Can anyone interpret women's labs?

[Kanecore]

I made my girlfriend get some lab work, but her GP is completely lost when it comes to interpreting hormone tests. When her total T came back high, I asked the GP if she would order a more comprehensive test for adrenal or ovarian Tumors or pituitary issues. She replied "why?" IDIOT! I also had my girlfriend do a 24hr urine cortisol and they lost it! I'm ordering a saliva cortisol for her. Does anyone know how to intrpret this? I know high T in women may indicate a greater problem such as a tumor of the adrenals or ovary. But her Free T is within ref range. The lab her GP used is terrible!

Total T: 1.06ng/ml (high); ref 0.06-0.82
Free T: 4.9pg/ml; ref 1.3-6.8
Estrogen: 231.7pg/ml (don't know if it is E2 or total plus no ref renage)
Free T3: 3.5pg/ml; ref 2.6-4.4
Free T4: 1.34ng.dl; ref 0.7-1.7
TSH: 2.89uIU/ml; ref 0.27-4.2
Progesterone: 5.36ng/ml; no ref range

 

[ItsHectic]

I wouldnt use that lab again.

 

[JanSz]

I made my girlfriend get some lab work, but her GP is completely lost when it comes to interpreting hormone tests. When her total T came back high, I asked the GP if she would order a more comprehensive test for adrenal or ovarian Tumors or pituitary issues. She replied "why?" IDIOT! I also had my girlfriend do a 24hr urine cortisol and they lost it! I'm ordering a saliva cortisol for her. Does anyone know how to intrpret this? I know high T in women may indicate a greater problem such as a tumor of the adrenals or ovary. But her Free T is within ref range. The lab her GP used is terrible!
Total T: 1.06ng/ml (high); ref 0.06-0.82
Free T: 4.9pg/ml; ref 1.3-6.8
Estrogen: 231.7pg/ml (don't know if it is E2 or total plus no ref renage)
Free T3: 3.5pg/ml; ref 2.6-4.4
Free T4: 1.34ng.dl; ref 0.7-1.7
TSH: 2.89uIU/ml; ref 0.27-4.2
Progesterone: 5.36ng/ml; no ref range

#1, do not let a doctor or his nurse take your blood sample for testing

#2, give blood at a patient center of, prefferably QuestDiagnostics or LabCorp
Both can be located via internet.

I preffer Quest only because they do FreeT and BAT the correct way, they calculate it.
.
According to this 2006 work:
Table 4 CalcV FT and Calc2 FT in comparison to equilibrium dialysis FT found in different studies.
--------http://www.atypon-link.com/WDG/doi/pdf/10.1515/JLM.2006.050

40 normal women had FT=5.9pmol/L=1.7 pg/mL
Invalid Link Removed


Get some more testing for your girlfriend.

Ranges, two right columns.
Invalid Link Removed
Correct Testosterone test is
Total Testosterone (Women and Children)
Invalid Link Removed
For men would be:
Free, Bioavailable, and Total Testosterone
they also have a old fashion test (I would not use it)
Free and Total Testosterone
----
Usefull reading:
EndoManual 3rdEd 2004
Invalid Link Removed