Can’t understand my test results

by Rachel

Hello. My doctor refused to give a urine or saliva test for hormone results, and now it seems he’s unable to interpret the test anyway.
I could cry! I simply cannot work out what my ratio is, if I am dominant in either hormone or if I am an alien. I feel dreadful and cannot seem to get anywhere near feeling better.

I used Natpro for two years and it just didn’t really make much difference. I used lots of it too.

I am in the uk if that makes a difference!
It says:
Serum oestradiol level (4465) result: <19pmol/L
Serum follicle stimulating hormone (XM0Ix) result: 63.9 u/L
Serum LH level (XM0Iv) result: 39.4 u/L
Serum progesterone level (XE2dq) result: 22 nmol/L
Serum prolactin level (XaELX) result: 298 mid/L
Serum sex hormone globulin level (44CD) result: 49.3 nmol/L
Serum testosterone level (XE2dr) result: 0.73 nmol/L
Free androgen index (XE2pm) result: 1.48 0.297 - 5.62

If anyone can shed any light on this numbers, i’d be most grateful.

Comments for Can’t understand my test results

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Oct 23, 2017
Can't understand my test results
by: Joy

Hi Rachel

How odd that your doctor can't work out your progesterone:estradio(E2) - (P:E2) ratio. Most lab reports work this out for you too! There is a Hormone Testing page that you can look at, it explains exactly how to work the ratio out, perhaps you could send the page to your doctor to read. You can also compare your other tests results on the page.

I am puzzled as to why you are still feeling dreadful after two years of using Natpro. With a ratio such as yours you should be feeling good. I worked your ratio out at 1158:1. Most women start to feel good at around 600:1 but there are many women who only start to feel good with a much higher P:E2 ratio such as yours, some even higher. Are you still using Natpro, if so how much? Are you taking Vitamin D3 and the Co-factors? Have you had your thyroid tested? Insulin Resistance can also bring on so many adverse symptoms, very similar to estrogen dominance, have you been tested?

In case you have not read these pages I will list them again. Please read through them, they may offer some explanation as to why you are still feeling dreadful.

How to use Progesterone Cream

Estrogen Dominance

Hormone Testing

Vitamin D3


Insulin Resistance

Dr David Brownstein (Thyroid)

Oct 23, 2017
Test results
by: Rachel

Thanks so much for replying.
I had managed to work out the ratio with the help of my partner, but I am grateful that you have too.
I thought the ratio was very high!
I feel extremely anxious, and very miserable on waking. I am tearful and very easily upset. I have always been sensitive but these days I am upset most of the time.

My vitamin D levels were high, I take omegas 3, 6, 9. I use magnesium oil, and I take probiotics and a b complex.

I also use ashwagandha. I was suffering extraordinary sweating and frequent urination but the sweating has gone as have the flashes. I urinate more frequently some days but not all.

My doctor should have been a vet, as he couldn’t be less interested in human health issues as far as I can tell.

Oct 24, 2017
Test results
by: Anonymous

I am, if I may, going to go outside the box.

First of all, I totally agree with Joy about your ratios and why those should indicate positive results. Sometimes, however, there are other factors not related to what we ingest but more to do with how we are dealing with our issues - emotional issues I mean. There are "tools" that can be extremely helpful. One is meditation and the other is EFT (emotional freedom technique) better known as Tapping. There are lots of examples on youtube. Dr. Kim D'eramo is wonderful. I suggest you look into these.

What we eat, how we exercise and taking the wonderful progesterone cream such as Natpro are superb, but how we manage stress in our life is another avenue we need to add to our daily routine. A lot of "hidden" issues need to come to the surface and move on and sometimes that is difficult to confront.

It's just my opinion. Of course only you know what is going on in your life. Maybe this has nothing to do with it but I sense that maybe it does.

Wishing you the best!

Oct 25, 2017
Can’t understand my test results...
by: Rachel

Thank you Anonymous.

Oct 26, 2017
Test Results
by: Joy

Hi Rachel

Please consider trying some of the calming aminos mentioned on the Anxiety page. When you say that your vitamin D3 level is high, how high? It should be at optimal levels at all times which is between 70-100ng/mL. Mine is around 125ng/mL and I feel great at that level. Please stop Omega 6 and 9 we get enough from our food. Please include an oral magnesium as mentioned on the page given to you, both oral and transdermal are needed. Glycinate to be taken at night is one to consider. More info is on the page.


Oct 27, 2017
My test results...
by: Rachel

Thank you Joy.

I already take magnesium, and I use magnesium oil. My vit D level is (it says serum 25-Hydroxy vitamin D3 level (XaEQa) 194.0 nmol/L. >75 nmol/L being optimal.

According to a homeopathic doctor who I showed the results to, my triglycerides are low. I eat lots of good fat. I eat butter and avocados and coconut oil, every day.

