first thing to do is to repeat the test and make sure that your provider assesses your calculated free testosterone level. It is likely that despite having a slightly elevated total serum testosterone level, you still have a normal free testosterone.
Is there any truth in this or is it just a myth? When you get curious enough, have your blood tested by a reputable and experienced provider.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Heidi says HELP! Of course, I have PCOS. We do not have a R. So after my visit and blood work with my family doctor, I have an appointment with one of two Endocrinologists in my area.
My final goal is to conceive. However, my family doctor just keeps pushing birth control on me. I need advice on what to do! Here are some of my blood results…. I know with PCOS and high testosterone I can be put on B. But what can I do to FIX it?
Why a high WBC? Why a low lymph count? Augie Galindo says If one of my patients desired to conceive, I would never recommend birth control. Also, your free testosterone level appears to be a direct or analog assay.
The Endocrine Society recommends that this test not be used clinically. Have your total testosterone, SHBG sex hormone binding globulinand albumin tested so that you can calculated your free T. I THAT is elevated, then you have high testosterone levels.
Fixing that can be difficult, and unfortunately, is not within my area of expertise. Increase WBC counts are often transient. When WBC counts are abnormal, it is entirely common to have single cell lines also be abnormal, but a low lymphocyte is pretty non-specific in this case.
Finding your hormonal balance, specifically in the mid luteal phase will lend more insight. Best of luck to you! Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Lisa says Hi, I have been suffering from a massive hair shed. I stated to lose my hair in April. My hormone levels have been very volatile. No one can figure out what is causing my high hormone levels.
Can you please help me? Thank you for the gift of your time and knowledge. I had saliva tests this summer after a couple months of no periods and feeling awful.
This got worse after having Paragaurd inserted so I had it remove. I was diagnosed with PCOS before I had my son.
I still have hair, anxiety, trouble sleeping, reactive hypoglycemia, and fatigue but no cysts on my ovaries like before. My saliva tested this summer showed very very low estrogen, high free test. Prog was low as well. Can I have PCOS without the cysts? What can cause hypoesteonemia? What can I do about the test? I just want to feel better-like myself before baby. Any thoughts or advice is much appreciated!!
Augie Galindo says I am very sorry you have had to endure these struggles. First, I would recommend circling back to testosterone. Most providers only look at total testosterone, and when they do look at free, they often run the wrong test. Make sure someone checks your total, albumin, and SHBG. Augie Galindo says Achieving the delivery of a healthy baby is an incredibly complex and multifactorial process.
Sonographically normal eggs are a promising sign, but are such a small part of the process at larger, that little can really be extrapolated from that. There are endocrinologists and gynecologists specialized in this area. Your best be would be seeking out such a practice. I chalked it up to my very high stress job. I knew it was not as I felt like a complete crazy mess. Over the last year my symptoms have gotten worse and even debilitating. After much research, I contacted a nutritionist and got my hormones tested.
Your comments have been really educational and I appreciate your any advice you might have! Your total does not appear to be high, but the free testosterone test they ordered is unfortunately, worthless. Your symptoms definitely warrant a thorough workup. Make sure that estradiol and progesterone levels are also evaluated, preferably in the mid-luteal phase. Do you levels raise just before your period and should I be worried that my free t is skyrocket high?
Augie Galindo says There is fluctuation during your cycle but not enough to cause that big of a discrepancy. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner DebraK says Great reading. I am anxious to see my last test results as I know I have high testosterone, but not sure if I had the right tests done. I feel good about the info on this site though. Augie Galindo says Thank you so much for the feedback, Debra. My goal is to provide great information bout hormone therapy.
I am very glad that you have found our site useful. My testosterone levels are really high and my doc has no clue nor does she care. I have every symptom of hypothyroid but my numbers are all in range.
I hope this helps. Do you agree with the PCOS DX based upon these facts? Augie Galindo says The limited information I have leaves me making many assumptions, but at first glance I would consider her likely low body fat percentage to have a bigger impact on her amenorrheic status than her testosterone levels.
Pituitary control of ovarian production can and should be assessed. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Aimz says Hi, I was hoping you could help add some insight into my issues. I was not tested for progesterone. Would my weight gain and symptoms be due to testosterone? Do women get hormone support for early menopause or just go through the motions?
I also think the DHEA elevation is irrelevant to your symptoms. Finally, this is the opposite of a menopausal picture. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Aimz says Thank you for taking the time to reply and for your helpful suggestions.
I really appreciate it, Kind Regards Aimz Augie Galindo says Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Camille says -Brain fog severe -Anxiety -Excess hair growth on front of neck under chin -Weight gain -Irregular menstral cycle Augie Galindo says Knowing that these symptoms, while certainly not life threatening, can be very disruptive.
