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Is My Testosterone Too High — or Is My Testosterone Too Low?

“Is my testosterone too high?” might be the wrong question.

Is my testosterone too high? Many women are misdiagnosed with high testosterone when really their testosterone is low

 

In fact, you might have the opposite problem—your testosterone might be too low.

It sounds crazy (and it is in a way), but let me explain.

One of the most common misdiagnoses I see is associated with a woman’s testosterone levels. Your medical care provider misses the mark with hormone testing and reaches the wrong conclusion:

Your testosterone is too high.

This can happen for a variety of reasons—maybe they only looked at your total testosterone (and didn’t consider your free testosterone). Maybe they did look at your free testosterone, but they ordered the wrong study.

Maybe they just made a mistake.

Regardless, the result is the same—you get told that your testosterone is too high, and treatment aimed at lowering your testosterone begins (when it’s too low already).

You can see how this could be detrimental.

Well, actually, you might not, and that’s ok—although most people are able to easily understand how low testosterone is a problem with men, not everyone can wrap their head around the idea that low testosterone is a problem for women too.

But it is absolutely is—women have testosterone in their bodies, just like men. And just like men, if your testosterone drops too low, your health will suffer.

Testosterone Therapy for Women

Is My Testosterone Too High? How Women’s Bodies Differ From Men’s Hormonally

Just as men have a small amount of estrogen in their bodies, you have a small amount of testosterone in your body—about 10 times less than what a man might have. This is low in comparison, but it’s still significant.

Your testosterone isn’t just floating around doing nothing—it’s involved in many different processes in your body. From sexual desire and sleep to maintenance of bone and muscle mass, testosterone has a lot of different jobs in your body.

And losing your testosterone is a problem.

Now, if you’ve gotten your tests back and you’re wondering, “Is my testosterone too high?” You might want to get a second opinion—nothing could be worse for your low testosterone than to try to lower it further.

You see, the hormones in your body have to be kept in balance—all of them. If you’re already below normal, pushing it even lower can be nothing but detrimental (and exacerbate the symptoms you’re already having).

But what could cause this imbalance? Well, the failure to look at a calculated free testosterone test (and definitely not an analog or “direct” free T test) can loom large. In short, the only portion of your total serum testosterone that is active is your free testosterone.

Almost all of your total testosterone is soaked up by albumin and a blood globulin called SHBG (sex hormone binding globulin), rendering it effectively useless as it just floats through the bloodstream (instead of doing its job in the tissue).

These levels, or sizes, of these “sponges” can vary. Namely, your SHBG may be far too high; this is often the case if your have naturally high estrogen levels or if you are being treated with estrogens.

Keep in mind that almost every birth control preparation has estrogen in it.

So, the unbound and active testosterone that’s left over could be too little, even if your total is deemed “too high” by a lab test. And, it may be your prescribed medications influencing the issue.

This is where the misdiagnosis is likely to occur.

Unfortunately, a lot of people get lumped into a single category—PCOS.

Testosterone Therapy for Women

Is My Testosterone Too High? Being Diagnosed with PCOS Regardless of Symptoms

Here’s another major problem that comes with hormone imbalances of any sort. A provider sees that your hormones are out of whack and decides that you have PCOS—without any further investigation.

You don’t have to be in the medical profession to understand why the wrong diagnosis of any disease or disorder is a problem.

This would all be fine if PCOS was the only possible cause of hormone imbalance.

You may have already guessed that it’s not.

While PCOS is one possible cause of hormone imbalance, it’s certainly not the only cause. There are many different potential causes of low testosterone in women that should be investigated before settling on PCOS as the culprit.

So, if you’re sitting there wondering, “Is my testosterone really too high?” Then it might be time to get a second opinion.

Is My Testosterone Too High? Get a Second Opinion

Low testosterone is horrible enough as it is—the last thing you want to do is make it worse through inappropriate therapy.

If you think low testosterone might be the real problem, then click the button below to learn more about the symptoms of low testosterone in women.

And make certain you’ve got the right diagnosis.

