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Target ranges for hormone levels in hormone therapy for transgender women; Source Place Estradiol, total Testosterone, total Refs Endocrine Society: United States: 100–200 pg/mL <50 ng/dL [1] World Professional Association for Transgender Health (WPATH) United States
In a normal adult female, the normal range of estrogen in the luteal phase (when ovulation happens, as well as the vascular tissue preparing for the potential zygote [3]) is 100 pg/ml, in comparison to the proliferative phase (when the uterine lining is thickening [4]) 40-250 pg/ml. [5]
High estrogen is typically defined as “levels exceeding the normal range” for a specific age and menstrual phase, often accompanied by other symptoms (more on this soon), she says.
[10] [15] During normal human pregnancy, estrogen production increases progressively and extremely high estrogen levels are attained. [19] Estradiol levels range from 1,000 to 40,000 pg/mL across pregnancy, [20] are on average 25,000 pg/mL at term, and reach levels as high as 75,000 pg/mL in some women. [21
Hormone levels with 2 mg oral micronized estradiol valerate tablets (Progynova, Schering) taken 3 or 4 times per day (6–8 mg/day total) sublingually (SL) in premenopausal women. [6] [7] Time of blood collection after medication administration was not specified. [6] [7] Sources: Serhal et al. (1989, 1990). [6] [7]
Estradiol levels with 50 to 100 μg/day transdermal estradiol patches applied to the forearm and to the scrotum in a crossover study in 2 men with prostate cancer. [14] In 35 men treated continuously with one 100 μg/day estradiol patch scrotally, the mean estradiol level was ~500 pg/mL (range ~125–1,200 pg/mL). [14]
Levels of estriol increase 1,000-fold during pregnancy, [8] whereas levels of estradiol and estrone increase 100-fold, [12] and estriol accounts for 90% of the estrogens in the urine of pregnant women. [5] At term, the daily production of estriol by the placenta is 35 to 45 mg, [12] and levels in the maternal circulation are 8 to 13 ng/dL. [3]
Mean estradiol levels during 1 to 8 mg/day oral estradiol therapy alone or in combination with 100 to 200 mg/day spironolactone in transgender women. [ 3 ] Percent change in estradiol (E2), estrone (E1), LH, and FSH levels over a 24-hour period following a single dose of 2 mg oral estradiol in women.