Most of these do point to hormonal issues, so I would say that evaluation by an experienced provider would be appropriate in your case. Notify me of new posts by email. Reply Lina, Potency is the big issue with natural herbs and nutritional substances. Reply Jai, There are a few blank spots that I will have to fill in here, so please forgive any inaccurate assumptions.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Reply Hi. Terri, It sounds like the right sort of things are being looked at. Reply Kasey, PCOS would be at the top of my list of things to rule out as well. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Reply Thank you for the answer. Kasey, You are welcome. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner She has been diagnosed with PCOS.
If she ever wants a baby, she will need fertility help. Kasey, Receiving a diagnosis is often a double-edged sword. Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Kasey, PCOS is not a death knell for pregnancy. Hellowhat it seems like your daughter has is PCOSPolysistic ovaian syndrome. Reply Thank you both for the replies. How much testosterone a women can have, without it causing problems. Do you suggest a specialist or is there a way to lower it Reply Brandy, If your baseline testosterone production is elevated, it is probably best to see an endocrinologist that specializes in sex-hormone treatment.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Reply if I have high testosterone levels can I take estrogen to help level myself out until i can get the proper health care? Reply Alexandra, That could possibly be helpful, but really only if you are deficient in estrogen now. Reply Carol, Thank you for your question. I have a healthy diet, taking supplements and living a healthy lifestyle for many years Reply Klara, Thank you for your questions!
Best regards, Augie Galindo, PA-C Testosterone Centers of Texas — Founding Partner Reply I had too much thyroid given to me w similar overwhelming feelings and reactions started getting graves disease symptoms some dumb doc took me off Suddenly ALL thyroid med then I went the Other direction weight gain low energy blah confusion Augie is right hormones need check as well as liver.
Reply Leisha, This is a common problem with pellets. Reply Mekayla, They have great marketing, good intentions, and bad science. Sorry you had a bad experience. Thank you Reply Nadine, Thank you for your question.
Best regards, Augie Galindo MPAS, PA-C Testosterone Centers of Texas Founding Partner Are there specific conditions that cause fluctuations in Testosterone? Reply Kim, Thank you for your question. Reply Sara, The balance of many, if not all, of these hormones have some overlap.
Reply Aimee, It sounds like you are doing all the right things diet-wise. Reply Hope, Thank you for visiting our site! With normal menstrual cycles, PCOS becomes less likely. Best regards, Augie Galindo, PA-C Testosterone Centers of Texas — Founding Partner Reply i have bad hirsutim my testosterone level is triple what it should be i get my periods i am a little over wieght but tht was because i was eating much junk i lost a alot of weight so does tht mean i have pcos the only thing i have is hirstism is tht a forever www.florencecardinal.com i get surgery i dont wanna be on meds for the rest of my life Reply Tina, Hirsutism alone certainly does not mean you definitively have PCOS.
Best regards, Augie Galindo, PA-C Testosterone Centers of Texas — Founding Partner Reply Thank you for taking the time to answer these questions that are thrown at you! Reply Alida, Thank you so much for your comments! Reply Lety, The relationship would be indirect, but it could certainly be there. Best regards, Augie Galindo, PA-C Testosterone Centers of Texas — Founding Partner Reply I just saw a doctor about starting HRT.
Reply Joy, Since units of measure and normal reference ranges differ, it is difficult to discern you best next steps by labs alone. Thank You Reply Cindy, These issues would likely be handled best by a fertility specialist. Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Reply When I turned forty I developed depression, anxiety and severe insomnia.
Reply Melanie, It definitely sounds like you have symptoms consistent with testosterone deficiency, however, you could also be suffering with progesterone deficiency. Elizabeth Reply Elizabeth, I love to hear that, and you are absolutely welcome! Reply Mary, I am almost completely guessing here, but my assumption here would be that despite being on treatment, your free testosterone remains low.
Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Reply For years I have had high testosterone, high cortisol, high DHEA and low hormones. Reply Nanci, Thank you so much for your submission. Perhaps finding an endocrinologist that is trained in functional medicine would help?
Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Reply hi. Reply Nicole, Thank you for your question! Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Reply What conditions are high t and high cortisol associated with? Reply Lynn, Stress and depression can definitely increase cortisol levels.
Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas — Founding Partner Reply My daughter has been diagnosed with PCOS, which I know can cause increased testosterone levels. I was just curious what you thought about this Thank you so much, Sarah Reply Sarah, PCOS is always a concern with elevated testosterone levels in females.
Best regards, Augie Galindo, MPAS, PA-C Testosterone Centers of Texas Founding Partner Reply Hello! Please help… Reply Amelia, There are quite a few intersecting lines here.