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Last December my OBGYN ordered a bunch of hormone tests due to some strange female cycles. Several of them were lower than normal, so she sent me to the Endocrinologist, who wanted to do a cortisol stimulation test, I think because of the very low DHEA result (31.1 mcg/dL; normal range is 57.3-279.2). So she did one stim test in early January, and my results were:
0 min 4.99;
30 min 15.2;
60 min 20.2
She called this borderline but just into "normal" so she asked if I wanted to go get a second opinion at the university hospital. I said ok, and they did another test a month or two later, and the results were borderline again -
0 min 4.7
60 min 19.2
(they didn't do a 30min one there)
So the university hospital sent me back to my endo and recommended testing again in 2-3 months to see if my numbers go more clearly one way or another. So last week my results were:
0 min 5.81
30 min 14.32
60 min 16.61
My Endo called with the results and said it looks like everything's fine, and she wouldn't recommend testing again unless I get more symptoms. I don't understand how this one is "fine," unless she just means there's nothing a lot more conclusive than the other two tests. I had read that baseline cortisol should be above 6, so I can see how I'm close on that. But I also thought by 60 minutes it was supposed to get above 20, and I'm getting a lower and lower result each time I test (20, then 19, now 16). Is that not a big deal?
It's not that I WANT to have Addison's of course. It's just that with the numbers borderline, and so many hormones below normal (DHAS, Prolactin, testosterone, thyroid - thyroid they have been treating since 2007, but I keep having to increase the dosage) shouldn't they do SOMETHING? I have all the symptoms (taken from NIH website):
"Chronic, or long lasting, fatigue
low blood pressure that drops further when a person stands up, causing dizziness or fainting
irritability and depression
craving salty foods
hypoglycemia, or low blood sugar
irregular or absent menstrual periods
in women, loss of interest in sex"
I definitely think it's good that they have been willing to do the cortisol test 3 times. Do you think the results are really "ok"? Is there anything else that I should ask to have tested?
Thanks so much in advance!
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