continuous low oestradiol levels

[chars003]

Hi, I'm 20 yrs old and if you needed to know I am a virgin. Well over a year ago, my oestragol levels were tested. First time I was below 20pmol/L, and they put on the pill, Brenda. After three months my blood was tested again and my levels were constant even whilst on the pill, which suprised me because I thought its supposed to give you more eostragen? Nothing else like progesterone or prolactine or FSH, LH, E2, or p4 seemed to be a problem. After my period was regular (because I was having it every 2weeks) I stopped the pill. I had an ultrasound of my ovaries and everything seemed normal. This year, 4 months ago (a year since my last test) I was 102pmol/L for oestradiol (E2), the doctors said this was low and a concern but they didn't send me away for more tests. At the moment, my breasts have decreased in size, I've lost weight down to 55kg, my period is down from 2 and a half weeks to 2weeks apart. So I went to a different doctors last week but they also didn't say much and just put me on the pill called levlen.

I was just wondering why do my eostragen levels keep dropping? Does that mean I'm infirtile? Should I see a specialist? Do I have PCOS?

Thank you for your help and guidance. Any will be much appreciated just to settle my mind :)

[chars003]

Hi,
Thank you for that, I noticed the same symptoms as previously and the docs put me on Levlen. I had my blood tested keeping in mind my estragen might be high due to the pill, but unfortunately my levels are <70. Everything else is fine, so I do not have a thyroid problem. I had my ovaries scanned last year and it was fine. so at the moment, I'm on the waiting list for the hospital to see a Gynaecologist. :) Thank you very much for your feedback :)

[Sanjivani Wanjari, MD]

HI,
The levels of estrogen and progesterone change with the different phases of the menstrual cycle. They should be tested on day 3 of the cycle. Low estrogen levels are not an issue in women who are young and not trying for a pregnancy. Sudden weight loss can also lead to hormonal changes. Pills themselves alter the hormonal profile. Fertility in later life need not be affected. PCOS if any is easily detected on ultrasound scan and hormonal assay. You may consult a gynaecologist and an endocrinologist.
Take care.