I am 25 years old and since 2 years I am suffering from acne, excessive facial hair and hair loss. I've had irregular periods my whole life. I would go months without it. For this reason I had an ACTH stimulation test. I have a few questions about my test results.
Cortisol: 85 ng / ml (Normal range: 50 - 250)
after 30 min : 191 ng / ml
after 60 min : 214 ng / ml
DHEA-S : 294 μg / dl (Norm: 35 - 430)
after 30 min: 270 μg / dl
after 60 min: 262 μg / dl
androstenedione: 2,8 ng / ml (Norm: 0,4 - 4,1 )
after 30 min: 3,0 ng / ml
after 60 min: 3,4 ng / ml
17-hydroxyprogesterone: 1,01 ng / ml (Norm : 0,1 - 0,8)
after 30 min: 1,41 ng / ml
after 60 min: 1,49 ng / ml
17-OH-pregnenolone : 3,4 nmol / L ( Norm: < 10,9)
after 30 min: 14,3 nmol /L
after 60 min: 17,8 nmol/ L
So my endocrinologist told me that I don't have Congenital adrenal hyperplasia. But I don't understand how she can be so sure about it. For example why she didn't also test the 11-deoxycortisol? There is also a Congenital adrenal hyperplasia due to 11β-hydroxylase deficiency.
And why was 17-hydroxyprogesterone too high in every hormon test I ever had? I feel really desperate because my endocrinologist doesn't want to do any further testing and I have to deal with my acne, excessive facial hair and hair loss alone.