Honestly, I am a stresshead. I think I have leaky gut as my tummy is very swollen a lot of the time and the amount of worrying I do must be affecting my adrenals.

Thank you for your time.

Oct 30, 2017
My test results
by: Joy

Hi Rachel

Stress destroys so much. It reduces the benefits of progesterone as well as Vitamin D3, Magnesium, B Vitamins etc etc. I am pleased that you are eating the good fats, I eat the same. Have you tried eating fermented foods and or kefir milk for your leaky gut? If not, please try as the results are excellent.


Oct 31, 2017
my test results
by: Rachel

Thanks Joy. I take olive leaf extract and I use grass-fed bovine collagen for my gut. I have decided to do a DUTCH test this month to see exactly what is going on with me. I just can't fathom why I feel so lousy and have all the oestrogen dominance symptoms without the excess oestrogen. It's just weird.

Thanks again.

Aug 28, 2021
Can’t understand my test results
by: Anonymous

I am just interested did you somehow slow your problem, I am asking because I have the same problem like you and i am desperately looking for solution - ratio estradiol progesteron
much more better than should be more than 600:1. I eat very healthy food, vitamin D perfect but i still do have estrogen dominance symptom.

Thank you for your answer. dub

Sep 20, 2021
No sex drive
by: Anonymous

I have requested for a blood test due to sexual disfunction. I am female in my early 20s.

Doctor did not spot the issue and said there is nothing they can do and tests results are normal.

Is there anything wrong with my levels? Thanks

Serum Oestradiol level (4465) :
Follicular : 77-921
Mid-cycle: 139-2382
Luteal: 77-1145
Post-menopausal (no HRT) <103



19 day of cycle : 3.1nmol/l


1.05nmol/l (0.38-1.97)


5.58 umol/l (3.6-11.1)

Sep 21, 2021
No Sex Drive
by: Joy

Hi there

You are very young to be dealing with Low Libido. Are you on Contraceptives by any chance? If so, this could be one of the reasons see here and here. Your doctor should know this. Low Progesterone and Vitamin D3 levels can also cause it. Your hormones need to be balanced.

Using your follicular results, your progesterone:estrogen ratio is 40:1, it should be around 600:1, as suspected your progesterone level is extremely low. What testosterone level was tested? It should be free testosterone. Please read the Hormone Testing page.

Right now you are suffering from Estrogen Dominance as well as low progesterone. What is your Vitamin D3 level? This is extremely important as not only does it reduce the benefits of progesterone, it is an excellent immune booster, along with the co-factors mentioned to help protect against COVID.

Take care.

Sep 22, 2021
No sex drive part 2
by: Anonymous

Thanks Joy for your detailed answer.

I used to use hormonal contraception. I have tried tablets, then Doctor prescribed me with different tablets due to low libido and that did not work. I have tried contraceptive implant in my arm which I took off shorty after around half year. I currently have Copper IUD for over 3 years now.

I also suffered from depression and couple years have used SSRI .

Right now I am in happy place emotionally and nearly a year free from antidepressants. However libido issue started to bother me and I have requested for this blood test and Doctor said I am fine there is nothing to worry about it.

My testosterone (XE2dr) results are 1.05 nmol/L (0.38-1.97)

I have no other results as I have requested to test only few things and I have mentioned to the doctor that I have low sex drive however I was not offered to get any vitamin level tests.

I did not leave it there and seeking for advice as I am really feel I am giving up.

Thank you so much I really do aappreciateyou help.

Sep 22, 2021
Not sex drive part 2
by: Joy

Hi there

Well I am so pleased that you are off all those synthetic contraceptives.  The Copper IUD is the only device that we recommend as it does not interfere with the woman's cycle.  There are some against it because of the copper content but zinc should always be taken with a Copper IUD.  Zinc should be taken anyway as it is an important co-factor for vitamin D3 as explained on the page.  

I am so pleased to hear that you are in a happy place. You might like to read up on natural remedies for Depression which will help you greatly should you wish to pursue the natural route.  
Follow the advice on the Low Libido page and see how that helps.  It could be that the antidepressants are still working out of your system and your hormones really do need to be balanced correctly.  Most doctors don't believe in nutrition for our health issues which is sad.  If only they would get off the 'drug' bandwagon and give their patients what they really need. I'll end off with that now as it does make me angry.

Well done in taking your health issues into your own hands.  I did years ago when I had the same issues as you.  They do not listen to what we are saying.  Do not give up, people will help you.  You can do it.  You can always chat to me if you feel the need.  Please try to follow advice given as best you can, you will benefit.  Progesterone therapy is not an easy thing, I wish it was.  It takes time and patience before one feels the benefits of progesterone if used correctly.

Take care.

Sep 22, 2021
No sex drive
by: Anonymous

Thank you so much... I will ring my Doctor to discuss my results and will also read the website.

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