Testosterone Therapy for Women

SCHEDULE A FREE CONSULTATION

LOW T RESOURCES

(Augie) Juan Augustine Galindo Jr. MPAS, PA-C

(Augie) Juan Augustine Galindo Jr. MPAS, PA-C started his career in healthcare as a fireman/paramedic in West Texas where he served on the Midland Fire Department from 1998-2004.   He became interested in testosterone treatment after seeing how hormone replacement doctors helped those suffering from low testosterone.   After graduating from the Texas Tech Health Sciences Center Physician Assistant Program, he moved to DFW where he currently lives with his wife and three children.

44 Comments

  1. Brandi on 06/22/2016 at 10:14 pm

    I went to the doctor they said my testosterone was to high but I grow dark hair on my face neck chest and stomach

    • Augie Galindo on 06/23/2016 at 10:34 am

      Brandi,

      I would definitely encourage you to have your calculated free testosterone measured before making any decisions based on any vague answer you might have been given about your levels.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  2. a on 08/18/2016 at 7:09 am

    The test shows my testosterone level a little left over( I don’t know it is the free one or the bounded one, they didn’t mentioned ) is this Concerning ?

    • Augie Galindo on 08/22/2016 at 10:16 pm

      The main factor here would be your symptoms, so only you can really answer that.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  3. D Haynes on 08/26/2016 at 10:26 pm

    My testosterone is high. I went to endronolgist because of
    Excessive hair growth on face stomach and back. After checking and double checking hormone levels I was told I was lost menopause and my testosterone was signicantly higher than normal. Most every good explanation has been ruled out so I don’t really know why I have this. I am overweight and diabetic so I assume that is the problem but they have discussed taking my ovaries out. Recently I have also been having trouble reaching orgasm altho I’m very sexual. Its getting quite frustrating not “getting there”. I’m not sure what to do. Is taking ovaries out going to make my sex drive go away?

    • Augie Galindo on 09/03/2016 at 4:12 pm

      D Haynes,h

      I would pay careful attention to your calculated free testosterone. Most diagnoses of “high testosterone” in females is not made by the most impactful and important subset of total serum testosterone, your calculated free T. Aside from that, yes, removing your ovaries can have a negative effect on your libido and many other body processes. Please weigh your options carefully.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  4. Krista on 09/28/2016 at 7:57 pm

    I was told my testosterone was over 1000, they did two tests nd now told me to go to another lab to be sure. I’m a healthy female, no symptoms. Is this possible? I’m very nervous! What would cause this?

    • Augie Galindo on 10/02/2016 at 3:57 pm

      Krista,

      While there are conditions where the ovaries can produce an extremely high amounts of testosterone, that would be extremely unlikely in a healthy, asymptomatic female. I would definitely wait for the repeat test from the new lab.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  5. Lisa on 10/10/2016 at 1:17 pm

    My Total Testosterone serum level is at 28 ng/dl but my Free Testosterone level is high at 46.85. I was tested 2 days before my period. Should I be worried that my free t was so high?

    • Augie Galindo on 10/10/2016 at 7:05 pm

      Lisa,

      I find those results really difficult to trust, actually. My first inclination is to retest is, and pay careful attention to all the components of the algorithm for determining your calculated free testosterone. I’ve never seen an elevated calculated free with a borderline low total.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  6. Ali on 10/10/2016 at 8:21 pm

    Hi,

    I’ve been having hair loss for a few months (and other symptoms that seem more like low T like fatigue). Total was 76, and free was 2.6. Should I be trying to change things?

    • Augie Galindo on 10/10/2016 at 9:44 pm

      Ali,

      Those numbers seem off. Was your free testosterone level an “direct” free T, or did it specifically say “calculated free testosterone” (preferred)?

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • Ali on 10/11/2016 at 10:28 am

        It doesn’t say – it’s from Quest labs. I also had high SHBG.

        • Augie Galindo on 10/11/2016 at 10:53 am

          Ali,

          Please post your total testosterone, SHBG, and albumin levels, all with their units of measure.

          Best regards,
          Augie Galindo MPAS, PA-C
          Testosterone Centers of Texas | Founding Partner

          • Ali on 10/11/2016 at 11:06 am

            Here they are:

            Testosterone, Total, lc/MS/MS 76 NG/dL
            Testosterone, Free 2.6 pg/mL
            Sex Hormone Binding Globulin 135 nmol/L
            Albumin,serum 4.3 g/dL

            Thanks!



