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Can Anyone Help With Hormone Labs? High Fsh...

Discussion in 'Women's General Hair Loss Discussions' started by losing_it, Nov 5, 2017.

  1. losing_it

    losing_it Established Member

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    Hi all! Well here I am again, back in the obsession phase of hair loss! If you don't remember me or my story I will share a bit...

    Hair loss started around age 22. I always assumed I had CTE due to the massive amount I lost per day plus no part widening. At age 25 I started Rogaine, PRP, and Traditional Chinese Medicine at the same time. By 6 months later my hair loss stopped, and my hair started growing in. By a year later, my hair was back to completely normal. 2 years later and I got the Skyla IUD, it started falling out again. I removed the IUD three months after insertion in February of this year, 2017.

    I've continued Rogaine and received more PRP over this summer. My hair loss shows no signs of slowing. It had thickened up so well that I am just now starting to see it thin out again (particularly my temples, but generally diffuse). So recently I got my hormone labs drawn. Here are my results...

    *Luteinizing hormone: 8.3 (range 1.0 - 11)
    *Follicular stimulating hormone: 8.5 (range 1.7 - 7.7)
    *Progesterone: 22.1 (range 1.8 - 23.9)
    *Estradiol: 75.9 (range 43.8 - 211)

    *DHEA Sulfate: 259 (range 84 - 378)
    *Testosterone, Serum: 21 (range 8 - 48)
    *Testosterone, free: 0.9 (range 0.0 - 4.2)

    TIBC: 297 (range 250 - 450)
    Iron, serum: 112 (range 27 - 159)
    Iron saturation: 38%
    Ferritin: 79

    I'm mostly concerned about the starred items, I just included the iron because this is the best I've ever seen my iron levels! Woop! So... my FSH is high (for luteal phase, which I was in), my estrogen looks in range but perhaps suboptimal, and my progesterone looks in range but perhaps a bit high. Also, I read somewhere that women my age (28) should have higher testosterone and free testosterone than I do...? The article indicated that the low end of the range is only appropriate for post-menopausal women. That was interesting to me... too low testosterone?

    Just posting to see if anyone has any thoughts on these? Could my hair loss be hormonal since the Skyla seemed to kick it off again? Or perhaps was it just the PRP and TCM wearing off after some time? I feel so lost and confused :(
     
  2. valentinab00

    valentinab00 Established Member

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    What is Skyla IUD. If it's progesterone, which kind? And shouldn't your progesterone be somewhat high in the luteal phase?
     
  3. losing_it

    losing_it Established Member

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    The Skyla IUD is similar to the Mirena but smaller and has less hormones (I want to say it's about 75% of the hormones that the mirena delivers). So it is progestin only. The range for progesterone there is the range specified for the luteal phase.
     
  4. valentinab00

    valentinab00 Established Member

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    What I mean is, it's during the luteal phase that progesterone is high as it should be. And by what kind of progesterone, actually progestogen, it's progestin not progesterone. Levonorgestrel progestin, and correct me if I am wrong, has a high androgen index. Might that be the cause?
     
  5. hoping4best

    hoping4best Established Member

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    losing_it, your estradiol and testosterone numbers are similar to mine, and I was diagnosed with premature ovarian failure (POF) at 38 and went through menopause at that time. I also had high FSH (higher than yours) in my early 30s, which turned out to be a harbinger of POF. There are treatments for low hormones if you do have a problem, and it's best to start early if you can. Can you get to a reproductive endocrinologist?
     
  6. losing_it

    losing_it Established Member

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    I understood what you meant, but my progesterone was 22.1, and during the luteal phase the range is 1.8-23.9 (as opposed to less than 1 for the follicular phase). So yes, progesterone is supposed to be higher during the luteal phase, but mine is on the high end of that range.

    The Skyla was indeed levonorgestrel progestin. At first, I thought that it may have kicked it off again, but I removed the IUD in February and only had it in for 3 months. It seems crazy to me that my hair could be shedding this much from it, 8 months after the fact (and the shedding seems to be getting worse)... I suppose it's possible.
     
  7. losing_it

    losing_it Established Member

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    Wow. That is scary! What other symptoms did you have in your early 30s? I don't have any symptoms of hormone issues, other than hair loss. My periods have always been very normal, with minor cramps on the first day.

    Unfortunately my insurance is awful and I move around a lot for work, so it is extremely hard to get specialized doctors for me, but maybe I'll have to cough up the money and time to see one. I'll be doing some more research tonight! Do you believe your hair loss is directly related to that? If so, can you describe your hair loss? Like when did it start, what pattern do you have, do you shed a lot, etc

    Oh, and I'd like to add that a year ago (when I had the IUD inserted), my gynecologist said my ovaries looked normal from a transvaginal ultrasound. Not sure if that helps with considering whether it could be POF
     
  8. valentinab00

    valentinab00 Established Member

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    If you had ovarian failure, with time your FSH and LH would rise. Yes, hair loss can result from ovarian failure. While I wouldn't rule it out, the IUD seems more the culprit.
     
  9. hoping4best

    hoping4best Established Member

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    Hi Losing_it, I am not trying to imply that your hair loss is due to POF, but rather that your labs suggest that you might want to just check with a specialist. You could be totally fine. I do not mean to alarm you.

    I'll PM you. :)
     

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