What is the significance of an estradiol level of 310 picomoles per liter (pmol/L)?

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From the FDA Drug Label

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From the Research

The estradiol level of 310 pmol/L is within the normal range for perimenopausal and postmenopausal women using transdermal estradiol, as defined by a reference interval of 54.62-2,050.55 pmol/L 1. This value indicates appropriate estrogen production for women on hormone replacement therapy.

  • No specific intervention is needed if this result is from a woman of reproductive age with regular menstrual cycles.
  • However, interpretation depends on the clinical context, including age, menstrual status, and any hormone therapy.
  • For postmenopausal women, this level would be considered therapeutic and might not warrant further investigation.
  • For men, this would be considered high and could indicate conditions like gynecomastia, liver disease, or certain tumors.
  • If you're taking hormone replacement therapy, this level suggests adequate dosing, but dose customization is key to ensure that all women can reap the benefits of hormone therapy 1.
  • If you're experiencing symptoms despite this normal level, other hormones like progesterone or testosterone might need evaluation.
  • Regular monitoring is recommended if you're on hormone therapy, with testing typically done at the same time in your cycle for consistent results.
  • It's also important to note that serum estradiol levels can vary significantly between individuals, and measurement of serum estradiol can be helpful to identify women who may benefit from an off-label dose 1.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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