          • Augie Galindo on 10/11/2016 at 11:11 am

            Ali,

            Your calculated free testosterone is 0.49 ng/dl (not in pg/ml). The normal reference range is 0.3 – 1.9 ng/dl. So, your free testosterone (which is MUCH more important than your total) is barely normal, not elevated. I used this same algorithm.

            Best regards,
            Augie Galindo MPAS, PA-C
            Testosterone Centers of Texas | Founding Partner



  7. TA on 10/13/2016 at 3:02 pm

    What causes testosterone levels of 427 in women? My ob tested my hormones with a 24 hour saliva test. Cortisol levels were barely existent and estrogen was low. In the notes of the exam it said to query household members for exogenous BRHT. My husband uses androgen. Would the increased be connected to that?

    • Augie Galindo on 10/20/2016 at 3:32 pm

      TA,

      I am unfamiliar with normal reference ranges for saliva testing, but yes, any stark elevation of testosterone levels in the spouse of a male being treated with topical testosterone, should be investigated for possibility of transference. This is one reason I rarely use topicals on my patients.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  8. REKHA Mahadevu on 11/24/2016 at 3:05 am

    Dear Sir/ Madam
    Test Name Result(s) Biological Reference Interval

    FREE TESTOSTERONE 2.15 0.08 – 0.95 ng/dL
    BIOAVAILABLE TESTOSTERONE 51.6 1.69 – 21.7 ng/dL
    FREE ANDROGEN INDEX 17.9 % 0.297 – 5.62 %
    DHEA SULFATE :
    (Chemiluminescence)
    317.50 ug/dl 95.8 – 511.7 ug/dL

    What is the problem I have. How to get back to normal balance level? It seems I have very high free testosterone.

    • Augie Galindo on 11/26/2016 at 5:39 pm

      Rekha,

      Unfortunately, with the limited information (specifically not knowing your total testosterone level and wether the free testosterone level listed is calculated or “direct”) I can’t offer any useful observations here. I don’t use bioavailable testosterone or free androgen index readings in my evaluation of patients and your DHEA level appears normal.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • REKHA Mahadevu on 12/28/2016 at 1:41 am

        Thank you my testosterene is 76.41ng/dl

  9. Micala on 01/18/2017 at 11:44 am

    I am a woman 39 years old who has been battling all off a sudden with anxiety. It is so bad at the moment, and medication fro anxiety and depression was given. It made me feel ten time worse. I had to be taken off .Requested my hormones to be tested, a week later after feeling so bad going to another doctor and she requested those test from the lab, she discovered that my testosterone levels was very high.(not sure what it was) she immediately asked for all other hormones to be tested. Can it cause the anxiety and me feeling so terrible. Please this is urgent, or what is recommended.

    • Augie Galindo on 02/06/2017 at 6:15 pm

      Micala,

      Please forgive my delay here, as I do see how urgent this matter is. In my clinical opinion, admittedly drawn off little data, I would find it hard to believe that increased testosterone levels alone would be due to this change. It’s unlikely that testosterone levels would move suddenly. Not to mention, I have yet to see a “high testosterone level” found in a female patient by providers who do not specialize in hormone therapy, be accurate. Almost always, the labs show an elevated total serum testosterone and a normal OR BELOW NORMAL calculated free testosterone. Estrogen dominance or estradiol elevation (with or without progesterone deficiency), or even hyperthyroidism would be more likely hormonal causes for such symptoms.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  10. Kim on 02/18/2017 at 8:27 am

    What tests should be done to get an accurate number for testosterone levels? My 17 yr old was tested last year and her testosterone came back as *high* (53). We tried flax seeds for a month and, after eating them every day, her test came back “normal” (23). I don’t feel comfortable giving an estrogenic food daily, so she stopped the flax seeds. The hairs on her chin came back. Since the “high testosterone” issue, her voice has lowered a bit and her chest is smaller. She is underweight, though, and loses weight quickly if she does not eat enough calories. She has some acne, but it could be from toxin elimination. She is recovering from lyme and toxic mold illness. We have been on a modified GAPS diet for over 2 years now. What type of specialist should we see that could help us with this? I am so frustrated because I just moved away from north Texas a month ago! I had no idea you were so close to me. Thank you for any suggestions.

