Q. I have irregular periods with elevated cortisol and estradiol. Please help.

Answered by
Dr. Richa Agarwal
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 11, 2021

Hello doctor,

I am a 50-year-old female in good health. I am not on any medication, and I eat well. 5'4" 140 pounds. I have an irregular period, fatigue, cyclical migraine headaches, anxiety, panic attacks, and dry eyes. My basal temperature does not indicate ovulation, and the blood report came back with low vitamin D, high cortisol 22, high estradiol 613. I was on the third day of my cycle. Is this estrogen dominance, and should I use progesterone cream?

#

Hi,

Welcome to icliniq.com.

Three things are important in your case-

1) High cortisol.

2) High estradiol.

3) Low vitamin D.

The most common cause of high-level cortisol is Cushing syndrome (pituitary adenoma) and stress.

Treatment- MRI to rule out pituitary adenoma. Release your stress with the change in your lifestyle and diet.

High estradiol mainly occurs during peri-menopausal age and with a low progesterone level.

Treatment - Use progesterone cream in high doses of 400 mg/ day in two divided doses.

Low vitamin D occurs in both the above conditions.

Treatment includes direct sun light exposure. You can use Cod liver oil, fish, and cholecalciferol sachet.

Your HbA1c level is also high. It indicates you are in the prediabetic stage. So take care of your blood sugar levels. So, in my opinion, you should consult a good endocrinologist and take treatment accordingly.


Was this answer helpful?

 | 


Related Questions:
I have irregular periods with elevated cortisol and estradiol. Please help.

Thank you doctor, Here is the picture of the rashes and the link to access my reports online for your reference.   Read full

What causes irregular periods with pain in a 52-year-old female?

Thank you doctor, Here is the picture of the rashes and the link to access my reports online for your reference.   Read full

Why am I having low BP and severe intolerance to stress?

Thank you doctor, Here is the picture of the rashes and the link to access my reports online for your reference.   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.