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Question:
I think I have several symptoms of low estrogen and possibly testosterone levels though I am still having regular periods. My doctor said he could test estrogen and testosterone levels but they are not accurate because our hormones flucuate all day long. He said it is better to treat the symptoms by trial and error. This concerns me because I don't want to make whatever hormone imbalance there is worse and I hear that some of the side effects of testosterone are irreversable. Please give me your input. I would like to become as educated as possible before I try anything.

Answer:
by Farid Abdel Hadi:
(06/04/2004)
Dear Madam It was not quite clear what you mean by "symptoms of low estrogen and possibly testosterone levels" I take it you mean BOTH are low. Well, I would recommend a blood level analysis before you do anything to treat them. True hormone levels may vary during the day, and ture, we do have a wide range of "normal", but still, a result is better than no result. Do the Estrogen and testosterone level on your third day of the cycle, and do with them Serum FSH and LH, to get a better glocal picture of your hormonal status Now if you want to relate your low sex drive to testosterone deficiency, why not wait to see if you do have estrogen deficiency that may have lead to where we are now? It is possible that if you have low estrogen, then sex may be uncomfortable, or even painful at times, so you "lost your interest". Recommendation: I think you should start by the blood tests, then if you want to take homronal therapy, definetly, start by estrogennd not testosterone except if you really need it. Please keep us updated about your condition, and please reply if I have not totaly asnwered all your inquiries.

Reviewed by Sexual Health Editorial Team

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