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Estrogen hormones include estriol (made from the placenta during pregnancy), estradiol (primary sex hormone of childbearing women formed from developing ovarian follicles, and is responsible for female characteristics and sexual functioning), and estrone (widespread throughout the body, and is the only one of the estrogens that is present in any amount in women after menopause). All of these three factions are measured during estrogen testing. The normal range of estrogen levels varies depending upon the patient's age. Typically a women aged between 20 to 29 will have an average level of 149 pg/ml (pictograms per milliliter). A female aged between 30 to 39 will average a level of 210 pg/ml. And women over 40 but not in menopause will have an average level of 152 pg/ml. These average levels can vary day to day depending on the menstrual cycle changes. Estrogen levels are considered low when the tested range is between 10 to 20 pg/ml. This can be caused by menopause, anorexia and Turner Syndrome. Extreme endurance exercises also can reduce estrogen levels. Some of the symptoms of low estrogen levels include fatigue, hot flashes, night sweats, vaginal dryness and difficulty concentrating, feeling depleted and exhausted, loss of sex drive, etc. Estrogen levels can also fall due to causes like: hypogonadism, hypopituitarism, pregnancy failure (estriol), perimenopause and menopause (estradiol), polycystic ovarian syndrome (PCOS), anorexia nervosa (eating disorder), extreme exercise or training, use of drugs that may decrease levels of estrogen. Consider going ahead with getting further evaluation done to look for the underlying cause. Treatment as appropriate (estrogen supplementation) would be started to help you control the symptoms. You may also consider taking a second opinion. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest. Maintain healthy diet.
Take care.