    • Augie Galindo on 02/24/2017 at 1:42 pm

      Kim,

      A calculated free testosterone level is most important. The levels needed to utilize that algorithm are a total serum testosterone, sex hormone binding globulin, and albumin. Phytoestrogen rich foods may not be such a bad option. It is certainly preferable to oral birth control medications, and may even be a better fit than bioidentical topicals. Definitely looks for providers familiar with the prescription and management of bioidentical hormones. While the fields of endocrinology and gynecology should be at the forefront in this, I rarely find physicians in these specialties that have taken the time to become proficient, or even familiar with this type of care.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  11. Nadia on 03/03/2017 at 5:35 pm

    Hi!
    Hopefully you still reply to questions on this post…
    I am a 35 year old female. In 2006 I had blood work done which showed high testosterone at 4.9 nmol/l but normal Free Testosterone at 4.0 pmol/l. Even though I didn’t have symptoms on PCOS, I was diagnosed with it because of the high Total Testosterone. I have had my blood work tested yearly since then because I don’t agree with the PCOS diagnosis and my Total T and Free T have both come back normal every year for the past 10 years.
    What do you make of this combination of high total T but normal free T and a PCOS diagnosis? Are there other causes of high total T but normal free T that my doctor should have explored?
    (SHBG and albumin levels were not tested at the time of diagnosis)
    Thanks for your time!

  12. Nadia on 03/04/2017 at 7:34 am

    Hi,
    I hope you still reply to comments on this post.
    I commented yesterday but it doesn’t appear to have worked.
    What causes high total testosterone but normal free testosterone in women? (My SBHG and albium were not tested). The doctor I was seeing diagnosed me with PCOS but I don’t have any of the symptoms and my total testosterone has not been high again since.
    Any insight you can give would be greatly appreciated

    • Augie Galindo on 03/30/2017 at 5:26 pm

      Nadia,

      If your total testosterone was tested, but your albumin and SHBD wasn’t, the free testosterone value given was almost undoubtedly a “direct free testosterone. This test is clinically useless. That being said, it is common for women to have an elevated total testosterone, but still a normal calculated free testosterone (cFT). If you have zero symptoms of PCOS, it is likely that you have or had an isolated elevation of your total testosterone, with a statically normal cFT. Furthermore, if there were no sonographic changes to your ovaries, I would certainly question the validity of the diagnosis.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  13. Stacy on 03/28/2017 at 9:58 am

    Hello. I’ve been struggling with my testosterone being too high for at least 4 years. Last year it was up to 101. I was sent to an endocrinologist that after several tests through blood work and saliva tests diagnosed me with pcos. My gynecologist disagreed and felt my ovaries were producing too much testosterone so she did a complete hysterectomy in September of last year. In November my level was down to 49. I was just tested 2 weeks ago and my number is 56 and total was 7.6. She is referring me to another endocrinologist. I’m really concerned what all this means. I read online it could be a tumor on pituitary or adrenal gland.

    • Augie Galindo on 03/30/2017 at 6:06 pm

      Stacy,

      That is possible, but the ovaries aren’t the only place testosterone is made. You could have an overactive pituitary gland that is overstimulating your adrenals, or normal pituitary function with overactive adrenals. Neither of these scenarios mean that you would necessarily have a pituitary tumor.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  14. JB on 04/04/2017 at 12:17 pm

    Hello.
    My Naturopath has been trying to figure out why my testosterone level is so high – 350 at first test (taken twice to make sure it wasn’t lab error) and then one year later, 430.
    Ultrasound and CT of ovaries all way up to adrenals done – also saw a gynocological oncologist – who said despite very tiny cyst in left ovary that it is definitely not the cause – nor concerning at this point.
    What I believe is that 20 years of caregiving stress for Mom, Dad, Sis & her husband, and my husband – all of whom have passed now as of last year – is what caused my body to “pump up” my testosterone levels simply to manage being the caregiver and in essence, the “man” for my Mom, my Sis, and for myself over these years.
    Thoughts?

