Estrogen Levels Test
An estrogen test measures the level of estrogens in a sample of your blood, urine (pee), or saliva (spit).
An estrogen test measures the level of estrogens in a sample of your blood, urine (pee), or saliva (spit). Estrogens are a group of hormones that play a key role in female reproductive health, including puberty , menstruation , pregnancy , and menopause . However, estrogens are also important for more general bodily functions in both males and females, including: Healthy cholesterol and blood sugar levels Bone and muscle strength Brain functions such as the ability to focus There are many types of estrogen, but only three types are commonly tested: Estrone , also called E1, is the weakest of the three types and is made mostly by body fat and the adrenal glands (glands that sit on top of each kidney) in males and females. In females, the ovaries (the glands that contain eggs) also make estrone. Estrone is the only type of estrogen that females continue to make after menopause. Estradiol , also called E2, is the main estrogen in nonpregnant females of childbearing age. It's mostly made in the ovaries and makes pregnancy possible by helping to release an egg each menstrual cycle and by thickening the lining of the uterus (the place where a fetus grows). It also helps support brain and bone health. Males make small amounts of this estrogen in the testicles (the glands that make sperm). Estriol , also called E3, is an estrogen that increases during pregnancy. It's made in the placenta (the organ that grows in the uterus to provide nutrients and oxygen to the fetus). It helps your body prepare for breastfeeding and the birthing process. Males and nonpregnant females have very low levels of this estrogen. Though estrogen levels depend on many factors, including sex and age, levels that stay too high or too low may be a sign of a health problem. Other names: estradiol test, estrone (E1), estradiol (E2), estriol (E3), estrogenic hormone test
Why is this test ordered? If you are female , you may need estrogen testing if you: Have signs of early or delayed puberty such as the development of breasts, body hair, and widened hips before the age of 8 or after the age of 13 Are of childbearing age and have abnormal periods or no periods at all Are unable to get pregnant after a year of trying Have a high-risk pregnancy Have symptoms of menopause, including hot flashes and/or night sweats Use hormone therapy after menopause Have vaginal bleeding after menopause If you're pregnant , you may have an estriol test between weeks 15 and 20 of your pregnancy. The test may be part of a group of prenatal tests called a triple screen test or a quad screening test, which are used to check whether your fetus has a high risk for a genetic birth defect such as Down syndrome . You may be more likely to have a baby with a birth defect if you: Have a family history of birth defects Are age 35 or older Have diabetes . Have had a viral infection during pregnancy If you are male , you may need estrogen testing if you have: Signs of late puberty, such as delayed development of muscle mass and growth of testicles and penis Enlarged breasts or other symptoms of too much estrogen
Clinical Interpretation
A healthy level of estrogen depends on several factors, including: Your age Your sex The reasons for having the test The type of estrogen that was measured The results of other tests you may have had Estrogen levels in males, for example, don't change much throughout life. Therefore, a high level is usually a sign of a health condition such as infertility or an estrogen-producing tumor. In females, however, estrogen levels change a lot. They rise during puberty, are at their highest during pregnancy, and decline after menopause. Because estrogen levels change so often, you may need to be tested more than once to look for a trend in your estrogen levels over time. Talk with your provider to find out what your results mean for your health. Learn more about laboratory tests, reference ranges, and understanding results .
Clinical Protocol & Patient Advice
- 1
You may need to stop taking certain supplements and medicines, such as the birth control pill and hormone therapy for menopause, before this test. Tell your provider about everything you take, but don't stop taking any medicines unless your provider tells you to.
Usage Guidance
- Reference ranges vary by laboratory. Always discuss your specific results with a qualified healthcare professional.
Source: MedlinePlus, National Library of Medicine. View the original.