How to treat elevated estradiol and FSH levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have done two blood checks (the second one on day three of menstruating). It showed estradiol of 73.4 and FSH (follicle stimulating hormone) of 7.5. My general physician said this was a problem, but I could not do much. However, I can send you the results if needed. I am 30 years old and in good health. Can you explain it to me and tell me if I can do anything as I am worried?

As I said, I can also send you a copy of the results.

Thank you so much.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

You have not given your detailed gynecology, obstetric, medical, and drug history. However, I have seen your reports in which estradiol is low, which should be high, and Fsh is high, which should be low.

Have you been observing regular periods?

It is better to take serum antiMullerian hormone test and collect the LH (leutinising hormone) report to discuss it fully with the gynecologist and endocrinologist. You need a detailed evaluation, as I do not have your complete history, but a high FSH (follicle stimulating hormone)showing that you are in the premenopausal period if the report is not wrong.

Do serum antiMullerian hormone, serum progesterone, serum testosterone, and thyroid function test on day two of periods. Collect LH (leutinising hormone) report and start oral contraceptive pills for two months to have regular cycles and a better feeling of a healthy reproductive system.

Eat a healthy diet, 0.4 milligrams of folic acid, walk and exercise regularly, and adopt healthy recreational activities.

I hope this helps.

Thank you and take care.

The Probable causes

The Probable causes are high fsh.

Investigations to be done

Investigations include anti Mullerian hormone day two of menses, serum testosterone, serum progesterone, thyroid function test, serum LH (collect reports). Serum testosterone Serum progesterone ,thyroid function test Serum lh(Collect report )

Differential diagnosis

Differential diagnosis is depleted ovarian reserves.

Treatment plan

Make an appointment with a gynecologist and endocrinologist and discuss the hormonal support to have pregnancy or even IVF if needed.

Preventive measures

Preventive measures are healthy life style, Cocp for 2 months to have labs in day 2 menses.

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Answered by Dr. Uzma Arqam

Medically reviewed by iCliniq medical review team

January 14, 2023

May 8, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam

Obstetrics and Gynecology

Consult this doctor

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