    • Augie Galindo on 04/13/2017 at 6:28 pm

      JB,

      Unfortunately, totals alone just don’t tell the whole story. Your calculated free T is much more telling and an evaluation of the hypothalamic/pituitary axis is in order. Life’s stressors, while very influential, are unlikely to result in a wide variance from normal ranges.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  15. Jennifer orourke on 06/28/2017 at 3:38 pm

    Hello,

    I had some lab work done and my testosterone levels came back sky high. My total testosterone was 440 and my free was 60.3. How do I know if these were calculated correctly?

    • Augie Galindo on 07/03/2017 at 2:12 pm

      Jennifer,

      Any lab that seems “off the charts” should first be repeated before being acted upon. Your calculated free testosterone is the best indicator of what is going on and you can calculate that yourself online if they order the right labs. You will need your serum testosterone, sex hormone binding globulin, and albumin levels. For instance, if the level is accurate, your albumin is 4.5, and you have SHBG dysfunction (an extreme elevation of this particular protein, I used a level of 250 nmol/L), you could have a calculated free testosterone of 1.69 ng/dL, which is normal.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  16. Rika on 08/29/2017 at 12:28 am

    Hello Dr. Galindo,

    I was recently diagnosed with PCOS, and I wanted to get a second opinion. When I was in college and a few years out as well, I partied a lot and lead an unhealthy lifestyle. I practically got no sleep, and I became obese. I know all these points factor into hormone imbalances. Based on what you wrote especially, I don’t think I have PCOS. I also don’t have any symptoms of high hormone spikes, like body hair where it usually isn’t or acne (I have great skin), which is why I’m a little confused at the diagnostic. Additionally, I have a family history of women who have had hormonal imbalances but have come out okay with kids (natural births, and several).

    My results from the blood tests came in as follows (unsure is when the obgyn didn’t mention whether it was high or normal):

    Testosterone Free 7.5 High
    Testosterone Bioavailable 15.2 High
    DHEA 430 High
    Albumin 4.4 Normal
    Androstenedione 265 Unsure
    Estradiol 40 Normal
    Hydroxyprogresterone 62 Unsure
    FSH 2.9 Normal
    LH 7.4 Normal
    Progesterone 0.8 Normal
    Prolactin 7.7 Normal
    Sex Hormone Binding Globulin 17 Normal
    TSH 3.31 Normal
    Testosterone Total 40 Normal

    Thank you so much, looking forward to your thoughts.

    • Augie Galindo on 08/31/2017 at 5:02 pm

      Rika,

      I am always leery of free testosterone reports that don’t specify that it is a calculated free testosterone (cFT). Most providers will run an analog (direct) free testosterone, and this particular study is highly inaccurate and clinically useless. Using your albumin, and the reported SHBG and total testosterone, your cFT is 1.00. The normal reference range for this is 0.3-1.9 ng/dL, so this represents a normal free T.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  17. Nicole on 10/26/2017 at 1:06 pm

    Hello,
    Sorry for the long post! I suffer from excessive facial hair, fatigue, brain fog and irregular periods. I gained 60 pounds in one year after a miscarriage and was diagnosed with PCOS based on missing periods and excessive facial hair. I was put on birth control which I later discontinued because I was now always on my period and having severe mood swings. Every PCP or gyno doctor I’ve gone to since chides me for discontinuing the BC and questions the PCOS diagnosis because I’m not super hairy, just have really coarse and thick hairs on my mustache and chin areas. I can literally grow a mustache and start a beard in one week if I wanted to! But per my doctors, my back and stomach aren’t excessively hairy. But none of the men in my family are hairy in that way! This makes me doubt myself and my concerns. I feel dismissed during my visits.

