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Is abnormally elevated estradiol an expected finding in patients with PCOS?

If not, when do you consider other pathologies?
2 Answers
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Endocrinology · The University Of Vermont Medical Center Endocrinology
Answered on

High levels of estrogen can occur in PCOS, which can be prolonged due to lack of ovulation and insufficient amounts of progesterone. Particularly as these levels are expected to fluctuate throughout the cycle, I would not say there is a cut off necessarily for concern but would consider referring to...

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Mednet Member
Mednet MemberInvited Expert
Endocrinology · Medical College of Wisconsin
Answered on

In PCOS, estradiol is usually in the normal range or only mildly elevated, not markedly high. If estradiol is really high, other causes should be evaluated for, such as estrogen-secreting ovarian tumors or other rare conditions. Routine estradiol testing is not recommended for diagnosing PCOS, since...

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