Help with blood tests

[Goinglean]

Results of first 2 blood tests, 30 days apart. Most tests not repeated. Never tested for anything but tsh before, which was always in range.

TsH 1.26 (1.8-2.5)

FSH 12.1 (1.5-9.1) only tested once

Progesterone 2.9 (2.6-21.5) tested once

estradiol 258 (56-214) tested once

Total testosterone 27 first test, 41 second test (2-45)

All vitamin/mineral tests were in higher part of reference range. Iron was not tested.

After first blood test doc put me on compounded testosterone 3mg. Then retested as above. He has now upped my testosterone to 4 mg. My t3 was also low so her prescribed .5mcg cytomel twice a day. Not sure if that’s related in any way.

I feel somewhat better - still tired and very Painful periods (all tests from gynecologist were good), less heavy bleeding, hair falling out, sleeping a bit better and still unable to lose weight. Horrible pms and cramping, tender (understatement) breast’s.

Anyone have any insight On what these tests mean or what I should take? I would have thought he’d prescribe progesterone cream, but doc said it wasn’t needed. So frustrated. Really at this point, almost 59, I just want my periods to cease, but still just waiting it out.

Thanks in advance

[SlowDragon Administrator]

Are you on thyroid hormones?

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12

Just Testing TSH is completely inadequate

Low vitamin levels are extremely common, especially if Thyroid antibodies are raised

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw).

If/when also on T3, or NDT make sure to take last dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test

Is this how you do your tests?