    I’m a 30yo 5’8 216 lbs AA/Asian female, vit D deficient on a 8 week vitD2 regimen and not on any birth control, no children. Ultrasounds show no cysts on my ovaries and although I have a few thyroid cysts they are not growing, are small and TSH levels are normal. One year I have no periods, next year I’m having prolonged super heavy periods that last for several weeks at a time, max 6 weeks and causing me extreme fatigue. I’m now transitioning back to light/spotting or skipped periods. This gave me enough energy to start seeking care with an endocrinologist here in California. My recent tests with her show a total testosterone of 45.6 ng/dl (normal) but my free testosterone direct was 5.7 pg/ml (high). The ULN for the direct T was listed as 4.2 pg/ml. All other sex hormones were normal. My doctor hasn’t called me yet to discuss these results. I just saw them online. About 5 months ago when I was bleeding heavy, my gynecologist also tested my free T with same lab and it resulted high at 4.8 pg/ml. Fasting glucose test and GTT were normal. They never followed up with me so I never scheduled another appt.

    I’m moving to Texas this month and am afraid as I switch providers I’m going to fail in following up again. I want to take advantage of this time where I have a little more energy than usual, etc. Do you have any tips on what I should be discussing with my new doctors and if I should even be concerned with my results? With my brain fog I feel challenged with communicating my symptoms and concerns at my appts. I usually just mumble answers to their general questions and feel like I’d rather lay down on the exam table and take a nap instead. 🙂

    Thank you!!

    • Nicole,

      The most important thing is to start with accurate data. Don’t let anyone make any medical decisions for you based on a “direct” free testosterone. In all honesty, this test is garbage. Instead, have your calculated free testosterone evaluated. You will need you total testosterone, SHBG, and albumin levels to calculate this.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

      • Monika Zmudzki on 12/01/2017 at 11:44 am

        Hi! Please help
        Total Testosterone 114.7 Ng/dl
        Testosterone, free (dialysis) and total (LC/Ms/Ms) 5.4 pg/ml
        Testosterone total lcmsms 78 Ng/dl
        Albumin 4.5 gm/dl
        No SBH test

        No symptoms for PCOS or high Testosterone.

        • Monika,

          Without symptoms, I’m not sure you should be worried about the numbers. It is certainly worth keeping an eye our for, but make your decisions base on your entire clinical picture, not just a piece of paper.

          Best regards,
          Augie Galindo MPAS, PA-C
          Testosterone Centers of Texas | Founding Partner

  18. Kat on 10/31/2017 at 8:26 am

    Hello,
    I really hope someone can help me. My doctor has been no help! I had a blood test because I have experience hair loss this month like never before. Everytime I was my hair more and more fall out and it’s giving me anxiety and making me very worried! I am 28 years old. My doctor told me that everything in my lab results looked just fine! Only thing he said was my DHT was 203 from the 24-208 pg/mL range. What does this mean? He prescribed me finasteride to help regulate this number. But I’m just to nervous to take a drug I know so little about!

    Please help,

    Katherine

    • Katherine,

      The reason your doctor highlighted and is treating your DHT level, is that DHT does play a role in the degradation of hair follicles that are genetically predisposed to androgenic balding. See more HERE. Finasteride keeps some testosterone from being metabolized into DHT, and is very effective in reducing the effect o DHT. Thyroid issues are also commonly identified as hormonal triggers for hair loss. I hope that helps!

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  19. Sarah on 08/20/2018 at 2:36 am

    hello,
    since about half a year I suffer from acne, much too high libido (!), agression, expecially in the second half of my cycle. my testosterone is much too high, but the free testosterone seems to be very low! since 1-2 month the agression diminished, instead my severe muscle-pain (I have fibromyalgia) has improved and it seems that the muscle mass has grown a little bit. I am 50, so maybe the increasing testosterone level is a normal thing within the beginn of the menopause? – what do I have?: too much or not enough testosterone? and I don`t really want to treat it, because of the pain-reduction-effect…..(the lab test of 4/18 and 8/18 are very similar)
    Testosterone: 1,15 (!) . lab says: normal up to 0.75 (!)
    free T. : 0,74 %
    bioavailable T. 17,40 %
    SHBG: 114,7 (16,8 – 125,2)
    LH 36,1/E2:372/Progest. 0,74/Prolact. 17,86/FSH 14,2

    thank you:-)
    Sarah

    • Sarah,

      I am having to do a bit of educated guessing without the aid of the units of measure on your levels, but it appears that your calculated free T is normal. That being said, estrogen dominance is much more likely to cause aggression and irritability, and progesterone deficiency may be a culprit as well.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

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